Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

This study examines the copper-based artefacts found in the excavations of the dumping site found in the fortress of La Estrella in Montiel (Ciudad Real), located in the eastern area of the castle’s gateway called el Hierro, along with a stratigraphy linked to the last moments of the fortress’ activity in the Late Middle Ages. We focus, in particular, on the set of pieces related to the clothing, jaeces (horse embellishments) and ornamentation. The exceptional nature of the find in an archaeological context allows us to contribute to the knowledge of medieval material culture –specifically metallic culture– in the Iberian Peninsula.

Bishops, like other members of the secular clergy, maintained a close bond with their family groups. This led them to act as individuals belonging to powerful families, and as participants and advocates of strategies of social promotion and reproduction. Their testaments and last wills are a fundamental source for the study of the different actions that prelates undertook in favour of their blood relatives. The aim of this study is to analyse and interpret the testamentary orders of the late medieval Castilian bishops in favour of their family members. It has been found that bishops used to allocate a significant part of their assets on providing opportunities for social promotion and reproduction to their most unprotected relatives due to the inheritance practices of the nobility and local oligarchies. On the other hand, episcopal wills have proven insufficient to study one of their most common acts in this sense, their nepotistic practices.

The purpose of this essay is to re-examine the studies on the hospital of San Nicolás in Rome, one of the health care institutions of the Crown of Aragon during the Late Middle Ages. Through the use of documentary sources, we have been able to rectify its traditional location, thought to be originally in the Corte Savella, to the «cinciana» area of Rome. This is followed by a description the structure of the building, the identification of its origin, and the study of its successive restorations until its acquisition by Virgilio Cenci in 1518.

This article focusses on the role of geographic descriptions in Jordanes’ Getica in relation to the cultural development of the Gothic people. To this end, it deals with elements that belong to the field of physical geography, like the descriptions of mountains and rivers, as well as human geography, paying special attention to the urban phenomenon and its symbolic meaning. We may conclude that Jordanes used geography as a way to express the escape from savagery and the entry of the Goths into high culture by overcoming a life typical of animals to one of admiration of cities. Furthermore, he uses geography as a means to support the credibility of his narration as a whole.

Introduction: Every year, millions of children and adolescents undergo surgery, 50%-75% of them experience fear and anxiety. Children are particularly susceptible to stress and anxiety surrounding surgery as a result of their cognitive development, previous experiences, and knowledge about healthcare; this leads to additional interventions to prevent and reduce these symptoms. Objective: To evaluate the effectiveness of family-centered educational interventions in the children’s and adolescents’ anxiety, pain, and behaviors and their parents’ anxiety during the perioperative period. Methods: This review will follow the Joanna Briggs Institute guidelines for systematic reviews of effectiveness and will consider those studies (experimental and quasi-experimental) in which perioperative educational interventions have been applied to children and adolescents and their parents; these studies measured children and adolescents’ pain, anxiety, and behaviors, as well as their parent’s anxiety. An initial search of MEDLINE and CINAHL will be followed by a second search for published and unpublished studies from January 2007 on, available in English, Spanish and Portuguese. After all full texts are retrieved, the methodological quality assessment and data extraction will be independently and critically evaluated by two reviewers, and the data will then be presented in a tabular format. An explanatory synthesis will accompany the results. Whenever possible, a meta-analysis will be performed, and a Grading of Recommendations, Assessment, Development, and Evaluation Summary of Findings will be presented. Expected Results: This review will provide guidance on how family-centred educational interventions can be used as a resource to manage anxiety, pain, and behavior in children, adolescents and their relatives during the perioperative processes.

Introduction: Nurses have a fundamental role in the prevention of incurable sexually-transmitted infections; however, for their performance to be effective, quality education with adequate infrastructure is required. Objective: To map out the worldwide studies that address the teaching of incurable sexually-transmitted infections to undergraduate nursing students. Methodology: Scoping review protocol according to the Joanna Briggs Institute methodology. The search strategy will be applied to the Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Embase, Web of Science and Latin American and Caribbean Literature in Health Sciences databases, as well as to the gray literature databases (e.g., Research Gate, OpenGrey). This document will address those studies addressing the teaching of incurable sexually-transmitted infections aimed at undergraduate nursing students around the world; it will also consider the public access studies from 1981 to 2020 available. Two independent reviewers will screen the articles according to pre-defined inclusion criteria; they will also extract and analyze the data. The presentation of data will be through figures and tables according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Results: The results from this study will grant broad knowledge about the teaching of incurable sexually-transmitted infections to nursing students, as well as the methodologies used and their effectiveness. Conclusion: This study can contribute to the improvement of methodologies, infrastructure, and teaching curricula of incurable sexually-transmitted infections to nursing students.

Introduction: Dental follow-up in prenatal care represents a unique strategy with interdisciplinary action for the prevention of injuries in pregnant women and complications during childbirth. Objective: To identify the interdisciplinarity in prenatal dental care from the nurses’ perspective. Methodology: This will be a qualitative approach study with based on the Gadamer and Habermas's hermeneutics-dialectic in six primary health care units in a metropolis in Northeast Brazil, with six nurses through in-depth interviews in 2018.  The organization of the data occurred through Minayo´s thematic analysis. Results: After the thematic analysis, the categories of “The interdisciplinary care of the doctor, dentist, and nurse” and “Nurse referral during prenatal dental care” were evidenced. There are implications for the development of interdisciplinary practices in prenatal dental care such as weaknesses in the continuity of care, communication, and the team’s interaction. Conclusion: There is a need to expand the comprehensiveness for the quality in the development of healthcare for pregnant women and the reduction of maternal and neonatal complications in populations of Brazilian women.

Introduction: Tuberculosis  is an important public health problem that affects different geographical areas. Objective: To analyze the spatial distribution of deaths from tuberculosis in Maranhão (Brazil) and its association with socioeconomic indicators. Method: Ecological study of tuberculosis deaths in Maranhão, from 2010 to 2015, using municipalities as the unit of analysis. The global Moran index, the correlogram, and the spread of the Moran index were used, and to assess the spatial association of tuberculosis deaths with socioeconomic indicators, different conditional autoregressive spatial models (CAR) were adjusted. Results: During the chosen period, 949 deaths from tuberculosis were reported. A strong spatial dependence was identified in the occurrence of deaths. Using the adjusted conditional autoregressive spatial model, it was found that approximately 12 % of the municipalities have more than a 75 % chance of death from tuberculosis and that the north and central parts of the state have the highest probability of death from tuberculosis. Conclusion: There was a strong spatial dependence on the occurrence of deaths from tuberculosis, which was affected by the rates in neighboring areas. The municipal human development index was negatively associated with the rate of deaths from tuberculosis and the average per capita income showed a positive association.

Objetive: To identify and understand the characteristics of mobile applications for self-management of type 1 mellitus diabetes in users of continuous insulin infusion systems.                                                                 Method: integrative review with searches carried out in the month of June 2020, based on the articles published in PUBMED, CINAHL, Cochrane Library, Web of Science and Scopus. The eligibility criteria were based to consider those studies that addressed mobile applications for self-management of DM1 in users of Continuous Infusion System of Insulin without time restriction. Only unavailable studies were excluded.                                                                                                          Results: After the analysis of two independent reviewers, 14 studies were included in the final analysis, and 11 mobile applications for smartphones that can assist in self-management of DM1 were identified; these were named as iDECIDE, Sugar Sleuth, VoiceDiab, Blip, GoCARB, Nightscout, Intelligent Diabetes Management, Calculator Food exchange mobile, Insulin Pump, DiaMob and Interactive Diary on Diabetes.                                                                                       Conclusion: Mobile applications were developed to promote behavioral changes and treatment adjustments in a positive way, both in clinical results and in the quality of life and self-management of diabetes in people with DM1. Mobile apps for smartphones can assist in self-management of DM1 by enabling assistance in the decision to apply insulin, glycemic control, analysis of the need for insulin in meals, food management, calculation of food components in meals, continuous glucose monitoring and automatic calculation of bolus of carbohydrates and insulin.

Se estudia el efecto de distintos motivadores de la actividad emprendedora relacionados con las actitudes, percepciones e intenciones de los individuos, en los países integrantes de la Alianza del Pacífico (México, Chile, Colombia y Perú). El análisis se basa en estadística descriptiva y modelos probabilísticos tipo logit a partir de los datos del Global Entrepreneurship Monitor. Se encontró que la acción de emprender está asociada de forma negativa con la aversión al riesgo y la falta de exposición al esfuerzo, y de forma positiva con la capacidad empresarial, que resultó ser la variable que mejor explica la motivación hacia el emprendimiento. Adicionalmente, la evidencia sugiere que un menor desarrollo estaría asociado con una mayor percepción de capacidades, lo que, a su vez, podría tener que ver con el incremento de la autoconfianza de los individuos y con una subestimación de los riesgos. Estos hallazgos son solo parcialmente consistentes con la literatura y son muestra de que el emprendimiento tiene un origen multifactorial y dinámico, donde las percepciones, modificadas por el entorno, juegan un rol importante. Estos elementos deben ser tomados en cuenta por pretender construir un mercado regional integrado, basado en el apoyo de emprendedores y pequeñas empresas. Abstract We study the effect of different motivators of entrepreneurial activity related to attitudes, perceptions, and intentions of individuals in the Pacific Alliance countries (México, Chile, Colombia y Perú). The analysis is based on descriptive statistics and logit regressions with data from the Global Entrepreneurship Monitor. We found that the decision of entrepreneurship is negatively correlated with risk aversion and lack of exposure to effort. Furthermore, it is positively correlated with entrepreneurial ability, which is the variable that best explains motivation to become entrepreneur. In addition, the evidence suggests that less development is associated with a higher perception of capabilities, which in turn may be related to increased self-confidence and an underestimation of risks. The findings of this study are only partially consistent with that of the literature, and they suggest that entrepreneurship is a multifaceted and dynamic process influenced by perceptions that can be modified by the environment. Taking these elements into consideration is necessary in order to create an integrated regional market that is based on the support of entrepreneurs and small businesses.