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

Introduction: Since infants are not able to express their feelings during the preverbal stage of development, neonatal pain rating scales are good tools for nurses to use in clinical practice. Objective: To describe valid and reliable scales used in nursing practice to assess neonatal pain. Materials and Methods: An integrative review of articles published since 1990 was conducted from 2019 to 2020. The databases consulted were PubMed, Lilacs, ProQuest, ScienceDirect, Embase, VHL, Scopus, and Google Scholar metasearch engine. Twenty-two articles that met the inclusion criteria were analyzed. Results: Unidimensional and multidimensional instruments were found for assessing acute and prolonged pain in preterm and term neonates. Discussion: This integrative review provides healthcare professionals, especially nurses, with a conceptual basis for implementing clinical pain assessment tools according to gestational age, duration of pain, and type of indicator. Conclusions: According to the knowledge and characteristics of the scales, it is not possible to clearly establish the most appropriate one for general use or a gold standard; the selection will depend on different criteria, such as the type of stimulus, gestational age, and the newborn’s context. How to cite this article: Jiménez-Hernández Gustavo Edgardo, Bula-Romero Javier Alonso, Sánchez-Caraballo Álvaro Antonio, Peña-Zuluaga Martín Elías. Escalas para valoración del dolor neonatal: Una revisión integrativa. Revista Cuidarte. 2023;14(2):e2760. . http://dx.doi.org/10.15649/cuidarte.2760

Introduction: Mind-body therapies, such as guided imagery relaxation, which are among the main integrative practices used by cancer patients, are essential for maintaining a healthy balance between sympathetic and parasympathetic arousal in the brain. Objective: To evaluate the effect of guided image relaxation, with the use of virtual reality, on the health-related quality of life of women with cervical cancer undergoing concomitant treatment with chemoradiotherapy. Materials and Method: A quasi-experimental study, carried out in an oncology referral hospital in southern Brazil, from October 2019 to January 2021. 52 women participated, divided into two groups, experimental (relaxation intervention guided by imagery with virtual reality), and control (default routine). The Functional instrument was used to assess health-related quality of life scores. Assessment of Cancer therapy cervix cancer, applied before, 14 days after and at the end of treatment, in approximately 35 days. The analyzes were performed using the mixed generalized linear model, with an autoregressive covariance matrix of order 1, and the significance was confirmed by the Sidak test. Results: There was a statistically significant difference for the experimental group in the physical (p =0.02), functional (p =0.00), specific symptoms of cervical cancer and treatment effects (p =0.03) and overall quality of life (p =0.02). Conclusion: Guided Image Relaxation contributed to an improvement in the Health-Related Quality of Life of patients with cervical cancer during treatment with chemoradiation. How to cite this article: Santana, Edenice de Oliveira; Marcondes, Larissa; Silva, Luana Aparecida Alves da; Sawada, Namie Okino; Rosa, Luciana Martins da; Kalinke, Luciana Puchalski.  Imagem guiada para qualidade de vida de mulheres com câncer cervical: estudo quase experimental. Revista Cuidarte. 2023;14(1):e2358. http://dx.doi.org/10.15649/cuidarte.2358

Science is concerned with causality, seeking to understand reality through observation, verification, and experience. In this sense, hypothesis testing, and experimentation are considered scientific methods. Philosophy is concerned with the purpose of human life, the nature of being and reality, theory, and the limits of knowledge, using intuition, introspection, and reasoning as examples of philosophical methodologies. Science and philosophy share the same objective, which is to increase knowledge. Thus, the science of any discipline is linked to its philosophy, which provides the basis for understanding and developing theories for science. How to cite this article: Silva, Carolina Giordani; Bittencourtt, Marina Nolli. Pós-graduação na américa latina – um olhar para o futuro. Revista Cuidarte. 2023;14(1):e3141. http://dx.doi.org/10.15649/cuidarte.3141

Introduction: Isolation and confinement are measures of high social impact that –worldwide and to a greater or lesser degree of intensity– have brought about temporary or permanent changes in how social interactions are conducted. Objective: To conduct a study on the domestic sphere and the external modifications that forced a drastic lockdown in the Colombian population during the first months of the COVID-19 pandemic. Materials and Methods: A qualitative study was carried out by conducting in-depth interviews with 45 participants living in the city of Bucaramanga, Colombia, reconstructing life pathways to evaluate the most drastic moment in the population’s lockdown. Results: From the findings, the ability to assimilate strong lockdown measures, the collectivization of the medical discourse’s most legitimate justifications, and the construction of self-care measures in the domestic sphere –a key place and relational space to face social uncertainty in the absence of effective responses to control contagion and disease– are highlighted. Conclusion: The drastic lockdown of the Colombian population due to the transitory measures entailed a high level of uncertainty for family groups but also a generally positive response. How to cite this article: Hernández Quirama Andrea, Rojas Betancur Hector Mauricio, Linares García Johana. Aislamiento y confinamiento: La otra pandemia en el ámbito social. Revista Cuidarte. 2023;14(1):e2124. http://dx.doi.org/10.15649/cuidarte.2124

Introduction: The state of emergency caused by COVID-19 forced the adoption of social restriction measures to reduce contagion, including lockdowns. They impacted various aspects of human life and considerably affected family dynamics by causing families to remain at home, increasing the coping of crisis, and experiencing a transition to new ways of living. Objective: To analyze the relationships and processes experienced by families during the COVID-19 lockdown as told by mothers. Materials and Methods: A qualitative grounded theory study was conducted using in-depth interviews with five mothers. Results: The results obtained emerged from a core category, “acquisition of new ways of living,” and three categories that support it: 1) Coping with the pandemic onset, 2) adapting to the new normal in the family, 3) embracing the pandemic consequences in everyday life. Discussion: The process that Mexican families have gone through with COVID-19 has been different from that of other countries; living together at home was affected since their freedom to live day to day as they did was compromised. Conclusion: The participants expressed that, during the COVID-19 pandemic, the family underwent a transition process in order to acquire new ways of living, which included habits, customs, and structures that met their needs at that time; this process included different stages (coping, adaptation, and adoption).  How to cite this article: Pedraza Valdez Ana Luisa, Maldonado Cervantes Karla Aimee, García Solano Beatriz. Relaciones y procesos de familias en confinamiento por COVID-19 narradas por madres. Revista Cuidarte. 2023;14(1):e2347.  http://dx.doi.org/10.15649/cuidarte.2347

Introduction: health education for adolescents with a focus on sexuality is favored using care-educational technologies. Objective: to build and validate an educational technology, like a board game, to mediate the discussion of topics related to sexuality with the adolescent population. Materials and methods: methodological study outlined in three stages, namely: 1st) delimitation of the content to be addressed, 2nd) creation of the game prototype, 3rd) validation of the content and appearance by expert judges. Results and discussion: “Match” is a board game, with thematic questions related to sexuality that direct the player from the beginning to the end of the path. Emphasis was placed on the incorporation of gamification elements, such as luck, strategy, competition, and cooperation. The validation process was successful in all evaluated categories, the game was considered relevant and suitable for health education activities. Conclusions: The developed game is validated and available to the scientific and professional community, and its effects should be measured in the next stages of the research. In addition, a digital version of the tool must be built to increase its reach. How to cite this article: Alencar, Nadyelle Elias Santos; Pinto, Maria Aparecida Oliveira; Leite, Nicácio Torres; Silva, Claudia Maria Vieira da.  Construção e validação de jogo educativo sobre sexualidade para adolescentes. Revista Cuidarte. 2023;14(1):e2354. http://dx.doi.org/10.15649/cuidarte.2354

Introduction: Arteriovenous fistula for hemodialysis has a negative impact on hemodynamics, morphology, and cardiac functions.Objective: To determine the repercussion of vascular access closure on clinical, humoral, morphological and functional variables of the right heart in renal transplant recipients.Material and Methods: Quasi-experimental longitudinal study that included 92 patients divided into two groups: experimental (n=46): with vascular access closure, and comparison (n=46): those who did not have the angioaccess closed. Clinical, laboratory and echocardiographic variables were determined at two points in time: initial and six months later.Results: The mean age in both groups was 46.87 ±12.04 and 45.50 ±12.47 years, respectively. Male sex: 26 (56.52 %), as well as white skin color: 34 (73.91 %), prevailed in the study. Palpitations were the most frequent clinical manifestation with improvement at the second observation in the experimental group, as were systolic and diastolic pressures, as well as serum creatinine: from 108.24 ±24.53 to 100.00 ±22.35 μMol/L (p=0,004). The variables measured by echocardiography improved in the intervention group with respect to the comparison group. The final - initial differences for systolic and mean pulmonary artery pressures showed highly significant relationships (p<0.001) for fistulas located at the left wrist and elbow crease.Conclusions: The variables studied showed ostensible changes in the experimental group with respect to the comparison after closure of the arteriovenous fistula without finding an association between their location and the severity of cardiac involvement.

Introducción: La lecitina de soya se ha convertido en un suplemento dietético de los más utilizados con potencialidades para tratar la obesidad.Objetivo: Determinar el efecto de la lecitina de soya sobre la composición corporal.Material y Métodos: Se realizó un estudio de farmacología preclínica experimental en el Laboratorio de Anticuerpos y Biomodelos Experimentales (Labex-cim) y el Laboratorio de Ciencias Básicas de la Universidad de Ciencias Médicas de Santiago de Cuba, en 2019. Se administró lecitina de soja por 30 días, en dosis consideradas como máximas y mínimas a dos grupos experimentales de ratas Wistar, para ser comparados con grupo control que recibió alimentación habitual. Se estimaron variables bioeléctricas e indicadores de masa grasa estableciendo diferencias entre los grupos experimentales mediante la Prueba de Kruskal-Wallis de muestras independientes y considerando el nivel de significación menor del 5 %.Resultados: El agua corporal total, la masa libre de grasa, el agua extracelular y la grasa corporal total se modificaron de manera significativa en comparación con el control y entre grupos, así como existieron variaciones en el peso de la grasa en los compartimentos principales, incrementándose en el grupo suplementado a dosis mínima y reduciendo en el grupo que recibió dosis máxima del producto. El ángulo de fase mostró reducción en ambos grupos experimentales.Conclusiones: La lecitina de soya, dependiendo de la dosis, modifica la composición corporal en ratas siendo el ángulo de fase un parámetro apreciable para la evaluación nutricional.

The Mixteco Creole cattle is a little explored genetic resource, which, however, has great value due to its potential to be used in production systems that are respectful of the environment and adaptable to its conditions. The identification and characterization of this local resource is essential for its conservation and improvement. For this reason, in the present study it was carried out the analysis of the diversity and genetic relationships of the Mixteco Creole cattle population of Oaxaca, using 19 microsatellite DNA markers and 32 reference cattle populations belonging to the BIOBOVIS consortium of the CONBIAND Network. The mean number of alleles detected was 8.8 ± 2.1 and the estimated effective number of alleles was 4.5 ± 1.2. The genetic diversity represented by the expected (0.7700 ± 0.0682) and observed (0.7170 ± 0.0998) heterozygosity values was within the range of estimators obtained in previous studies with local cattle populations using microsatellite markers. An analysis of the population structure revealed a predominant influence of Iberian germplasm (Bos taurus). There is also a close relationship between the Mixteco Creole and the rest of the Mexican Creole cattle populations, with the exception of the Tropical Dairy Creole.

This article analyzes an exceptional model for constructing and deconstructing ethnic identities during the period prior to the dissolution of the Soviet Union and in the context of the creation of the independent Republic of Moldova. Relying on the conceptual analysis applied by the Soviet doctrine to the different ethnic-national groups, ethnic minorities, nationality and citizenship, and the complexity of the integration of the nationalist phenomenon in the federal model, we address its historical dynamics of belonging to empires, the integration into the Soviet Union through Bessarabia and its artificial republican creation that endowed the Moldovan identity with a territorial and federal structure. The pro-Romanian irredentist nationalism at the end of the 1980s and the subsequent independence of Moldova unleashed a configuration process of alternative ethnic identities (Romanianism and Moldovanism) and secessionist movements (Gagauzia and Transnistria) that turned the republic into a genuine laboratory of ethnic engineering at the service of the political and intellectual elites of the different nationalities residing in the territory.