International Journal of Developmental and Educational Psychology (Revista INFAD de Psicología).
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Implication of communication and family cohesion in the explanation of problematic use of social networks in adolescence
No full textEl uso problemático de las redes sociales (UPRS) en adolescentes representa una preocupación creciente por su impacto en el bienestar emocional, la salud mental y la dinámica familiar. Dentro de este contexto, el clima familiar —definido por la cohesión, la expresividad y el conflicto— se considera un factor clave en la regulación del comportamiento digital. Este estudio, desde un enfoque ecológico, analiza la relación entre dichas dimensiones familiares y el UPRS, con el objetivo de identificar patrones que orienten futuras estrategias preventivas. Se trabajó con una muestra de 1164 adolescentes españoles de entre 12 y 18 años. De esta población, se seleccionó un subgrupo de 298 estudiantes con puntuaciones extremas en las dimensiones del clima familiar. Se utilizaron la Escala de Clima Familiar (Moos et al., 1974) y el Cuestionario de Uso Problemático de Redes Sociales (Delgado y Martínez-Monteagudo, 2023). Los datos fueron analizados mediante correlaciones de Spearman y comparaciones de medias con la prueba t de Student. Los resultados mostraron que la cohesión y la expresividad familiar se correlacionan negativamente con el UPRS, mientras que el conflicto lo hace de forma positiva. Los adolescentes con bajo UPRS presentaron mayores niveles de apoyo emocional y comunicación abierta, mientras que aquellos con alto UPRS mostraron más conflicto familiar y desconexión afectiva. Los hallazgos refuerzan el valor del clima familiar positivo como factor protector frente al UPRS, y subrayan la necesidad de promover entornos familiares saludables. Se recomienda el diseño de programas preventivos que incluyan activamente a las familias. Futuras investigaciones podrían explorar las interacciones entre el entorno familiar y otros contextos sociales y escolares, e incorporar metodologías mixtas para una comprensión más profunda del fenómeno.Problematic use of social media (PUSM) among adolescents has become an increasing concern due to its impact on emotional well-being, mental health, and family dynamics. Within this context, family climate—defined by cohesion, expressiveness, and conflict—is considered a key factor in regulating digital behavior. This study, from an ecological perspective, analyzes the relationship between these family dimensions and PUSM, aiming to identify patterns that can guide future preventive strategies. The study was conducted with a sample of 1,164 Spanish adolescents aged 12 to 18. From this population, a subsample of 298 students was selected based on extreme scores in family climate dimensions. The Family Environment Scale (Moos et al., 1974) and the Problematic Social Media Use Questionnaire (Delgado & Martínez-Monteagudo, 2023) were used. Data were analyzed using Spearman correlations and mean comparisons through Student’s t-test. Results showed that family cohesion and expressiveness correlated negatively with PUSM, while family conflict correlated positively. Adolescents with low PUSM reported higher levels of emotional support and open communication, whereas those with high PUSM reported more family conflict and emotional disconnection. The findings reinforce the value of a positive family climate as a protective factor against PUSM and highlight the need to promote healthy family environments. The development of preventive programs that actively involve families is recommended. Future research should explore interactions between the family context and other social and school environments and incorporate mixed methods to gain a deeper understanding of the phenomenon
Intervention in neuropsychological rehabilitation: an action research project
No full textNa União Europeia, o Traumatismo Crânio Encefálico representa uma das principais causas de hospitalização e morte. Segundo dados da European Brain Injury Consortium (EBIC), aproximadamente 2 milhões de pessoas na UE são afetadas por TCE grave anualmente, com cerca de 1 milhão de hospitalizações. Portanto, este problema de saúde pública, impeliu-nos a realizar esta investigação-ação. Este artigo pretende assim apresentar o potencial da reabilitação neuropsicológica, através de uma investigação-ação centrada num jovem (14 anos de idade) avaliado por 5 instrumentos psicométricos FCR, Subteste da Memória de Dígitos da WISC-III, Teste D2, WCST e WISC - III que aferem a inteligência, as funções executivas, a atenção/concentração e emocionais, o nível de comprometimento cognitivo, assim como para aferir as dificuldades diárias que emergem fruto de deterioração mental. Concluiu-se que o paciente, apesar do quadro adverso, recuperou as capacidades deterioradas, principalmente por intermédio das estratégias metacognitivas de autoverbalização, tendo-se revelado importante o acolhimento e estabelecimento de uma relação empática entre a equipa multidisciplinar, o doente e sua família, bem como o seu envolvimento assertivo e proativo durante o processo de reabilitação neuropsicológica.Traumatic Brain Injury (TCI) is one of the leading causes of hospitalization and mortality in the European Union. According to the European Brain Injury Consortium (EBIC), approximately 2 million people in the EU suffer from severe TCI each year, resulting in around 1 million hospital admissions. Given the public health relevance of this issue, we conducted an action-research study to explore the potential of neuropsychological rehabilitation. This article presents findings from an intervention involving a 14-year-old patient assessed using five psychometric instruments: the FCR, Digit Span Subtest of the WISC-III, D2 Test, Wisconsin Card Sorting Test (WCST), WISC-III. These tools were employed to evaluate intelligence, executive functioning, attention and concentration, emotional status, and the extent of cognitive impairment, as well as daily functional difficulties resulting from mental deterioration. Results indicated that, despite the severity of the condition, the patient demonstrated significant recovery of impaired functions, particularly through the application of metacognitive self-verbalization strategies. The establishment of a supportive and empathetic relationship between the multidisciplinary team, the patient, and the family, along with the patient’s proactive and engaged participation, played a crucial role in the rehabilitation process
It defined the system of public state universities in Mexico
No full textState public universities in Mexico are structured in a system with characteristics that define and differentiate it from other types of higher education. The objective is to contribute to the definition of the state public university system through a theoretical and empirical analysis that allows us to know its boundary conditions and dynamics. The methodology for this study is qualitative, consisting of three phases: the first is the theoretical review of foundations on the theory of complex systems; the second, is a documentary review of secondary sources; and the third was the processing of information from both phases through ATLAS.ti 9 and Excel under the principle of complementarity. The results are presented in three lines of analysis: 1) elements for the definibility of a system; 2) boundary conditions of the system of public state universities; and 3) systemic dynamics: Autonomy and government in universities as an attribute that grants legal personality. The discussion helped to identify the boundary conditions of the state public university system and its dynamic and systemic organization. It is recognized that it is an open and flexible system to change with dynamics and interrelationships mediated by the university government.Las universidades públicas estatales en México se estructuran en un sistema con características, que lo definen y lo diferencian de otros tipos de educación superior. El objetivo es contribuir a la definibilidad del sistema de universidades públicas estatales a través de un análisis teórico y empírico, que permita conocer sus condiciones de contorno y sus dinámicas. La metodología para este estudio es cualitativa, constituida por tres fases: la primera es la revisión teórica de fundamentos sobre la Teoría de Sistemas Complejos; la segunda, es una revisión documental de fuentes secundarias; y la tercera, fue el procesamiento de la información de ambas fases a través de ATLAS.ti 9 y Excel bajo el principio de complementariedad. Los resultados se presentan en tres líneas de análisis: 1) elementos para la definibilidad de un sistema; condiciones de contorno del sistema de universidades públicas estatales; y 3) dinámicas sistémicas: la Autonomía y gobierno en las universidades como atributo que otorga personalidad jurídica. La discusión ayudó a identificar las condiciones de contorno del sistema de universidades públicas estatales y su organización dinámica y sistémica. Se reconoce que es un sistema abierto y flexible a los cambios con dinámicas e interrelaciones mediadas por el gobierno universitario
Evaluation of the implementation and effectiveness of regulations in urban and rural contexts to support the education of children with autism, ADHD, and ADD
No full textThis research presents a critical analysis of educational inclusion within the framework of current public policies, comparing urban and rural contexts. It highlights the urgent need to ensure equitable access to quality education for all. The analysis focuses on inclusion policies for students with Autism Spectrum Disorder (ASD), Attention Deficit Disorder (ADD), and Attention Deficit Hyperactivity Disorder (ADHD), and how these policies are understood and applied in both urban and rural settings. Using a mixed-methods approach—combining surveys of teaching staff with interviews with key stakeholders—the study identifies barriers, facilitators, and significant differences in how these policies are implemented across the two contexts. The findings reveal the need to adapt regulations to local realities by improving initial teacher training and classroom resources, particularly in rural environments.La presente investigación realiza una crítica relacionada con la inclusión educativa en la cartografía de las actuales políticas públicas comparadas en contextos urbano y rural, en la medida que une lógicamente la urgencia de garantizar un acceso equitativo a una educación de calidad para todos y todas. El análisis se centra en las políticas de inclusión educativa para alumnado con autismo, TDA y TDAH comparando cómo se raciocinan en entornos urbanos y rurales. Mediante una metodología mixta que combina encuestas a personal docente, con entrevistas a los actores centrales implicados, se identifican barreras, ayudantes y diferencias significativas en la forma en cómo estas políticas son implementadas en ambos contextos. Las conclusiones muestran la necesidad de adaptar las normativas a las realidades locales, mejorando la formación inicial del profesorado y los recursos en las aulas, especialmente en el entorno rural
Alteration of beliefs in women victims of gender violence and their relationship with the reporting process
No full textThe present study aims to analyze the alterations in beliefs among women who have experienced gender-based violence and their potential relationship with the process of reporting the criminal offense. To this end, the study examines negative beliefs about the self; negative beliefs about the world and the future; negative beliefs about others; as well as negative beliefs related to guilt and self-sabotage. The goal is to determine whether there is a significant relationship between the alteration of these beliefs and the act of reporting the violence suffered, within a sample of 26 women who are victims of gender-based violence. This analysis is conducted using the Belief Alteration Subscale of the Trauma Impact Questionnaire (CIT). The results show that there are significant variables related to the impact of trauma that are highly relevant to the study of belief alterations in female victims. These variables are interrelated; however, they do not show a significant relationship with the process of reporting gender-based violence. Finally, this study contributes to a better understanding of how the psychological effects of trauma resulting from gender-based violence can have broader social and criminological implications.El presente estudio tiene como objetivo analizar las alteraciones en las creencias de las mujeres que han sufrido violencia de género y su posible relación con el proceso de denuncia del hecho delictivo. Para ello, se analizan creencias negativas sobre una misma; creencias negativas sobre el mundo y el futuro; creencias negativas sobre los/as demás; así como creencias negativas de culpa y autosabotaje, con el propósito de analizar si existe una relación significativa entre la alteración en las creencias y denunciar la violencia sufrida en una población de 26 mujeres víctimas de violencia de género, a través de la subescala de alteración de las creencias del Cuestionario del Impacto del Trauma (CIT). Los resultados muestran que existen variables significativas relacionadas con el impacto del trauma de gran relevancia en el estudio de la alteración de las creencias en mujeres víctimas, las cuales presentan correlación entre ellas. Pero, a su vez éstas no presentan relación significativa con el proceso de denuncia de la violencia de género sufrida. Finalmente, el presente trabajo contribuye a entender cómo la afectación del trauma derivado de haber sufrido violencia de género puede tener repercusiones a nivel social y en aras criminológicas
Communication challenges and infection control in palliative care: narrative review
No full textIntroduction: Palliative Care (PC) is a person-centered approach aimed at improving the quality of life through relief of physical, psychosocial, and spiritual suffering. Communication is essential to facilitate shared decision-making and promote an empathetic relationship. Measures of isolation in care delivery pose challenges to communication, compromising contact and the quality of care provided. Objective: To explore the communication challenges resulting from the restrictions imposed by infection control in PC. Methodology: A narrative review was conducted to obtain an interpretative synthesis and a comprehensive perspective on the topic under analysis. The research was carried out in the PubMed, Scopus, Scielo, and Cochrane Library databases, using the terms «Palliative Care,» «Communication,» «Health Communication,» «Videoconferencing,» «Infection Control,» «Quality of Healthcare,» and their combinations. The search was limited to studies involving individuals over 18 years of age and in Portuguese, English, and Spanish languages. Results: Eight articles were included in the study, and after data analysis in light of Hildegard Peplau’s Theory of Interpersonal Relations, four categories were defined that reflect the challenges and communication strategies in PC: Barriers to face-to-face communication in PC, Adapted communication strategies, Effectiveness of virtual vs. face-to-face communication, and Impact of communication on care quality. Discussion of Results: This study highlights the importance of empathetic communication, indicating that digital technologies, although useful, do not replace the necessary physical contact. The lack of proximity affected the quality of care, and inequalities in access to technology exacerbated the situation. It is necessary to balance the use of technology with the humanization of care, ensuring continuous professional training to maintain quality in service delivery. Conclusion: This study provided an understanding of the impact of isolation and infection control measures on communication and care provision in PC, highlighting the role of emerging technologies and new interaction dynamics in mitigating these challenges. It is important to note, as a limitation of this study, that the use of a narrative review, while allowing for an interpretative and contextualized view, does not enable an exhaustive analysis of the available literature.Introdução: Cuidados Paliativos (CP) são uma abordagem centrada na pessoa que visa melhorar a qualidade de vida através do alívio do sofrimento físico, psicossocial e espiritual. A comunicação é essencial para facilitar a tomada de decisões partilhada e promover uma relação empática. As medidas de isolamento na prestação de cuidados trazem desafios à comunicação comprometendo o contacto e a qualidade do cuidado prestado. Objetivo: Explorar os desafios comunicacionais decorrentes das restrições impostas pelo controlo de infeção em CP. Metodologia: Foi realizada uma revisão narrativa para obter uma síntese interpretativa e uma perspetiva abrangente sobre o tema em análise. A pesquisa foi efetuada nas bases de dados PubMed, Scopus, Scielo e Cochrane Library, utilizando os termos «Palliative Care», «Communication», «Health Communication», «Videoconferencing», «Infection Control», «Quality of Healthcare» e suas combinações. A pesquisa foi limitada a estudos em pessoas com idade superior a 18 anos e nos idiomas português, inglês e espanhol. Resultados: Foram incluídos 8 artigos no estudo, e, após análise dos dados à luz da Teoria das Relações Interpessoais de Hildegard Peplau, foram definidas quatro categorias que refletem os desafios e as estratégias comunicacionais em CP: Barreiras à comunicação presencial em CP, Estratégias de comunicação adaptadas, Eficácia da comunicação virtual vs. presencial e Impacto da comunicação na qualidade dos cuidados. Discussão dos resultados: Este estudo destaca a importância da comunicação empática, sendo que as tecnologias digitais, apesar de úteis, não substituem o contacto físico necessário. A falta de proximidade afetou a qualidade dos cuidados e as desigualdades no acesso às tecnologias agravaram o cenário. É necessário equilibrar o uso da tecnologia com a humanização dos cuidados, garantindo formação contínua dos profissionais para assegurar qualidade na prestação dos serviços. Conclusão: Este estudo permitiu compreender o impacto das medidas de isolamento e de controlo de infeção na comunicação e na prestação de cuidados em CP, evidenciando o papel das tecnologias emergentes e das novas dinâmicas de interação na mitigação destes desafios. Como limitação deste estudo importa destacar que a utilização de uma revisão narrativa não possibilita uma análise exaustiva da literatura disponível
Mathematics rally: introduction to algebra
No full textDifficulties in mathematics are a significant cause of poor academic performance and high dropout rates in both secondary and higher education. This is often attributed to the abstract and disconnected way in which mathematical concepts are traditionally taught. To address this issue, this study proposes an innovative teaching strategy for introducing algebra through a collection of mathematical challenges aimed at beginner students. These challenges, including riddles, crossword puzzles, and adapted traditional board games, are designed to foster student interest, enhance logical thinking, and facilitate the teaching-learning process. The activities encourage students to actively construct their knowledge through hands-on, playful experiences. After administering the rally to 70 students, statistically significant differences were found between the pretest and posttest, leading to the conclusion that this rally can be an appropriate tool for promoting mathematical reasoning, hierarchy of operations, fractions, and algebraic equations.En la educación superior al igual que en niveles educativos previos se tiene una problemática de bajo rendimiento académico, además de una alta deserción escolar. Uno de los factores que influyen en esta problemática es la dificultad de las matemáticas para los alumnos, pues esta suele enseñarse tradicionalmente de una forma meramente abstracta, es por esto, que en este trabajo se presentan los resultados de la aplicación de una propuesta de rally para la enseñanza del álgebra; la cual mediante el uso de retos matemáticos que están seleccionados para fomentar que los estudiantes construyan ellos mismos el aprendizaje. Las actividades incluyen acertijos, crucigramas, así como juegos de mesa tradicionales rediseñados de tal forma que los alumnos adquieran habilidades algebraicas a lo largo de las partidas. El rally se aplicó a un total de 70 estudiantes de primer semestre de ingeniería cuyo dominio del álgebra fue evaluado tomando en cuenta en 4 dimensiones (razonamiento matemático, jerarquía de operaciones, fracciones y ecuaciones algebraicas). Tras la aplicación del rally se encontraron diferencias estadísticamente significativas entre el dominio pretest y el postest, por lo que se concluye que el rally puede ser herramienta adecuada para promover el aprendizaje efectivo del álgebra
Educación menstrual, salud y educación física - Un estudio realizado con jóvenes portuguesas
No full textPortuguese young girls, who usually reach their menarche from the age of 12/13, are faced with biological and emotional factors that, compared to their male counterparts, create an inequality of opportunity for the practice of physical and sports activity (PSA) in the school curriculum, through Physical Education (PE), which for the World Health Organization is a practice that helps to develop physical abilities, to increase the general pleasure in physical and sporting practice, and has a real impact on counteracting a sedentary lifestyle. The physical state of the (pre)menstrual period, whose systemic effects include a state of inflammation that imposes several physicallimitations, is still not widely addressed in the school context and is rarely considered for the practice of Physical Education, reflecting in the short and medium term on adolescents’ health and well-being. This research aimed tounderstand factors perceived by a group of Portuguese female students regarding their (pre)menstrual mood, which interferes with their well-being, in the context of Sports and Physical Activity in Physical Education practice.It was a cross-sectional study using quantitative methodology, conducted with a sample of 461 Portuguese young female students, aged between 17 and 21. Data was collected during July 2024, using a questionnaire created in Google Forms, which complied with ethical procedures, including an informed consent form at the beginning,safeguarding voluntary participation, confidentiality and anonymity. The data were statistically analyzed using SPSS version 29. The results showed that for a large number of university student girls, the physical symptoms of the (pre)menstrual state influence the practice of PSA at school. In this context, Physical Education does not create the best conditions to increase the general pleasure in physical activity, reducing the differences with their male colleagues and promoting active lifestyle habits, which are important for their health, in the short, medium and long term. Las jóvenes portuguesas, que suelen alcanzar la menarquia a partir de los 12/13 años, se enfrentan a factores biológicos y emocionales que, en comparación con sus homólogos masculinos, crean una desigualdad deoportunidades para la práctica de la actividad física y deportiva (AFE) en el plan de estudios escolar, a través de la Educación Física (EF), que para la Organización Mundial de la Salud es una práctica que ayuda a desarrollar las capacidades físicas, a aumentar el placer general en la práctica física y deportiva, y que tiene un impacto real en contrarrestar un estilo de vida sedentario. El estado físico del período (pre)menstrual, cuyos efectos sistémicos incluyen un estado de inflamación que impone varias limitaciones físicas, aún se aborda poco en el contexto escolar y rara vez se tiene en cuenta para la práctica de la Educación Física, lo que se refleja a corto y medio plazo en la salud y el bienestar de las adolescentes. El objetivo de esta investigación era comprender los factores percibidos por un grupo de estudiantes portuguesas en relación con su estado de ánimo (pre)menstrual, que interfieren en su bienestar, en el contexto de la práctica del deporte y la actividad física en la educación física. Se trató de un estudio transversal con metodología cuantitativa, realizado con una muestra de 461 jóvenes estudiantes portuguesas de entre 17 y 21 años. Los datos se recopilaron durante el mes de julio de 2024, mediante un cuestionario creado en Google Forms, que cumplió con los procedimientos éticos, incluyendo un término de consentimiento informado al inicio, salvaguardando la participación voluntaria, la confidencialidad y el anonimato. Los datos se analizaron estadísticamente utilizando el SPSS versión 29. Los resultados mostraron que, para un gran número de jóvenes estudiantes universitarias, los síntomas físicos del estado (pre)menstrual influyen en la práctica de la AFE en la escuela. En este contexto, la Educación Física no crea las mejores condiciones para aumentar el placer general por la actividad física, reducir las diferencias con sus compañeros varones y promover hábitos de vida activos, importantes para su salud a corto, medio y largo plazo.
Internet use and teacher mediation: a case study in an educational centermediación docente
No full textThe widespread avail-ability of internet access is a reality in today’s classrooms. Given the increasing use of the internet by minors, the main online activities they engage in and the mediation strategies employed by teachers to promote responsible and safe use have become relevant topics of research. This descriptive study explores the primary online activities carried out by students and the mediation strategies implemented by teachers to prevent and manage potential online risks, as perceived by the students themselves. To this end, a questionnaire was administered to 159 students from a semi-private school in Alicante, of whom 54.1% were girls and 45.4% boys, enrolled in primary (43.4%) and secondary education (56.6%). The results reveal that boys play video games more frequently than girls. Conversely, girls report that internet-related risks are discussed with them more frequently than with boys. Moreover, secondary school students are more likely to use the internet for social purposes, such as talking to friends, visiting other users’ profiles, and posting content about themselves, although other activities such as watching videos or movies also increase substantially at this educational stage. The teacher mediation strategies that increase significantly at the secondary level include discussing online activities, addressing other online risks, and setting rules within the school context. Previous research indicates that parental mediation strategies regarding internet use tend to decline as students grow older, thereby highlighting the growing importance of digital competence education and risk prevention within the school environment.La conexión generalizada a internet es una realidad en las aulas. Ante su creciente uso por parte de los menores, las principales actividades que estos realizan en la red y las estrategias de mediación que usa el profesorado para promover un uso responsable y seguro se convierten en un tema de investigación relevante. Este estudio descriptivo explora las principales actividades que el alumnado lleva a cabo en internet y las estrategias de mediación puestas en marcha por el profesorado para prevenir y gestionar los potenciales riesgos online desde la perspectiva del propio alumnado. Para este fin se administró un cuestionario a 159 alumnos/as de un centro escolar concertado de Alicante de los cuales el 54.1% eran niñas y el 45.4% niños, de educación primaria (43.4%) y secundaria (56.6%). Los resultados revelan que los alumnos juegan con mayor frecuencia a videojuegos que las alumnas. A su vez, las alumnas perciben que con ellas se habla sobre otros riesgos de internet con mayor frecuencia que con los alumnos. Por otro lado, el alumnado de secundaria presenta en mayor medida usos sociales de internet como hablar con amistades, visitar otras cuentas y publicar contenido sobre sí mismos/as en la red, aunque otras actividades como ver vídeos o películas aumentan de forma considerable en esta etapa educativa. Las estrategias de mediación docente que aumentan significativamente en secundaria son hablar sobre lo que hacen en internet, hablar sobre otros riesgos y poner normas en el centro. Investigaciones previas afirman que las estrategias de mediación parental del uso de internet disminuyen a medida que el alumnado aumenta de edad, lo cual otorga mayor relevancia a la formación en competencia digital y prevención de riesgos que se implementa en el entorno educativo
Perception of pain in the quality of life of the population form the perspective of health psychology
No full textThis research work aims to investigate the perception of pain in adult patients, and how pain affects their quality of life. An online survey was conducted with a sample of 173 participants. Data was collected on pain perception with the Numerical Pain Scale (EN, González et al, 1995) and on quality of life with the WHOQOL-BRIEF scale (Lucas, 1998), including other important variables such as emotions, physical exercise and satisfaction with public health care. The results obtained demonstrate the initial hypothesis, associating a worse quality of life to people suffering from pain, constituting a high cost of health resources, and with the highest rated emotions being frustration and anxiety. All this sheds light on the need to propose specific psychotherapeutic interventions from general health psychology as an alternative and/or complement to the use of pharmaceutical medication.En el presente trabajo de investigación se pretende profundizar sobre la percepción de dolor en pacientes adultos, y cómo el dolor afecta en su calidad de vida. Se ha realizado una encuesta online participando una muestra de 173 personas. Se han recogido datos sobre la percepción de dolor de la Escala numérica de dolor (EN, González et al, 1995) y sobre la calidad de vida con la escala WHOQOL-BRIEF (Lucas, 1998), incluyendo otras variables destacables como las emociones, el ejercicio físico y la satisfacción con la sanidad pública. Los resultados obtenidos demuestran la hipótesis inicial, asociando una peor calidad de vida a las personas que sufren dolor, constituyendo un alto coste de recursos sanitarios, y siendo las emociones puntuadas más altas la frustración y la ansiedad. Todo ello arroja luz para proponer intervenciones psicoterapéuticas específicas desde la psicología general sanitaria como alternativa y/o complemento al uso de medicación farmacéutica