By Comité Editorial

Objective: The objective of this investigation was to determine the conditions, work environment and the effects on health in the medical personnel of a health center located in the Carabobo State - Venezuela, during the year 2022.
Method: It was carried out within the positivist paradigm, quantitative approach, under a field study, observational design, descriptive level and cross section; the population was made up of 47 workers; An intentional non-probabilistic sampling was applied, leaving the sample represented by 41 workers, the inclusion criteria being that they wished to participate in the research and that they were not on leave due to comorbidity.
Results: Through the tools: number 11 and 14 of the Manual for Managers and Administrators: Health and Safety of Workers in the Health Sector, it was determined that medical personnel are exposed to occupational risks such as physical, chemical, psychosocial, biological, mechanical , non-ergonomic and those related to the content and organization of work, resulting in a serious danger to your health; In addition, the referred effects survey was applied to establish the health effects, estimating the mean at 2.38; therefore, there were references from workers with great concerns about their health.
Conclusion: Therefore, it is necessary to design strategies both at the organizational and individual level, on the working conditions and environment, to reduce the adverse effects on the health of workers that these could generate.

By Belkis Sánchez-Ortega, Ariel Pérez-Galavís, Misael Ron

Introduction: The Civil Association Líderes Enfermeros, founded in 2020, has as its main objective the disciplinary, professional development and personal growth of its members. This study focuses on analyzing the learning, reflections and experiences of the association. Its mission is to create networks and its vision is to strengthen and develop nursing leadership.
Methods: A qualitative approach including in-depth interviews, documentary analysis and participant observation was used to understand organizational processes and dynamics. Three key challenges were identified in the consolidation process: overcoming economic barriers, attracting active members, and addressing the diversity of member profiles and occupations. These challenges were successfully addressed through specific strategies.
Results: The association has experienced significant growth from 9 founding members to 35 active members. Three subcommittees were established and have carried out training activities, congresses, conferences, workshops and more. The association has become a reference in nursing leadership at a national and international level, establishing strategic alliances and publishing a book on nursing leadership. In addition, a mentoring and training program in team development has been implemented.
Conclusions: The Asociación Civil Líderes Enfermeros has achieved significant growth and has had a positive impact on the professional development of its members. It has strengthened networks and strategic alliances, contributing to the literature on nursing leadership and promoting mentoring and team development. Future prospects for internationalization, research and policy advocacy in nursing are highlighted. In ABSTRACT, the partnership has proven to be a successful project contributing to the strengthening and empowerment of the nursing profession, benefiting society at large.

By Romina Rueda, David Castillo, Marcelo Díaz García, Yamila Mena

Introduction: Human milk banks are vital institutions for maternal and child health, promoting breastfeeding and neonatal care by processing and distributing donated breast milk. These banks contribute significantly to public and neonatal health by reducing medical complications and associated costs. In addition, they support maternal and child health policies, improving the quality of life of infants and reducing infant mortality. They are also fundamental for medical research on breast milk and its impact on infant health.
Objective: To describe the implementation of a Critical Control Point analysis plan to ensure safe handling and increased volume of raw human milk.
Methods: An observational and descriptive study was conducted in the milk bank, observing and documenting daily procedures and interviewing personnel. Internal documents were analyzed and a qualitative approach was applied to identify patterns and good practices.
Results: Preventive and precautionary measures were implemented to ensure food safety, including Good Manufacturing Practices (GMP) and Standard Operating Procedures for Cleaning and Disinfection (SSOP). Critical points such as personnel hygiene and storage temperature were controlled. Traceability from donor to recipient was maintained, ensuring that raw and pasteurized milk was properly labeled. A health services network was established with the HIGA San Martin de La Plata Milk Bank to distribute pasteurized milk equitably.
Conclusions: The HIGA Prof. Dr. Ramon Carrillo HIGA milk bank has been successful in maintaining food security and increasing the availability of raw and pasteurized human milk. Despite challenges such as a building renovation, a rigorous control of critical points has been maintained. Cooperation with the HIGA San Martin Milk Bank has facilitated the equitable distribution of pasteurized milk. This report highlights the success in ensuring food security and access to breast milk for the most vulnerable newborns.

By Matias Orsetti, Yamila Bertolini, Andrea Fabiana Villaalta, Fernanda Creo, Patricia Santillan, Noemi Inzaurralde

The following article is presented with the aim of discovering a fascinating world between various components such as art, marketing and creativity; fundamentally in understanding the background of what is now brand positioning, its numerous approaches and analyzing different points of view, highlighting that unique experiences must be generated for each user and bet on having a positive impact against the perception obtained by part of the users, thus achieving a loyalty connection. It is to recognize in the field of fashion, more specifically, in the line of lingerie, it not only dresses bodies, but also empowers and identifies who wears it. Welcome to this spectacular journey, fused with experiences that go beyond the superficial and the importance to feel security and identification with a particular brand.

By Alison Julieth Calderon Amaya, Maribel Garcia Rojas

Objective: to evaluate Burnout syndrome and associated factors in health personnel of Primary Care.
Methods: observational, analytical, cross-sectional study, carried out in Pinar del Río during January 2023, in non-probabilistic sampling for convenience, of 127 participants, who met the inclusion criteria. The application of instruments such as the Maslach Burnout Inventory questionnaire, allowed obtaining the information that gave output to the studied variables, applying descriptive and inferential statistical methods. Medical ethics were respected.
Results: 66.9% of the workers were women, with a median of 31 years of age. Resident physicians predominated (45.7%), with a median of 8 years working in the sector. 73.2% showed overload, with the emotional exhaustion dimension being the most affected. The presence of Burnout syndrome was associated with sleeping eight hours a day (p=0.016) and with satisfaction with economic income (p<0.001). The affectation of the emotional exhaustion dimension was statistically associated with sex, religion and sleeping eight hours a day (p<0.05). Depersonalization was associated with religion (p=0.001), sleeping eight hours a day (p=0.016), smoking (p=0.001) and satisfaction with economic income (p=0.011); while professional achievement was related to sleeping eight hours a day (p<0.001), adequate dietary habits (p=0.038) and satisfaction with economic income (p=0.016).
Conclusions: Burnout syndrome was evaluated in primary care health personnel, identifying the demographic characteristics, lifestyle and work variables of the sample, and their relationship with professional exhaustion.

By Lázaro Pablo Linares Cánovas, Liyansis Bárbara Linares Cánovas, Yoelys Pereda Rodríguez, Beatriz Gallardo Hernández, Martha María Pérez Martín, Adalina Linares Montano

This article analyzes the literary proposals De la tierra sin fuegos (1986) and Reducciones (2012) by the Chilean poets Juan Pablo Riveros and Jaime Huenún respectively; works in which the intersection between word and image is privileged in a deconstructive and questioning eagerness. The photographic image of native peoples that is materially incorporated into the textual body of the poems comes, on the one hand, from ethnographic/anthropometric archives, from the priest and ethnologist Martin Gusinde, and from the scientists Robert Lehmann-Nitsche, Herman Ten Kate, Francisco P. Moreno and Hans Virchow. Through this verbovisual assemblage, two different perspectives are presented regarding the procedures of scrutiny that the ethnologist/scientist follows when approaching the indigenous person and the reading he makes of him and his culture: the first becomes a fellow tribesman, while the others exercise a biosocial control over the indigenous person by freely disposing of his corporeality for scientific purposes. In this way, the texts resort to images to reflect on the materialization of ethnographic photography and the material and metaphysical "capture" of the indigenous; they problematize the photographic act, the revealing character of the image and its scenic implications in the exhibition of the indigenous in order to corroborate, denounce and give a face to these subjects. In addition, they point to the hunters and situate the historical context under which these takeovers take place, that is, they are images that violate the viewer by confronting him with the usurpation and death that weighs on the indigenous, particularly in contexts of internal colonization (nineteenth and twentieth centuries).

By Lorena P. López Torres

Introduction: caries in early childhood is one of the most frequent diseases and can influence the development of the infant. Childhood is a stage characterized by intense learning processes and fundamental in the formation of habits and behaviors in the process of education and human development. It depends on the joint action of teachers, health personnel and legal guardians that infants have access and opportunity to transform health information into knowledge, attitudes and adequate practices that allow them to take care of and protect their health.
Objective: to implement the educational strategy "The Tooth Fairy" in infants in the fifth year of life.
Methods: a quasi-experimental before-and-after study with a control group was carried out. The sample consisted of 34 infants in the fifth year of life in the Juan Delio Chacón neighborhood, obtained by simple random sampling.
Results: before the intervention, a poor level of knowledge about oral health predominated in the infants, representing 70.6% of the experimental group, as well as in the legal guardians and educators for 56.7%, raising it to good after the intervention in 88.2% and 86.66% respectively.
Conclusions: the implementation of the strategy in the educational context, involving families, educators and community proved to be effective since it modified lifestyles and lifestyles, also increasing the level of knowledge about oral health of infants, educators and legal guardians.

By Rosa María Montano-Silva, Thalía Fernández-Breffe, Yoneisy Abraham-Millán, Iraida Céspedes-Proenza, Eridania Pantoja-García

Introduction: The measures taken by the Argentine government to avoid contagion of the SARS-CoV-2 virus consisted in what was called Preventive and Mandatory Social Isolation (Aislamiento Social Preventivo y Obligatorio, ASPO), which was established on March 20th of 2020. The disposition restricted medical checkups and physical activity for several months and modified the population’s eating habits. Diabetes Mellitus (DM) is a high incidence and prevalence pathology worldwide. While the majority of the patients suffer from DM II, the percentage of DM I and its peculiarities make worth an analysis regarding the COVID-19 pandemic.
Methods: Assessing the impact of ASPO on the metabolic control of patients who live in the Buenos Aires Metropolitan Area (AMBA) during the period March-December 2020.
Results: Of the 45 subjects involved in the study, 42.2 % saw an increase in their HbA1c level, did not know the value, or did not get tested. This is a situation of clinical interest for a more exhaustive follow-up. In addition, 60 % of the total gained weight and 38 % decreased the frequency of physical activity, while 35 % did not perform any activity at all. Furthermore, 73.3 % reported having experienced anxiety, 64.4 % apathy, and 60 %, sadness.
Conclusion: The impossibility of carrying out ordinary activities, the suspension or reduction of frequency of physical exercise, and the increase and modification of the quality of meals with the resulting weight gain had an impact on the rising of HbA1c levels during the Preventive and Mandatory Social Isolation.

By Maria Isabel Morgner, Lorena Djament

Introduction: for the development of Pediatric Nephrology, a postgraduate improvement process is necessary that guarantees the continuous training of professionals in the comprehensive management of kidney pathologies in the newborn.
Objective: to design a postgraduate improvement course on Neonatal Nephrology.
Methods: a pedagogical, qualitative, descriptive study was carried out at the “Abel Santamaría Cuadrado” General Teaching Hospital in Pinar del Río, Cuba. Methods at the theoretical level (historical-logical, analysis-synthesis and induction-deduction) and empirical level (documentary analysis) were addressed.
Results: a 24-hour course was designed, distributed over 3 weeks, in person and structured into 9 topics.
Conclusions: The course designed for postgraduate improvement will serve as a complement to the curricular development of Nephrology and will enable the training of a professional with greater preparation to provide comprehensive care to at-risk newborns with kidney pathologies, in interaction with related specialties.

By Yangel Fuentes Milián

The objective of this article is to analyze the process of formation of Afectadas México Vacuna Virus del Papiloma Humano, a group of mothers organized from the health affectations of their daughters attributed to the immunization against this virus, as a space of collective care. The qualitative research, with in-depth interviews and an analysis from the sociocultural perspective of emotions and crossed by gender, has focused on reflecting on the causes that have led these mothers, as primary caregivers in the process of care and attention to the health of the affected daughters, to build alternative spaces of visibility, mutual support, dialogue and collective denunciation, taking as main tool the use of social networks and digitality, as these are the most used means of mass contact at present, with projection to different social spheres. From this study it has been concluded that the competent contexts to the health-disease-care process are not alien to social responses that take shape in organizations of denunciation, rejection and protest, even from a non-physical and conventional mobilization. The post-vaccine effect has served to make it clear that health is also a matter of social and political competition, in which emotions are the binding element that strengthens the union. The experience with the loss of the daughters' health links the expressions of feeling in action, interaction and politicization of women from their own material and ideological resources.

By Marcela López Pacheco, Oliva López Sánchez

The impulse that accelerated the adoption of digital resources in education was the COVID-19, although many teachers and students were already using these resources effectively, they did not represent the majority and did not cover all educational levels, the transition was gradual, which required a great effort from both parties and everyone had to use new resources and digital tools to meet current educational demands, in addition to using teaching-learning strategies, which resulted in new skills and better opportunities for professional development. The support and collaboration between different areas and disciplines was fundamental for the success of education in this new modality. The use of video as a virtual learning resource is one of the challenges that add to this experience of digital transformation, in which the teacher must face the current challenges with the intention of innovating and adapting to changes quickly. The purpose of this project is to describe the process of creating a didactic video to reinforce the knowledge of a particular subject.

By Guillermo Pérez-Hernández, Nelly Rigaud Téllez, José Juan Rico C, Leonel Gualberto López S, Omar García L

This paper discusses the concept of death and its various types, focusing on how death affects terminally ill nurses. The importance of understanding and managing emotions related to death in nursing practice is explored. Types of death such as natural, apparent, sudden, violent, suicide, homicide, accidental death, and assisted suicide are discussed. The paper reflects on the universal fear of death and how this fear can influence the pursuit of achievement to counteract distress, often leading to an anxious race against time without enjoying achievement. The importance of recognizing and addressing death-related fears and emotions in nursing staff to provide high quality care to terminally ill patients and their families is highlighted. It is highlighted that, despite the inevitability of death in nursing practice, nursing professionals are not always emotionally prepared to deal with death. It is mentioned that the dying process not only affects nurses in their professional lives but also impacts their personal lives. The need to provide adequate support and resources to help nurses cope with the complex emotions associated with the death of patients is highlighted. In conclusion, this paper highlights the importance of addressing the issue of death in nursing practice, recognizing the need for emotional support and training for nursing professionals. The need for more compassionate and dignified care in the process of caring for terminally ill patients is emphasized.

By Xiomara Carranza Jimenez, Jeanette Choque Vargas, Patricia Rafaela Soledad Ortega Medina, Soledad Maidana Victoria

A reflection on the concept of the virtual from a psychoanalytic perspective is elaborated, and its epistemological trajectory up to the present day is analyzed in order to identify its composition and its elements in relation to the structure of the subject, in order to locate its participation in the mechanisms of interpretation of the unconscious in psychoanalytic devices. Starting from the axiom that psychoanalysis is a praxis dedicated to acts, especially failed ones, and that the virtual, proposed as a performance without act, provides a power detached from signification, it is proposed that it finds expressions constituted either as symptoms -which are the ones of interest here, as language phenomena-, or as social representation scenarios such as "virtual reality", "virtualization phenomena", or "virtuality". The pertinence of this approach is sustained to the extent that the virtual has acquired not only a greater weight in the constitution of social relations, but its semblance is already seen as an inescapable factor to deepen the interpretation of that knowledge not known, or not wanted to know, of the subject of the unconscious.

By Héctor S. Barrón Soto

In some cultures, death is associated with different rituals and customs to help people grieving. Rituals offer people ways to process and express their grief. They also provide ways for the community to help people who are grieving. Death can cause chaos, anger, and confusion. That is where the community comes in to support and help cope with grief. Funeral rites are symbolic systems that represent specific socio-cultural practices of the human species; they are a means to facilitate the arrival of the soul to its place of destination through religious or pagan acts, methods to ward off and scare away evil spirits or to prevent the dead from appearing and disturbing the living. After analyzing the concept of death in the proposed cultures, differences and similarities were observed in their conceptions and meanings; they all share the feeling of honoring, loving, caring, and commemorating their deceased. Each celebration is a tribute to the loved one on a particular date, depending on the culture and geographical region, such as Bolivia, China, Indonesia, Madagascar, New Orleans, and Parsis (Persians). In the different funeral rites, we could appreciate death's diverse manifestations and beliefs and its connotations, such as honoring, entertaining, feeding, grooming, decorating the deceased, and respecting and venerating nature.

By Judith Bonilla Coronado, María Paula Licona Vidal, Gabriela Agustina Ravilli, Micaela Daiana Rosario, Aiza Miriam Lorena Santos, María Paola Soria Guzman

Introduction: Jean Watson's Theory of Humanized Care advocates a holistic and compassionate approach to nursing, emphasizing the importance of attending to the emotional and spiritual needs of patients. However, its implementation faces challenges due to staff shortages and high demand in health care, raising the question of how to effectively incorporate this theory into nursing care for dying patients and their families in such a context.
Methods: A search was performed in Pubmed using "Watson's theory" AND Nursing as criteria. Eighteen relevant open access English and Spanish articles that met the established requirements were selected.
Results: The Theory promotes a holistic approach to nursing, addressing the emotional, spiritual and physical needs of patients. It emphasizes establishing a relationship of trust, respect and emotional connection, considering cultural diversity and creating an environment conducive to healing.
Conclusion: Watson's theory emphasizes compassionate care and emotional connection in nursing, considering diversity and the environment for patient recovery.

By Graciela Noelia Barrera Florentin

INTRODUCTION: Pneumonia associated with mechanical ventilation is a serious complication in patients with artificial airway in intensive care units, increasing morbidity and mortality. It increases the use of antibiotics, oropharyngeal microbial resistance increasing the risk, driving the need for preventive strategies.
METHODS: A review of scientific articles published between (2018-2023) in PubMed was conducted. Key terms: nursing prevention, Pneumonia associated with mechanical ventilation in adults. Fourteen relevant studies were selected for analysis, looking for preventive measures of mechanical ventilation-associated pneumonia.
RESULTS: Fifteen articles analyzed in the last 5 years (2018-2023), focused on prevention of mechanical ventilation-associated pneumonia. The most effective preventive measures included head-of-bed elevation, oral hygiene with chlorhexidine, subglottic suctioning, and endotracheal tube pressure control. Implementation of these strategies decreased the incidence of ventilator-associated pneumonia and improved the recovery of patients on mechanical ventilation.
CONCLUSION: Ventilator-associated pneumonia represents a challenge in intensive care units, with high mortality. Preventive measures, such as bundles of care, can reduce infections and improve patient health. Nursing staff collaboration is essential for the successful implementation of preventive strategies in older patients to reduce the risks associated with mechanical ventilation and improve care in the intensive care unit.

By María Bertalisa Delgado Mejía

Introduction: In today's society, educational management has become an imperative for the creation of knowledge and innovative educational experiences. In the context of the Bachelor's Degree in Nursing at the University of Buenos Aires, a pedagogical experience focused on a public health campaign on Dengue was carried out. The main objective of this experience was to promote the democratization of scientific and health knowledge in relation to Dengue, guaranteeing the right of access to public health information. We sought to create an environment conducive to learning, active participation of students and interaction with the community.
Development: The experience was divided into three stages: initial, progressive and territorial anchoring. In the initial stage, students were prepared through theoretical and technical sessions. The progressive stage involved adjustments and corrections in collaboration with the teaching team. In the territorial anchoring stage, groups of students carried out the public health campaign in sectors close to the university. The evaluation was carried out using group monitoring instruments and a checklist to evaluate the individual performance of the students. A review and feedback meeting was also held at the end of the experience.
Conclusions: The proposed pedagogical experience demonstrated that effective educational management can promote the democratization of knowledge in the field of public health. Collaboration among students and the focus on the right of access to public health information are key elements. In addition, the importance of constant adaptation of educational practices to scientific and technological advances is highlighted. On the other hand, it provided an effective framework for the training of nursing students and the promotion of public health, demonstrating the importance of educational management in today's society.

By Carlos Oscar Lepez, Irene Amelia Simeoni

For biomedicine, "death is the irreversible loss of the capacity and content of the consciousness that provides the essential attributes of the human being and that integrate the functioning of the organism as a whole". Until well into the 19th century, the organ that determined a person's death was the heart. If the heart stopped beating, death had won the battle; however, with the advance of medicine, other signs are considered to declare a person dead. Among these biological signs are the cessation of brain function, breathing, blood circulation and when the heart stops beating. Doctors affirm that a brain-dead person manifests the absence of movements, repeated grimaces, incessant blinking, not responding to light and not breathing independently. To conclude with this essay, we must recognize the importance for us as health professionals who evidence death in our daily lives to be aware of the concept of death since this allows us to articulate the attitudes that are socially assumed in front of it and in general, with the social game; and, at the same time, how this practice favours that awareness and know how different cultures, societies and religions face death, in order to be able to be nurses with an intercultural vision about death.

By Noemi Dora Gomez, Kjara Aidee Limachi, Giselle Daiana Mendez, Andrea Soledad Ramirez, Anahi Juliana Saavedra, Marina Lilliam Taboada

Introduction: Pharmacology has been positioned as a fundamental pillar of university medical training, and as such, it obeys a process that contributes to increasing the skills of future health professionals.
Objectives: describe the link between Pharmacology and society, from medical education.
Methods: a documentary review was carried out on the social projection of Pharmacology from medical education, in national and foreign publications, using the PubMed, Scielo and Dialnet databases. All documents published in the last five years were selected, which included the keywords: Pharmacology, Society, Medical education.
Conclusions: from medical education, Pharmacology must achieve greater social reach in relation to new advances in science and technology. Thus enabling comprehensive training of the future doctor in the solution of health problems through adequate prescription and rational use of medications.

By Yangel Fuentes Milián

This article explores the crucial stage of early childhood in the formation of personality, emphasizing the importance of high quality education for children from 0 to 6 years of age. It underlines the need for a complete and constant preparation during this vital phase, highlighting the fundamental role of teachers in improving their pedagogical performance. The main objective of the article is to present preliminary findings of an exploratory study. This study focuses on the professional needs and deficiencies of teachers dedicated to the communicative skills in Mother Tongue during Early Childhood, specifically in the Luyanó Popular Council of the Diez de Octubre municipality, Havana. The results suggest that these needs can be effectively addressed through a professional improvement approach that is systematic and continuous. This approach includes the management of fundamental theoretical tools based on cognitive, communicative and sociocultural perspectives, as well as the conception of an interdisciplinary and enriching educational process.

By Mercedes Shuman Padrón

A theoretical elaboration is presented around the question: what is the violence of love, from the psychoanalytic perspective, in our days? To do this, he realizes the increasingly evident social expressions of destruction in the name of love, and that lead to mental health problems, due to the confusion of the signifier as sacrificed and as sacrificial, as lost or as an instrument. From this perspective, several little-addressed proposals emerge, such as inquiring about the nature of love, its causes, its forms of action, and with unavoidable links that, up to now, are usually presented as opposed to violence, which nevertheless is revealed no longer in opposition, but in a constitutive bond of love itself. The theme of the violence of love, in this sense, requires a resignation, and this is to study love isolated from its amalgamic component. To go deeper into this perspective, the psychoanalytic perspective provides considerations that require reflections established even outside the classical discourse, such as its romantic definition.

By Marcela R. Miranda Aldana

Adherence to medical treatment is a fundamental process for patient well-being, but can be affected by a number of factors both internal and external. Factors that can influence adherence include economic and social problems, urgency of treatment, fear of side effects, and the stigma associated with the disease. The importance of establishing a collaborative relationship and therapeutic alliance between the patient and the health professional to improve adherence is emphasized. The need for awareness on the part of both health care actors is highlighted, recognizing that therapeutic adherence is fundamental for successful treatment. The importance of overcoming the economic gap and patient resistance to spending to ensure effective medical care is also suggested.

By María Fernanda González Robles, Marcela López González

This paper explores the world of traditional medicine and complementary and alternative medicine from a multicultural perspective. It begins by highlighting the importance of traditional medicine in various cultures and its vital link to the cultural identity of ethnic groups. It then differentiates between traditional medicine and complementary/alternative medicine, explaining that the former is part of a specific culture, while the latter is used in conjunction with or in place of conventional medicine. The paper highlights how traditional and complementary medicine often seek to balance the physical, spiritual and experiential aspects of health and how these practices are rooted in culture and nature. Numerous alternative and complementary therapies, such as herbal medicine, acupuncture, reflexology, yoga, and aromatherapy, are mentioned, and it is emphasized that these therapies are based on natural and noninvasive approaches. In addition, the relationship between traditional medicine and Western medicine is discussed, and how in some places they are being harmoniously combined to provide holistic health care. The example of intercultural medicine in Cuba is mentioned, where scientific medicine, traditional Chinese medicine and natural and traditional medicine are integrated. The importance of preserving and respecting the traditions and practices of traditional medicine of indigenous cultures, such as Mapuche medicine in South America, is emphasized. It is mentioned that these traditions not only treat individual diseases, but also seek to maintain balance with nature and culture. In conclusion, it is emphasized that traditional and complementary medicine offer a different perspective on health and wellness, and it is important to approach them critically and with proper medical guidance. These practices can offer holistic approaches to health care and are an integral part of cultural diversity in health care.

By Martha Judith Aubin, Lucero Nataly Castañeda Becerra, Chirinos Natalia Sabrina Chirinos, Lizeth Soledad Choque Condori, Maria Florentin, Cecilia Noelia Leiva, Delia María Ríos, Marisa Natalia Rodriguez, Ana Marleny Urbina Moscol, Lourdes Julieta Urunaga

The event took place on November 29 and 30, 2023, in the city of Caacupé, Department of Cordillera, Paraguay, and was organized by the Board of Directors, administrative and teaching staff of the Instituto Superior en Ciencias de la Salud Juan Pablo II, aimed at professionals and students of health sciences, with the participation of national speakers from reference institutions and international guests from Argentina and Cuba, whose professional and scientific careers make them worthy of recognition. Key topics addressed were: prescription of medicines; social impact of training massage therapists; humanization and respect during labor and delivery; dental prosthesis from the aesthetic and health paradigm; knowledge management and research seedbeds; training of nursing and obstetrics personnel in maternal and child care; scientific research in contemporary times; family caregiver of the elderly at the end of life; professional competencies for the senior technician in radiology; training of professionals in clinical laboratories. The need to analyze teamwork and the interdisciplinary paradigm made it possible to show the challenges of global public health, as well as the professional articulation during health care. The event showed in a coherent way the professional dialogue, as well as the inter, trans and multidisciplinary approach to health care.

By Anibal Espinosa Aguilar, Gloria Concepción Rojas Ruíz, Michel Oria Saavedra, Carlos Oscar Lepez

The meaning of illness varies according to the paradigm and the perspective it approaches. From the positivist paradigm, typical of the field of biomedicine, the disease is conceived from a mechanistic or biologistic point of view so that priority is given to the organic alteration that occurs in the human body, ignoring the subjectivity inherent in this process. We will analyze the social construction of illness through an anthropological perspective, including considerations of the role of society, the conditioning factors and effects observed in this process and the social responses that medicine assumes in this dynamic. In nature, disease does not exist as such but as a biological phenomenon that can only be distinguished because it breaks a specific sequence of events that are part of a continuous process. With the witnessing eye of the human being, this phenomenon makes sense. It is the individual and society that give the label of disease to a particular event. This label is the result of a social construction and, as such, is described in this article from a sociological point of view. Illness is constructed through a doctor-patient bond in which roles and expectations of mutual fulfilment are generated. Medicine is a response of the culture to legitimize the condition of sickness in someone who cannot continue to fulfil his or her usual roles. Some schools consider illness a legitimate deviation as long as it is assumed that the patient is not responsible for his ailment; if responsibility is assumed, the illness is considered an illegitimate deviation with a solid moral pejorative condition.

By Laura Ines Amada, Victoria Soledad Burgos, Miriam Ferreyra, Diana Beatriz Leguizamón Ibañez, Verónica Estefanía Lopez, Digna Zoraida Rivas Medina, Georgina Micaela Siñani Condori

The disease -according to their beliefs- came from these divinities that could "damage," "possess" the individual, penetrate objects, "take out" the soul, etc. In this case, in a distant time, it could be observed that health was intervened by the religious mythical and was not based on the scientific. Knowing that medicine is a social and humanistic science, which is responsible for curing and preventing diseases, we can affirm that to achieve this objective, it is fundamentally necessary to raise awareness in society (we have a concrete and recent example which was the pandemic of Covid-19, in which the different societies dealt with the issue in different ways, previously it was HIV in the 80's or cholera in the early 90's in Argentina). Anthropology provides a significant social, cultural, and ancestral contribution since it allows us to know how communities that do not have access to health centers or advanced medicine use healing methods or alternative medicine for these communities to be effective or believe in their functioning. However, some people see them as antiquated methods. Therefore, Anthropology must make its social contribution from a deep study of the different societies to a joint work with other health disciplines to achieve, in the short term, individuals or societies prepared for future new diseases that may arise or current diseases that spread surprisingly.

By Natalia Fernanda Lobaisa, Tania Mara Payti Claros

Introduction: Empathy in nursing professionals and its impact on quality of care, as well as the challenges they face, are highlighted. Compassion fatigue" due to frequent use of empathy is explored. The study seeks to improve communication and empathic care, especially in patients with psychological health disturbance. The research aims to identify strategies for better care management.
Methods: A literature search was conducted in PubMed with the keywords "empathy", "empathy", "nursing" and "depression", establishing inclusion and exclusion criteria to select 7 relevant articles on empathy in nursing professionals for care subjects with depression in the last 5 years and open access.
Results: The studies provide valuable information on the psychological health of health professionals and the importance of empathy in their practice. The results highlight the need to implement effective interventions to improve the mental health of these professionals and their empathic capacity in patient care.
Conclusions: Empathy is crucial in nursing care, but the presence of negative mental states, such as depression, can affect it. The high prevalence of depression and anxiety disorders in mental health also influences empathy towards patients with eating disorders. Addressing stress, burnout, and stigma is essential to improve empathy in health professional practice and benefit patients.

By Lorena del Carmen Toconas

Educational intervention requires professionals to act responsibly by employing methods and procedures that ensure appropriate outcomes. In addition, they must submit their interventions to an analysis based on scientific research for accurate evaluation. It is important to note that educational intervention and pedagogical intervention are not identical concepts, and it is necessary to establish the differences between the two. Educational intervention implies respecting the agency of the learner, which means that the educator's actions should result in a response on the part of the learner that does not necessarily have to be intentionally educational in nature, but may be a genuine outcome. On the other hand, pedagogical intervention refers to intentional actions that are carried out in the context of the educational task, with the purpose of achieving objectives and using resources supported by sound knowledge about education and the functioning of the educational system. This paper addresses the uniqueness of educational intervention and highlights its strength and validity when based on scientific research.

By María de las Nieves Veloz Montano, Mercedes Keeling Álvarez

Job stress is linked to mental, physiological and neurobiological alterations that contribute to the development of cognitive problems and the depletion of workers' health. This problem has led to an increase in prolonged periods of work inactivity, the emergence of chronic diseases, unfortunate occupational accidents and even, in the most serious cases, the loss of human lives. This tragic situation could be prevented to a large extent through solid Health Promotion and Education. The paper we present adopts a critical perspective with respect to Health Education, considering it not only as a preventive strategy that disseminates information and seeks to maintain optimal health in the economically active population, but also as an interdisciplinary task that involves the redesign of the work organization. Emphasizes the complexity of this alternative approach and its importance in addressing work-related stress more effectively.

By María de las Nieves Veloz Montano, María de la Caridad González Martínez, Leonardo Pérez Lemus

This research focuses on analyzing the dynamic nature of scientific knowledge from an epistemological perspective, focusing specifically on anthropometric research of the human hand. The main objective of this study is to examine how knowledge is generated and evolves in this field, in the light of epistemological theories such as Lakatos'. Key concepts of epistemology and philosophy of science are addressed, including the theories of Lakatos, Popper, Kuhn and Feyerabend. Subsequently, Lakatos' theory of Scientific Investigation Programs (SIPs) is applied to the field of hand anthropometry, identifying its fundamental core (which refers to the belief in the relevance of hand measurements) and its protective belt (comprising auxiliary theories and methods). It discusses how both heuristics and empirical evidence drive the evolution of knowledge in this field, also emphasizing the importance of creative inquiry, scientific debate, and methodological rigor. Ultimately, it is concluded that anthropometric research eloquently exemplifies the inherent dynamic nature of scientific knowledge.

By Misael Ron, Evelin Escalona

Fibromyalgia is a disease characterized by intense generalized chronic musculoskeletal pain. Its etiology is not known and there is no curative treatment but only symptomatic and focused on pain management. The lack of empathy on the part of family, work, friends and health professionals increases the psychosocial discomfort. Educating the population and health professionals on the behavior of the disease could be an opportunity to improve social ties, including friendships, family, health and work. The development of the community approach in the study of fibromyalgia is of significant importance in the understanding and management of this complex chronic disease. Fibromyalgia not only affects the individual sufferer, but also has a profound impact on their social and family environment. By adopting a community approach, it is recognized that community support and understanding is crucial to improving the quality of life for those living with fibromyalgia. This approach involves building support networks and promoting public awareness of fibromyalgia, which in turn reduces the stigma associated with the disease. In addition, the development of community education programs and support groups can help empower people with fibromyalgia to better manage their symptoms and find effective coping strategies.

By Camilo Silva-Sánchez

Healing practices have existed worldwide in different cultures since ancient times, have influenced throughout history, and are rooted in different cultures, demonstrating their importance in wellness and health care. “Curanderismo” it is a set of practices exercised by healers in a ceremony; it is an ancestral custom perpetuated over the centuries, combining traditional indigenous medicine and folk medicine. Its anthropological position may also incorporate the traditional roles of the healing man and the shaman. The curandero in Argentina country has a deep spiritual and cultural meaning. However, with the advance of the current medina, it is still a valid option, respected by communities or individuals seeking comprehensive care or an approach to healing from the spiritual. Encouraging interdisciplinary contact between healers and traditional practitioners is relevant for exchange, collaboration, and mutual respect to better understand the healing practices and their effectiveness. The curandismo acquires relevance due to the connection of beliefs of social groups because health is understood as a balance of nature and its elements. It is seen as an intermediary between the real and spiritual world. However, it should be appropriately regulated, promoting a regularization to prevent and guarantee the patient's health, promoting and eliminating barriers with a responsible, ethical approach that can play a valuable role in health care and well-being.

By Grisel Lara Flores, Roció Florencia Romero

Death is a reality in the lives of all human beings, and although nobody wants to talk about it, it is a part of the life cycle that we will all go through at some point. It is also a reality that, as health professionals, nursing plays a fundamental role since it is part of this painful scenario that we cannot ignore daily. After analyzing the concepts of death in Catholicism, Jehovah's Witnesses, Judaism and Evangelism, we can say that death is, for these religions, the separation of body and soul, which will be united again at the moment of resurrection; for this reason, the body is honoured and prayed for the purification of the souls. The deceased and the grieving family members have faith that at the moment of resurrection, they will be with God and meet again and share an eternal life. Knowledge of the concept of death in different religions provides nursing with a tool to understand, for example, the palliative care patient and his family, a grandmother who gives us a holy card of Jesus to place on her granddaughter's bedside table, the parents of a critically ill newborn who ask permission for the congregation to say a prayer on behalf of their child, as well as the parents of another non-viable newborn who ask permission for the priest to anoint him with holy water. These are situations that remind us that nurses should not only master the technique but also understand people as a whole being, and for this, they should understand the religious beliefs that guide their behaviour, such as not accepting blood donations, refusing to donate organs or not allowing the autopsy or cremation of a family member.

By Vanesa Elizabeth Barrientos, Anabel Jurado

As healthcare professionals, we face the daily challenge of providing quality care to our patients with different pathologies at different stages, often even at the end of life. However, what happens when one of our family members is the one who is going through the end of life? Are we able to get involved as primary caregivers? If we do, how does it affect us emotionally? Has our profession given us the necessary tools to handle such a situation? We ask these questions based on the premise that, although we are dedicated to caring for others, we are only sometimes prepared to do so with people we are united by love or affection. About the subject of study of this work, we highlight the personal experiences of this team and colleagues, who could/we were able to contribute different life experiences in the personal sphere without leaving aside our professionalism when making decisions, finding a bibliography that relates in a scientific and empirical professional way that serves us as a theoretical framework, but that does not propose its application in the specificity that we propose, that is, our professional being related to the personal experience lived. As a common denominator, most of the colleagues consulted, and ourselves believe that experience in the practical field helps us to provide comfort and security to both the patient and the family environment, not only in the end-of-life process but also in the context of some pathology in the acute phase.

By Antonella Linares, Juan Carlos Manos, Ivana Lourdes Tolaba

During the last century there has been a spectacular increase in scientific production at international and national level, as well as its compilation in automated bibliographic databases, whose results have great influence on the economic and social development of countries, which demands the quantification and evaluation of scientific and technological activity, its results and yields. Bibliometrics and scientometrics are increasingly positioned as essential disciplines to measure the results of science, and despite this, not all members of the student scientific community recognize them as necessary in the information and communications era, as a way to improve and bring to higher levels the excellence in the student research process and its impact on scientific publications. Bibliometrics studies the quantitative aspects of the production, dissemination and use of recorded information, to which end it develops mathematical models and measurements that, in turn, serve to make forecasts and decisions about these processes. For its part, scientometrics studies the quantitative aspects of science as a discipline or economic activity, is part of the sociology of science, and finds application in the establishment of scientific policies, where it includes, among others, those of publication.

By Guillermo Alejandro Herrera Horta, Zurelys Gutiérrez García