Gestión para la sostenibilidad del claustro en la Universidad de Ciencias Médicas de Matanzas

La atención priorizada y el seguimiento sistemático a los procesos de categorización docente constituyen aspectos imprescindibles para cada institución. Se realizó este trabajo para determinar los fundamentos de la gestión para la sostenibilidad de las categorías docentes del claustro. El enfoque histórico-lógico y la sistematización realizada, permitieron identificar los principales cambios y retos de la sostenibilidad del claustro, entre los que se encuentra uno de carácter prioritario y decisivo para el logro prospectivo del mismo: desarrollar un adecuado proceso de gestión de las categorías docentes en las universidades.

Prioritized attention and systematic follow-up of teaching categorization processes are essential aspect for each institution. This work was carried out to determine the foundations of management for the sustainability of the staff's teaching categories. The historical-logical approach and the systematization carried out allowed the authors to identify the main changes and challenges of the sustainability of the teaching staff, among which is one of a priority and decisive nature for its prospective achievement, consisting of developing an adequate process of management of teaching categories in universities.

Análise ergonômica do trabalho para mototaxista: uma avaliação qualitativa e relato de caso / Ergonomic work analysis for motorcicle taxi drive: a qualitive assessment and case report

Objetivo ­ Devido ao crescimento desenfreado das grandes metrópoles, o mundo do trabalho vem sofrendo com o forte desemprego, fazendo com que a população recorra a outras fontes de renda. Os mototaxistas estão fazendo cada dia mais parte do cotidiano dos brasileiros. Porém esses trabalhadores enfrentam riscos em meio ao trânsito caótico das cidades como acidentes de trânsito, a exposição excessiva aos fatores ambientais como a radiação solar, chuva, barulhos, ruídos, cansaço e estresse, além de queixas de dor em algumas regiões do corpo, principalmente na coluna. Com isso, a Ergonomia entra como uma boa ferramenta para melhorar as condições de trabalho e promover o aumento de produtividade trabalhista desses trabalhadores. Métodos ­ O presente artigo abordou o relato de caso de um mototaxista de Belém-PA. As ferramentas Whoqol-Bref, IDE'S, diagrama de Corlett-Manenica, REBA e o Termo-HigroDecibelímetro-Luxímetro-Anemômetro foram utilizados para a coleta de dados. Discussão ­ As avaliações de temperatura (28ºC33,3ºC), ruídos (77-83,1dB) e luminância (650-5.900lux) apresentam inconformidades de acordo com as normas ergonômicas estabelecidas pela NR-17. Conclusão ­ Os resultados levaram à conclusão que a temperatura, os ruídos e a luminosidade excessiva podem ser fatores ambientais de risco para a saúde do mototaxista, assim como a presença de algias e alterações biomecânicas nas regiões cervical, torácica e lombar. Sendo assim, a atividade de mototaxista foi classificada como alto risco ergonômico pelo método REBA. Descritores: Avali

O universo categorial do método em Marx: notas para o debate / The categorical universe of method in Marx: notes for the debate

Resumo: O artigo estabelece diálogo com leitores interessados na compreensão das categorias do método em Marx, como formulação autêntica da reprodução da realidade. As reflexões foram sistematizadas a partir da disciplina "O método em Marx", cursada no Programa de Pós-Graduação em Serviço Social da PUC-SP. Conclui-se que a compreensão das categorias contidas no pensamento de Marx é essencial para o desenvolvimento da concepção histórico-materialista no processo de investigação.

Abstract: The articlelays down dialogue with readers interested in understanding of the categories of the method in Marx, whilst formulation authentic reproduction of actuality. The reflections they were systematized from of discipline "The method in Marx", studied at Program of Post-graduates in Service Social from the PUC-SP. Conclude what a comprehension of the categories contained of thinking in Marx are essential on deployment of a historical-materialist conception in the research process.

Clinical Treatment Ideas of “Treatment with Combination of Diverse Methods and Prescriptions” in TheInner Canon of Yellow Emperor （《黄帝内经》） / 中医杂志

As a basic source for the theoretical system of traditonal Chinese medicine （TCM）， the Inner Canon of Yellow Emperor （《黄帝内经》） made the point of “treatment with combination of diverse methods and prescriptions”，which is one of the characteristics of TCM in treating diseases. This paper discussed the therapeutic idea of “diverse methods and prescriptions” from five dimensions， including time， population， regions， diseases， and treatments， and proposed that “combined treatment” is an effective measure to embody the idea of “diverse methods and prescriptions”. That is to say， by taking the combination of the concept of holism and syndrome differentiation and treatment as the starting point， combining pharmacological and non-pharmacological therapies， and treating both internal and external diseases through multiple ways and methods， the goal to treat the disease at the root， and keep yin at peace and yang compact can be achieved. Finally， it is suggested to guide the clinical practice with “treatment with combination of diverse methods and prescriptions”， providing new ideas for clinical diagnosis and treatment.

¿Influye el liderazgo del entrenador sobre la resiliencia de equipo? Efecto mediador de los conflictos intragrupo y la cohesión grupal / Does coach leadership influence team resilience? Mediating effect of intra-group conflict and group cohesion

Resumen Introducción/objetivo: El presente estudio tiene como objetivo examinar la rela ción entre el liderazgo transformacional del entrenador y las características de resiliencia y la vulnerabilidad bajo presión, así como analizar si los factores del conflicto intragrupo (social y tarea) y de la cohesión grupal (social y tarea), pudieran mediar la relación entre dichas variables. Método: A través de un diseño longitudinal, se incluyó a un total de 301 depor tistas inscritos en los JUDEX, pertenecientes a 34 equipos de fútbol y voleibol, con edades comprendidas entre 13 y 18 años (M = 15.72; DT = 1.33). Resultados: Los resultados mostraron una relación positiva entre el liderazgo transformacional del entrenador y las características de resiliencia, y una asociación negativa respecto a la vulnerabilidad bajo presión. Además, el conflicto intragrupo (social y tarea) actuó como mediador entre la relación del liderazgo trans formacional del entrenador y la resiliencia de equipo. En cuanto al papel mediador de la cohe sión grupal, solo la cohesión tarea actuó como mediadora entre el liderazgo transformacional del entrenador y la resiliencia de equipo. Conclusiones: La presente investigación muestra la importancia del liderazgo del entrenador para mejorar la resiliencia del equipo en categorías de formación, y la influencia positiva que tiene la reducción de los conflictos intragrupo y el aumento de la cohesión tarea durante la temporada.

Abstract Introduction/objective: The present study aimed to examine the relationship be tween transformational coach leadership with the characteristics of resilience and vulnerability under pressure, as well as to analyze whether the factors of intra-group conflict (social and task) and group cohesion (social and task) could mediate the relationship between these variables. Method: Through a longitudinal design, a total of 301 athletes enrolled in the JUDEX, belong ing to 34 soccer and volleyball teams, and aged between 13 and 18 years (M = 15.72; SD = 1.33). Results: The results showed a positive relationship between transformational leadership of the coach and resilience characteristics, and a negative association with respect to vulnerability under pressure. In addition, intra-group conflict (social and task) acted as mediators between the relationship between transformational coach leadership and team resilience. Regarding the mediating role of group cohesion, only task cohesion acted as a mediator between trans formational coach leadership and team resilience. Conclusions: This research draws as main conclusion the importance of the coach's leadership to improve team resilience in youth cate gories, and the positive influence of the reduction of intragroup conflicts and the increase of task cohesion during the season.

Estudio etnobotánico con estudiantes de grado 5° de la escuela rural mixta el Colorado, del resguardo indígena de Cohetando, Páez, Cauca / Ethnobotanical study with students of 5th grade of the mixed rural school el Colorado, of the indigenous Resguardo of Cohetando, Páez, Cauca

RESUMEN Uno de los desafíos más complejos que enfrenta la escuela es la articulación de los saberes culturales con los currículos escolares. De esta manera, la presente investigación tuvo como objetivo reconocer la flora útil, las categorías etnobotánicas y de estimar si existe una diferencia entre las especies utilizadas, según su origen (silvestre o cultivado), en estudiantes de Grado 5° de la Escuela Rural Mixta El Colorado, del Resguardo Indígena de Cohetando, municipio de Páez, Cauca. El proceso metodológico se realizó bajo un enfoque mixto; lo cualitativo, desde el método etnográfico, haciendo uso de técnicas, como la observación participante, recorridos etnobotánicos y entrevista semiestructuradas; lo cuantitativo, se llevó a cabo a partir de un análisis multivariado, utilizando el índice de Jaccard, para estimar la similitud entre las categorías etnobotánicas; asimismo, se realizó un análisis de varianza (ANOVA), para estimar si existe diferencias significativas entre el origen de las especies. A partir de lo anterior, los estudiantes reportaron 81 especies de plantas útiles, agrupadas en seis categorías etnobotánicas, siendo ornamentación y medicinal y alimenticia, las más relevantes, por número de especies. En cuanto al origen, se encontró una diferencia significativa, en cuanto al mayor número de usos para las especies cultivadas, respecto a las silvestres. Finalmente, se evidencia el alto grado de conocimiento que tienen los estudiantes sobre la flora, así como la importancia para su Resguardo Indígena, como un símbolo de resistencia, que permite salvaguardar la memoria histórica.

ABSTRACT One of the most complex challenges faced in the school is the articulation of cultural knowledge with school curricula. Thus, this research aimed to recognize the useful flora, the ethnobotanical categories, and to estimate if there is a difference between species according to their origin (wild and/or cultivated) according to the knowledge constructed by the 5th grade students of the Mixed Rural School El Colorado, of the Indigenous Resguardo of Cohetando, municipality of Páez, Cauca. The methodological process was carried out under a mixed approach, the qualitative from the ethnographic method, making use of techniques such as participant observation, ethnobotanical tours and semi-structured interviews. The quantitative part was carried out from a multivariate analysis, using Jaccard's index to estimate the similarity between the ethnobotanical categories; likewise, an analysis of variance (ANOVA) was performed to estimate if there are significant differences between the origin of the species and the origin of the species. From the above, students reported 81 useful plants grouped into six ethnobotanical categories, being ornamentation, and medicinal and food the most relevant by number of species. In terms of origin, a significant difference was found for the cultivated category with respect to the wild category. Finally, the high degree of knowledge that the students have about the useful flora is evident, as well as the importance for their Indigenous Reservation as a symbol of resistance that allows safeguarding the historical memory.

Autoestima de trabalhadores terceirizados do setor de conservação de higiene e limpeza de hospitais privados / Self-esteem of outsourced workers in the hygiene conservation and cleaning sector of private hospitals

No Brasil, o setor hospitalar vem utilizando de forma progressiva a terceirização dos seus serviços, ou seja, a contratação de agentes terceiros para suprir a sua força de trabalho, visando redução de custos e melhora da competitividade no mercado. Este estudo tem por objetivo analisar a autoestima de trabalhadores terceirizados de serviços de higiene e limpeza em instituições hospitalares privadas. Trata-se de pesquisa do tipo exploratória, descritiva, de abordagem qualitativa dos dados, tendo como cenário duas instituições hospitalares privadas que possuem serviços de conservação de limpeza e higiene de uma cidade no interior de Minas Gerais, classificadas como pertencentes ao grupo III segundo a Portaria nº. 82/2014 do Ministério da Saúde. Os participantes foram trabalhadores terceirizados dos serviços de higiene e limpeza que atuam nas instituições hospitalares selecionadas. Para a coleta de dados foram utilizados dois roteiros: questionário de identificação de dados sociodemográficos elaborado pela pesquisadora, apresentando tempo de preenchimento de no máximo cinco minutos; entrevista semiestruturada individual com questões sobre a sua autoestima, com duração aproximada de 20 a 30 minutos. As entrevistas ocorreram em local arejado, limpo e seco; foram gravadas, posteriormente transcritas e feita análise temática indutiva dos dados. Em virtude da Pandemia COVID19, a pesquisadora realizou a coleta de dados individualmente, seguindo protocolo das instituições. A amostra do estudo constitui-se de 15 trabalhadores. Observou-se a prevalência do sexo feminino e a idade média foi de 41 anos, variando entre 24 e 60 anos de idade. Quanto à escolaridade, duas pessoas (13,3%) dos trabalhadores afirmaram ter ensino fundamental completo, sete pessoas (46,7%) têm ensino fundamental incompleto. Quanto ao tempo de serviço, foi constatado que seis trabalhadores (40%) atuam há mais de cinco anos na função, o que evidencia uma população experiente. No que se refere ao tempo de atuação no local de trabalho, três (20%) trabalhadores tem menos de um ano e nove (60%), está entre um a cinco anos no trabalho, demonstrando elevado índice de rotatividade no serviço. A análise dos dados permitiu identificar aspectos positivos do trabalho relacionados a autoestima como satisfação pessoal e profissional, horários flexíveis, benefícios, ambiente de trabalho e relacionamento com colegas e chefia. Os dados também revelaram aspectos limitantes podendo afetar de forma negativa a autoestima do trabalhador e levando a insatisfação, tais como o acúmulo de funções assistenciais pelo número reduzido de trabalhadores. A pesquisa auxilia para o avanço da ciência e conhecimento, uma vez que agrega aspectos relacionados a autoestima de trabalhadores terceirizados de serviços de higiene e limpeza em instituições hospitalares privadas. O estudo contribui para provocar a reflexão de gestores do serviço de limpeza de hospitais quanto à importância de garantir condições que favoreçam a diminuição da exposição dos trabalhadores às cargas de trabalho referentes a mudanças que aconteçam, internas e externas, bem como promover ações educativas e coletivas relacionadas à adequação do ambiente laboral e das práticas de trabalho realizadas neste contexto

In Brazil, the hospital sector has been progressively using the outsourcing of its services, i.e., hiring third-party agents to supply its workforce, aiming to reduce costs and improve market competitiveness. This study aims to analyze the self-esteem of outsourced workers of hygiene and cleaning services in private hospital institutions. This is descriptive exploratory research with a qualitative approach to data, having as scenario two private hospital institutions that have cleaning and hygiene conservation services of a city in the interior of Minas Gerais, classified as belonging to group III according to Ordinance No. 82/2014 of the Ministry of Health. Participants were outsourced workers of hygiene and cleaning services who work in the selected hospital institutions. For data collection, two scripts were used: a questionnaire to identify social demographic data prepared by the researcher, with a maximum of five minutes to be filled out; and an individual semi-structured interview with questions about self-esteem, lasting approximately 20 to 30 minutes. The interviews took place in a ventilated, clean, and dry place; they were recorded, later transcribed, and an inductive thematic analysis was made of the data. Because of the COVID19 pandemic, the researcher collected the data individually, following the protocol of the institutions. The study sample consisted of fifteen workers from the hygiene and cleaning service of the selected hospital institutions. It was observed the prevalence of the female gender and the average age was 41, ranging from 24 to 60 years old. As for education, 02 people (13.3%) of workers said they had completed elementary school and 07 people (46.7%) had incomplete elementary school. As for the length of service, it was found that six workers (40%) have been working for more than five years, which shows an experienced population. With regard to working time in the workplace, three (20%) workers have less than one year and nine (60%) have been working for one to five years, demonstrating a high rate of turnover in the service. Data analysis allowed us to identify positive aspects of work related to self-esteem such as personal and professional satisfaction, flexible hours, benefits, work environment and relationship with colleagues and management.The data also revealed limiting aspects that can negatively affect the worker's self-esteem and lead to dissatisfaction, such as the accumulation of care functions by the reduced number of workers.The research helps to advance science and knowledge, as it adds aspects related to the self-esteem of outsourced workers in hygiene and cleaning services in private hospitals. The study contributes to provoking the reflection of hospital cleaning service managers regarding the importance of ensuring conditions that favor the reduction of workers' exposure to workloads related to changes that happen, internal and external, as well as promoting educational and collective actions. related to the adequacy of the work environment and work practices carried out in this context

Floristic composition, structure and environmental characterization of Cyathea costaricensis population in a remnant cloud forest in Mexico / Composición florística, estructura y caracterización ambiental de una población de Cyathea costaricensis en un relicto de bosque mesófilo de montaña en México

Abstract Introduction: Tree ferns are significant components of temperate, tropical and subtropical forests, contributing to shape complex forest stand structures. Objectives: 1) to describe the population structure of Cyathea costaricensis in a remnant cloud forest of West-central Mexico; 2) to characterize and relate the floristic composition and the structure of the most important tree species associated to the C. costaricensis population and; 3) to describe the environment where C. costaricensis occurs. Methods: We estimated the Importance Value Index (IVI) to select the most important canopy-dominant species associated to C. costaricensis; we constructed height and Diameter at Breast Height (DBH) frequency distributions for those selected species according to IVI as well as for C. costaricensis population; we computed the asymmetry of the frequency distributions through the coefficient of skewness and the probability density function via the Kernel density estimation. We tested for differences between canopy-dominant tree species and C. costaricensis population structure by the non-parametric Wilcoxon rank sum test. Results: C. costaricensis individuals presented the smallest heights and intermediate DBH sizes as compared with the canopy-dominant species, with statistically significant differences for height but not for DBH according to the Wilcoxon test. Most of the tree fern individuals were located in uneven terrains and over the base slope of the terrain; canopy openness and Total Radiation Under the Canopy values were similar to those reported for Cyathea species elsewhere. Conclusions: We confirm the hypothesis of comparable structure between the canopy-dominant species and the C. costaricensis population only for DBH; on the contrary, for trunk height, there were statistically significant differences; the small heights of C. costaricensis suggest their coexistence in the understory through sheltering from the taller canopy-dominants. Mostly all individuals of C. costaricensis were confined to local environmental conditions, particularly to physiography.

Resumen Introducción: Los helechos arborescentes son componentes importantes de los bosques templados, tropicales y subtropicales, que contribuyen a dar forma a rodales de estructuras complejas. Objetivos: 1) Describir la estructura poblacional de Cyathea costaricensis en un remanente de bosque nuboso del centro-oeste de México; 2) Caracterizar y relacionar la composición florística y la estructura de las especies arbóreas más importantes asociadas a la población de C. costaricensis y; 3) Describir el ambiente donde se encuentra C. costaricensis. Métodos: Estimamos el Índice de Valor de Importancia (IVI) para seleccionar las especies dominantes más importantes del dosel asociadas a C. costaricensis; para las especies seleccionadas según IVI, construimos distribuciones de frecuencia de alturas y diámetros a la altura del pecho (DAP), así como para la población de C. costaricensis. Calculamos la asimetría de las distribuciones de frecuencia a través del coeficiente de asimetría y la función de densidad de probabilidad mediante la estimación de densidad de Kernel. Probamos las diferencias entre las especies de árboles dominantes en el dosel y la estructura de la población de C. costaricensis mediante la prueba no paramétrica de suma de rangos de Wilcoxon. Resultados: los individuos de C. costaricensis presentaron las menores alturas y tamaños intermedios de DAP en comparación con las especies dominantes del dosel, con diferencias estadísticamente significativas para la altura, pero no para el DAP según la prueba de Wilcoxon. La mayoría de los individuos de helechos arborescentes se ubicaron en terrenos irregulares y sobre la pendiente baja del terreno. Los valores de apertura del dosel y Radiación total bajo el dosel fueron similares a los reportados para las especies de Cyathea en otros lugares. Conclusiones: Confirmamos la hipótesis de que hay una estructura similar entre las especies dominantes del dosel y la población de C. costaricensis solo para el DAP; por el contrario, para la altura del fuste, hubo diferencias estadísticamente significativas; las pequeñas alturas de C. costaricensis sugieren su coexistencia en el sotobosque a través de la cobertura árboles dominantes del dosel. La mayoría de los individuos de C. costaricensis fueron encontrados confinados a condiciones ambientales locales, en particular a la fisiografía.

Asteráceas medicinales en dos comunidades andinas del sur del Perú: Quinua (Ayacucho) y Lircay (Huancavelica) / Medicinal asteraceas in two Andean communities in southern Peru: Quinua (Ayacucho) and Lircay (Huancavelica)

The aim of this research was conducted an ethnobotanical study of wild asteraceas for medicinal use in two Andean communities of southern Peru, located in Quinua (Ayacucho) and Lircay (Huancavelica) districts. Samples of Asteraceae family were collected and semistructured interviews were conducted to 191 informants (105 in Quinua and 86 in Lircay). Likewise, the cultural importance of each of the species was calculated. 28 genera and 44 species of medicinal wild asteraceae are registered in both communities; 33 species in Quinua and 35 in Lircay. All the species were classified within 18 medicinal subcategories, being the affections of the digestive and genitourinary system which presented the highest number of species and use reports. The Asteraceae of greater cultural importance for both communities is Ambrosia arborescens "marko". The main conclusión is that communities studied still maintain the medicinal use of asteraceas until today.

La presente investigación tuvo como objetivo realizar un estudio etnobotánico de las asteráceas silvestres de uso medicinal en dos comunidades andinas del sur del Perú: los distritos de Quinua (Ayacucho) y Lircay (Huancavelica). Se recolectaron muestras de la familia Asteraceae y se realizaron entrevistas semiestructuradas a 191 pobladores (105 en Quinua y 86 en Lircay). Asimismo, se calculó la importancia cultural de cada una de las especies. Se registran 28 géneros y 44 especies de asteráceas silvestres medicinales en ambas comunidades; 33 especies en Quinua y 35 en Lircay. Todas las especies fueron clasificadas dentro de 18 subcategorías medicinales, siendo las afecciones del sistema digestivo y genitourinario las que presentaron el mayor número de especies y los mayores reportes de uso. La Asteraceae de mayor importancia cultural para ambas comunidades es Ambrosia arborescens "marko". Se concluye que las comunidades en estudio aún mantienen vigente el uso medicinal de las asteráceas.

Producción científica cubana en Medicina en SCImago Institutions Rankings: distribución temática, impacto y colaboración / Cuban scientific output about Medicine in SCImago Institutions Rankings: thematic distribution, impact and international collaboration

La investigación en salud constituye la piedra angular de los sistemas de salud efectivos y eficientes; por tanto, en su evaluación es necesario estudiar la producción científica del país. El objetivo de este trabajo fue caracterizar la producción científica cubana en medicina en cuanto a su distribución temática, productividad, impacto y colaboración internacional. Para esto se realizó un estudio bibliométrico en el área temática de la Medicina y las categorías que lo componen. La base de datos utilizada fue SCImago Insitutions Rankings, a partir de datos de Scopus, en el período 2012-2017. Se hallaron indicadores bibliométricos: cuantitativos (basados en espacio de documentos); de impacto (basados en número de citas); y de la colaboración internacional (coautoría con autores de otros países). La producción científica cubana en Medicina estuvo constituida por un total de 6191 contribuciones: el 83,4 por ciento corresponde a artículos originales y el 7,40 por ciento a trabajos de revisión. Las categorías con mayor volumen de producción son: salud pública, medicina ocupacional y medioambiental (17,56 por ciento); políticas de salud (10,73 por ciento); alergia e inmunología (7,30 por ciento) y enfermedades infecciosas (6,69 por ciento). La medicina familiar aparece como debilidad en la publicación. En impacto y colaboración internacional se destacan la neurología clínica, la microbiología y las enfermedades infecciosas. Se concluye que el país hace mayor esfuerzo en las categorías de las ciencias de la Salud. Teniendo en cuenta el protagonismo de la atención primaria en el sistema nacional de salud y las principales causas de muertes, es necesario incrementar las acciones para fortalecer la publicación en la cardiología y la oncología(AU)

Health research is the cornerstone of effective, efficient health systems. Its evaluation should therefore include an assessment of the country's scientific output. The purpose of the study was to characterize the Cuban scientific output about medicine in terms of its topic distribution, productivity, impact and international collaboration. To achieve this end, a bibliometric study was conducted about medicine and the categories making it up. The database used was SCImago Institutions Rankings based on Scopus data from the period 2012-2017. The bibliometric indicators found were quantitative (based on document counts), impact (based on the number of citations) and international collaboration (co-authorships with overseas authors). Cuban scientific output about medicine consists of a total 6 191 contributions, of which 83.4 per cent are original papers and 7.40 percent are review papers. The best represented categories are public health, occupational and environmental medicine (17.56 percent), health policies (10.73 percent), allergy and immunology (7.30 percent) and infectious diseases (6.69 percent). Family medicine is scantly represented. Clinical neurology, microbiology and infectious diseases stand out in terms of impact and international collaboration. It is concluded that the country makes a greater effort in the categories of health sciences. Considering the leadership of primary health care in the national health system and the leading causes of death, it is necessary to enhance the actions aimed at strengthening publication in the fields of cardiology and oncology(AU)

Analysis on latent categories of college student′s emotional regulation self-efficacy and its relationship with social anxiety / 中华行为医学与脑科学杂志

Objective:To explore the latent categories of college students′ regulation emotional self-efficacy and its relationship with social anxiety, so as to provide theoretical basis for different groups to implement relevant intervention.Methods:A total of 415 college students were investigated by scale of regulation emotional self-efficacy(SRESE)and interaction anxiousness scale(SIAS). SPSS 26.0 was used for descriptive statistics and data collation, and Mplus 8.3 was used for latent profile analysis (LPA) to explore the potential categories of regulation emotional self-efficacy of college students. The modified BCH method was used to explore the relationship between different categories of regulation emotional self-efficacy and social anxiety.Results:Regulation emotional self-efficacy can be divided into three categories: " high positive expression and low management negative regulation emotional efficiency" , " low regulation emotional efficiency" and " high regulation emotional efficiency" , accounting for 30.3%, 22.3% and 47.4% of all college students. The three categories had different predictive effects on social anxiety. The " high positive expression and low management negative regulation emotional efficiency" (48.66±0.75) and " the low regulation emotional efficacy" (48.05±0.97) had higher scores in social anxiety and there was no significant difference in the prediction of social anxiety between them( χ2=0.24, P=0.62). However, " high regulation emotional efficiency" ( 45.29±0.56) had a lower score on social anxiety, which was significantly different in the prediction of social anxiety compare the other two categories( χ2=6.06, 12.30, both P<0.05). Conclusion:There are three different potential categories of regulation emotional self-efficacy. Different potential categories of regulation emotional self-efficacy have different social anxiety, so targeted intervention methods can be developed to improve the regulation emotional self-efficacy and reduce social anxiety.

Changes of disease structure in a tertiary general hospital during the COVID-19 pandemic / 中华医院管理杂志

Objective:To explore the changes of disease structure in a tertiary general hospital during the COVID-19 pandemic.Methods:A database of 783 diagnosis-related groups(DRG) patients in a tertiary general hospital from 2017 to 2020 was used. The rank sum test was used to compare the number of patients among different years, and the Chi-square test was used to compare the composition of patients among different years. With the patient composition ratio as the main index, the thermal cluster analysis was used to analyze the changes of disease structure during the COVID-19 pandemic, from the perspectives of major diagnostic categories(MDC) and the key DRG(the number of patients in any year more than 2 000)respectively. All analyses were performed in R software, with P<0.05 indicating significance. Results:There were significant differences in the number and composition of patients in MDC groups and key DRG groups among different years( P<0.05). The results of thermal clustering analysis showed that the MDC composition of patients in 2020 was significantly different from those in 2017 to 2019; the 26 MDC groups were classified into four main categories. The results of thermal clustering analysis also showed that the DRG composition of patients in 2020 were significantly different from those in 2017 to 2019; The RU14 group and the other 19 key DRG groups were classified into different groups; and the other 19 key DRG groups except RU14 were classified into five main categories. Conclusions:The disease structure of tertiary general hospitals has changed significantly during the COVID-19 pandemic.

Patologias sociais e a gestão ideológica do mal-estar / Social pathologies and the ideological management of malaise / Patologías sociales y manejo ideológico del malestar

Na atualidade, uma questão nos parece fundamental para a psicanálise: como nossa época responde ao mal-estar? A tese freudiana da irredutibilidade do mal-estar afastou a psicanálise da ilusão progressista de que os avanços do conhecimento científico ou as novas modalidades de laço social nos garantiriam a ausência de sofrimento. Mas o mesmo não podemos afirmar em relação a outros discursos que circulam no seio da sociedade capitalista contemporânea. Acreditamos que um caminho interessante para apontar uma das principais modalidades de resposta ao mal-estar em nossa época é demonstrar como os diagnósticos psiquiátricos produzem subjetividades alinhadas com os discursos sociais. Para tanto, o objetivo do presente ensaio teórico foi apontar como o estabelecimento de patologias sociais é sustentado por uma fantasia ideológica que busca recobrir a irredutibilidade do mal-estar. Dessa forma, acreditamos ter demonstrado como a produção de patologias sociais através de diagnósticos psicopatológicos é uma gestão ideológica que tenta neutralizar as possibilidades de se posicionar criticamente em relação à racionalidade dominante em um determinado contexto, e acima de tudo, um processo de naturalização de discursos que tenta anular o potencial transformativo presente no mal-estar.

Nowadays, a question seems to be fundamental for psychoanalysis: how does our time respond to malaise? The Freudian thesis of the irreducibility of malaise removed psychoanalysis from the progressive illusion that advances in scientific knowledge or new forms of social bond would guarantee us the absence of suffering. But the same cannot be said for other discourses that circulate within contemporary capitalist society. We believe that an interesting way to point out one of the main ways of responding to malaise in our time is to demonstrate how psychiatric diagnoses produce subjectivities aligned with social discourses. To this end, the objective of this theoretical essay was to point out how the establishment of social pathologies is supported by an ideological fantasy that seeks to cover the irreducibility of malaise. Thus, we believe we have demonstrated how the production of social pathology through psychopathological diagnoses is an ideological management that tries to neutralize the possibilities of critically positioning itself in relation to the dominant rationality in a given context, and above all, a process of naturalizing discourses. that tries to nullify the transformative potential present in the malaise.

Hoy en día, una pregunta parece fundamental para el psicoanálisis: ¿cómo responde nuestro tiempo al malestar? La tesis freudiana de la irreductibilidad del malestar sacó al psicoanálisis de la ilusión progresiva de que los avances en el conocimiento científico o las nuevas formas de vínculo social nos garantizarían la ausencia del sufrimiento. Pero no se puede decir lo mismo de otros discursos que circulan dentro de la sociedad capitalista contemporánea. Creemos que una forma interesante de señalar una de las principales formas de responder al malestar en nuestro tiempo es demostrar cómo los diagnósticos psiquiátricos producen subjetividades alineadas con los discursos sociales. Para ello, el objetivo de este ensayo teórico fue señalar cómo el establecimiento de patologías sociales se sustenta en una fantasía ideológica que busca cubrir la irreductibilidad del malestar. Así, creemos haber demostrado cómo la producción de patología social a través de diagnósticos psicopatológicos es una gestión ideológica que intenta neutralizar las posibilidades de posicionarse críticamente en relación a la racionalidad dominante en un contexto dado, y sobre todo, un proceso de naturalización de los discursos. que intenta anular el potencial transformador presente en el malestar.

Caracterización de la tuberculosis en pacientes de la provincia Guantánamo, Cuba / Characterization of tuberculosis in patients from the Guantánamo province, Cuba

RESUMEN Introducción: La lucha contra la tuberculosis es una responsabilidad social y profesional que requiere de su caracterización, la que no se ha realizado en Guantánamo en la última década. Objetivo: Caracterizar la tuberculosis en pacientes de la provincia Guantánamo durante el periodo comprendido entre 2012 y 2019. Método: El universo se constituyó por el total de pacientes diagnosticados (n=136). Se estudiaron las siguientes variables: edad, sexo, localización de la enfermedad, resultados de la baciloscopía, categoría al egreso y grupos de riesgo de tuberculosis. La información se obtuvo mediante los registros de enfermedades de declaración obligatoria cada año, y las encuestas epidemiológicas de los controles de focos realizados, y se resumió en números absolutos y porcentajes. Resultados: En el 80,1 % de los casos la tuberculosis se localizó en los pulmones, y fue más común el diagnóstico de pacientes con baciloscopía positiva (63,2 %). El 76,7 % de los pacientes con baciloscopía positiva fueron masculinos. Los grupos de riesgos para tuberculosis más usuales fueron: fumadores (26,4 %), inmunodeprimidos (21,6 %) y el alcoholismo (19,1 %). Conclusiones: En la provincia Guantánamo prevalece la tuberculosis de localización pulmonar y los pacientes con bacteriología positiva. Los afectados sobre todo son hombres, tienen edad entre 45 a 54 años y son de reciente diagnóstico. La enfermedad incide más en aquellos con antecedente de ser fumadores, inmunodeprimidos y los alcohólicos.

ABSTRACT Introduction: The fight against tuberculosis is a social and professional responsibility, which requires its characterization, which has not been carried out in Guantánamo in the last decade. Objective: To characterize tuberculosis in patients in the Guantánamo province during the period between 2012 and 2019. Method: The universe was made up of the total number of diagnosed patients (n = 136). The following variables were studied: age, sex, location of the disease, smear results, category at discharge, and tuberculosis risk groups. The information was obtained through the notifiable disease registries for each year and the epidemiological surveys of the outbreak controls carried out, and was summarized in absolute numbers and percentages. Results: In 80.1% of cases, tuberculosis is in the lungs, and the diagnosis of patients with positive smear microscopy (63.2%) is more common. 76.7% of smear-positive patients are male. The most common risk groups for tuberculosis are: smokers (26.4%), immunosuppressed (21.6%) and alcoholism (19.1%). Conclusions: In Guantánamo province, pulmonary localization tuberculosis and patients with positive bacteriology prevail. Those affected are mainly men, they are between 45 and 54 years old and have recently been diagnosed. The disease affects more in those with a history of being smokers, immunosuppressed and alcoholics.

A Predictive Model of Hearing Outcome for Cochlear Implantation in Children below 5 Years of Age

Background: Cochlear Implantation (CI) has become an important modality of treatment for children with severe to profoundpre-lingual sensorineural hearing loss who do not benefit from hearing aids (HAs). The final outcome is not totally predictable,as there are a large number of factors which either alone or in combination will play their roles in the final outcome of CI.Aim of the Study: This study aims to evaluate prospectively the relative impact of multiple pre-, peri-, and post-operative factorson the final outcome of the CI in pre-lingual hearing impaired children aged 5 years under “Sruthitharangam” free cochlearimplant program of Government of Kerala.Materials and Methods: This study was conducted at Government Medical College, Kozhikode (GMC-KKD), Kerala, fromJanuary 2014 to January 2015. The study group consisted of 60 patients screened from the patients who have attendedAuditory verbal habilitation (AVH) categories of Auditory Performance (CAP) test, Meaningful auditory integration scale (MAIS)and Speech intelligibility rating test (SIR) at GMC-KKD, Kerala. Counseling of parents was done regarding regular follow-upsand therapy/support to the child at home.Observations and Results: Pearson correlation test and Spearman correlation test were done to check the correlation betweenage at which HA was first fitted and MAIS scores. Correlation between the age at which HA first fitted and MAIS was negative.As the age at which HAs were fitted increases, the MAIS score decreases. This indicates the significance of using the residualhearing and stimulation of auditory nerve as early as possible. Pearson correlation and Spearman correlation tests were appliedto check the correlation between age of surgery and MAIS score and found that there was negative correlation existing betweenage of surgery and MAIS scores. This meant, as the age at which surgery was done increases, the MAIS score decreases.Pearson correlation test and Spearman correlation tests were applied to check the MAIS scores and duration of AVH with HAs.Conclusions: A Cochlear implant was not a passive sensory aid or sensory substitution device that simply replaces a damaged ordefective cochlea to restore normal hearing but requires prolonged period of aural rehabilitation that involves perceptual learning,adaptation, and readjustment of their attention. The various risk factors that affect the auditory gain and speech perception eitheracting singly or in combination and the statistical analysis of the present study showed are the age at implantation, duration ofauditory deprivation, and the residual hearing which have a direct impact on the outcome over a period of 1 year.

The relationship between relative age effects and sex, age categories and playing positions in Brazilian National Handball Teams

Abstract Aims: This study investigated the existence of Relative Age Effect (RAE) in the selection process of male and female athletes in the Brazilian national handball teams according to age categories (U-18, U-21, and senior) and playing position (wings, backs, pivots, and goalkeepers). Methods: In order to determine RAE, athletes were divided based on their months of birth; quarters Q1 (January-March), Q2 (April-June), Q3 (July-September), and Q4 (October-December). Data were collected from the official Brazilian Handball Confederation (CBHb) website and included the athletes that participated in training and/or competitions composing the Brazilian national teams from 2014 to 2018. To determine the RAE on playing positions, age categories of male and female groups were pooled. Chi-squared tests were performed to investigate the RAE. Results: An over-representation of players born in Q1 and Q2 in the U-18, U-20, and senior categories of male teams and the U-20, and senior female teams were found. In the male teams, as the age category increased, RAE decreased, but still existed. Such distribution was reversed in the female athletes, with a higher RAE magnitude in the senior category as compared to U-18 and U-21. Additionally, it seems that RAE is dependent on the playing position only for male athletes (wings and backs) whereas RAE was found for all playing positions in female athletes. Conclusion: Overall, RAE was found in Brazilian national handball teams, but its magnitude and form of manifestation seem to be influenced by sex, category, and playing position.

Discussing Differences of Different Traditional Chinese Medicine Schemes of COVID-19 Based on Principle of "Treatment in Accordance with Three Categories of Etiologic Factors" / 中国实验方剂学杂志

Since the outbreak of corona virus disease-2019 (COVID-19), the timely intervention of Chinese medicine has played an important role， it can significantly improve the clinical symptoms of patients, alleviate fever, cough, shorten the course of disease and reduce the conversion rate of mild disease to severe disease， moreover, it has obvious advantages in improving survival rate, prognosis and quality of life in patients. In order to make better use of the therapeutic effect of Chinese medicine and overcome the epidemic situation as soon as possible, various provinces, municipalities and autonomous regions have introduced local Chinese medicine treatment schemes in accordance with the geography, climate and epidemic situation. In this article, we have analyzed the similarities and differences among treatment schemes from the perspective of three factors, and it is believed that the onset season is the same for this disease, and the differences between treatment schemes mainly depend on geographical and climatic factors. The results showed that in seven regions of China, the early symptoms in warm and humid regions such as Central China, South China, East China and Southwest China were characterized by "wet, warm, hot, and toxic", and treatment schemes mainly adopted the recipes with clearing heat and detoxifying, strengthening spleen and removing dampness functions. The early symptoms in cold regions such as Northeast China, North China, and Northwest China were mostly characterized by "cold, wet, wind, and toxic", and the therapeutic recipes emphasized on the effects of expelling wind and cold, removing toxicity and dampness. Among them, the national plan with the Hubei epidemic situation as an important reference has gradually evolved from a single syndrome attribute of each period to both cold and hot syndromes with multiple treatment methods. With the development of the disease, epidemic toxin and toxic heat in the lungs are the main characteristics in the medium term, when the treatment mainly focuses on purging heat and removing toxins. In severe cases and advanced stage, internal block and outward desertion are the main symptoms, when the treatment mainly focuses on block dredging and relieving desertion. In the recovery period, deficiency of lung and spleen Qi, and deficiency of Qi and Yin are the main symptoms, when the treatment is mainly used to invigorate the spleen, tonify the lungs, and nourish Qi and Yin. The physical factors are mostly reflected in the prevention program, so they are rarely mentioned in the treatment program. The Chinese medicine treatment schemes of COVID-19 in different regions show obvious differences. It is of great significance to analyze these differences and sum up the corresponding laws for the differential prevention and treatment of infectious diseases like COVID-19.

Analysis on prevention plan of coronavirus disease 2019 (COVID-19) by traditional Chinese medicine in various regions / 中草药

To analyze the prevention plan of traditional Chinese medicine (TCM) issued by different regions after the spread of coronavirus disease 2019 (COVID-19) in Wuhan, Hubei Province, so as to understand the disease from the perspective of TCM and guide the clinical prevention and medication with TCM. The news and notices published on the internet were collected, from the first case of unexplained pneumonia in Wuhan officially reported on December 8, 2019 to February 1, 2020 in Beijing, Tianjin and other regions, and 13 programs of traditional Chinese medicine containing Chinese materia medica prescriptions to prevent COVID-19. Astragalus membranaceus, Yupingfeng Powder and other traditional Chinese medicines and prescriptions were often used in the 13 prevention programs for reinforcing vital qi. The epidemic occurred in winter, and the scheme was adapted to the local conditions. Ophiopogon japonicus, Scrophularia ningpoensis and other traditional Chinese medicine for nourishing yin and moistening dryness were mostly used in eight areas in the north, and Atractylodes lancea, Agastache rugosa and other aromatic dehumidification traditional Chinese medicine were mostly used in five areas in the south, the prevention plan was adapted to local conditions; Different prescriptions were adopted according to the variability of individuals to reflect the principle of suiting measures. In addition, we should also pay attention to the prevention measures such as isolation of pathogens, good living conditions, adjustment of emotions, diet and nutrition, and proper exercise. The prevention of COVID-19 by traditional Chinese medicine should pay attention to invigorating qi, dialectical prevention of drugs according to different climate, different regions and different groups of people, pay attention to comprehensive prevention, and flexibly use various measures to achieve the best prevention effect.

Núcleo básico en el análisis de datos cualitativos: pasos, técnicas de identificación de temas y formas de presentación de resultados / Basic Core in the Analysis of Qualitative Data: Steps, Techniques to Identify Themes, and Data Display Forms

Resumen En la investigación cualitativa, el análisis y la interpretación de los datos es una tarea de difícil manejo, incluso para los investigadores más experimentados. Si bien existen muchas técnicas disponibles para llevar a cabo el análisis de datos cualitativos, algunos autores relevantes del área proponen que es posible identificar un núcleo básico sin necesidad de hacer coincidir las distintas perspectivas del método cualitativo. Hacer foco en esta comunalidad permitirá hacer más comprensible la tarea de análisis para los investigadores noveles. El objetivo principal del presente trabajo es mostrar en qué consiste este núcleo básico de análisis, dando cuenta de los pasos necesarios para llevarlo a cabo. Además, se revisan técnicas concretas para la detección de temas, se presentan ejemplos haciendo uso del software Atlas.ti, y se muestran las formas posibles de presentación de los resultados.

Abstract Within the research process, the analysis of the data emerges as one of the most important steps. In qualitative research, the analysis of data is a difficult task for even the most experienced researchers and often brings up many doubts about the way to implement it. It is therefore necessary to have material that facilitates the analysis process. Even though there are numerous manuals that focus on the analysis of qualitative data, researchers often can be confused with the large number of names that this type of analysis receives (e.g. Thematic Analysis, Content Analysis) or with the various qualitative methods (e.g. Phenomenology, Grounded Theory) that are available. Each of these qualitative approaches presents a particular language to detail the research process, which makes it difficult to recognize common aspects shared by these methods. Recently, the American Psychological Association has emphasized the need to identify, within the various qualitative methods and procedures, shared standards for reporting this type of work. In agreement with the above, several qualitative researchers have pointed out that beyond the aforementioned diversity it is possible to identify a basic core with regard to qualitative analysis, without having to match the different perspectives of the qualitative method, such as Grounded Theory, Ethnography ore Phenomenology. Focusing on this communality will facilitate a simpler and clearer approach to the data analysis process. The analysis process mainly involves 1) data condensation, and 2) presentation of results. Following this line, the present manuscript aims to: (a) develop what the basic core of data analysis consists of, (b) show the necessary steps to carry out this analysis process, (c) review specific techniques for the detection of categories, (d) present examples using the Atlas.ti software, and (e) show the possible ways of presenting the results. Researchers have realized the importance of having methodological works that facilitate the analysis of qualitative data, and allow answering the question: What does qualitative analysis look like in practice?. The development of this type of work pretends on the one hand to facilitate the understanding of the process of qualitative data analysis and, on the other hand, serve to shape better and in a more standard way which was the data analysis procedure applied in the respective investigations. This material should be taken as a first step in the understanding of the process, and it should not be understood that the qualitative analysis is reduced only to what is developed in this article. For example, in the first level grouping step or first coding cycle, the researcher can make use of 25 different types or forms of coding (e.g., live coding). Even so, the development of works such as the present manuscript is intended to facilitate the understanding and reporting the process of qualitative data analysis. Beyond the name with which the researcher calls the analysis procedure carried out, it is relevant to report in his works the basic steps (i.e. Identification, First and Second Level of Categorization), and the specific techniques used to detect categories or topics (e.g. repetition or similarities). Likewise, it is advisable to follow the guidelines recently published by the APA for the publication of qualitative research. We hope that this material will be useful especially for new researchers who need an introductory text to carry out the qualitative data analysis.

La mujer golpeada en la Argentina. Derivas entre Estado, sociedad y psicología (1983-1995) / A mulher maltratada na Argentina. Desvios entre estado, sociedade e psicologia (1983-1995) / The battered woman in Argentina. Drifts between State, society and psychology (1983-1995)

En el presente artículo se reconstruye la trama específica en la que surgió la categoría mujer golpeada en la psicología argentina, en una peculiar circulación entre sociedad civil y Estado. Desde el enfoque de la historia crítica de la psicología junto a los aportes de la historia reciente, se analiza el proceso de recepción que se produjo en el escenario local, en el entrecruzamiento de la agenda de los derechos humanos con el ideario feminista. Se analiza cómo la violencia de género fue incluida en la agenda gubernamental, en los espacios de activismo feminista y en la producción teórica de la psicología. Se da cuenta de las solidaridades y diferencias entre estos ámbitos, poniendo en evidencia los entramados representacionales y valorativos implicados en los usos de diferentes categorías.(AU)

Neste artigo, reconstruímos a maneira como a categoria mulher maltratada surgiu na psicologia argentina, numa circulação peculiar entre a sociedade civil e o Estado. A partir da abordagem da história crítica da psicologia com as contribuições da história recente, analisamos a recepção no cenário local, na interligação da agenda de direitos humanos com o ideário feminista. Analisamos como a violência de gênero foi incluída na agenda governamental, no ativismo feminista e na produção teórica da psicologia. Incluímos a solidariedade e as diferenças entre essas áreas, levando em conta as representações e valores envolvidos nos usos das diferentes categorias.(AU)

In this article, we reconstruct the way in which the battered woman category emerged in Argentine psychology, in a peculiar circulation between civil society and the State. From the approach of the critical history of psychology to the contributions of recent history, we analyze the reception in the local scene, in the interconnection of the human rights agenda with the feminist ideology. We analyzed how gender violence was included in the governmental agenda, in feminist activism and in the theoretical production of psychology. We include solidarity and the differences between these areas, taking into account the representations and values involved in the uses of the different categories.(AU)