PM10-bound trace elements in pan-European urban atmosphere.

Although many studies have discussed the impact of Europe's air quality, very limited research focused on the detailed phenomenology of ambient trace elements (TEs) in PM10 in urban atmosphere. This study compiled long-term (2013-2022) measurements of speciation of ambient urban PM10 from 55 sites of 7 countries (Switzerland, Spain, France, Greece, Italy, Portugal, UK), aiming to elucidate the phenomenology of 20 TEs in PM10 in urban Europe. The monitoring sites comprised urban background (UB, n = 26), traffic (TR, n = 10), industrial (IN, n = 5), suburban background (SUB, n = 7), and rural background (RB, n = 7) types. The sampling campaigns were conducted using standardized protocols to ensure data comparability. In each country, PM10 samples were collected over a fixed period using high-volume air samplers. The analysis encompassed the spatio-temporal distribution of TEs, and relationships between TEs at each site. Results indicated an annual average for the sum of 20 TEs of 90 ± 65 ng/m3, with TR and IN sites exhibiting the highest concentrations (130 ± 66 and 131 ± 80 ng/m3, respectively). Seasonal variability in TEs concentrations, influenced by emission sources and meteorology, revealed significant differences (p < 0.05) across all monitoring sites. Estimation of TE concentrations highlighted distinct ratios between non-carcinogenic and carcinogenic metals, with Zn (40 ± 49 ng/m3), Ti (21 ± 29 ng/m3), and Cu (23 ± 35 ng/m3) dominating non-carcinogenic TEs, while Cr (5 ± 7 ng/m3), and Ni (2 ± 6 ng/m3) were prominent among carcinogenic ones. Correlations between TEs across diverse locations and seasons varied, in agreement with differences in emission sources and meteorological conditions. This study provides valuable insights into TEs in pan-European urban atmosphere, contributing to a comprehensive dataset for future environmental protection policies.

Novel Coumarin-steroid/terpenoid Hybrids: In vitro and in silico Anticancer Studies.

We have synthesized a series of novel coumarin-steroid and triterpenoid hybrids and evaluated their potential anticancer activity through molecular docking calculations and in vitro antiproliferative assays. These hybrids, derived from estrone and oleanolic acid, were linked via hydrocarbon spacers of varying lengths. Molecular docking studies against human aromatase revealed strong interactions, particularly for compound 11d, which exhibited significant binding affinity (-12.6308 kcal/mol). In vitro assays demonstrated that compounds 6b and 11d had notable antiproliferative effects, with GI50 values of 5.4 and 7.0 µM against WiDr (colon) and HeLa (cervix) cancer cells, respectively. These findings highlight the potential of these hybrids as novel anticancer agents targeting aromatase, warranting further investigation and optimization.

Multi-Device Parallel MRI Reconstruction: Efficient Partitioning for Undersampled 5D Cardiac CINE.

Cardiac CINE, a form of dynamic cardiac MRI, is indispensable in the diagnosis and treatment of heart conditions, offering detailed visualization essential for the early detection of cardiac diseases. As the demand for higher-resolution images increases, so does the volume of data requiring processing, presenting significant computational challenges that can impede the efficiency of diagnostic imaging. Our research presents an approach that takes advantage of the computational power of multiple Graphics Processing Units (GPUs) to address these challenges. GPUs are devices capable of performing large volumes of computations in a short period, and have significantly improved the cardiac MRI reconstruction process, allowing images to be produced faster. The innovation of our work resides in utilizing a multi-device system capable of processing the substantial data volumes demanded by high-resolution, five-dimensional cardiac MRI. This system surpasses the memory capacity limitations of single GPUs by partitioning large datasets into smaller, manageable segments for parallel processing, thereby preserving image integrity and accelerating reconstruction times. Utilizing OpenCL technology, our system offers adaptability and cross-platform functionality, ensuring wider applicability. The proposed multi-device approach offers an advancement in medical imaging, accelerating the reconstruction process and facilitating faster and more effective cardiac health assessment.

Variability of ambient air ammonia in urban Europe (Finland, France, Italy, Spain, and the UK).

This study addressed the scarcity of NH3 measurements in urban Europe and the diverse monitoring protocols, hindering direct data comparison. Sixty-nine datasets from Finland, France, Italy, Spain, and the UK across various site types, including industrial (IND, 8), traffic (TR, 12), urban (UB, 22), suburban (SUB, 12), and regional background (RB, 15), are analyzed to this study. Among these, 26 sites provided 5, or more, years of data for time series analysis. Despite varied protocols, necessitating future harmonization, the average NH3 concentration across sites reached 8.0 ± 8.9 µg/m3. Excluding farming/agricultural hotspots (FAHs), IND and TR sites had the highest concentrations (4.7 ± 3.2 and 4.5 ± 1.0 µg/m3), followed by UB, SUB, and RB sites (3.3 ± 1.5, 2.7 ± 1.3, and 1.0 ± 0.3 µg/m3, respectively) indicating that industrial, traffic, and other urban sources were primary contributors to NH3 outside FAH regions. When referring exclusively to the FAHs, concentrations ranged from 10.0 ± 2.3 to 15.6 ± 17.2 µg/m3, with the highest concentrations being reached in RB sites close to the farming and agricultural sources, and that, on average for FAHs there is a decreasing NH3 concentration gradient towards the city. Time trends showed that over half of the sites (18/26) observed statistically significant trends. Approximately 50 % of UB and TR sites showed a decreasing trend, while 30 % an increasing one. Meta-analysis revealed a small insignificant decreasing trend for non-FAH RB sites. In FAHs, there was a significant upward trend at a rate of 3.51[0.45,6.57]%/yr. Seasonal patterns of NH3 concentrations varied, with urban areas experiencing fluctuations influenced by surrounding emissions, particularly in FAHs. Diel variation showed differing patterns at urban monitoring sites, all with higher daytime concentrations, but with variations in peak times depending on major emission sources and meteorological patterns. These results offer valuable insights into the spatio-temporal patterns of gas-phase NH3 concentrations in urban Europe, contributing to future efforts in benchmarking NH3 pollution control in urban areas.

Inter-annual trends of ultrafine particles in urban Europe.

Ultrafine particles (UFP, those with diameters ≤ 100 nm), have been reported to potentially penetrate deeply into the respiratory system, translocate through the alveoli, and affect various organs, potentially correlating with increased mortality. The aim of this study is to assess long-term trends (5-11 years) in mostly urban UFP concentrations based on measurements of particle number size distributions (PNSD). Additionally, concentrations of other pollutants and meteorological variables were evaluated to support the interpretations. PNSD datasets from 12 urban background (UB), 5 traffic (TR), 3 suburban background (SUB) and 1 regional background (RB) sites in 15 European cities and 1 in the USA were evaluated. The non-parametric Theil-Sen's method was used to detect monotonic trends. Meta-analyses were carried out to assess the overall trends and those for different environments. The results showed significant decreases in NO, NO2, BC, CO, and particle concentrations in the Aitken (25-100 nm) and the Accumulation (100-800 nm) modes, suggesting a positive impact of the implementation of EURO 5/V and 6/VI vehicle standards on European air quality. The growing use of Diesel Particle Filters (DPFs) might also have clearly reduced exhaust emissions of BC, PM, and the Aitken and Accumulation mode particles. However, as reported by prior studies, there remains an issue of poor control of Nucleation mode particles (smaller than 25 nm), which are not fully reduced with current DPFs, without emission controls for semi-volatile organic compounds, and might have different origins than road traffic. Thus, contrasting trends for Nucleation mode particles were obtained across the cities studied. This mode also affected the UFP and total PNC trends because of the high proportion of Nucleation mode particles in both concentration ranges. It was also found that the urban temperature increasing trends might have also influenced those of PNC, Nucleation and Aitken modes.

Caracterización de los determinantes sociales de la salud del envejecimiento activo en estudios enfocados a la calidad de vida: mapeo sistemático / Characterization of the social determinants of health in active aging in studies focused on quality of life: systematic mapping

Resumen El aumento demográfico de adultos mayores se está presentando acompañado de condiciones socioeconómicas y de salud desfavorables, que afectan su calidad de vida. Esta situación puede paliarse a través del marco del envejecimiento activo, el cual aporta lineamientos alternativos que pueden resultar eficaces para contrarrestarlos. La Organización Mundial de la Salud establece que el envejecimiento activo tiene seis Determinantes Sociales de la Salud (DSS) que han sido abordados desde diferentes áreas por la comunidad científica. El objetivo del presente trabajo fue identificar y caracterizar el tipo de estudios enfocados a la calidad de vida, desde el envejecimiento activo, y clasificarlos de acuerdo con los DSS. Se revisaron las bases de datos Ebscohost, Scopus, Oxford, Redalyc y Sage Journals. Los descriptores utilizados fueron "envejecimiento activo" y "calidad de vida", en inglés y español. La búsqueda del mapeo sistemático comprendió enero 2015 a marzo 2022. Se localizaron 91 artículos en los que se evaluó la calidad de vida, desde la perspectiva del envejecimiento activo y la mayoría (81.3 %) fueron estudios transversales. Se identificaron 3 intervenciones psicológicas, con evaluación antes y después de las sesiones, abordando los DSS relacionados con los factores personales, como salud psicológica, percepción positiva con la actividad física y función cognitiva. Así mismo, los factores conductuales, como estilos de vida para la prevención de riesgo de caídas y mejora de la vida en general, que podrían condicionar la calidad de vida. El principal alcance temático de los estudios fue la vinculación existente entre la calidad de vida y los DSS relacionados con los factores personales y con el entorno social. Se requieren más estudios interdisciplinarios que ayuden a generar políticas públicas que impacten favorablemente en este sector poblacional.

Abstract The demographic increase of elderly people is taking place along with unfavorable socioeconomic and health conditions, which affect their quality of life. This situation can be alleviated through an active aging framework, which provides alternative guidelines that can be effective in counteracting them. The World Health Organization establishes that active aging has six Social Determinants of Health (SDH) that have been approached from different areas by the scientific community. The objective of this work was to identify and characterize the type of studies focused on quality of life, from active aging, and classify them according to the SDH. Ebscohost, Scopus, Oxford, Redalyc and Sage Journals databases were reviewed. The descriptors used were "active aging" and "quality of life", in English and Spanish. The systematic mapping search comprised from January 2015 to March 2022. 91 articles were located where quality of life was evaluated from the perspective of active aging and the majority (81.3 %) were cross-sectional studies. Three psychological interventions were identified, with an evaluation before and after the sessions, comprising the SDH related to personal factors, such as psychological health, positive perception with physical activity and cognitive function. Likewise, behavioral factors such as lifestyles for the prevention of risk of falls and general life improvement which could condition the quality of life. The main thematic scope of the analyzed studies was the existing relationship between quality of life and the SDH related to personal factors and the social environment. Further interdisciplinary studies are required to contribute to the creation of public policy that impacts favorably this sector of the population.

Asociación entre enfermedad por reflujo gastroesofágico e intensidad de la actividad física en una muestra de pobladores peruanos

Introducción: la nutrición adecuada, dejar de fumar y de beber alcohol son medidas preventivas y de tratamiento, ayudan a prevenir complicaciones de la enfermedad por reflujo gastroesofágico. Sin embargo, aún existen dudas sobre la intensidad de la actividad física y sus beneficios en el desarrollo de esta enfermedad. Objetivo: determinar la asociación entre la actividad física y la enfermedad por reflujo gastroesofágico en una muestra de peruanos. Metodología: estudio transversal analítico que utilizo una base de datos secundarias del estudio COHORT CRONICAS. La variable principal fue la presencia o no de enfermedad por reflujo gastroesofágico, lo cual se determinó a través de un autoinforme por diagnóstico médico. La variable independiente fue la actividad física, cuyos niveles fueron definidos de acuerdo con el protocolo del cuestionario internacional de actividad física, la que se dicotomizó en "bajo" y "medio/alto". Resultados: se trabajó con un total de 3211 sujetos. La prevalencia de reflujo gastroesofágico fue 4,48% y el 5,36% practicaba actividad física moderada/alta. En la regresión múltiple, se observó que los pacientes con actividad física baja tenían 391% mayor frecuencia de presentar reflujo gastroesofágico, respecto a quienes realizaban actividad física moderado/alta. Luego del ajuste de las covariables: sexo, edad, estatus socioeconómico, estado de fumador, bebedor de alcohol, actividad física e índice de masa corporal; se obtuvo un RP=4,91; IC95%: 1,19 - 20,23. Conclusiones: el estudio mostró que la actividad física de intensidad moderada/alta se asocia con una menor prevalencia de enfermedad por reflujo gastroesofágico. Si los resultados actuales se confirman en investigaciones futuras, los hallazgos de este estudio podrían ser importantes para la prevención y el tratamiento del reflujo gastroesofágico, a través de la intensidad de la actividad física.

Introduction: Adequate nutrition, smoking cessation and alcohol cessation are preventive and treatment measures, help prevent complications of gastroesophageal reflux disease. However, there are still doubts about the intensity of physical activity and its benefits in the development of the disease. Objective: To determine the association between physical activity and gastroesophageal reflux disease in a sample of Peruvian population. Methods: Analytical cross-sectional study with the use of secondary databases from the COHORT CRÓNICAS study. The main variable was the presence or absence of gastroesophageal reflux disease, which was determined through a self-report by medical diagnosis. The independent variable was physical activity, whose levels were defined according to the protocol of the international physical activity questionnaire. This variable was dichotomized into "low" and "medium / high". Results: A total of 3211 subjects were worked on. The prevalence of gastroesophageal reflux was 4.48% and 5.36% practiced moderate / severe physical activity. In the multiple regression, it was observed that patients with low physical activity had 391% greater frequency of presenting gastroesophageal reflux, compared to those who carried out moderate / high physical activity; After adjustment for the covariates: sex, age, socioeconomic status, smoking status, alcohol drinker, physical activity and body mass index; a PR=4.91; 95%CI: 1.19 - 20.23 was obtained. Conclusions: The study showed that moderate / high intensity physical activity is associated with a lower prevalence of gastroesophageal reflux disease. If the current results are confirmed in future research, the findings of this study could be important for the prevention and treatment of gastroesophageal reflux disease, through the intensity of physical activity.

Impacto psicológico de la pandemia COVID-19 en cinco países de Latinoamérica / Psychological impact of the COVID-19 pandemic on five Latin American countries

Resumen Introducción: El distanciamiento social y la cuarentena han probado tener efectos negativos en la salud mental de las poblaciones, a saber: miedo, ansiedad, depresión y sintomatología de estrés postraumático. La resiliencia emerge como variable amortiguadora del impacto. El objetivo del estudio fue comparar el impacto psicológico del COVID-19 en varios países latinoamericanos. Método: se obtuvo una muestra de 1184 participantes de México, Cuba, Chile, Colombia y Guatemala; cuya edad osciló entre 18 y 83 años (M = 38.78, DT = 13.81). Se aplicó una encuesta sobre síntomas médicos asociados al COVID-19 con tres instrumentos para evaluar: (1) síntomas de depresión, ansiedad y estrés, (2) impacto del evento y (3) resiliencia. Resultados: Las personas más jóvenes, con mayor cantidad de síntomas médicos y con mayores puntajes de impacto del evento tienden a presentar mayor sintomatología depresiva, ansiosa y estrés, siendo el impacto del evento el predictor más determinante. La resiliencia fue el predictor protector contra la depresión, ansiedad y estrés. Conclusiones: Los resultados muestran las diferencias en la respuesta psicológica ante la pandemia del COVID-19 en cada país, y sugieren la necesidad del desarrollo de políticas públicas enfocadas en la prevención y la promoción de la salud integral ante emergencias sanitarias.

Abstract Introduction: Social distancing and quarantine have proven to have negative effects on the mental health of populations, namely fear, anxiety, depression and post-traumatic stress symptoms. Resilience emerges as a buffering variable for such impact. The objective of this study was to compare the psychological impact of COVID-19 in several Latin American countries. Method: A sample of 1184 participants from Mexico, Cuba, Chile, Colombia and Guatemala was obtained; whose age ranged from 18 to 83 years old (M = 38.78, SD = 13.81). A survey on medical symptoms associated with COVID-19 and three instruments to evaluate: (1) depression, anxiety and stress, (2) impact of the event and (3) resilience were administered. Results: Younger people, with more symptoms associated with COVID-19 and those who reported higher scores of impact of event tended to present greater depressive, anxious and stress symptomatology. The impact of the event was the most determinant predictor. Resilience was protective against the impact of event, depression, anxiety and stress. Conclusions: The results show the differences in the psychological response to COVID-19 in each country and suggesting the need to develop public policies focused on prevention and promotion of integral health when facing sanitary emergencies.

Comparison of subjective health between personality prototypes extracted from general population of Mexico / Comparação da saúde subjetiva entre protótipos de personalidade em população geral do México / Comparación de la salud subjetiva entre prototipos de personalidad recuperados en población general de México

Abstract The objective of this study was to extract personality prototypes from general population of Mexico and to compare subjective health indicators between these prototypes. Participants were 994 individuals (aged 14 to 63 years). Five personality traits (Neuroticism, Extraversion, Openness, Conscientiousness, and Agreeableness) were assessed with the NEO-FFI. Subjective indicators of health (self-rated health and psychological distress) were assessed with a question regarding health status and the GHQ-12. To verify the consistency of the prototypes, the sample was divided into two age groups, young (14 to 25 years) and mature (26 to 63 years.). Three stable prototypes were recovered from both groups. Resilient individuals (low neuroticism and high in other traits) had the best subjective health; the Non-Resilient individuals (high neuroticism and low in other traits) had the worst subjective health; and Self-Disciplined individuals (high conscientiousness and medium scores in other traits) were in the middle of these extremes in subjective health. Self-discipline and resilience were most discriminative in terms of subjective health. Findings are discussed in terms of the generalization of prototypes across cultures.

Resumo O objetivo deste estudo foi obter protótipos da personalidade em população geral do México e comparar a saúde subjetiva entre eles. No total, participaram 994 indivíduos de 14 a 63 anos. Avaliaram-se cinco traços de personalidade (extroversão, neuroticismo, abertura à experiência, conscienciosidade e amabilidade) com o NEO-FFI, e a saúde subjetiva com o GHQ-12, e uma pergunta sobre o estado de saúde. Para corroborar a consistência dos protótipos, dividiu-se a amostra em dois grupos de idade: jovem (de 14 a 25 anos) e adulto (de 26 a 63 anos). Como resultado, obtiveram-se três protótipos em ambos os grupos: as pessoas resilientes -baixo neuroticismo e alto nos demais traços-, os que tiveram a melhor saúde subjetiva; as não resilientes -alto neuroticismo e baixo no restante dos traços-, que apresentaram a pior saúde subjetiva, e as pessoas disciplinadas -alto em conscienciosidade e média nos outros traços-, que apresentaram uma saúde subjetiva intermediária em comparação com os outros protótipos. Finalmente, a autodisciplina e a resiliência foram os traços que melhor discriminaram a boa saúde. Os achados são discutidos em termos da generalização de protótipos através de culturas.

Resumen El objetivo de este estudio fue obtener prototipos de personalidad en población general de México y comparar la salud subjetiva entre ellos. En total, participaron 994 individuos de 14 a 63 años de edad. Se evaluaron cinco rasgos de personalidad (Neuroticismo, Extraversión, Apertura, Responsabilidad y Amabilidad) con el NEO-FFI, y la salud subjetiva con el GHQ-12 y una pregunta sobre el estado de salud. Para corroborar la consistencia de los prototipos se dividió la muestra en dos grupos de edad: joven (de 14 a 25 años) y maduro (de 26 a 63 años). Y como resultado se recuperaron tres prototipos en ambos grupos: las personas Resilientes -bajo neuroticismo y alto en el resto de los rasgos-, quienes tuvieron la mejor salud subjetiva; las No-Resilientes -alto neuroticismo y bajo en el resto de los rasgos-, que presentaron la peor salud subjetiva; y las personas Disciplinadas -alto en responsabilidad y promedio en los otros rasgos-, que presentaron una salud subjetiva intermedia en comparación con los otros prototipos. Finalmente, la autodisciplina y la resiliencia fueron los rasgos que discriminaron mejor la buena salud. Los hallazgos se discuten en términos de la generalización de prototipos a través de culturas.

Competencia y compartimiento emocional en usuarios de cocaína: Psicometría y relación con variables sociodemográficas y clínicas / Emotional competence and magazine in cocaine users: Psychometrics and relationship with sociodemographic and clinical variables

INTRODUCCIÓN: Existe evidencia de relación entre factores emocionales y el consumo de drogas. Sin embargo, al menos la competencia emocional y el compartimiento social de las emociones en usuarios de cocaína no han sido estudiados con anterioridad, en parte debido a la reciente generación de las herramientas para su medición. OBJETIVO: Evaluar las características psicométricas de la Escala de Alexitimia de Toronto (EAT), el Cuestionario de Competencias Emocionales (CEMO), y el Cuestionario de Creencias sobre los efectos de Compartimiento Social de Emociones (CCSE) en pacientes mexicanos usuarios de cocaína, así como establecer su relación con variables socio-demográficas y clínicas. MÉTODO: Los instrumentos fueron completados junto con las Escalas de Afectividad Positiva (AP) y Negativa (AN) en dos ocasiones por 158 pacientes usuarios de cocaína. RESULTADOS: Las tres escalas mostraron coeficientes alpha superiores a .70. La EAT y el CEMO presentaron alta estabilidad temporal a quince días. La AN se asoció positivamente con la EAT y negativamente con el CEMO. La AP se correlacionó negativamente con la EAT y positivamente con el CEMO y el CCSE. El 50.9% de los pacientes presentaron una dificultad relevante en la identificación y la expresión de sus emociones, que se relacionó de forma negativa con la escolaridad. DISCUSIÓN Y CONCLUSIÓN: Se sugiere necesaria la sistematización de la evaluación y el tratamiento de las dificultades en la expresión emocional de usuarios de cocaína. Las versiones en español de las escalas evaluadas en este estudio resultaron válidas y confiables para su uso clínico y de investigación en pacientes mexicanos usuarios de cocaína.

INTRODUCTION: Current evidence suggests a relationship between emotional factors and drugs consumption, although at least both emotional competence and social magazine of emotions have not been studied in cocaine users, in part due to the recent generation of tools for their measure. OBJECTIVE: To evaluate the psychometric properties of the Toronto Alexithymia Scale (TAS), Emotional Competence Questionnaire (ECQ), and the Questionnaire about Beliefs in the effects of the Social Magazine of Emotions (QSME) in Mexican cocaine users, and to establish its relationship with socio-demographic and clinical variables. METHOD: All instruments, as well as the Positive Affectivity (PA) and Negative Affectivity (NA) Scales, were completed twice by 158 cocaine users. RESULTS: All scales showed alpha coefficients greater than .70. The TAS and ECQ presented high temporal stability. NA was positively associated with TAS, and negatively with ESQ. PA showed a negative correlation with TAS, and a positive relation with ECQ and QSME. 50.9% of the patients had a relevant difficulty in identifying and expressing their emotions, which was negatively correlated with schooling. DISCUSSION AND CONCLUSION: A systematic evaluation and treatment of difficulties in the expression of emotions in cocaine users seems to be necessary. The Spanish versions of the scales are valid and reliable for their use with clinical and research purposes in Mexican cocaine users.

Estilos de afrontamiento al estrés y bienestar subjetivo en adolescentes y jóvenes / Stress coping styles and subjective well-being in adolescents and young adults / Estilo do enfrentamento o estresse e bem-estar subjetivo em os adolescentes é jóvemes

Con la investigación buscamos determinar la relación entre el nivel de Bienestar Subjetivo y los Estilos de Afrontamiento al Estrés en adolescentes y jóvenes de Colima, México. En el estudio participaron 436 estudiantes con rango de edad de 15 a 24 años. Para recabar la información utilizamos la escala de Modos de Afrontamiento de Lazarus y Folkman (versión adaptada de Sandin & Chorot, 2003) y la Escala Multidimensional para la medición del Bienestar Subjetivo (Anguas-Plata & Reyes, 1998). Los resultados indican que los adolescentes y las adolescentes mantienen un promedio más alto de bienestar subjetivo que los sujetos jóvenes, y que el estilo de afrontamiento que más utilizan es el de aceptación de la responsabilidad, mientras que el menos utilizado es la huídaevitación.

The aim of this study was to determine the relationship between the level of subjective well-being and stress coping styles in adolescents and young adults from Colima, México. A descriptive correlational study was conducted involving 436 participants, all of whom were high- school or undergraduate students. Data were collected using the Ways of Coping Questionnaire by Folkman and Lazarus (adapted version by Sandin & Chorot, 2003) and the Multidimensional Scale for Measuring Subjective Well-Being (Anguas-Platas & Reyes, 1998). Our findings indicated that teenagers showed a higher subjective well-being than their undergraduate counterparts. In both, adolescents and young adults, the most commonly used coping style was "Acceptance of Responsibility", whereas the least used coping style was "Escape- Avoidance".

A investigação busca determinar a relação entre o nivel de Bem-estar Sujetivo é os Estilos de Enfrentamento do Estresse em os adolescentes é jóvenes de Colima, México. No estudio participaron 436 estudiantes com posição das idades entre 15 a 2ª anos. Para exigir a informação, utilizou-se a escala de Modos de Enfrentamento de Lazarus é Folkman) versão adaptada de Sandin é Chorot, 2003) é a Escala Multidimensão para a medição do Bem-estar Subjetivo (Anguas-Plata é Reyes, 1998). Os resultados indican que os adolecscentes mantenhem a média máis alto de bem-estar subjetivo que os jóvenes é que o estilo de afrentamento que mais usan e aceptação da responsabilidade, enquanto que os menos utilizado e a fuga-evitação.

Formato de registros clínicos de enfermería quirúrgica / Format of records clinical nursing

Introducción: Los registros clínicos de enfermería son testimonios documentales sobre actos y conductas profesionales donde queda reconocida toda la información sobre la actividad de enfermería, la cual hace referencia al paciente, su diagnóstico, tratamiento y evolución. Éstos se llevan a cabo en un nuevo formato (instrumento) que sirve como documento médico legal que cumple con la NOM-168-SSA-1998 ya que forma parte del expediente clínico; se utiliza para registrar las intervenciones que se desempeñan, apoyándose en el Proceso Enfermero; en él se registra la atención que se proporciona a la persona que va a ser intervenida, garantizando así la seguridad del paciente de acuerdo a la Cuarta Meta Internacional propuesta en la Cirugía Segura; así mismo, se registra la continuidad de los cuidados de forma racional y sistemática, favoreciendo también la calidad de la atención y siendo una prueba objetiva de los cuidados que se brindan. Se basa en la teoría de Orem. Objetivo: Analizar las necesidades de los profesionales de enfermería para realizar el diseño de un instrumento de registros clínicos de enfermería quirúrgica. Metodología: Cualitativa, apoyados en la fenomenología; se llevan a cabo reuniones de profesionales de enfermería quirúrgica turno matutino con más de 30 años de experiencia para diseñar un instrumento de registros clínicos de enfermería quirúrgica. Resultados: El grupo de expertos, al terminar el diseño del formato, lo da a evaluar a colegas que lo van a utilizar y es modificado en dos ocasiones por medio de entrevista directa; se establece su viabilidad a través de encuestas al personal del área quirúrgica. Conclusiones: El instrumento de registro clínico quirúrgico cumple con los criterios de seguridad para el paciente a través de las metas internacionales y cumple con la NOM-168-SSA-1998 del expediente clínico, permite registrar todos los cuidados que se brindan durante el transcurso de la cirugía.

Introduction: Clinical records are documentary evidence on nursing actions and professional conduct, which is recognized all the information about the nursing activity, which refers to the patient their diagnosis, treatment and outcome. These are carried out in a new format (instrument) that serves as a forensic document to comply with NOM-168-SSA-1998 as part of the clinical record, is used to record the interventions play, based on the Nursing Process, it records the care provided to the person who will be wiretapped; thereby, ensuring patient safety according to the fourth goal in the proposed International Safe Surgery and record the same continuity of care rational and systematic way and to encourage the quality of care and being an objective test of care are provided. It is based on Orem’s theory. Objective: Analyze the needs of nurses for the design of an instrument of surgical nursing clinical records. Methodology: Qualitative supported by phenomenology, was conducted meetings surgical nurses morning shift with over 30 years of experts to design an instrument of surgical nursing clinical records. Results: The group of experts to complete the design of format is given to assess colleagues who will use it and amended twice by direct interview, establishing its feasibility through staff surveys surgical area. Conclusions: instrument surgical clinical record meets the criteria for patient safety through international targets and comply with NOM- 168-SSA-1998 from clinical files, allows you to record all care is provided during the course of surgery.

Perfil periodontal de indivíduos adultos com diabetes melitus tipo 2 - estudo piloto / Periodontal profile of adult individuais with type 2 Diabetes Melitus - Pilot study

Este trabalho buscou determinar o perfil periodontal dos pacientes adultos diabéticos do município de Ouixadá -CE, analisando uma possível associação entre Periodontite e Diabetes melitus tipo 2 (DM2), na forma de um estudo piloto. Para tanto, realizou-se um estudo transversal em 15 indivíduos com diagnóstico médico de DM2, mínimo de 15 dentes na cavidade oral, não tabagistas, não-osteopóricos e com idade superior a 18 anos. O índice de sangramento gengival (ISG), registro periodontal simplificado foram feitos para avaliação da condição periodontal. Os pacientes foram submetidos à análise da glicemia em jejum. Os resultados desse estudo mostraram alta prevalência de periodontite e DM2 (86,66%). Não houve diferença estatística em relação ao ISG de pacientes sem periodontite (30, 40± 10,04%) e com periodontite (51,02±23,66%). Os pacientes diabéticos mostraram alto ISG (56,52±24,24%) quando comparado aos não diabéticos (19,15±5,86%) (P < 0,05). Dos 15 pacientes examinados 12 (92,30%) apresentaram DM2 (glicemia= 128,67±29,37 mg/dl) e periodontite (PSR 3 = 38,88% e PSR 4 = 5,55%). Não houve associação positiva entre DM2 e periodontite apesar do elevado Odds ratio (OR= 12; IC 95% = 0,38-375,2). Desta forma conclui-se que apesar das condições precárias de higiene oral e alta prelavência de periodontite em pacientes com DM2, não houve associação positiva entre estas doenças.

This work aimed to determine the periodontal profile of adult diabetic patients from Ouixada- CE, analyzing a possible association between periodontitis and type 2 Diabetes (T2D), as a pilot study. For this, it was performed a cross-sectional study in 15 individuals with medical diagnosis ofT2D, minimal of 15 teeth in oral cavity, non-smokers, without osteoporosis, aged over 18 years old. The gingival bleeding index (GBI) and periodontal simplified record (PSR) were performed in order to evaluate the periodontal condition. The patients were also submitted to the analysis of blood glucose. The results of this study showed high prevalence of periodontitis and T2D (86.66%). There was no statistical difference when comparing GBI of patients without periodontitis (30,40± 10,04%) and periodontal patients (51,02 ± 23,66%). Diabetic patients showed high GBI (56,52 ± 24.24%) when compared to the non-diabetic ones (19,15±5,86%) (P <0,05). Out of the 15 examined patients, 12 (92,30%) presented T2D (blood glucose = 128,67 ± 29,37 mg/dl) and periodontitis (PSR 3 = 38,88% and PSR 4 = 5,55%). There was no positive association between T2D and periodontitis, despite the high Odds ratio (OR= 12; 95% IC = 0,38-375,2). In this way, it can be concluded that in spite of poor oral hygiene conditions and high prevalence of periodontitis in T2D patients, there was no positive association between these two diseases.

Validez factorial del inventario de burnout de psicólogos en una muestra de psicólogos mexicanos / Factorial validity of the psychologists burnout inventory in a psychologist mexican sample

The aim of the current study was to test the factorial validity of the Burnout of Psychologist Inventory (IBP) in a sample of Mexican professionals. The sample consisted of 454 Mexican psychologists. For this, a factor analysis using principal components and Oblimin rotation and a confirmatory factor analysis was carried out. The internal consistency of the scales evaluated by Cronbach’s alpha coefficient showed high reliability, over the 0,70 minimum established. Together, the three dimensions of the IBP were able to explain 46,95 percent of the variance. The results obtained reveal that the model that best meets empirical data was the one with items 2, 14 and 17 removed, which provided a superior fit than the original one. The CFI (comparative fit index) and AGFI (adjusted goodness of fit index) fit indices showed values of 0,92 and 0,89, respectively, an RMSEA (root mean square error of approximation) has a value of 0,053. The present study showed that IBP seems to be a valid and a reliable measure for burnout in psychologist.

El objetivo de este estudio fue examinar la validez factorial del Inventario de Burnout de Psicólogos (IBP) en una muestra de profesionales mexicanos. Los participantes fueron 454 psicólogos mexicanos. Para ello se realizó en primer lugar un análisis factorial mediante Componentes Principales y rotación Oblimin y posteriormente un análisis factorial confirmatorio. La consistencia interna, evaluada mediante el alpha de Cronbach, mostró una elevada fiabilidad, por encima del valor habitualmente requerido de 0,70. Las tres dimensiones del IBP explicaron el 46,95 por ciento de la varianza total. Los resultados pusieron de manifiesto que el modelo que lograba un mejor ajuste a los datos empíricos era el que elimina los ítems 2, 14 y 17, debido a que posee un mejor ajuste que el modelo teórico original. Los índices de bondad de ajuste (CFI) y el índice de bondad de ajuste corregido (AGFI) mostraron valores de 0,92 y 0,89, respectivamente. Mientras, el promedio de los residuales estandarizados (RMSEA) indicó un valor de 0,053. El presente estudio mostró que el IBP parece ser una medida valida y fiable para evaluar el Desgaste Profesional o burnout en psicólogos.