Juvenile language disorders and their interaction with dentistry: a bibliometric analysis.

Language disorders may interfere with social integration and affectpersonal development. Beca-use the balance of the stomatognathic system can interfere with language, it is important for speech therapy and dentistry to work together, providing multidisciplinar y Healthcare. AIM: To analyze the 100 most frequently cited articles on language disorders in children and adolescents and assess the interplay with dentistry by means of a bibliometric analysis. MATERIALS AND METHOD: A search of the 100 most frequently cited articles up to December 2021 on language disorders was performed in the Web of Science Core Collection database. Four researchers extracted the data on number of citations, title, authors, country, year of publication, journals, study design, prevalent clinical conditions, and area of expertise. The analyses were performed using VOSviewer and Excel. RESULTS: The total number of citations ranged from 251 to 1,431. Four articles were cited more than 1,000 times. Bishop DVM (10 articles; 3,653 citations) and Tomblin JD (10 articles; 4,261 citations) were the most frequently cited authors. The institutions with the largest number of publications were the University of Oxford/England (11%) and the University of Kansas/USA (8%). Observational study design was the most frequent (77%). Autism spectrum disorder (18%) and dyslexia (14%) were the most broadly investigated clinical conditions. Speech-language pathology (32%) was the area of expertise with the largest number of articles, and none of the top 100 studies showed interplay with dentistry. CONCLUSION: The 100 most widely cited articles on language disorders are mostly observational, mainly address autism spectrum disorder, and are in the field of speech-language pathology No study reported interplay with dentistry.

Os disturbios de linguagem podem interferir na integrando social e afetar o desenvolvimento dos individuos. O trabalho multidisciplinar entre fonoaudiologia e odontologia é muito importante para a promogdo da saúde. O equilibrio do sistema estomatognático interfere na linguagem. OBJETIVO: Analisar os100 artigos mais citados sobre distúrbios de linguagem em criannas e adolescentes e verificar a interando com a odontologia por meio de análise bibliométrica. MATERIAL E MÉTODO: Foi realizada uma busca pelos 100 artigos mais citados sobre distúrbios de linguagem na base de dados Web of Science Core Collection até dezembro de 2021. Quatro pesquisadores extrairam os dados referentes a número de citanoes, titulo, autores, país, ano de publicando, periódicos, desenho de estudo, condinoes clínicas prevalentes e área de especializando. As análises foram realizadas utilizando VOSviewer e Excel. RESULTADOS: O número total de citanoes variou de 251 a 1.431. Quatro artigos foram citados mais de 1.000 vezes. Bishop DVM (10 artigos; 3.653 citanoes) e Tomblin JD (10 artigos; 4.261 citanoes) foram os autores mais frequentemente citados. As instituinoes com maior número de publicanoes foram a Universidade de Oxford/Inglaterra (11%) e a Universidade de Kansas/EUA (8%). O desenho de estudo observacional foi o mais frequente (77%). O transtorno do espectro autista (18%) e a dislexia (14%) foram as condinoes clínicas mais amplamente investigadas. A Fonoaudiologia (32%) foi a área de atuando com maior número de artigos e nenhum estudo, entre os top100, mostrou interando com a Odontologia. CONCLUSÃO: Os 100 artigos mais citados sobre distúrbios de linguagem sdo em sua maioria observacionais, abordam principalmente transtornos do espectro do autismo e estdo na área de fonoaudiologia. Nenhum estudo apresentou interando com a odontologia.

La educación ambiental y para el cambio climático en Latinoamérica: una revisión de alcance / Environmental and climate change education in Latin America: A scoping review

Resumen Introducción/objetivo: La educación ambiental y la educación para el cambio climático son dos iniciativas fundamentales para Latinoamérica; sin embargo, pocos trabajos han descrito a profundidad la investigación disponible en la región sobre estas. Método: Se implementó una revisión de alcance tipo Prisma de trabajos empíricos (análisis cuantitativo, cualitativo y mixto), en español, inglés o portugués, en Scielo, Redalyc y Scopus. Resultados: un total de 66 artículos conformaron la base final. En general, la educación ambiental y la educación para el cambio climático han sido abordadas interdisciplinariamente, aunque con un predominio del campo educación. Los dominios incluyen el conocimiento ambiental, actitudes proambientales, prácticas de siembra y cuidado animal. Hay reportes en todos los niveles de formación, con una mayoría en educación superior. Los efectos de las intervenciones son positivos; sin embargo, solo en una investigación se reporta el registro de seguimientos y en pocas hay registro de comportamientos. Conclusiones: las implicaciones para el diseño de actividades educativas de educación ambiental y educación para el cambio climático consisten en que estas aborden problemáticas ambientales locales, integren diferentes disciplinas, incluyan actividades de interacción con la naturaleza y duren más de un semestre lectivo.

Abstract Introduction/objective: Environmental education and climate change education are two fundamental initiatives for Latin America, however, few works have described in depth the research available in the region on them. Method: A Prisma-type scoping review of empirical papers (quantitative, qualitative and mixed analysis), in Spanish, English or Portuguese, was implemented in Scielo, Redalyc and Scopus. Results: a total of 66 articles made up the final database. In general, environmental education and climate change education have been approached interdisciplinarily, although with a predominance of the field of education. The domains include environmental knowledge, pro-environmental attitudes, planting practices and animal care. There are reports at all levels of education, with a majority in higher education. The effects of the interventions are positive; however, only one research reports a record of follow-ups and in few there is a record of behaviors. Conclusions: the implications for the design of environmental education and climate change education activities are that they should address local environmental problems, integrate different disciplines, include interaction activities with nature and last more than one school semester.

Juvenile language disorders and their interaction with dentistry: a bibliometric analysis / Transtornos da linguagem juvenil e sua interagao com a odontologia: uma análise bibliométrica

ABSTRACT Language disorders may interfere with social integration and affectpersonal development. Beca-use the balance of the stomatognathic system can interfere with language, it is important for speech therapy and dentistry to work together, providing multidisciplinar y Healthcare. Aim To analyze the 100 most frequently cited articles on language disorders in children and adolescents and assess the interplay with dentistry by means of a bibliometric analysis. Materials and Method A search of the 100 most frequently cited articles up to December 2021 on language disorders was performed in the Web of Science Core Collection database. Four researchers extracted the data on number of citations, title, authors, country, year of publication, journals, study design, prevalent clinical conditions, and area of expertise. The analyses were performed using VOSviewer and Excel. Results The total number of citations ranged from 251 to 1,431. Four articles were cited more than 1,000 times. Bishop DVM (10 articles; 3,653 citations) and Tomblin JD (10 articles; 4,261 citations) were the most frequently cited authors. The institutions with the largest number of publications were the University of Oxford/England (11%) and the University of Kansas/USA (8%). Observational study design was the most frequent (77%). Autism spectrum disorder (18%) and dyslexia (14%) were the most broadly investigated clinical conditions. Speech-language pathology (32%) was the area of expertise with the largest number of articles, and none of the top 100 studies showed interplay with dentistry Conclusion The 100 most widely cited articles on language disorders are mostly observational, mainly address autism spectrum disorder, and are in the field of speech-language pathology No study reported interplay with dentistry

RESUMO Os disturbios de linguagem podem interferir na integrando social e afetar o desenvolvimento dos individuos. O trabalho multidisciplinar entre fonoaudiologia e odontologia é muito importante para a promogdo da saúde. O equilibrio do sistema estomatognático interfere na linguagem. Objetivo Analisar os100 artigos mais citados sobre distúrbios de linguagem em criannas e adolescentes e verificar a interando com a odontologia por meio de análise bibliométrica. Material e Método Foi realizada uma busca pelos 100 artigos mais citados sobre distúrbios de linguagem na base de dados Web of Science Core Collection até dezembro de 2021. Quatro pesquisadores extrairam os dados referentes a número de citanoes, titulo, autores, país, ano de publicando, periódicos, desenho de estudo, condinoes clínicas prevalentes e área de especializando. As análises foram realizadas utilizando VOSviewer e Excel. Resultados O número total de citanoes variou de 251 a 1.431. Quatro artigos foram citados mais de 1.000 vezes. Bishop DVM (10 artigos; 3.653 citanoes) e Tomblin JD (10 artigos; 4.261 citanoes) foram os autores mais frequentemente citados. As instituinoes com maior número de publicanoes foram a Universidade de Oxford/Inglaterra (11%) e a Universidade de Kansas/EUA (8%). O desenho de estudo observacional foi o mais frequente (77%). O transtorno do espectro autista (18%) e a dislexia (14%) foram as condinoes clínicas mais amplamente investigadas. A Fonoaudiologia (32%) foi a área de atuando com maior número de artigos e nenhum estudo, entre os top100, mostrou interando com a Odontologia. Conclusao Os 100 artigos mais citados sobre distúrbios de linguagem sdo em sua maioria observacionais, abordam principalmente transtornos do espectro do autismo e estdo na área de fonoaudiologia. Nenhum estudo apresentou interando com a odontologia.

Scientific research about tinnitus in Brazil: An observational compilation / Pesquisas científicas sobre zumbido no Brasil: Um compilado observacional

ABSTRACT Purpose: to identify the profile of tinnitus research in Brazil and the main procedures adopted by professionals in the field in the national territory. Methods: an observational, descriptive, and cross-sectional study, in which an active search was made on digital platforms to identify researchers in Brazil who have tinnitus as a study focus. After identifying the tinnitus study groups, an online Form was sent to the researchers comprising 21 questions, so as to know the works in development. The collected responses were extracted and tabulated intoMicrosoft Excel Professional Plus2019 through the absolute and relative frequency measurements of the final sample. Results: 117 researchers were identified, of these, 21 participated in the study, being (90.5%) females, specifically from public universities (81%) in the Southeast region of Brazil (47.7%). These professionals develop clinical research (76.1%), focusing on therapies and/or treatments (38.1%), and use sound therapy (52.38%) as the main technological resource of their studies. Conclusion: the research profile is clinical, with a main focus on therapies and/or treatments for tinnitus. As for the procedures, there is a predominant application of the Visual Analogue Scale- VAS and the Tinnitus Handicap Inventory- THI as evaluation protocols and sound therapy as the main technological resource of their studies.

RESUMO Objetivo: identificar o perfil das pesquisas sobre zumbido realizadas no Brasil e os principais procedimentos adotados pelos profissionais da área em território nacional. Métodos: estudo de caráter observacional, descritivo e transversal, em que foi feita uma busca ativa em plataformas digitais para identificar pesquisadores no Brasil que têm o zumbido como foco de estudo. Após a identificação dos grupos de estudo sobre zumbido, foi enviado aos pesquisadores um formulário online composto por 21 questões, com o intuito de conhecer os trabalhos em desenvolvimento. As respostas coletadas foram extraídas e tabuladas no Microsoft Excel professional plus 2019 por meio das medidas de frequência absoluta e relativa da amostra final. Resultados: foram identificados 117 pesquisadores, destes, 21 participaram do estudo, sendo (90,5%) do sexo feminino, especificamente de universidades públicas (81%) da região Sudeste do Brasil (47,7%). Esses profissionais desenvolvem pesquisas clínicas (76,1%), com foco em terapias e/ou tratamentos (38,1%) e utilizam a terapia sonora (52,38%) como recurso tecnológico principal de seus estudos. Conclusão: o perfil das pesquisas é do tipo clínico, com foco principal em terapias e/ou tratamentos para o zumbido. Quanto aos procedimentos, há o predomínio de aplicação da Escala Visual Analógica- EVA e do Tinnitus Handicap Inventory-THI como protocolos de avaliação e a terapia sonora como recurso tecnológico principal de seus estudos.

Trabajo metodológico interdisciplinario en la carrera de Medicina

Introducción: El trabajo interdisciplinario busca derribar barreras existentes entre las diversas disciplinas, para que puedan interactuar entre sí, de manera regulada, bajo directrices, metodologías y procedimientos, buscando alcanzar un propósito. El objetivo del estudio fue sistematizar evidencias científicas sobre el trabajo metodológico interdisciplinario en la Carrera de Medicina. Material y métodos: Se realizó una revisión sistemática, utilizando como fuentes de información la Biblioteca Virtual de Salud Regional (BVS) y el motor de búsqueda Google académico. La búsqueda se realizó entre los años 2018 al 2022. Se usaron descriptores, palabras claves y ecuaciones de búsquedas. Resultados: Se encontraron 363 artículos y se seleccionaron los que cumplían con los criterios de inclusión, quedando un total de 7 artículos seleccionados, en los que se encontraron aspectos importantes sobre las dificultades existentes en el trabajo metodológico interdisciplinario entre las disciplinas Bases Biológicas y Principal Integradora en la carrera medicina. Conclusiones: existen problemas en lograr la integración interdisciplinar entre las disciplinas Bases Biológicas y Principal Integradora de la carrera de medicina. Todo esto incrementa la necesidad de crear un conjunto de acciones para fortalecer el trabajo metodológico interdisciplinario entre las asignaturas estudiadas, en función de formar un estudiante integral.

Introduction: Interdisciplinary work seeks to break down existing barriers between the various disciplines, so that they can interact with each other, in a regulated manner, under guidelines, methodologies and procedures in order to achieve a purpose. The objective of the study was to systematize scientific evidence on interdisciplinary methodological work in the Medical Career. Material and methods: A systematic review was carried out using the Regional Virtual Health Library (VHL) and the Google Scholar search engine as sources of information. The search was carried out between the years 2018 and 2022. Descriptors, keywords, and search equations were used. Results: A total of 363 articles were found and those that met the inclusion criteria were selected, leaving a total of 7 articles selected, in which important aspects of the existing difficulties in interdisciplinary methodological work between the Biological Bases and Main Integrative disciplines were found in the medical career. Conclusions: There are problems in achieving interdisciplinary integration between the Biological Bases and the Main Integrative disciplines of the medical career. All this increases the need to create a set of actions to strengthen the interdisciplinary methodological work between the subjects studied, in order to form a well-rounded student.

Visita domiciliar multiprofissional: estratégia de promoção do cuidado materno-infantil no puerpério / Multiprofessional home visiting: a strategy to promote mother-child care in the puerperium period

A visita domiciliar puerperal consiste em uma das atividades inerentes à Estratégia de Saúde da Família e se caracteriza como um importante instrumento de intervenção no contexto familiar. A abordagem multiprofissional e interdisciplinar no contexto domiciliar tem se mostrado uma estratégia positiva, que promove a atenção integral, facilita o cuidado e o vínculo e proporciona aos profissionais conhecer a realidade em que a família está inserida. Diante do exposto, este artigo objetiva relatar a experiência de profissionais de saúde residentes em Saúde da Família e Comunidade dos núcleos profissionais de enfermagem, nutrição e odontologia em visitas puerperais. Foram realizadas doze visitas domiciliares às puérperas e aos RN no município de Iguatu-CE, durante o período de novembro de 2018 a março de 2019. Durante as visitas, foram realizadas condutas clínicas voltadas à puérpera e ao recém-nascido, além do repasse de orientações e cuidados, de forma a promover saúde e prevenir agravos. A inserção da equipe multiprofissional nas visitas puerperais foi uma experiência de grande relevância tanto para as profissionais de saúde como para os pacientes, pois possibilitou, através da educação em saúde, a ampliação do cuidado com a saúde materno-infantil, o fornecimento de orientações e, com isso, a melhoria da qualidade de saúde e de vida da população atendida com esta prática.

The postpartum home visit consists of one of the activities inherent in the Family Health Strategy and it is featured as an important intervention instrument in the family context. The multiprofessional and interdisciplinary approach in the home context has been shown to be a positive strategy that promotes integral care, facilitates care and bonding, and allows professionals to know the reality in which the family is inserted. Considering the above, this paper aims to report the experience of resident health professionals in Family and Community Health of the professional nuclei of nursing, nutrition and dentistry in puerperal visits. Twelve home visits were conducted to puerperal and newborn infants in the municipality of Iguatu-CE during the period from November 2018 to March 2019. During the visits, clinical procedures were performed for the puerperal woman and the newborn, as well as the transfer of guidelines and care, in order to promote health and prevent diseases. The inclusion of the multiprofessional team in the puerperal visits was an experience of great value for both health professionals and patients, because it enabled through health education, the expansion of maternal and child health care, the provision of guidelines and thereby improving the quality of health and life of the population assisted with this practice.

Pesquisa participativa baseada na comunidade: intencionalidades e enfoques presentes na literatura da área da saúde / Community based participatory research: intentions and approaches toparticipation in the health field

Este artigo teve como objetivo discutir como a Pesquisa Participativa Baseada na Comunidade vem sendo incorporada nas pesquisas brasileiras na área da saúde, quais os temas mais frequentes e quais suas intencionalidades teórico-metodológicas. Trata-se de uma revisão integrativa realizada nas bases de dados LILACS e SciELO, incluindo a produção científica publicada no Brasil, entre 2018 e 2021. Os 15 artigos selecionados, com diferentes abordagens metodológicas, apresentam diversidades de temas (segurança alimentar e nutricional, bullying, arte-educação, saúde da criança, trabalho com reciclagem e em saúde, pandemia, desastres e emergências em saúde) e participantes (profissionais e gestores da saúde, estudantes, comunidade). Os estudos anunciam as diversas vertentes das pesquisas participativas (pesquisa-ação, pesquisa-intervenção, pesquisa-participante) e estratégias de acompanhamento, como os comitês de pesquisa, que podem fortalecer a inclusão dos participantes processualmente em todas as etapas da pesquisa. O uso de múltiplas ferramentas metodológicas (oficinas, grupo focal, entrevistas) e a triangulação de dados também são anunciados como estratégias para fortalecer a participação de profissionais e comunidade em um processo de pesquisar "com". A denominação de pesquisas participativas, suas origens e pressupostos não se efetiva de forma uniforme. Independentemente das denominações e escolhas metodológicas, a revisão aponta que a Pesquisa Participativa Baseada na Comunidade, nas pesquisas brasileiras na área da saúde, aparece em estudos de diversos temas, que têm em comum a intenção de romper com a dicotomia pesquisador-pesquisado, sujeito-objeto e investir em uma "política de participação", sensível às realidades e demandas sociais, com vistas à transformação social.

This paper aimed to discuss how Community Based Participatory Research has been incorporated into Brazilian health research around, the most frequent themes and their theoretical-methodological intentions.This is an integrative review carried out in LILACS and SciELO databases, including scientific production published in Brazil, between 2018 and 2021. There were fifteen selected articles, with different methodological approaches that show a diversity of themes (food and nutritional security, bullying, arteducation, child health, recycling and health work, Covid-19, and health emergencies), also it was targeted audiences them (health professionals and managers, students, and community). These studies announce the different aspects of participatory research(action research, intervention research, and participant research) which follow-up strategies, such as research committees, which can strengthen the inclusion of participants in all research ́s stages. The use of multiple methodological tools (workshops, focus groups, interviews) and data triangulation are also heralded as strategies to strengthen the participation of professionals and the community into a process of researching 'within'. The participatory research ́s title, and its origins and assumptions have not been applied uniformly. Regardless of the denominations and methodological choices, the review points out that Community-Based Participatory Research, in Brazilian research in the health area, appears in studies of various themes, which have in common the intention of breaking with the 'researcher-researched', subject-object dichotomy and invest in a 'participation policy', which could be sensitive to social realities and demands, with a view to social transformation.

The interfaces between One Health and Global Health: A scoping review.

One Health (OH) and Global Health (GH) are interconnected perspectives that may contribute to subsidizing GH policies. This scoping review aims to map the volume, nature, and characteristics of studies focused on the interface of OH and GH concepts. We used PubMed (MEDLINE), Embase, Scopus, and The Virtual Health Library (BVS) as the literature data sources for the review. The search strategy used the descriptors "one health", "one health concept", "one medicine", "global health", "international health", and "planetary health" in title and abstracts. We included original research presented as articles in scientific journals, book chapters or conference papers written in English, Spanish, or Portuguese, exploring the intersections between OH and GH concepts, not necessarily as their primary objectives, and published up to December 31, 2021. A total of 1.060 references were identified in the databases after removing duplicates, 139 publications selected for full-text evaluation and 45 publications were included for analysis. All included publications were published between 2011 and 2021, with the highest concentration in 2014 (22.2%). First authors were most frequently from the United States (35.6%), followed by the United Kingdom (15.6%). Overall, seven key themes were identified zoonosis, emerging infectious diseases, antimicrobial resistance, food safety, policy, human resources, and Sustainable Development Goals (SDG). The majority of the included publications employed OH concepts based on the United States Centre for Disease Control and Prevention, and the American Veterinary Medical Association definitions. We observed a common understanding of OH as an area of knowledge involving multiple disciplines and professionals and recognizing that both humans' and animals' health and the environment are interdependent. Although most authors demonstrated that health issues transcend national boundaries, a formal definition for GH was frequently not clearly identified. OH and GH interfaces are essential for accomplishing the 2030 Agenda and its SDG.

Epistemología de la investigación social / Epistemology of social research

INTRODUCCIÓN. La epistemología, rama de la filosofía que estudia el proceso de investigación y su producto el conocimiento científico, implica ámbitos de la ciencia con enfoque positivismo y postpositivismo, interpretativismo, teoría crítica; y, transcomplejo, cada uno de ellos con los elementos paradigmáticos de: ontología, epistemología y metodología, su conocimiento y aplicabilidad en los diferentes ámbitos es fundamental porque sus enfoques generan ciencia. OBJETIVO. Desarrollar capacidades intelectuales en bases contextuales y teóricas en epistemología de la investigación social, indispensables para el ejercicio profesional en el ámbito de la investigación científica y del conocimiento científico. MATERIALES Y MÉTODOS. Estudio observacional, descriptivo, con población y muestra conocida de 30 modalidades de publicación, periodo junio a julio 2020. Los criterios de inclusión fueron: fuentes secundarias de información bibliográfica validadas en el ámbito de las ciencias sociales. La técnica de observación fue en buscadores bibliográficos PUBMED, Scielo, Scopus, Diccionario de Descriptores en Ciencias de la Salud y la Real Academia Española. La tarea de revisar la literatura de investigación comprendió la identificación, selección, análisis crítico, descripción escrita, interpretación, discusión y conclusión de la información que existe sobre la epistemología de la investigación social, tema, que se registró con aplicación de un gestor de referencias bibliográficas, tipo Microsoft Word. RESULTADOS. Se logró obtener capacidades intelectuales al estructurar la cronológica de la epistemología de la investigación social, del conocimiento científico y nuevas perspectivas para el ejercicio profesional en el ámbito de la investigación científica. CONCLUSIÓN. Las perspectivas se orientan a integrar paradigmas pasados y futuros con visión de transcomplejidad, espacios organológicos de una gran red, conformación de cibercomunidades de investigación, uso de método integrador, nuevo lenguaje en equipos multidisciplinarios, agentes como el foco principal de la teoridad epistémica en espacio, tiempo y la relación entre las cosas.

INTRODUCTION. Epistemology, a branch of philosophy that studies the research process and its product, scientific knowledge, involves areas of science focussed in with positivism and postpositivism, interpretivism, critical theory; and, transcomplex, each one of them with the paradigmatic elements of: ontology, epistemology and methodology, their knowledge and applicability in the different fields is fundamental because their approaches generate science. OBJECTIVE. Develop intellectual capacities on contextual and theoretical bases in the epistemology of social research, essential for professional practice in the field of scientific research and scientific knowledge. MATERIALS AND METHODS. Observational, descriptive study, with population and a known sample of 30 publication modalities, period June to July 2020. The inclusion criteria were: secondary sources of bibliographic information validated in the field of social sciences. The observation technique was in bibliographic search engines PUBMED, Scielo, Scopus, Dictionary of Descriptors in Health Sciences and the Royal Spanish Academy. The task of reviewing the research literature included the identification, selection, critical analysis, written description, interpretation, discussion and conclusion of the information that exists on the epistemology of social research, subject, which was registered with the application of a reference manager bibliographic, Microsoft Word type. RESULTS. Intellectual capacities were obtained by structuring the chronology of the epistemology of social research, scientific knowledge and new perspectives for professional practice in the field of scientific research. CONCLUSION. The perspectives are aimed at integrating past and future paradigms with a vision of transcomplexity, organological spaces of a large network, formation of research cyber communities, use of integrative method, new language in multidisciplinary teams, agents as the main focus of epistemic theory in space, time and the relationship between things.

Aposentadoria e depressão: perspectiva para clínica ampliada / Retirement and depression: perspective for enlarged clinic / Jubilación y depresión: perspectiva para la clínica ampliada

RESUMO Objetivo O objetivo do estudo foi discutir a relação entre aposentadoria e depressão em idosos promovendo uma reflexão teórica na perspectiva da clínica ampliada diante dessa transição. Métodos Reflexão teórica, baseada em artigos científicos que discutem sobre aposentadoria e depressão, enfatizando as percepções e significados do trabalho na velhice, a transição para a aposentadoria, as relações entre aposentadoria e depressão na terceira idade e as contribuições da clínica ampliada na vida do idoso pré e pós-aposentadoria. Resultados O presente trabalho foi construído por evidências cientificas, os quais foram selecionados obedecendo os critérios de inclusão e exclusão entre os anos 2012 a 2017, resultando em 15 artigos para discussão dessa reflexão. Conclusão Dessa forma, a literatura aponta a necessidade do preparo continuado ao trabalhador e não somente nas vésperas da aposentadoria. Portanto, estas ações de intervenção serão essenciais para que o sujeito idoso possa desfrutar de uma aposentadoria bem sucedida e sem grandes impactos na sua saúde.

ABSTRACT Objective The objective of the study was to discuss the relationship between retirement and depression in the elderly and promoting theoretical reflection from the perspective of the expanded clinic in the face of this transition. Method Theoretical reflection, based on scientific articles that discuss retirement and depression, emphasizing the perceptions and meanings of work in old age, the transition to retirement, the relationships between retirement and depression in old age and the contributions of the expanded clinic in the life of the elderly pre and post-retirement. Results This work was built on scientific evidence, which were selected following the inclusion and exclusion criteria between 2012 and 2017, resulting in 15 articles to dis-cuss this reflection. Conclusions In this way, the literature points out the necessity of continuous preparation for the worker and not only on the eve of retirement. Therefore, these intervention actions will be essential so that the elderly subject can enjoy a successful retirement without major impacts on their health.

RESUMEN Objetivo El objetivo del estudio fue discutir la relación entre jubilación y depresión en ancianos y promover la reflexión teórica desde la perspectiva de la clínica ampliada ante esta transición. Método Reflexión teórica, basada en artículos científicos que discuten jubilación y depresión, enfatizando las percepciones y significados del trabajo en la vejez, la transición a la jubilación, las relaciones entre jubilación y depresión en la vejez y los aportes de la clínica ampliada en la vida del Ancianos pre y post-jubilación. Resultados Este trabajo se basó en evidencia científica, que fueron seleccionados siguiendo los criterios de inclusión y exclusión entre 2012 y 2017, resultando 15 artículos para discutir esta reflexión. Conclusión La literatura apunta a la necesidad de una preparación continua para el trabajador y no solo en la víspera de la jubilación. Por lo tanto, estas acciones de intervención serán esenciales para que las personas de edad avanzada puedan disfrutar de una jubilación exitosa y sin mayores impactos en su salud.

Effect of Different Frequencies of Electroacupuncture on Chronic Low Back Pain in Older Adults: A Triple-blind, Placebo-controlled, Randomized Clinical Trial.

BACKGROUND: Acupuncture is one of the most widely used therapies to treat chronic low back pain, whose analgesic effect seems to be potentiated by the addition of electric current (electroacupuncture). However, we are not aware of any clinical trial that has evaluated the effectiveness of this technique in adults > 65 years. OBJECTIVE: To evaluate the effect of electroacupuncture in the treatment of chronic low back pain in the elderly. STUDY DESIGN: Triple-blind, controlled, and randomized clinical trial. SETTING: Faculty of Medicine, University of São Paulo (USP); Sector of Biological Sciences - Physiotherapy Course, Federal University of Paraná (UFPR). METHODS: The study included 125 elderly people with chronic nonspecific low back pain who were randomized to one of 5 study groups: 3 of electroacupuncture; one control; and one placebo, all of them treated for 5 weeks. The primary endpoint was pain intensity, and secondary endpoints included the qualitative aspect of pain, functional disability (Roland-Morris and sit and stand test), emotional functioning (depression and anxiety), and psychosocial factors. Data analysis followed the intention-to-treat principle. The confidence interval was set at 95% and the significance level at 5%. RESULTS: All groups achieved a reduction in pain intensity; however, a significant difference was only detected between electroacupuncture and placebo, where the latter showed greater pain reduction. Regarding secondary outcomes, all groups showed good posttreatment results for all assessments but without statistical significance. Among the groups, the placebo was the one that obtained the best results between the pre- and post-treatment for depression, qualitative aspect of pain, and functional disability, but only for the qualitative aspect of pain and for the sit-and-stand test was a significant reduction found in the intergroup comparison. The analysis of the overall effect perceived by the participants in relation to low back pain revealed that individuals from all groups felt close to full recovery. LIMITATIONS: Absence of follow-up and a relatively small number of patients. CONCLUSIONS: This study provides evidence that there is no one frequency of electroacupuncture that is most effective in treating chronic low back pain in the elderly and that electroacupuncture is not superior to manual acupuncture or placebo treatment.

Implementación de una jornada virtual de telesalud y capacitación masiva para personas mayores chilenas y estudiantes de la salud. Impacto en la cobertura / Implementation of a virtual telehealth course for Chilean older adults and health students

Background: Aging increases the vulnerability to diseases and environmental changes such as the COVID-19 pandemic. Telehealth and tele-education are vital to prevent the deleterious effects of prolonged confinement, and to train the community, and constantly rotating medical students and health professionals. Aim: To assess the perception and impact of an online course about healthy aging aimed at the community and health care professionals. Material and Methods: An open online one-day course to promote healthy aging was carried out. A cross-sectional online survey about the course was answered by 386 attendants and a knowledge test was applied to 114 people. Results: Seventy-five percent of respondents attended the course synchronously. Of these, 79% were women, 20% were older people and 53% were caregivers of an older person. All respondents acquired new knowledge and were willing to participate again. The frequency of interest about self-care is three times greater than about caring for another person, In an older person, the interest is 101 more times about self-care than caring for another person. Ninety five percent of respondents felt more active and 84% felt more accompanied. Conclusions: The course facilitated access to information on the promotion of active and healthy aging in the community with a favorable perception and a positive impact. The coverage for older people with a digital gap should be improved.

Política interministerial para la investigación, transferencia y fortalecimiento de la salud en territorio, una experiencia federal / Interministerial Policy for Research, Transfer and Strengthening of Health in the Territory, a Federal Experience

RESUMEN INTRODUCCIÓN: En marzo de 2023, en el marco del "Convenio Marco de Cooperación y Asistencia Técnica Mutua - MSAL/MINCYT", se creó el "Proyecto Federal Interministerial de Investigación, Transferencia y Fortalecimiento para la Salud en Territorio". El objetivo fue presentar un proceso de trabajo innovador entre dos ministerios, que sienta las bases para configurar un modelo de gestión de las políticas de investigación en salud con asiento federal y tendiente a potenciar las funciones y capacidades institucionales de cada sector. MÉTODOS: La coordinación del Proyecto se encuentra a cargo de un Comité Interministerial. En 2023 se realizó la Convocatoria para la presentación de un proyecto anual, que consta de dos componentes: A) Línea de investigación y transferencia; y B) Plan de fortalecimiento de las capacidades institucionales de las áreas de investigación de los ministerios de salud jurisdiccionales agrupadas en la Red Ministerial de Áreas de Investigación en Salud de Argentina. RESULTADOS: Las 24 jurisdicciones presentaron sus proyectos, y todos ellos resultaron aprobados. La estrategia tuvo un impacto en el fortalecimiento de los mecanismos de trabajo conjunto de dos ministerios nacionales, que debieron armonizar modalidades de gestión entre las áreas de investigación en salud y las representaciones de CyT en el ámbito jurisdiccional y entre los decisores en materia sanitaria y los actores del sistema científico. DISCUSIÓN: Esta experiencia contribuye a fortalecer las capacidades estatales, a la vez que permite identificar aspectos que requieren continuar siendo trabajados para consolidar nuevas modalidades de gestión interministeriales.

ABSTRACT INTRODUCTION: In March 2023, within the framework of the "Framework Agreement for Cooperation and Mutual Technical Assistance - MSAL/MINCYT", the "Federal Interministerial Project of Research, Transfer and Strengthening for Health in the Territory" was created. The objective was to present an innovative work process between the Ministry of Health (MSAL) and the Ministry of Science, Technology and Innovation (MINCYT), that lays the foundations for a management model of health research policies with a federal approach and aimed at enhancing the institutional functions and capacities of each sector. METHODS: The Project was coordinated by an Interministerial Committee. In 2023 there was a Call for the presentation of an annual project that consists of two components: A) Line of research and transfer; and B) Plan to strengthen the institutional capacities of the research areas of the jurisdictional health ministries grouped in REMINSA. RESULTS: The 24 jurisdictions presented their projects, and all of them were approved. The strategy strengthened the joint work mechanisms of two national ministries, that had to harmonize management patterns between health research areas and S&T representations at the jurisdictional level and between health decision-makers and the actors of the scientific system. DISCUSSION: This experience contributes to strengthening state capacities, while allowing to identify aspects that require continued work to reinforce new interministerial management patterns.

Desarrollo de habilidades de investigación en estudiantes y profesores de Salud Pública

Introducción: La investigación es fundamental en la formación académica de los estudiantes de la carrera de Medicina. Objetivo: Identificar habilidades de investigación en estudiantes y profesores del departamento de Salud de la carrera de Medicina. Métodos: Se realizó un estudio transversal descriptivo durante 2023 en el Policlínico Docente Tula Aguilera. Participaron un total de 50 estudiantes de quinto año de la carrera de Medicina que cursaron la asignatura Salud Pública, 15 profesores y 60 personas seleccionadas al azar. Se elaboró una encuesta dirigida a los profesores y estudiantes para identificar deficiencias en las investigaciones. A las 60 personas seleccionadas de manera aleatoria, se les realizó otra encuesta relacionada con infecciones de transmisión sexual. Los datos obtenidos fueron determinados por el programa R los estadígrafos de tendencia central y dispersión, así como la frecuencia absoluta y relativa que se presentaron en tabla y texto. Resultados: Se entrevistaron 50 estudiantes durante el mes de febrero de 2023, se detectaron y detallaron las deficiencias encontradas, igualmente y con el mismo fin se entrevistaron 15 profesores del Departamento de Salud. En otra actividad, el 10 de abril un grupo de 25 estudiantes encuestó a 60 personas sobre las enfermedades de transmisión sexual y reportaron sus hallazgos. Conclusiones: Se identificó el desarrollo de habilidades de investigación en estudiantes y profesores, se profundiza en el tema para lograr una intervención efectiva. Fue posible que los estudiantes llevaran a efecto una investigación en las que aplicaron las habilidades necesarias para esta actividad. Los cursos presenciales y virtuales se enriquecieron con el trabajo.

Introduction : Research is fundamental to the academic training of medical students. Objective: To identify research skills in students and professors of Public Health in the medical degree. Methods: A descriptive study was carried out during 2023 at the University of Medical Sciences of Camagüey and at the Tula Aguilera Teaching Polyclinic. A total of 50 fifth-year medical students who studied public health and their 15 professors and 60 randomly selected people from the communities of the Tula Aguilera Teaching Polyclinic participated. A survey of teachers and students was carried out. A survey related to sexually transmitted infections was carried out on 60 randomly selected people in the community of the Tula Aguilera Teaching Polyclinic. The central tendency and dispersion statistics were determined from the data obtained with the R program, as well as the absolute and relative frequencies that are presented in the table and in the text. Results: 50 students were interviewed during the month of February 2023, the deficiencies found are detected and detailed. Similarly, and for the same purpose, 15 professors from the Department of Health were interviewed. In another activity, on April 10th, a group of 25 students surveyed 60 people about sexually transmitted diseases and reported their findings. Conclusions: The development of research skills in students and teachers was identified and the subject is delved into to achieve an effective intervention. It was possible for the students to carry out an investigation in which they applied the necessary skills for this activity. The face-to-face and virtual courses were enriched with this work.

Angle class II/2nd division: is there an alignment? / Classe II/2ª divisão de Angle: existe alinhamento?

Introduction: Interdisciplinary investigative study of the stomatognathic-cervical complex, necessary to understand the structure and biomechanics of this system in Angle Class I and II / 2nd Division participants. Objective: To evaluate alignment and position of cranial cervical structures on radiographs and their functional relationship with the stomatognathic system. Material and method: Trans Oral and Profile radiographs were submitted to biomechanical analysis, considered the linear and angular measurement of Atlas and Axis through the application included in the radiogram software. Result: We observed a significant difference in the angular measurements of vertical alignment between the Skull, Axis, and the Mandible (p = <0.001), and in the left joint between the Atlas and the Axis (AE: p = 0.011; SEA: p = 0.042). Among the linear measures of the distances between the Atlas and the Axis, the AOD distance presented statistics quite close to the level of significance (p = 0.0502), but above. There was no statistically significant difference in the other measures. Conclusion: In this study, the alignment between the Atlas and Axis cervical vertebrae and the mandible and angles of the atlanto-occipital joints are altered in Class II / 2nd Division participants. There is no difference in the size and distance of the Atlas and the Axis between the Classes.

Introdução: Estudo interdisciplinar investigativo do complexo cérvico-estomatognático, necessário para compreender a estrutura e a biomecânica desse sistema em participantes Classe I e II/2ª Divisão de Angle. Objetivo: Avaliar o alinhamento e a posição das estruturas crânio cervicais nas radiografias de participantes Classe I e II/2ª Divisão de Angle e sua relação funcional com o sistema estomatognático. Material e método: As imagens digitais Trans Oral e Perfil de participantes com maloclusão Classe I e II/2ª Divisão de Angle foram submetidas à medição linear e angular do crânio, mandíbula, Atlas e do Áxis através do software Advantage Workstation 4.6 (AW4.6 ext. 04). Resultado: Houve diferença significativa nas medidas angulares de alinhamento vertical entre o Crânio, Áxis e a Mandíbula (p = <0,001), e da articulação esquerda entre o Atlas e o Áxis (AE: p = 0,011; AAE: p = 0,042). Das medidas lineares das distâncias entre o Atlas e o Áxis, a distância AOD apresentou estatística bastante próxima do nível de significância (p=0,0502), porém acima. Não houve diferença significativamente estatística nas demais medidas avaliadas. Conclusão: Neste estudo, o alinhamento entre as vértebras cervicais Atlas e Áxis e a mandíbula e os ângulos das articulações atlanto occipitais se mostraram alterados nos participantes Classe II/2ª Divisão de Angle. Não há diferença significativa no tamanho e distância do Atlas e do Áxis entre as Classes.

Healthy Lifestyle Deck of cards as a tool for cognitive-behavioral therapy in adults with obesity / Baralho do Estilo de Vida como ferramenta da terapia cognitivo-comportamental de adultos com obesidade

This is a mixed-methodology controlled clinical study that assessed the effect of the Health Lifestyle Deck of cards as a Cognitive-Behavioral Group Therapy tool for obese adults. Method The sample was divided into two groups: Intervention group and Intervention+Deck. The therapy was interdisciplinary handled by psychology, nutrition and physical education professionals, along 12 sessions. The following measures were performed: anthropometric assessment, indicators of binge eating, depression, anxiety and stress, quality of life, self-efficacy for eating habits, and physical activity at the beginning and the end of the intervention. Participants' written and verbal reports' content was analyzed. Results The results were: a reduction in body mass, binge eating, and improvement of self-efficacy to regulate eating habits in both groups. There was an improvement in the psychological domain of quality of life only in the Intervention+Deck group. Conclusion The study concluded that the intervention favored participants' cognitive and behavioral changes.

Este estudo clínico controlado de metodologia mista avaliou o efeito do Baralho do Estilo de Vida como ferramenta da Terapia Cognitivo-comportamental em grupo de adultos com obesidade. Método A amostra foi dividida em dois grupos: grupo Intervenção e grupo Intervenção+Baralho. A terapia foi interdisciplinar com profissionais da psicologia, nutrição e educação física e foram realizadas 12 sessões. As avaliações realizadas foram: avaliação antropométrica, indicadores de compulsão alimentar, depressão, ansiedade e estresse, qualidade de vida, autoeficácia para hábito alimentar e atividade física no início e no fim da intervenção. Foi realizada análise de conteúdo dos relatos verbais e por escrito dos participantes. Resultados Neste sentido, verificou-se redução da massa corporal, da compulsão alimentar e melhora da autoeficácia para regular o hábito alimentar nos dois grupos. Houve melhora no domínio psicológico da qualidade de vida apenas no grupo Intervenção+Baralho. Conclusão O estudo concluiu que a intervenção favoreceu mudanças cognitivas e comportamentais dos participantes.

The Influence of Interdisciplinary Work towards Advancing Knowledge on Human Liver Physiology.

The knowledge accumulated throughout the years about liver regeneration has allowed a better understanding of normal liver physiology, by reconstructing the sequence of steps that this organ follows when it must rebuild itself after being injured. The scientific community has used several interdisciplinary approaches searching to improve liver regeneration and, therefore, human health. Here, we provide a brief history of the milestones that have advanced liver surgery, and review some of the new insights offered by the interdisciplinary work using animals, in vitro models, tissue engineering, or mathematical models to help advance the knowledge on liver regeneration. We also present several of the main approaches currently available aiming at providing liver support and overcoming organ shortage and we conclude with some of the challenges found in clinical practice and the ethical issues that have concomitantly emerged with the use of those approaches.

Mapping Manuel Sandoval Vallarta (1899-1977) Scientific Contribution.

This paper employs network theory, mining data and bibliometric analysis when mapping the scientific contribution of Nobel Prize candidate; Manuel Sandoval Vallarta, the first and most renowned Mexican physicist and important figure in Latin American science. Vallarta died in 1977, and the existing literature is about his life and contributions to science but not about how those are still valuable today. This paper is the first to highlight, with mapping tools, that his contributions are relevant to the international community of cosmic rays (as he was pioneer and leader), quantum mechanics and relativity. These tools delivered three findings: Identify how he built his own field of study, same as universal knowledge. Unveil that the backward and forward Vallarta citations follow a scale-free network distribution. Determine social factors that benefited or affected his scientific activities-such as World War II interrupting Vallarta's successful productivity at Massachusetts Institute of Technology. Furthermore, this study confirmed the interdisciplinary nature of the mapping studies of the scientist's contributions using scientometric tools. As a result, several interesting questions arose throughout our research, some of which were answered from the history and philosophy of science. However, others need to be analyzed by experts in the fields of Vallarta. Mapping research sends an invitation to interdisciplinary dialogue/research between experts in different areas of study to better understand the process of knowledge production both, individual and collective.

Do macrojogo ao microjogo: os vários jogos que compõem o jogo / From macro-game to micro-game: the various games that make up the game / Del macro-juego al micro-juego: los distintos juegos que componen el juego

Com o presente artigo pretendemos problematizar e explorar o conceito de jogo, entendendo-o como algo amplo, rizomático e não fechado em uma única forma de interpretação. Além do que, o conceito de jogo pode já ter sido cristalizado em decorrência da sua consolidação, assim, seu desenvolvimento só se torna possível na medida em que se há um arruinamento para devir novas potencialidades. Foi, então, a partir dos pensamentos de Deleuze e Guattari sobre: conceito e rizoma, de onde partimos para desenvolver o conceito de macro-jogo e microjogo, em uma tentativa de potencializar as discussões por um viés interdisciplinar e de cunho filosófico. Diante de tais questões, foi possível compreender a importância do olhar interdisciplinar para a resolução de problemas provenientes de áreas distintas do conhecimento, rompendo com a dicotomia entre teoria e prática tão evidente e presente em diversas áreas do conhecimento, entre elas, a Educação Física e as artes

Our intend with this article is to question and explore the concept of game, understanding it as something broad, rhizomatic and not closed in a single form of interpretation. In addition, the game concept may have already been crystallized as a result of its consolidation, thus, its development only becomes possible as long as new potentialities are ruined. It was, then, from the thoughts of Deleuze and Guattari on concept and rhizome, from which we started to develop the concept of macro-game and micro-game, in an attempt to enhance the discussions through an interdisciplinary and philosophical approach. Facing these questions, it was possible to understand the importance of the interdisciplinary look to solve problems coming from different areas of knowledge, breaking the dichotomy between theory and practice so evident and present in several areas of knowledge, including Physical Education and the arts.

Con el presente artículo pretendemos problematizar y explorar el concepto de juego, entendiéndolo como algo amplio, rizomático y no cerrado en una única forma de interpretación. Además, el concepto de juego puede haber sido ya cristalizado como resultado de su consolidación, por lo que su desarrollo sólo se hace posible en la medida en que hay una ruína para idear nuevas potencialidades. Se basó, pues, en las reflexiones de Deleuze y Guattari sobre el concepto y el rizoma, a partir de las cuales desarrollamos el concepto de macro-juego y micro-juego, en un intento de enriquecer los debates mediante un enfoque interdisciplinario y filosófico. Ante estas cuestiones, se pudo comprender la importancia de la mirada interdisciplinaria para resolver los problemas que surgen de las diferentes áreas del conocimiento, rompiendo la dicotomía entre teoría y práctica tan evidente y presente en várias áreas del conocimiento, incluyendo la Educación Física y las artes.