The role of neophobia in a pioneer olfactory enrichment for amazons, macaws, and toucans / El papel de la neofobia en un enriquecimiento olfativo pionero para guacamayos, loros y tucanes

Abstract Introduction: Despite sensory enrichment being critical for ensuring the well-being of captive wild animals, smells are not being included in enrichment protocols for birds. For this group, neophobia can be a problem when it comes to implementing new enrichment devices. Objective: To explore how participation in an olfactory enrichment and latency times varies between bird taxonomic groups (Amazona spp. / Ara spp. / Ramphastos spp.). Methods: We exposed 257 birds to a scent enrichment, and we recorded which individuals engaged with it and the time they took to interact with it. Results: We discovered that participation by toucans in the enrichment was higher compared to amazons and macaws. Furthermore, latency time to interact with the enrichment was higher in amazons that in the other species. Our findings could suggest that toucans are neophilic species which could benefit from higher exploration rates. Amazons on the contrary seem to be particularly neophobic, possibly because of their less opportunistic feeding habits compared to toucans and their higher vulnerability to predation compared to macaws. Conclusion: These results point out that toucans would be more inclined to engage in environmental enrichments, while a more natural design using smells inside familiar objects could be a more successful enrichment for psittacids.

Resumen Introducción: A pesar de que el enriquecimiento sensorial es fundamental para garantizar el bienestar de los animales silvestres en cautiverio, los olores no son incluidos de forma rutinaria en los protocolos de enriquecimiento para aves. Además, en el caso de estos animales, la neofobia puede ser un problema a la hora de implementar nuevos dispositivos de enriquecimiento. Objetivo: Explorar cómo varía la participación y la latencia en la interacción con un enriquecimiento olfativo entre grupos taxonómicos de aves (Amazona spp. / Ara spp. / Ramphastos spp.). Métodos: Expusimos a 257 aves a un enriquecimiento olfativo y registramos qué individuos participaron y el tiempo que tardaron en interactuar con él. Resultados: La participación en el enriquecimiento fue mayor en los tucanes en comparación con las amazonas y los guacamayos. Además, el tiempo de latencia para interactuar con el enriquecimiento fue mayor en las amazonas que en las otras especies. Nuestros hallazgos sugieren que los tucanes son especies neofílicas que podrían beneficiarse de tasas de exploración más altas. Por otro lado, las amazonas parecen ser particularmente neofóbicas, posiblemente debido a sus hábitos alimenticios menos oportunistas en comparación con los tucanes y a su mayor vulnerabilidad a la depredación en comparación con los guacamayos. Conclusión: Estos resultados señalan que los tucanes serían más proclives a participar en enriquecimientos ambientales, mientras que un diseño que utilice olores dentro de objetos más naturales o familiares podría ser más exitoso para las psitácidas.

Fatores clínicos do bem-estar de mulheres em parturição: perspectivas deontológicas e da bioética principialista / Clinical factors of women in labor well-being: deontological and bioethical principlism perspectives / Factores clínicos del bienestar de la mujer en trabajo de parto: perspectivas deontológicas y de la bioética principialista

Objetivo: avaliar os fatores clínicos associados ao bem-estar das mulheres durante o trabalho de parto e parto à luz da bioética principialista e da deontologia. Método: estudo transversal com abordagem quantitativa. Participaram 396 puérperas internadas em um hospital municipal do sudoeste da Bahia, e os dados foram coletados no período de janeiro a maio de 2023, após aprovação do comitê de ética em pesquisa. Os dados foram organizados no software Excel e analisados via SPSS v.25. a partir da regressão logística multinomial. Resultados: a maior parte da amostra apresentou bem-estar com assistência em saúde, mulheres que tiveram parto realizado por profissionais não médicos apresentaram mais chances de níveis de bem-estar "adequado". E mulheres que não tiveram a via de parto cesárea apresentaram aumento de chances de bem-estar. Conclusão: é necessário que os profissionais reflitam sobre suas ações, condicionando-as à humanização no parto, em observância aos princípios bioéticos.

Objective: to evaluate the clinical factors associated with women's well-being during labor and delivery in the light of bioethics principlism and deontology. Method: a cross-sectional study with a quantitative approach was conducted. It involved 396 postpartum women admitted to a municipal hospital in the southwest of Bahia. Data were collected from January to May 2023, after approval from the research ethics committee. The data were tabulated using Excel software and analyzed using SPSS v.25 through Multinomial Logistic Regression. Results: majority of the sample exhibited well-being with health care assistance. Women who underwent delivery performed by non-medical professionals showed higher chances of "adequate" levels of well-being. Additionally, women who did not undergo cesarean delivery showed increased chances of well-being. Conclusion: It is necessary for professionals to reflect on their actions, conditioning them to the humanization of childbirth, according to bioethical principles.

Objetivo: evaluar los factores clínicos asociados al bienestar de la mujer durante el trabajo de parto y parto a la luz de la bioética y la deontología principialista. Método: estudio transversal con enfoque cuantitativo. Incluyó 396 puérperas ingresadas en un hospital municipal del suroeste de Bahía. Recolección de datos de enero a mayo de 2023, con aprobación del comité de ética en investigación. Los datos se tabularon en el software Excel y se analizaron mediante SPSS v.25. utilizando regresión logística multinomial. Resultados: la mayoría de las participantes de la muestra presentó bienestar con la atención para la salud; las que tuvieron partos realizados por profesionales no médicos tenían más probabilidades de tener niveles "adecuados" de bienestar; las que no tuvieron parto por cesárea tenían mayores probabilidades de tener bienestar. Conclusión: es necesario que los profesionales reflexionen sobre sus acciones y las adecuen para humanizar el parto, respetando los principios bioéticos.

Social media uses amongst adolescents: motives, minority stress and eudaimonic well-being / Uso de redes sociales en adolescentes: motivación, estrés de minorías y bienestar eudaimónico

Introduction: The scientific evidence regarding the effects of online social media use on the well-being of adolescents is mixed. In gen-eral, passive uses (receiving, viewing content without interacting) and more screen time are related to lower well-being when compared with active uses (direct interactions and interpersonal exchanges). Objectives:This study ex-amines the types and motives for social media usage amongst adolescents, differentiating them by gender identity and sexual orientation, as well as its effects on eudaimonic well-being and minority stress. Method: A cross-sectional study was conducted with 1259 adolescents, aged 14 to 19 (M= 16.19; SD= 1.08), analysing the Scale of Motives for Using Social Net-working Sites, eudaimonic well-being, the Sexual Minority Adolescent Stress Inventory, screen time and profile type. Results:The results found that longer use time is related to finding partners, social connection and friendships; that gay and bisexual (GB) adolescents perceive more distal stressors online;and that females have higher levels of well-being. Discus-sion: The public profiles of GB males increase self-expression, although minority stress can be related to discrimination, rejection or exclusion. Dif-ferentiated socialization may contribute to a higher level of well-being in females, with both active and passive uses positively effecting eudaimonic well-being in adolescents.(AU)

Introduction: The scientific evidence regarding the effects of online social media use on the well-being of adolescents is mixed. In general, passive uses (receiving, viewing content without interacting) and more screen time are related to lower well-being when compared with active uses (direct interactions and interpersonal exchanges). Objectives: This study examines the types and motives for social media usage amongst adolescents, differentiating them by gender identity and sexual orientation, as well as its effects on eudaimonic well-being and minority stress. Method: A cross-sectional study was conducted with 1259 adolescents, aged 14 to 19 (M = 16.19; SD = 1.08), analysing the Scale of Motives for Using Social Networking Sites, eudaimonic well-being, the Sexual Minority Adolescent Stress Inventory, screen time and profile type. Results: The results found that longer use time is related to finding partners, social connection and friendships; that gay and bisexual (GB) adolescents perceive more distal stressors online; and that females have higher levels of well-being. Discussion: The public profiles of GB males increase self-expression, although minority stress can be related to discrimination, rejection or exclusion. Differentiated socialization may contribute to a higher level of well-being in females, with both active and passive uses positively effecting eudaimonic well-being in adolescents.(AU)

Teacher Emotion Inventory: validación en una muestra de profesorado español / Teacher Emotion Inventory: validation in a sample of Spanish teachers

Antecedentes: La escala Teacher Emotion Inventory (TEI) es un instrumento que evalúa emociones discretas experimentadas por el profesorado en el proceso de enseñanza-aprendizaje. El objetivo de este estudio es examinar las propiedades psicométricas de la versión breve española de la escala Teacher Emotion Inventory (TEI-BSV) en una muestra de 567 profesores (65.5% son mujeres), con edades comprendidas entre 25 y 65 años (M = 46.04; DT = 9.09). Método: Tras su adaptación mediante traducción inversa, el profesorado completó una batería que incluía el TEI-BSV, un cuestionario de inteligencia emocional, dos escalas de bienestar subjetivo, una escala sobre burnout y una escala sobre engagement. Resultados: Los resultados mostraron una consistencia interna adecuada de las subescalas del TEI-BSV. Los análisis factoriales (exploratorio y confirmatorio) proporcionaron pruebas de que el TEI-BSV tiene una estructura de cuatro factores con un buen ajuste, frente a la estructura de cinco factores original. Se han hallado evidencias de validez convergente, así como de validez criterial e incremental del TEI-BSV. Conclusiones: el TEI-BSV podría ser una herramienta útil para la evaluación ecológica de las emociones discretas del profesorado en su contexto laboral.(AU)

Background: The Teacher Emotion Inventory (TEI) scale is an instrument that evaluates discrete emotions experienced by teachers in the teaching-learning process. The aim of this study was to examine the psychometric properties of the brief Spanish version of the Teacher Emotion Inventory scale (TEI-BSV) using a sample of 567 teachers (65.5% women), aged between 25 and 65 years (M= 46.04; SD= 9.09). Methods: After adaptation through back-translation, the teachers com-pleted a battery of tests included in the TEI-BSV: an emotional intelli-gence questionnaire, two subjective well-being scales, a burnout scale and a scale on engagement. Results: The data revealed adequate internal consistency of the TEI-BSV subscales, and exploratory and confirma-tory factor analyses provided evidence that the TEI-BSV has a four-factor structure with good adjustment, as opposed to the original five-factor structure proposed. There was evidence of convergent validity of the TEI-BSV, as well as criterion and incremental validity. Conclusions: The TEI-BSV could be a useful instrument for the ecological assess-ment of teachers' discrete emotions in the context of their workplace.(AU)

[Self-sense and experiences of physical activity in breast cancer survivors: Qualitative evidence synthesis]. / Significados y experiencias de actividad física en mujeres sobrevivientes de cáncer de mama: síntesis cualitativa.

Breast cancer has a high incidence rate and a negative impact on women's lives. The practice of physical activity (PA) has shown strong evidence in controlling the side effects associated with the disease and its treatment. However, having an active lifestyle is influenced by socio-health inequities. The objective was to analyze the categories related to the meanings and perceived experiences with PA in breast cancer survivors (BCS). Protocol https://osf.io/7fwbs/. Articles describing the meanings of PA in BCS published after 2010 were included. Fourteen articles were analyzed using line-by-line coding. The emerging categories were: 1)PA as a strategy to re-signify and empower the body. 2)Cancer means a change in PA trajectories. 3)PA is a tool for a healthy and functional body in everyday life.

Efecto del programa nutricional “Tusuy” en la composición corporal y bienestar emocional en personas con síndrome de Down / The effect of the “Tusuy” nutritional program on body composition and emotional well-being in people with Down syndrome

Introducción. El síndrome de Down es una condición genética que afecta física y cognitivamente al ser humano. Los programas nutricionales basados en el fomento de la actividad física mejoran la hipotonía muscular y el bienestar emocional en personas con síndrome de Down.Objetivo: Evaluar el efecto del programa nutricional “Tusuy” en la composición corporal y bienestar emocional de personas con síndrome de Down, durante ocho semanas de intervención. Material y métodos: Investigación de enfoque cuantitativo, diseño experimental, nivel pre-experimental. La muestra final fue conformada por 25 personas con síndrome de Down, con asistencia regular al taller de danza; fueron excluidos personas con diagnóstico severo de síndrome de Down. El programa nutricional Tusuy tuvo una duración de ocho semanas, que incluía el taller de danza, sesiones educativas para mejorar la alimentación y seguimiento a través de WhatsApp de los padres de familia. El perímetro abdominal se midió a través cinta métrica marca Lufkin, consignado en una ficha antropométrica; el bienestar emocional fue evaluado a través de la escala de bienestar psicológico, validada mediante juicio de expertos. Para comparar los resultados antes y después de la intervención, se utilizó la prueba estadística no paramétrica de Wilcoxon. Resultados: Antes de la intervención, al analizar el perímetro abdominal, se obtuvo 36 % en riesgo muy alto, con promedio de 91,17 ± 11,39 cm; asimismo, el 64,0 % presentó bienestar psicológico. Al término de la intervención, el 20,0 % presentó riesgo muy alto; el promedio del perímetro abdominal fue de 89,18 ± 11,84 cm; el 98,0 % presentó bienestar psicológico. Al comparar ambos grupos experimentales, se obtuvo un valor p<0,05. Conclusión: El programa nutricional “Tusuy”, que duró ocho semanas de intervención, mejoró la composición corporal y el bienestar emocional en personas con síndrome de Down.(AU)

Introduction: Down syndrome is a genetic conditionthat affects humans physically and cognitively. Nutritionalprograms based on promoting physical activity improvemuscle hypotonia and emotional well-being in people withDown syndrome. Objective: To evaluate the effect of the “Tusuy” nutri-tional program on the body composition and emotional well-being of people with Down syndrome, during eight weeks ofintervention. Material and methods:Research with a quantitative ap-proach, experimental design, pre-experimental level. The fi-nal sample was made up of 25 people with Down syndrome,with regular attendance at the dance workshop; People witha severe diagnosis of Down syndrome were excluded. TheTusuy nutritional program lasted eight weeks, which includedthe dance workshop, educational sessions to improve nutri-tion, and monitoring of parents via WhatsApp. Abdominalperimeter was measured using a Lufkin measuring tape,recorded on an anthropometric sheet; Emotional well-beingwas evaluated through the psychological well-being scale, validated through expert judgment. To compare the resultsbefore and after the intervention, the non-parametricWilcoxon statistical test was used. Results: Before the intervention, when analyzing the ab-dominal perimeter, 36% were found to be at very high risk,with an average of 91.17 ± 11.39 cm; Likewise, 64.0% pre-sented psychological well-being. At the end of the interven-tion, 20.0% presented very high risk; the average abdominalperimeter was 89.18 ± 11.84 cm; 98.0% presented psycho-logical well-being. When comparing both experimentalgroups, a p value <0.05 was obtained.Conclusion: The “Tusuy” nutritional program, which lastedeight weeks of intervention, improved body composition andemotional well-being in people with Down syndrome.(AU)

Caring to care: Nurturing ICU healthcare professionals' wellbeing for enhanced patient safety.

Healthcare professionals working in the Intensive Care Unit (ICU) care for patients suffering from a critical illness and their relatives. Working within a team of people with different personalities, competencies, and specialties, with constraints and demands might contribute to a working environment that is prone to conflicts and disagreements. This highlights that the ICU is a stressful place that can threaten healthcare professionals' wellbeing. This article aims to address the concept of wellbeing by describing how the stressful ICU work-environment threatens the wellbeing of health professionals and discussing how this situation jeopardizes patient safety. To promote wellbeing, it is imperative to explore actionable interventions such as improve communication skills, educational sessions on stress management, or mindfulness. Promoting ICU healthcare professionals' wellbeing through evidence-based strategies will not only increase their personal resilience but might contribute to a safer and more efficient patient care.

Ethics and Welfare in invertebrates: a stepping-stone to research and animal production / Ética y bienestar en invertebrados: una piedra fundamental en investigación y producción animal

Abstract Introduction: Even though only a few species are considered to be dangerous, pests or vectors, the majority of invertebrates produce a feeling of aversion in humans. This has contributed to the delay in the development of ethical considerations as regards this group in contrast with vertebrates, with the exception of cephalopods. Objective: In the present study, we provide an overview of the current situation on animal ethics and welfare in order to contribute to the development of a framework for ensuring invertebrate welfare. Methods: Today, animal welfare is multidisciplinary in nature to a very high degree as it includes ethology, physiology, pathology, biochemistry, genetics, immunology, nutrition, cognitive-neural, veterinary medicine, and ethics. Animal welfare is a complex concept, difficult to achieve successfully from one perspective. Results: As a consequence, we propose to include the five domains (nutrition, environment, health, behaviour and mental state) along with the three conceptions (basic health and functioning, affective state and natural living), as well as the 5R Principle (Replace, Reduction, Refinement, Respect and Responsibility) in seeking to achieve a comprehensive welfare state. Conclusions: We consider that in both research and animal production, the individual and collective ethical concerns coexist and, in fact, the main moral concern to account for is the collective one and that, within that collective view, the individual moral concern should be applied with responsibility and respect for the individual. Finally, we propose a practical example of invertebrate welfare production in sea urchin aquaculture with the aim of including animal production of invertebrates in this important discussion.

Resumen Introducción: Aunque sólo unas pocas especies son consideradas peligrosas, plagas o vectores, la mayoría de los invertebrados producen un sentimiento de aversión en el ser humano. Esto ha contribuido al retraso en el desarrollo de consideraciones éticas respecto a este grupo en comparación con los vertebrados, a excepción de los cefalópodos. Objetivo: En el presente trabajo, proporcionamos una visión general de la situación actual en materia de ética y bienestar animal con el fin de contribuir al desarrollo de un marco para garantizar el bienestar de los invertebrados. Métodos: Hoy en día, el bienestar animal es de naturaleza multidisciplinaria en un grado muy alto, ya que incluye etología, fisiología, patología, bioquímica, genética, inmunología, nutrición, cognitivo-neural, medicina veterinaria y ética. El bienestar animal es un concepto complejo, difícil de lograr con éxito desde una sola perspectiva. Resultados: Como consecuencia, proponemos incluir los cinco dominios (nutrición, ambiente, salud, comportamiento y estado mental) junto con las tres concepciones (Salud básica y funcionamiento, estado afectivo y vida natural), así como el Principio 5R (Reemplazar, Reducir, Refinar, Respetar y Responsabilidad) en la búsqueda de alcanzar un estado de bienestar integral. Conclusiones: Consideramos que tanto en la investigación como en la producción animal coexisten las preocupaciones éticas individuales y colectivas y, de hecho, la principal preocupación moral a dar cuenta es la colectiva y que, dentro de esa visión colectiva, se debe aplicar la preocupación moral individual. con responsabilidad y respeto por la persona. Finalmente, proponemos un ejemplo práctico de producción de bienestar de invertebrados en la acuicultura de erizos de mar con el objetivo de incluir la producción animal de invertebrados en esta importante discusión.

[Mobile health in primary care. New challenges in the development of solutions to promote physical activity and well-being]. / La salud móvil en atención primaria. Nuevos desafíos en el desarrollo de soluciones para promover la actividad física y el bienestar.

The use of smart devices such as mobile phones (smartphones) or smart watches (smartwatch) to promote physical activity and well-being has increased in recent years among patients and professionals in primary care. This change is driven by the access of patients and professionals to a large catalog of health applications, which can complement the provision of services and promote the empowerment of patients in their own health and lifestyles. These applications are beginning to be integrated with areas such as Artificial Intelligence (AI), the Internet of Medical Things (IoMT) and data storage in the cloud, among other emerging technological systems, offering a new complementary approach to clinical practice known so far. Despite the great potential, there are numerous limitations and major challenges for its full implementation in clinical practice.

Efecto de la deuda económica sobre el bienestar psicológico de los residentes de cirugía: Resultados de un estudio nacional en Colombia / Effect of financial debt on the psychological well-being of surgery residents: Results of a national study in Colombia

Introducción. La deuda económica durante la residencia en cirugía general puede afectar el desempeño profesional, las decisiones de vida y el bienestar psicológico. La información disponible en Colombia es limitada. El objetivo de este estudio fue cuantificar la deuda económica del residente de cirugía general, identificar los factores asociados y evaluar su efecto en el bienestar psicológico. Métodos. Estudio de corte transversal analítico. Se invitó a 380 residentes a diligenciar una encuesta sobre los aspectos relacionados con su deuda económica y se utilizó el WHO-index para evaluar su bienestar psicológico. Resultados. Un total de 259 residentes participaron en el estudio (67,6 %). El 56 % posee una deuda económica promedio de COP $88.000.000 ((US$21.826)). Un alto nivel de endeudamiento se relacionó con el año de residencia, el tipo de institución (privada) y la solicitud de préstamos. Se identificó algún trastorno mental en 14,7 % y un bajo nivel de bienestar psicológico en 56,4 % de los participantes. No se identificó ninguna asociación entre una elevada deuda económica y el bajo bienestar psicológico. Conclusiones. La deuda económica tiene un efecto sobre los residentes. El endeudamiento de los residentes de cirugía en Colombia es altamente prevalente, y no se correlaciona con un pobre bienestar psicológico. La autodeterminación favorece el bienestar psicológico en el posgrado en cirugía general. Existe la necesidad de educación financiera en los residentes. Se requieren nuevos estudios que evalúen las causas del pobre bienestar psicológico.

Introduction. Financial debt during surgery residency can affect professional performance, life decisions, and psychological well-being. The information available in Colombia is limited. The objective of this study is to quantify the financial debt of the general surgery resident, identify the associated factors and evaluate their effect on psychological well-being. Methods. A cross-sectional study was carried out. A total of 380 residents were invited to complete a survey on aspects related to their financial debt, and the WHO-index to evaluate their psychological well-being. Results. A total of 259 residents participated in the study (67.6%). 56% have an average economic debt of $88,000,000 COP (US$21,826). High debt was related to level of residence, type of institution (private), and loan application. Some mental disorder was identified in 14.7% and a low level of psychological well-being in 56.4% of the participants. No association was identified between high financial debt and low psychological well-being. Conclusions. Economic debt has an effect on residents. Financial debt among surgical residents in Colombia is highly prevalent; however, it does not correlate with poor psychological well-being. Self-determination favors psychological well-being in the postgraduate course in general surgery. Likewise, the need for financial education in residents is imminent. New studies are required that thoroughly evaluate the causes of poor well-being.

Ansiedad y depresión en el embarazo. Variables asociadas durante el periodo de pandemia COVID-19 / Anxiety and depression in pregnancy. Associated variables during the covid-19 pandemic period

Objetivo: Evaluar la asociación entre edad, paridad, nacionalidad, estudios, empleo y apoyo de la pareja con la depresión y ansiedad durante el embarazo. Determinar el impacto de la evolución de la pandemia COVID-19 en los niveles de ansiedad y depresión de las participantes. Método: Estudio descriptivo correlacional transversal realizado en el Osakidetza/Servicio Vasco de Salud, Atención primaria, Bizkaia (España). Participaron 295 gestantes entre ocho y 41 semanas. Se midió la asociación entre edad, paridad, nacionalidad, nivel de estudios, empleo, apoyo de la pareja y tasas de incidencia de COVID-19 durante el periodo del estudio y las puntuaciones de depresión (medido con la Escala de Depresión Posnatal de Edimburgo) y de ansiedad (medido con la subescala de ansiedad estado-rasgo del State-Anxiety Inventory [STAI-S]) durante el embarazo. Se construyó un modelo de regresión logística y se estimaron las odds ratios (OR) y sus intervalos de confianza de 95% (IC 95%). Resultados: La puntuación media en ansiedad fue de 18,75 puntos (DE = 8,69) y en depresión 6,45 puntos (DE = 4,32). Las mujeres que esperaban su segundo hijo o más obtuvieron puntuaciones más altas en depresión (OR 2,51 [IC 95%: 1,26-5,01]) y ansiedad (OR 1,98 [IC 95%: 1,01-3,89]). Haber cursado estudios universitarios se asocia con puntuaciones más bajas en depresión (OR 0,28 [IC 95%: 0,11-0,77]) y ansiedad (OR 0,2 [IC 95%:0,08-0,54]). Una buena calidad en la relación de pareja se asocia con menores niveles de ansiedad (OR 0,45 [IC 95%: 0,24-0,81). La puntuación media en ansiedad y depresión se relacionan con la incidencia de casos COVID-19; la puntuación en ansiedad fue significativamente más alta en los periodos de mayor incidencia. Conclusiones: Mayor atención emocional a las gestantes con bajo nivel de estudios, multíparas y con un débil apoyo de su pareja, permitiría reducir la ansiedad y depresión en el embarazo. Situaciones de emergencia sanitaria afectan a la salud mental durante la ges...(AU)

Objective: To assess the association between age, parity, nationality, educational level, employment and partner support with depression and anxiety during pregnancy. To determine the impact of the evolution of the COVID-19 pandemic on the anxiety and depression levels of the participants. Method: Cross-sectional descriptive correlational study carried out in the Osakidetza/Basque Health Service, Primary Care, Bizkaia (Spain). A total of 295 pregnant women between 8 and 41 weeks participated. The association between age, parity, nationality, educational level, employment, partner support and COVID-19 incidence rates during the study period and depression (measured with the Edinburgh Postnatal Depression Scale) and anxiety (measured with the State-Anxiety Inventory/STAI-S subscale) scores during pregnancy was measured. A logistic regression model was constructed and odds ratios and their 95% confidence intervals were estimated. Results: The mean score was 18.75 points for anxiety (SD 8.69) and 6.45 points for depression (SD 4.32). Women expecting their second or later child had higher scores for depression (OR 2.51 [95%IC: 1.26-5.01]) and anxiety (OR 1.98 [95%IC: 1.01-3.89]). Having completed university studies was associated with lower scores in depression (OR 0.28 [95%IC: 0.11-0.77]) and in anxiety (OR 0,2 [95%IC: 0.08-0.54]). A good relationship with the partner was associated with lower levels of anxiety (OR 0.45 [95%IC: 0.24-0.81]). The mean anxiety and depression scores are related to the incidence of COVID-19 cases; the anxiety score was significantly higher in periods of higher incidence. Conclusions: Greater emotional care for pregnant women with low educational level, multiparous and with weak support from their partner, would reduce anxiety and depression in pregnancy. Health emergency situations affect mental health during gestation.(AU)

Implantación de un programa de mejora del bienestar emocional basado en atención plena (mindfulness) en una población rural / Implementation of a program to improve emotional well-being based on mindfulness in a rural population

Objetivo. Mejorar el bienestar mental de las personas que participan en el Programa de Mejora del Bienestar Emocional mediante Atención Plena (Mindfulness) desarrollado en la localidad de Ribafrecha (La Rioja). Métodos. Desde mayo de 2022 hasta marzo de 2023 se ha llevado a cabo en Ribafrecha (La Rioja) un Programa de Mejora de Bienestar Emocional Basado en la Atención Plena, completado por 100 de las 780 personas mayores de 19 años que residen en la localidad. El programa, basado en MBCT (terapia cognitiva basada en mindfulness, por sus siglas en inglés), consta de 8 sesiones con periodicidad semanal en grupos de unas 12-16 personas, seguido de sesiones bimestrales de recuerdo y del envío de audios cada 15 días para mantener lo aprendido durante el curso de 8 semanas. Conclusiones. Para los participantes en el programa, esta actividad ha supuesto una mejora en el manejo de las situaciones vitales estresantes. Además, permite al médico de familia un acercamiento más cálido y personal a las situaciones de malestar emocional relatadas por las/los pacientes, apelando a las propias fortalezas que estos han adquirido durante el curso. (AU)

Aim. To improve the mental well-being of people who take part in the "Mindfulness-based Emotional Well-being Improvement Programme” developed in the town of Ribafrecha (La Rioja). Methods. An Emotional Well-Being Improvement Programme Based on Mindfulness was performed in Ribafrecha (La Rioja). This was completed by 100 out of the 780 people aged over 19 years old, residing in the town. The programme, based on MBCT (Mindfulness-based Cognitive Therapy), consists of eight weekly sessions in groups of about 12-16 people, followed by bi-monthly memory sessions and sending audios every 2 weeks to maintain what they have learned during the eight-week course. Conclusions. For the participants in the programme, this activity has led to improved management of stressful life situations. Moreover, it enables the family physician to have a warmer and more personal approach to situations of emotional distress reported by patients, which appeal to their own strengths that they have acquired during the course. (AU)

Factores asociados al rendimiento académico de los adolescentes de La rioja (España): hábitos de vida, indicadores de salud y factores sociodemográficos / Factors associated with academic performance in adolescents from La Rioja (Spain): lifestyle habits, health indicators, and sociodemographic factors

Introducción: el rendimiento académico está influenciado por numerosos factores, algunos de índole personal y otros contextuales, que, además, poseen una estrecha relación con la salud de los estudiantes. Por ello, el objetivo del estudio fue analizar la relación e influencia de los hábitos de vida, diversos indicadores de salud física y psicosocial, y variables sociodemográficas sobre dicho rendimiento. Método: el estudio se llevó a cabo sobre una muestra de 761 estudiantes (14,51 ± 1,63 años) de 25 centros educativos de una región del norte de España. Se valoró el rendimiento académico, así como la calidad de vida relacionada con la salud, la autoestima, la adherencia a la dieta mediterránea, las horas de sueño nocturno, el nivel de actividad física, el entorno para la práctica de dicha actividad física, la participación en actividades deportivas extraescolares, el consumo máximo de oxígeno, el índice de masa corporal y diversos factores sociodemográficos. Resultados: ser chico, tener origen migrante y poseer un nivel socioeconómico bajo/medio, una capacidad cardiorrespiratoria en zona de riesgo, una menor adherencia a la dieta mediterránea e índices más bajos de calidad de vida relacionada con la salud resultaron asociarse a un menor rendimiento académico, llegando a explicar hasta el 14 % de su varianza según el análisis de regresión. Igualmente, los adolescentes con mayor autoestima, menor índice de masa corporal, las chicas, aquellos que residían en un entorno favorable para la práctica física, los que realizaban actividad física extraescolar y los que presentaban mayor número de horas de sueño nocturno, mostraron mayores índices de rendimiento académico. Conclusiones: las intervenciones dirigidas a combatir el fracaso escolar deberían tener en cuenta los factores asociados citados, haciendo especial hincapié en los grupos más vulnerables como los chicos, aquellos con menor nivel socioeconómico y los que siguen unos hábitos de vida no saludables.(AU)

Introduction: academic performance is influenced by numerous factors, some personal and others contextual in nature, which also have a closerelationship with the health of students. Therefore, the aim of this study was to analyze the relationship and influence of lifestyle habits, variousphysical and psychosocial health indicators, and sociodemographic variables on academic performance.Method: the study was carried out on a sample of 761 students (14.51 ± 1.63 years old) from 25 educational centers in a region of northernSpain. Academic performance was assessed, as well as health-related quality of life, self-esteem, adherence to the Mediterranean diet, hoursof nocturnal sleep, level of physical activity, environment for the practice of physical activity, participation in extra-curricular sports activities,maximum oxygen consumption, body mass index, and various sociodemographic factors.Results: being male, having immigrant origins, as well as having a low/medium socioeconomic level, a cardiorespiratory capacity in the risk zone,lower adherence to the Mediterranean diet, and lower health-related quality of life indices were associated with lower academic performance,explaining up to 14 % of its variance according to the regression analysis. Likewise, adolescents with higher self-esteem, lower body mass index,females, those who lived in a favorable environment for physical activity practice, engaged in extra-curricular physical activity, and had a highernumber of hours of nocturnal sleep showed higher levels of academic performance.Conclusions: interventions aimed at combating academic failure should take into account the aforementioned associated factors, with specialemphasis on the most vulnerable groups such as males, those with lower socioeconomic status, and those who follow unhealthy lifestyle habits.(AU)

Feasibility and acceptability of a culturally adapted psychological first aid training intervention (Preparing Me) to support the mental health and well-being of front-line healthcare workers in China: a feasibility randomized controlled trial.

Background: Psychological first aid (PFA) training helps to prepare healthcare workers (HCWs) to manage trauma and stress during healthcare emergencies, yet evidence regarding its effectiveness and implementation is lacking.Method: A two-arm feasibility randomized controlled trial design was conducted in a Chinese tertiary hospital. Participants were randomly allocated to receive either a culturally adapted PFA training (the intervention arm) or psychoeducation (the control arm). Feasibility indicators and selected outcomes were collected.Results: In total, 215 workers who expressed an interest in participating in the trial were screened for eligibility, resulting in 96 eligible participants being randomly allocated to the intervention arm (n = 48) and control arm (n = 48). There was a higher retention rate for the face-to-face PFA training session than for the four online group PFA sessions. Participants rated the PFA training as very helpful (86%), with a satisfaction rate of 74.25%, and 47% reported being able to apply their PFA skills in responding to public health emergencies or providing front-line clinical care. Positive outcome changes were observed in PFA knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth. Their scores on depression, anxiety, stress, and burnout measures all declined. Most of these changes were sustained over 3 months (p < .05). Repeated measures analysis of variance found statistically significant interaction effects on depression (F2,232 = 2.874, p = .046, ηp2 = .031) and burnout (F2,211 = 3.729, p = .018, ηp2 = .037), indicating a greater reduction in symptoms of depression and burnout with PFA compared to psychoeducation training.Conclusion: This culturally adapted PFA training intervention was highly acceptable among Chinese HCWs and was feasible in a front-line care setting. Preliminary findings indicated positive changes for the PFA training intervention on knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth, especially a reduction of depression and burnout. Further modifications are recommended and a fully powered evaluation of PFA training is warranted.

Psychological first aid (PFA) training was culturally adapted and evaluated to help prepare healthcare workers to manage trauma and stress during healthcare emergencies.This culturally adapted PFA training was highly acceptable among Chinese healthcare workers and was feasible in a front-line care setting.Preliminary findings show positive changes for the PFA training intervention on knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth, especially a reduction of depression and burnout.

Anxiety and depression in pregnancy: associated variables during the COVID-19 pandemic period.

OBJECTIVE: To assess the association between age, parity, nationality, educational level, employment and partner support with depression and anxiety during pregnancy. To determine the impact of the evolution of the COVID-19 pandemic on the anxiety and depression levels of the participants. METHOD: Cross-sectional descriptive correlational study carried out in the Osakidetza/Basque Health Service, Primary Care, Bizkaia (Spain). A total of 295 pregnant women between 8 and 41 weeks participated. The association between age, parity, nationality, educational level, employment, partner support and COVID-19 incidence rates during the study period and depression (measured with the Edinburgh Postnatal Depression Scale) and anxiety (measured with the State-Anxiety Inventory/STAI-S subscale) scores during pregnancy was measured. A logistic regression model was constructed and odds ratios and their 95% confidence intervals were estimated. RESULTS: The mean score was 18.75 points for anxiety (SD=8.69) and 6.45 points for depression (SD=4.32). Women expecting their second or later child had higher scores for depression (OR 2.51[95%IC: 1.26-5.01)) and anxiety (OR 1.98 [95%IC: 1.01-3.89]). Having completed university studies was associated with lower scores in depression (OR 0.28 [95%IC: 0.11-0.77]) and in anxiety (OR 0,2 [95%IC: 0.08-0.54]). A good relationship with the partner was associated with lower levels of anxiety (OR 0.45 [95%IC: 0.24-0.81]). The mean anxiety and depression scores are related to the incidence of COVID-19 cases; the anxiety score was significantly higher in periods of higher incidence. CONCLUSIONS: Greater emotional care for pregnant women with low educational level, multiparous and with weak support from their partner, would reduce anxiety and depression in pregnancy. Health emergency situations affect mental health during gestation.

Efectividad audiovisual del monitoreo independiente del bienestar fetal sobre el apego materno-fetal y los resultados del parto / Audiovisual Effectiveness of Independent Fetal Well-being Monitoring on Mother-Fetus Attachment and Birth Outcomes

Introducción: El vínculo madre-feto juega un papel importante en la atención del embarazo, impactando los resultados del nacimiento. El monitoreo del movimiento fetal es una competencia fundamental para que las mujeres embarazadas lo hagan de manera independiente. Objetivo: Producir monitoreo audiovisual del movimiento fetal independiente y probar su efectividad en el apego materno-fetal y los resultados del parto. Métodos: La etapa I, desarrollo de Monitoreo de Bienestar Fetal Audiovisual, con estudio de literatura, etapas, desarrollo de escenarios, creación de audiovisuales, prueba de validez de expertos. La etapa 2 probó la efectividad de los medios audiovisuales sobre el apego materno-fetal con el instrumento Inventario de Apego Prenatal y los resultados del nacimiento a partir del peso del bebé al nacer. Diseño de un verdadero enfoque experimental de grupo de control pretest-postest. Muestras de mujeres embarazadas con antecedentes de atención prenatal en el Centro de Salud Kasihan II, Bantul, Yogyakarta, Indonesia con los siguientes criterios: embarazo único, normal, edad gestacional de 28 a 36 semanas. Los encuestados de 60 sujetos se dividieron en grupos experimentales y de control. Los datos normales se probaron mediante la prueba t pareada, la prueba t independiente y MANOVA. Resultados: Puntaje de prueba de validez de experto en contenido 81% muy válido, puntaje de validez de experto en medios 80.33%, válido. La aplicación audiovisual mostró los resultados de la prueba t pareada, tanto en el grupo experimental como en el control hubo diferencias en el pretest y postest, P<0.05. La prueba t de muestra independiente P < 0,05 y los resultados MANOVA simultáneos mostraron una puntuación de apego materno-fetal y un resultado del nacimiento P < 0,05 (AU)

Introduction: The mother-fetus bond plays an important role in pregnancy care, impacting birth outcomes. Monitoring fetal movement is a fundamental competence for pregnant women to do independently. Objective: to produce audiovisual monitoring of independent fetal movement and prove its effectiveness on maternal-fetal attachment and birth outcomes. Methods: Phase I, developing Audiovisual Fetal Well-being Monitoring, with literature study steps, developing scenarios, creating audiovisuals, testing the validity of experts. Stage 2 tested the effectiveness of audiovisual media on maternal-fetal attachment with the Prenatal Attachment Inventory instrument and birth outcomes from infant birth weight. Design of true experimental pretest-posttest control group approach. Samples of pregnant women with a history of antenatal care at the Kasihan II Health Center, Bantul, Yogyakarta, Indonesia with the following criteria: single pregnancy, normal, gestational age 28-36 weeks. Respondents of 60 subjects were divided into experimental and control groups. Normal data were tested by paired t test, independent t-test and MANOVA. Results: Content expert validity test score 81% very valid, media expert validity score 80.33%, valid. The audiovisual application showed the results of the paired t-test, both in the experimental and control groups there were differences in pretest and posttest, P <0.05. Independent sample t-test P < 0.05 and simultaneous MANOVA results showed maternal-fetal attachment score and birth outcome P < 0.05. Conclusion: Independent monitoring of fetal well-being using audiovisual media simultaneously affects the increase in maternal-fetal attachment scores and birth outcomes so it is recommended that second trimester pregnant women be taught techniques for counting fetal movements and practicing them routinely (AU)

Producción científica en Scopus sobre salud financiera: periodo 2011-2022 / Scientific production in Scopus on financial health: period 2011-2022

Introducción: La salud financiera, determinada en buena parte por el salario, está estrecha-mente relacionada a la salud global del individuo y su familia. Por ello se tuvo como objetivo evaluar la producción científica sobre salud financiera en la base de datos Scopus: periodo 2011 - 2022.Método: Scoping review en la que se analizaron manuscritos publicados en revistas in-dexadas en la base de datos Scopus entre los años 2011 - 2022. Para la búsqueda se utilizó descriptores tales como financial obligations, financial inclusion, family economy, financial education, financial literacy, financial wellness y financial stress, que fueron combinados en el buscador de Scopus junto con los operadores booleanos (AND, OR). Se realizó una sín-tesis narrativa.Resultados: Se incluyeron 6 940 manuscritos, de los cuales el 82,0% eran artículos origi-nales. Se observó un crecimiento constante del número de artículos a lo largo del perio-do de estudio, especialmente a partir de 2016, con un incremento del 860% en 2022 (n = 1429) respecto a 2011 (n=165). Estados Unidos fue el país con mayor producción científica (35,5%). Las revistas con mayor número de publicaciones fueron Sustainability (Suiza) y el Journal of Financial Counseling and Planning (EEUU). Entre los descriptores de mayor impacto se encuentran la inclusión financiera a través del uso de la tecnología, estrés finan-ciero, educación financiera y salud financiera.Conclusiones: La investigación sobre salud financiera ha tenido un aumento significativo. El nuevo conocimiento sobre el tema es impulsado por autores e instituciones de Estados Unidos en su mayoría, y finalmente, se evidencian tendencias de estudio relacionadas a la inclusión y educación financiera (AU)

Introduction: Financial health is related to the overall health of an individual and their family. The objective of this study was to evaluate the scientific production on financial health in the Scopus database for the 2011-2022 period.Method: Scoping review of manuscripts published in journals indexed in the Scopus data-base between the years 2011 and 2022. The following search terms were used: "Financial obligations”, “financial inclusion”, “family economy”, “financial education”, “financial literacy”, “financial wellness” and “financial stress", which were entered in the Scopus search engine together with the Boolean operators (AND, OR). Results: A total of 6 940 publications were identified, of which 81.95% were original articles. The United States was the country with the highest scientific production (35.5%). We iden-tified a trend of increasing number of papers during the study period, especially from 2016 onward, with an 860% increase in 2022 (n=1429) with respect to 2011 (n=165). The journals with the highest number of publications were Sustainability (Switzerland) and the Journal of Financial Counseling and Planning (USA). Finally, the key search terms with the greatest yield were “financial inclusion” through the use of technology, “financial stress”, “financial education” and “financial health. Conclusions: Research on financial health has increased significantly. The new knowledge on the subject is mostly driven by authors and institutions from the United States, and final-ly, there is evidence of an increasing trend of pulbications related to financial inclusion and financial education (AU)

[Factors associated with academic performance in adolescents from La Rioja (Spain): lifestyle habits, health indicators, and sociodemographic factors]. / Factores asociados al rendimiento académico de los adolescentes de La Rioja (España): hábitos de vida, indicadores de salud y factores sociodemográficos.

Introduction: Introduction: academic performance is influenced by numerous factors, some personal and others contextual in nature, which also have a close relationship with the health of students. Therefore, the aim of this study was to analyze the relationship and influence of lifestyle habits, various physical and psychosocial health indicators, and sociodemographic variables on academic performance. Method: the study was carried out on a sample of 761 students (14.51 ± 1.63 years old) from 25 educational centers in a region of northern Spain. Academic performance was assessed, as well as health-related quality of life, self-esteem, adherence to the Mediterranean diet, hours of nocturnal sleep, level of physical activity, environment for the practice of physical activity, participation in extra-curricular sports activities, maximum oxygen consumption, body mass index, and various sociodemographic factors. Results: being male, having immigrant origins, as well as having a low/medium socioeconomic level, a cardiorespiratory capacity in the risk zone, lower adherence to the Mediterranean diet, and lower health-related quality of life indices were associated with lower academic performance, explaining up to 14 % of its variance according to the regression analysis. Likewise, adolescents with higher self-esteem, lower body mass index, females, those who lived in a favorable environment for physical activity practice, engaged in extra-curricular physical activity, and had a higher number of hours of nocturnal sleep showed higher levels of academic performance. Conclusions: interventions aimed at combating academic failure should take into account the aforementioned associated factors, with special emphasis on the most vulnerable groups such as males, those with lower socioeconomic status, and those who follow unhealthy lifestyle habits.

Introducción: Introducción: el rendimiento académico está influenciado por numerosos factores, algunos de índole personal y otros contextuales, que, además, poseen una estrecha relación con la salud de los estudiantes. Por ello, el objetivo del estudio fue analizar la relación e influencia de los hábitos de vida, diversos indicadores de salud física y psicosocial, y variables sociodemográficas sobre dicho rendimiento. Método: el estudio se llevó a cabo sobre una muestra de 761 estudiantes (14,51 ± 1,63 años) de 25 centros educativos de una región del norte de España. Se valoró el rendimiento académico, así como la calidad de vida relacionada con la salud, la autoestima, la adherencia a la dieta mediterránea, las horas de sueño nocturno, el nivel de actividad física, el entorno para la práctica de dicha actividad física, la participación en actividades deportivas extraescolares, el consumo máximo de oxígeno, el índice de masa corporal y diversos factores sociodemográficos. Resultados: ser chico, tener origen migrante y poseer un nivel socioeconómico bajo/medio, una capacidad cardiorrespiratoria en zona de riesgo, una menor adherencia a la dieta mediterránea e índices más bajos de calidad de vida relacionada con la salud resultaron asociarse a un menor rendimiento académico, llegando a explicar hasta el 14 % de su varianza según el análisis de regresión. Igualmente, los adolescentes con mayor autoestima, menor índice de masa corporal, las chicas, aquellos que residían en un entorno favorable para la práctica física, los que realizaban actividad física extraescolar y los que presentaban mayor número de horas de sueño nocturno, mostraron mayores índices de rendimiento académico. Conclusiones: las intervenciones dirigidas a combatir el fracaso escolar deberían tener en cuenta los factores asociados citados, haciendo especial hincapié en los grupos más vulnerables como los chicos, aquellos con menor nivel socioeconómico y los que siguen unos hábitos de vida no saludables.

Implicaciones del covid-19 en el bienestar psicológico: un modelo de rutas / Implications of COVID-19 on psychological well-being: a path analysis

El objetivo del estudio fue determinar el efecto del sexo, la edad, el nivel de instrucción, la gravedad de la condición, perdidas por la enfermedad y las dificultades post-COVID-19 sobre el Bienestar Psicológico, y cómo estas variables se relacionan entre sí. Se empleó un diseño de ru-ta en una muestra de 419 personas con COVID-19. Se utilizó la Escala de Bienestar Psicológico de CarolRyff (1989), y la Encuesta sobre implicaciones del COVID-19. Se encontró que la edad influencia directamente a todas las dimensiones del bienestar, a excepción de Relaciones Posi-tivas y Crecimiento Personal. El nivel educativo influye directamente de forma positiva en la mayoría de las dimensiones de bienestar. Los hombres presentan mayor bienestar en la dimen-sión Autonomía. Otras variables que predicen directamente el bienestar psicológico fueron el poseer algunas dificultades post-COVID. Se concluye que el modelo fue parcialmente compro-bado y permitiría desarrollar algunos planes de intervención. (AU)

The purpose of the study was to determine the effect of sex, age, level of education, severity of the condition, losses associated to the disease, and post-COVID-19 difficulties, on Psycho-logical Well-being, and how these variables relate to each other. Hence, a pathway design was used on a sample of 419 COVID-19 patients. The Carol Ryff’s Psychological Well-Being Scale (1989) and the Survey on the implications of COVID-19 were implemented. A direct influence of age on all dimensions of well-being was found, except for Positive Relationships and Per-sonal Growth. Educational level has a direct positive influence on most dimensions of well-being. Male participants showed greater well-being in the Autonomy dimension. Other varia-bles that directly predicted psychological well-being were having physical difficulties, work difficulties, and other post-COVID-19 difficulties. It is concluded that the model was partially verified and would allow for the development of specific well-being intervention plans. (AU)