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Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Psychology plays a crucial role in the inclusion of autistic children and adolescents in the school environment. Its contributions can sometimes include developing strategies to promote inclusion, providing emotional and educational support, as well as facilitating understanding of the specific needs of these students. Psychological approaches and techniques are seeking to create more accessible and adapted school environments, promoting inclusive education and respecting neurocognitive diversity. In this sense, the research sought to understand the role of psychology and its attributions in the school environment and how children and adolescents with Autism Spectrum Disorder are included, with a view to their mental health. Furthermore, we sought to understand the families to the diagnosis of ASD, as well as to investigate successful teaching methodologies in schools using literature. Through this literary research, it was possible to gather excerpts from previous research on the topic in question. The research methodology was qualitative in nature, where the study of the research was through a review of the literature of previous research carried out and which contemplates the aforementioned theme. [ABSTRACT FROM AUTHOR]

Copyright of Revista Didasc@lia: Didáctica y Educación is the property of Universitaria de Las Tunas, Centro de Estudios de Didactica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pulmonary arterial hypertension (PAH) is a form of precapillary pulmonary hypertension caused by a complex process of endothelial dysfunction and vascular remodeling. If left untreated, this progressive disease presents with symptoms of incapacitating fatigue causing marked loss of quality of life, eventually culminating in right ventricular failure and death. Patient management is complex and based on accurate diagnosis, risk stratification, and treatment initiation, with close monitoring of response and disease progression. Understanding the underlying pathophysiology has enabled the development of multiple drugs directed at different targets in the pathological chain. Vasodilator therapy has been the mainstay approach for the last few years, significantly improving quality of life, functional status, and survival. Recent advances in therapies targeting dysfunctional pathways beyond endothelial dysfunction may address the fundamental processes underlying the disease, raising the prospect of increasingly effective options for this high-risk group of patients with a historically poor prognosis. Resumo: A hipertensão arterial pulmonar (HAP) é um tipo de hipertensão pulmonar pré-capilar causada por um processo complexo de disfunção endotelial e remodelação vascular desfavorável. A história natural desta doença progressiva inclui sintomatologia de insuficiência cardíaca e perda de qualidade de vida, culminando em falência ventricular direita e morte. A gestão dos doentes é complexa, baseando-se num diagnóstico preciso, estratificação de risco e início de terapêutica adequada, sendo essencial a monitoração apertada da resposta e progressão da doença.A compreensão da fisiopatologia subjacente permitiu o desenvolvimento de múltiplos fármacos dirigidos a diferentes alvos na cadeia patológica. A terapêutica vasodilatadora destaca-se como a abordagem de base nas últimas décadas, tendo permitido melhoria significativa da qualidade de vida, estado funcional e sobrevida dos doentes. Os avanços terapêuticos recentes, com o advento da utilização de fármacos dirigido aos mecanismos subjacentes à doença, trazem a promessa de opções terapêuticas cada vez mais eficazes para este grupo de doentes de alto risco, com um prognóstico historicamente reservado.

Objetivo: Apresentar os potenciais biomarcadores para a doença de Alzheimer. Métodos: Revisão da literatura, a partir de 2000, empregando o banco de dados PubMed. Resultados: Esta revisão apresenta evidências atuais dos principais marcadores envolvidos na doença de Alzheimer, incluindo os de natureza molecular presentes no líquido cefalorraquidiano, sangue, os associados aos métodos de imagem (tomografia por emissão de pósitrons – PET, ressonância magnética – RM), e os marcadores de redes neurais. Conclusão: Encontrar um marcador eficiente acarretará impactos significativos na avaliação clínica e na abordagem da progressão da doença, além de possibilitar o desenvolvimento de novas estratégias terapêuticas.

OBJETIVO: Verificar a utilização de monofilamento de 10 g no diagnóstico de neuropatia diabética (NPD) em idosos comparando-o a escores de rastreio de dois instrumentos validados. MÉTODOS: Estudo transversal descritivo, com amostra de conveniência, no qual foram avaliados 50 pacientes com NPD diagnosticada por meio dos instrumentos escore de sintomas neuropáticos (ESN) e escore de comprometimentos neuropáticos (ECN) e sensação protetora plantar através do monofilamento de Semmes-Weinstein de 10 g (laranja). RESULTADOS: 50 idosos foram diagnosticados com NPD pelos instrumentos ESN e ECN e, quando comparados quanto à presença ou ausência do monofilamento de 10 g, não se observou correlação estatística significativa através do teste de Kruskal-Wallis, inclusive, em muitos pacientes o monofilamento estava preservado. CONCLUSÃO: O monofilamento de 10 g isolado não foi capaz de indicar o diagnóstico de neuropatia diabética. Idosos com neuropatia diabética podem apresentar sensação plantar preservada.

Wilson disease (WD) is a genetic disorder of copper metabolism caused by mutations in the ATP7B gene resulting in toxic copper accumulation in several organs. WD can manifest as liver disease, a progressive neurological disorder, a psychiatric illness, or a combination of these. Other clinical manifestations can also occur. Diagnosis is challenging and typically requires a range of biochemical tests, imaging, genetic testing for ATP7B, and/or liver biopsy. WD is treatable with chelating agents, such as d-penicillamine and trientine, and/or zinc salts alongside with dietary copper restriction. Liver transplantation may be indicated in WD patients with severe hepatic disease, and cautiously considered in patients with neurological WD. Treatment success highly depends on patient adherence and treatment persistence. Therefore, effective interventions for improving patient adherence and close monitoring are key for preventing WD progression. In Portugal, there are no reference centers for WD, and patients are dispersed across numerous medical specialists. This review aimed to summarize the most recent and relevant information for the diagnosis, treatment, and monitoring of WD in Portugal, as well as possible interventions for stimulating adherence to treatment.

This report described the use of acoustic radiation force impulse (ARFI) elastography in the diagnosis of two cases of canine malignant peripheral nerve sheath tumors. Both patients presented with lameness in the thoracic limb and no response to previous clinical treatment or trauma history. Physical examination revealed muscular atrophy in one of the thoracic limbs, in both dogs. B-mode axillary ultrasound showed the presence of a predominantly hypoechogenic, heterogeneous, irregular, nonencapsulated nodule with adjacent reactivity, measuring approximately 20.1 mm x 15.4 mm in the first case and 18.3 mm x 10.7 mm in the second. ARFI elastography was performed, showing areas of significant stiffness, with an average shear wave velocity of 4.12 m/s (case 1) and 4.35 m/s (case 2), suggesting malignancy. In both cases, the affected limb was amputated, and the tumors sent for histopathological analysis, which were; subsequently, diagnosed as malignant tumors of the peripheral nerve sheath. The ultrasonographic methods used were essential in the diagnosis and therapeutic conduct. [ABSTRACT FROM AUTHOR]

El objetivo del presente artículo es diagnosticar la preparación de los metodólogos municipalesde Química del nivel educativo Secundaria Básica en la provincia de Ciego de Ávila parael tratamiento de la relación estructura-propiedad-aplicación de las sustancias. Se realizóun estudio descriptivo exploratorio en el período comprendido entre marzo y noviembre de2023. Para ello se utilizaron métodos y técnicas del nivel empírico como la observación, lasencuestas, entrevistas y la revisión documental. Se constató que los 10 metodólogos presentanlimitaciones tanto en el dominio de los contenidos químicos relacionados con la relaciónestructura-propiedad-aplicación de las sustancias como en los métodos y procedimientos parasu tratamiento didáctico a través del trabajo metodológico.

The management of urinary tract infection (UTI) in infants and children has changed significantly over the past few decades based on scientific evidence that questioned the efficacy of strategies used to prevent kidney injury and subsequent progression to chronic kidney disease, which is very unlikely in most paediatric cases. However, there is still substantial heterogeneity in its management and uncertainty regarding the diagnosis, indication of imaging tests, treatment or follow-up in these patients. The Spanish clinical practice guideline has been updated through the review of the literature published since 2009 and a rigorous evaluation of current clinical practice aspects, taking into account the evidence on the benefits of each intervention in addition to its risks and drawbacks to attempt to provide more precise recommendations. Resumen: En las últimas décadas, se han producido profundos cambios en el manejo de la infección urinaria en pediatría, a partir de estudios que cuestionaban la eficacia de las estrategias para prevenir el daño renal y la evolución posterior a enfermedad renal crónica, muy poco probable en la mayoría de casos. No obstante, todavía existe una gran variabilidad clínica en el manejo e incertidumbre en cuestiones relativas al diagnóstico, la indicación de una exploración radiológica, el tratamiento o el seguimiento de estos niños. La actualización de la guía de práctica clínica española ha examinado en la literatura publicada desde el año 2009 y de modo riguroso aspectos de la práctica actual, considerando la evidencia de los beneficios de cada intervención, junto con los riesgos asociados y desventajas, para intentar delimitar las pautas de actuación más precisas.

Background Age is the most important risk factor for develop dementia, and the recommendation is that older adults are cognitively tested to detect impairment in the initial stage for adequate treatment. The demand for the care of these older adults is great, drawing attention to the need for rapid tests, with good accuracy and simple application to identify cognitive impairment.

El actual estudio nace de la inquietud que ha surgido en los últimos años sobre el Trastorno de Déficit de Atención e Hiperactividad (TDAH) y el Tempo Cognitivo Lento (TCL). En especial sobre cuan independientes son estos trastornos entre sí, con diferentes causas, síntomas y características. Para ello hemos analizado las diferencias en perfiles cognitivos de 105 participantes (74 niños y 31 niñas) de entre 6 y 13 años (M = 8,97; DT = 1,97) separados en dos grupos según su diagnóstico: 57 sujetos diagnosticados con TDAH y 48 sujetos diagnosticados con TCL. Para analizar el perfil neuropsicológico de los participantes se empleó la Escala de Inteligencia de Weschler para niños (WISCIV) el cual consta de cuatro áreas: la Comprensión Verbal, el Razonamiento Perceptivo, la Memoria de Trabajo y la Velocidad de Procesamiento. Se empleó un diseño transversal y los datos fueron analizados en SPSS a través de la prueba de contraste U-Mann Whitney. Tras el análisis de datos se pusieron de manifiesto diferencias significativas entre ambos perfiles, mostrando al grupo con TCL con puntuaciones más bajas en memoria de trabajo, pero mejores en pruebas de velocidad de procesamiento. Aún con sus similitudes, parece tratarse de trastornos diferentes, lo cual se traduce en el ámbito nosológico a la necesidad de un estudio con unas herramientas diagnósticas propias y de un tratamiento diferente para cada uno de los trastornos. Se requiere de otros estudios con mayor muestra y diferentes instrumentos para profundizar en las similitudes y diferencias entre el TDAH y el TCL.

Neste artigo, apresenta-se e fundamenta-se uma experiência formativa para o diagnóstico do Pensamento Profissional Docente (PPD) sob a concepção do pensamento como atividade cognoscitiva da personalidade do professor e o método de seu estudo, de P. Ya. Galperin. Discute-se o significado do construto pensamento profissional docente, objeto do diagnóstico, na base de sua essência, sua estrutura e suas funções. O texto também trata da metodologia da experiência formativa, elaborada e testada experimentalmente, que permite o referido diagnóstico sob determinadas condições que demarcam possibilidades e limitações da experiência formativa. Os resultados apontam para uma contribuição teórico-metodológica aos estudos sobre o PPD como parte da formação e do desenvolvimento profissional de professores.

O Neuroblastoma é um tumor das células primitivas do sistema nervoso simpático com idade média de diagnóstico de 17 meses, representando 10% das neoplasias da infância e sendo responsável por 15% das mortes por cancro na infância. Os sintomas clínicos são variáveis conforme a localização, e tem também uma gravidade e prognóstico muito variáveis. Descrevemos um caso de uma criança de dois anos que recorre ao serviço de urgência (SU) com queixas iniciais de gemido intermitente e desconforto ocasional, acabando por lhe ser diagnosticado um neuroblastoma cervical.

A discinesia ciliar primária é uma síndrome autossómica recessiva, de clínica muito variável. Se associada a situs inversus, sinusite crónica e bronquiectasias, denomina-se Síndrome de Kartagener. A sua clínica pode ser muito variável e inespecífica, incluindo dificuldade respiratória neonatal. Descrevemos um caso de Síndrome de Kartagener num bebé de um ano, que se manifestou aos seis dias com dificuldade respiratória, de agravamento progressivo. Este caso representa o paradigma da importância da atuação do Médico de Família, na valorização dos sinais e sintomas, que permitiu o diagnóstico precoce de uma síndrome pouco prevalente.

Introduction: Neurological complications are the most frequent type of extracardiac complications of infective endocarditis (IE), and can be the initial manifestation. The objectives of this study were to determine the prevalence of neurological complications in patients with IE and to evaluate whether initial presentation with neurological symptoms causes a diagnostic delay. Material and methods: We conducted a retrospective observational study of patients with IE admitted to a tertiary hospital between 2003 and 2020. Results: The study included 222 patients with IE (67% men; mean [SD] age, 66.4 [14.2] years). Neurological complications occurred in 21.2% of patients, with ischaemic stroke (74.5%) and intracerebral haemorrhage (23.4%) being the most frequent. No differences in diagnostic delay were found between the group of patients in whom the disease manifested with neurological complications and the rest of the patients (4.4 vs 4.5; P = .76). Conclusions: A total of 21.2% of patients with IE presented neurological complications, with ischaemic stroke being the most frequent. Neurological symptoms as the initial manifestation of IE did not lead to a delay in diagnosis. Resumen: Introducción: Las manifestaciones neurológicas son las complicaciones extracardíacas más frecuentes de la endocarditis infecciosa (EI) y pueden ser el síntoma inicial. Los objetivos del estudio fueron determinar la prevalencia de complicaciones neurológicas en los pacientes con EI y evaluar si la clínica neurológica como debut condiciona un retraso diagnóstico. Material y métodos: Estudio de cohortes retrospectivo de pacientes con EI ingresados en un hospital de tercer nivel en el periodo entre 2003 y 2020. Resultados: Se han revisado 222 pacientes con EI (67% varones, edad 66,4 ± 14,2 años). El 21,2% presentaron complicaciones neurológicas durante el ingreso, siendo el ictus isquémico (74,5%) y la hemorragia cerebral (23,4%), las más frecuentes. No se encontraron diferencias entre el tiempo medio desde el ingreso hasta el diagnóstico en el grupo de pacientes que debutó con focalidad, en comparación con el resto de pacientes (4,4 vs. 4,5; p = 0,76). Conclusiones: Un 21,2% de los pacientes con EI presentaron complicaciones neurológicas durante el ingreso, siendo el ictus isquémico la más frecuente. La clínica neurológica como debut de la EI no conllevó un retraso diagnóstico.

Background: Cancer diagnosis has been described as a significant factor causing psychological stress, which may increase a vulnerability to develop psychological disorders, decrease quality of life levels and affect the response to cancer treatment. Objective: To validate the Newly Diagnosed Breast Cancer Stress Scale (NDBCSS) and to explore the differences concerning clinical and sociodemographic variables. Material and methods: Cross-sectional study. Patients recently diagnosed with breast cancer on the day they received the definitive cancer diagnosis were invited to participate. The Perceived Stress Scale (PSS) and the NDBCSS were completed; the latter previously underwent a validation process into Spanish (reliability, content validity, structure -- EFA-- and convergent validity). Results: 176 patients participated; their mean age was of 52.8 years. The scale obtained a content validity of 0.53 and reliability of 0.791; the EFA showed 2 factors explaining 42.31% of the variance. Stress levels were 23.05 (PSS) and 13.2 (NDBCSS). Concern about side effects, the progression of the illness and the lack of information were reported as the most critical stressors for these patients. Conclusions: The NDBCSS showed acceptable psychometric properties for its application in Mexican patients and probably for patients with similar personal characteristics and linguistic and cultural contexts. Based on the results, it is possible to design precise interventions addressed to the stressors they face, such as the impact of the disease and the treatment. [ABSTRACT FROM AUTHOR]

BACKGROUND: Reversible cerebral vasoconstriction syndrome is a disease whose incidence is unknown, in which segmental and reversible vasoconstriction of the cerebral arteries occurs, and is characterized by severe thunderclap headache, which may or may not be accompanied by neurological deficit. CLINICAL CASE: A 52-year-old female patient, with a history of 2 pregnancies and 2 deliveries and recent onset of climacteric, with dysregulation of the menstrual cycle and obesity. She presented a headache of 4 days of evolution, of severe intensity, palpitations, photophobia, sweating, nausea and vomiting. The neurological examination did not reveal any neurological deficit. Brain CT showed right fronto-parietal subarachnoid hemorrhage. The arteriography revealed multiple segmental stenosis in all vascular territories. During her admission, nimodipine was administered, and controls were performed with transcranial echo-Doppler, showing favorable clinical evolution. CONCLUSIONS: Reversible cerebral vasoconstriction syndrome constitutes a diagnostic challenge, given the different forms of presentation and the different causes and factors that can trigger it. The mechanisms involved in its production are partly unknown; however, within the reported associations it has been suggested that sex hormones play an important role in its pathogenesis, but more scientific evidence is needed to clarify this association. [ABSTRACT FROM AUTHOR]

Arcuate ligament syndrome (ALS) is caused by extrinsic compression of the celiac trunk by the median arcuate ligament. It has an estimated incidence of 2 per 100,000 people, preferentially affecting female individuals in the age range of 30 and 50 years. The clinical feature of SLA can manifest with chronic postprandial abdominal pain, nausea and/or vomiting, weight loss and abdominal murmur, although there are patients who do not develop symptoms due to increased collateral circulation. The diagnosis of SLA is based on the presence of clinical symptoms, imaging findings, and the exclusion of other causes of abdominal pain. Within imaging techniques, magnetic resonance angiography (MRA) and computed tomography angiography (AngioCT) are the modalities of choice for the diagnosis of SLA. The management of SLA is surgical with the purpose of restoring the flow in the celiac trunk and whose approaches are described in this article. Finally, this pathology is a challenge for the specialist since the symptoms can be non-specific and overlap with other abdominal disorders, making diagnosis and management difficult. The preparation of this review article was based on the search for systematic reviews preferably less than 10 years of publication in scientific journals, using the words “arcuate ligament syndrome”, “celiac artery compression syndrome” and other related ones [ABSTRACT FROM AUTHOR]

Copyright of Dental Press Journal of Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Electronic Journal of Research in Educational Psychology is the property of Editorial of the University of Almeria (Spain) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Hipertension is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Recent advancements in medical technology have propelled the field of arterial and cerebral blood pressure management into a new era of precision and foresight. This discourse delves into contemporary methodologies and technologies utilized in the diagnosis and prognosis of arterial and cerebral blood pressure conditions, alongside their potential implications for future health prognoses. Notably, the discourse underscores the merits of cutting-edge technologies, including machine learning, artificial intelligence, genomic sequencing, and nanotechnology, in enhancing diagnostic precision, early detection of pathological markers, and tailoring personalized treatment regimens. Moreover, ethical considerations and confidentiality concerns pertinent to the adoption of these technologies are carefully scrutinized. To this end, an exhaustive review of contemporary literature pertaining to medical diagnostic technologies, encompassing machine learning, artificial intelligence, genomic sequencing, and nanotechnology, was conducted. The collaborative efforts of interdisciplinary teams comprising medical professionals, engineers, computer scientists, and ethicists are advocated as pivotal for realizing the full potential of modern diagnostic technologies in clinical settings. The findings underscore the transformative impact of interdisciplinary collaboration in fostering novel domains of inquiry and application, such as bioinformatics, medical robotics, nanomedicine, among others. This interdisciplinary synergy not only propels the frontiers of medical science and practice but also holds promise for revolutionizing the management of arterial and cerebral blood pressure-related conditions. Los avances recientes en la tecnología médica han impulsado el campo del manejo de la presión arterial y cerebral hacia una nueva era de precisión y previsión. Este discurso profundiza en las metodologías y tecnologías contemporâneas utilizadas en el diagnóstico y pronóstico de las condiciones de presión arterial y cerebral, junto con sus posibles implicaciones para los pronósticos de salud futuros. En particular, el discurso subraya los méritos de las tecnologías de vanguardia, incluido el aprendizaje automático, la inteligencia artificial, la secuenciación genómica y la nanotecnologia, para mejorar la precisión del diagnóstico, la detección temprana de marcadores patológicos y la adaptación de regímenes de tratamien- to personalizados. Además, se examinan cuidadosamente las consideraciones éticas y las cuestiones de confidencialidad pertinentes a la adopción de estas tecnologías. Para ello, se realizó una revisión exhaustiva de la literatura contemporánea relacionada con las tecnologias de diagnóstico médico, que abarca el aprendizaje automático, la inteligencia artificial, la secuenciación genómica y la nanotecnologia. Los esfuerzos de colaboración de equipos interdisciplinarios compuestos por profesionales médicos, ingenieros, informáticos y especialistas en ética se consideran fundamentales para aprovechar todo el potencial de las tecnologias de diagnóstico modernas en entornos clinicos. Los hallazgos subrayan el impacto transformador de la colaboración interdisciplinaria en el fomento de nuevos dominios de investigación y aplicación, como la bioinformatica, la robótica médica y la nanomedicina, entre otros. Esta sinergia interdisciplinaria no solo impulsa las fronteras de la ciencia y la práctica médicas, sino que también promete revolucionar el tratamiento de las afecciones relacionadas con la presión arterial y cerebral. [ABSTRACT FROM AUTHOR]

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In a competitive business environment, understanding and improving organizational performance is essential for long-term success. This qualitative study focuses on a prefabricated construction company in Celaya, Guanajuato, Mexico, with the goal of conducting a detailed organizational diagnosis and proposing a strategic intervention to optimize its performance. The research is based on a theoretical framework that encompasses financial, operational, and managerial evaluations, highlighting the importance of a comprehensive view for continuous improvement. Inspired by Lewin's theory and the action research approach, the intervention is conceived as a planned process carried out by external experts. This process aims not only to address current issues but also to strengthen the company’s ability to face future challenges. The methodology employs a qualitative approach, utilizing the Socioeconomic Management Method (SAGE) and action research as primary strategies. Semi-structured interviews and detailed organizational analyses will be conducted to gain a deep understanding of the internal and external dynamics affecting the company. Data triangulation from various sources will help identify significant patterns and relationships. The diagnosis at Structainer identified key issues: noise in engineering, excessive physical strain, barriers in communication and coordination, and planning difficulties due to external factors like steel price volatility. The main issue is ineffective communication, which negatively impacts productivity. To improve, it is crucial to implement integrated strategies that address these problems by enhancing communication, managing materials, reducing noise, handling personnel turnover, and balancing the workload. The study aims to provide a holistic approach to improving the company’s current performance and fostering resilience and adaptability in a dynamic business environment. [ABSTRACT FROM AUTHOR]