Simulation from a categorical or diagnostic perspective, has turned into a more dimensional point of view, so it is possible to establish different “levels” of simulation. In order to analyse, from a psychometric perspective, the possible prediction of simulated behaviour based on common measures of general psychopathology, the objective of the current study was to analyse possible predictors of the Structured Symptomatic Simulation Inventory (SIMS) scores considering as dependent variables the total SIMS score, the SIMS subscales scores, and the cut-off points usually suggested to discriminate between “no suspected simulation”/“suspected simulation”, which usually are 14 and 16. In terms of possible predictors, a set of variables were established: a) categorical (sex, type of treatment - psychopharmacological, psychotherapeutic, combined-, type of work activity, being self- employed or not, presence-absence of a history of psychopathology (both familial and personal), presence or not of associated physical pathology, diagnosis -according to ICDJONNPR. 10- and the final proposal -return to work, sick leave extended, proposal of permanent work incapacity-); and b) continuous (perceived stress -general and current), self-esteem, results of a screening questionnaire for personality disorders and scores on a symptoms questionnaire. In addition, a descriptive study of all variables was carried out and possible differences of genre were analysed.

Introduction: Burnout syndrome (BS) in the health personnel has a negative impact on the quality of care, higher risk of iatrogenic complications and adverse effects have been observed when it is present. Objective: The objective of this review was to analyze studies carried out in Latin America which assess the frequency of BS among the health personnel in Latin American countries, as well as to observe differences in the prevalence of BS among medical specialties and compare these results with those obtained in other parts of the world. Methods: A search of articles published in English and Spanish was conducted in the PubMed database, using the terms Burnout syndrome AND Latin America, Burnout Syndrome AND Mexico, and so on with each of the Latin American countries Results: Twenty-nine articles met the inclusion criteria. In this review, the frequency of BS ranged from 2.1% to 76%. Higher frequencies of BS were observed in the areas of intensive care unit´s, oncology, emergency medicine, surgery, internal medicine and anesthesiology. Also, the amount of hours worked in the hospital and primary care were observed overloaded. There is an excess of labor demand compare to the human resources, and there were no measures to prevent the BS. Conclusion: The prevalence of BS found in this review is within the ranges found in other parts of the world. However, results in Latin America suggest that the amount of hours worked in the hospital and primary care are overloaded; there are no measures to prevent the BS, contributing to the excess of labor demand of the health care personnel. All these factors contribute to the increase in the frequency of BS.

Introduction: Adolescence proves to be a key age for acquiring and maintaining healthy habits. Nowadays, numerous research studies link physical activity practice with academic performance, as well as the physical fitness state and the body composition with academic performance. Objectives: Influence of cardiorespiratory capacity and BMI on academic achievement. Method: Various databases were analyzed, including PubMed and Google Scholar, choosing a total of 75 articles in the first selection, using a total of 18 finally. Results and conclusions: We can see a direct linear and positive relation between cardiorespiratory capacity during adolescence and academic achievement and a weak negative relation between obesity and academic success.

Introduction: Burnout syndrome (BS) in the health personnel has a negative impact on the quality of care, higher risk of iatrogenic complications and adverse effects have been observed when it is present. Objective: The objective of this review was to analyze studies carried out in Latin America which assess the frequency of BS among the health personnel in Latin American countries, as well as to observe differences in the prevalence of BS among medical specialties and compare these results with those obtained in other parts of the world. Methods: A search of articles published in English and Spanish was conducted in the PubMed database, using the terms Burnout syndrome AND Latin America, Burnout Syndrome AND Mexico, and so on with each of the Latin American countries Results: Twenty-nine articles met the inclusion criteria. In this review, the frequency of BS ranged from 2.1% to 76%. Higher frequencies of BS were observed in the areas of intensive care unit´s, oncology, emergency medicine, surgery, internal medicine and anesthesiology. Also, the amount of hours worked in the hospital and primary care were observed overloaded. There is an excess of labor demand compare to the human resources, and there were no measures to prevent the BS. Conclusion: The prevalence of BS found in this review is within the ranges found in other parts of the world. However, results in Latin America suggest that the amount of hours worked in the hospital and primary care are overloaded; there are no measures to prevent the BS, contributing to the excess of labor demand of the health care personnel. All these factors contribute to the increase in the frequency of BS.

Goals: To quantify the savings that could be made by the hospital implementation of a computer application (DIAGETHER®), which advises the treatment of hyperglycemia of the diabetic patient in the emergency department when this patient is admitted to a third level hospital. Methods: A multicenter interventional study was designed, including patients in two arms, one in the conventional treatment prescribed by the physician and the other applied the treatment indicated by the computer application DIAGETHER®. The days of hospitalization were collected in the two arms of intervention. Results: A total of 183 patients were included, 86 received treatment with the computer application, and 97 received conventional treatment. The mean blood glucose level on the first day of admission in the GLIKAL group was 178.56 (59.53), compared to 212.93 (62.23) in the conventional group (p <0.001) and on the second day 173.86 (58.86) versus 196.37 (66.60) (p = 0.017). There was no difference in the frequency of hypoglycemia reported in each group (p = 0.555). A reduction in mean stay was observed in patients treated with DIAGETHER. The days of admission were 7 (2-39) days for the GLIKAL group and 10 (2-53) days for the PCH group (p <0.001). Conclusions: The annual savings that could be generated with the use of the computer tool (DIAGETHER®), with the volume of diabetic patients admitted to the hospital, could decrease hospitalization days by 26,147 (14,134 patients for 1.85 days of stay reduction), this would generate a saving of 8,811,842 million euros per year (cost of stay / day of the diabetic patient, for the avings days generated).