Search

Pe. Ibiapina (1806-1883) protagonizou, por antecipação, a opção pelos pobres formalizada em Medellín e reassumida em Puebla. Foi um de seus precursores. A releitura da história do Pe. Ibiapina – seu testemunho de vida, sua pregação, sua atuação missionária, suas iniciativas no âmbito social caritativo – revela seu caráter profético de homem comprometido com a Igreja, capaz de olhar, no entanto, para além do espaço eclesiástico, onde encontra os pobres, os principais beneficiários de sua ação e razão de ser de seu ministério. Faremos, neste texto, uma espécie de mapeamento da atuação do Pe. Ibiapina, com o objetivo de evidenciar o filão da opção pelos pobres que dá unidade aos vários âmbitos de seu trabalho pastoral.

Demola model aims to apply a methodology of co-creation processes, based on cooperation systems, having as objective applying science, technology and innovation policies in personal, educational and business contexts. Considering that the co-creation method is based on a joint initiative, in which providers and beneficiaries create value together, it is intended to demonstrate the impact this methodology brings to educational quality, namely its application to the Portuguese polytechnic higher education system. From the insights and ideas that emerged from the content analysis, this description is enriched and an integrated definition of co-creation of value is developed. Firstly, a theoretical contextualization of the definition of co-creation and its processes is proposed, giving emphasis to the model developed by Demola Global. Then, the impacts of its application on students, teachers and organizations, evaluated through surveys carried out after a first batch of co-creation projects, are presented and discussed. With this study, it is meant to identify the main changes that co-creation confers when applied in the learning context and which significant developments result from its use.

À partir de sa propre expérience, l’écrivain Luis Araújo s’interroge dans cet article sur les questions dramaturgiques – affectant le personnage, le rythme, la tension, le langage, le rapport au réel, etc. – que pose la réécriture sous toutes ses formes.

Se describen los primeros tres casos de tuberculosis pulmonar por Mycobacterium bovis en Uruguay. Uno de los enfermos poseía antecedentes de contacto con animales en un zoológico; el otro, portador del virus de inmunodeficiencia humana (VIH), estaba en contacto cotidiano con derivados cárnicos de ganado vacuno, el tercero poseía antecedentes de ingestión de leche no pasteurizada. En todos los casos se pudo confirmar la etiología mediante la aplicación rutinaria de técnicas de biología molecular en conjunto con la bacteriología convencional. A pesar de que se ha realizado la búsqueda sistemática de M. bovis en muestras clínicas que ingresan a nuestro laboratorio, hasta ahora no se habían podido reportar aislamientos de origen humano. La presencia de este microorganismo en muestras veterinarias en la última década permite esperar la aparición de nuevos casos en sujetos inmunocompetentes y pacientes VIH/SIDA. El antecedente de contacto estrecho con animales, especialmente ganado bovino, o con sus productos derivados, o ambos, debe alertar al clínico sobre la posibilidad de esta zoonosis en cuyo tratamiento se debe excluir la pirazinamida.

El objetivo del estudio fue determinar cómo influye el tecnoestrés en el desempeño laboral de los docentes del nivel secundario, distrito de Aplao, ubicado en la región Arequipa. La investigación se basó en un enfoque cuantitativo, de nivel aplicado y de tipo correlacional descriptivo, enmarcado en un diseño no experimental transversal. La población representada por un total de 83 docentes, a quienes se aplicó la técnica del cuestionario de tipo Likert para el recojo de información sobre las variables de estudio. Igualmente, se empleó el análisis descriptivo usando los programas de Microsoft Excel y el SPSS v.25. Además, se empleó la prueba no paramétrica de la Rho de Spearman para determinar cómo es la correlación entre las variables de estudio. Se concluye que el tecnoestrés influye directa y moderadamente en el desempeño laboral de los docentes del nivel secundario, ya que, el estadígrafo de la Rho de Spearman arrojó un valor de Rho=0,607, y una significancia de p=0,000, menor a los lineamientos planteados p

El trabajo resalta la importancia del patrimonio cultural entendida como uno de los bienes más importantes de la nación , ya sea desde un punto de vista sociológico, cultural, económico o político, el cual con el transcurso del tiempo se convierte en parte de la identidad nacional , la Ciudad de Arequipa posee un reconocimiento mundial por su belleza arquitectónica, la misma que debe ser protegida y preservada por el Estado y la sociedad civil para mantener este legado para el futuro y su utilización como escenario de aprendizaje. El trabajo identificó situaciones problemáticas que dañan su reconocimiento, como las construcciones ilícitas, el uso de grafitis y los desmoronamientos de algunas construcciones. El estudio se realiza desde el enfoque como producto de la utilización del centro histórico nuestra ciudad como escenario de aprendizajes.

Objective: the paper introduces a framework for conducting interpretive research using deep learning algorithms that blur the boundaries between qualitative and quantitative approaches. The work evidences how research might benefit from an integrated approach that uses computational tools to overcome traditional limitations. Proposal: the increased availability and diversity of data raises the utility of algorithms as research tools for social scientists. Furthermore, tuning and using such computational artifacts may benefit from interpretive procedures. Such circumstances turn the traditional debate between quantitative and qualitative research on its head: the research strategy that likely yields the most assertiveness and rigor is the one that may require vigorous hermeneutic effort. Along these lines, neural word embeddings can be instrumental in allowing researchers to read the data closely before and after interpretation. Conclusions: to take advantage of the opportunity generated by these new algorithms, researchers may broaden their previous conceptions and adopt a participative point of view. In the coming decades, the interweaving of computational and interpretive methods has the potential to integrate rigorous social science research.

Myopericarditis has occasionally been reported as a side effect of mesalamine in patients with inflammatory bowel disease. We present a 20-year-old woman with ulcerative colitis admitted with chest pain. After thorough investigation she was diagnosed with myopericarditis potentially related to mesalamine. There was complete clinical and laboratorial recovery following drug withdrawal. Although uncommon, the possibility of myopericarditis should be considered in patients with inflammatory bowel disease presenting with cardiac complaints. Early recognition can avoid potential life-threatening complications.

Background: Nonvariceal upper gastrointestinal bleeding emerges as a major complication of using antiplatelet agents and/or anticoagulants and represents a clinical challenge in patients undergoing these therapies. Aim: To characterize patients with nonvariceal upper gastrointestinal bleeding related to antithrombotics and their management, and to determine clinical predictors of adverse outcomes. Methods: Retrospective cohort of adults who underwent upper gastrointestinal endoscopy after nonvariceal upper gastrointestinal bleeding from 2010 to 2012. The outcomes were compared between patients exposed and not exposed to antithrombotics. Results: Five hundred and forty-eight patients with nonvariceal upper gastrointestinal bleeding (67% men; mean age 66.5 ± 16.4 years) were included, of which 43% received antithrombotics. Most patients had comorbidities. Peptic ulcer was the main diagnosis and endoscopic therapy was performed in 46% of cases. The 30-day mortality rate was 7.7% (n = 42), and 36% were bleeding-related. The recurrence rate was 9% and 14% of patients with initial endoscopic treatment needed endoscopic retreatment. There were no significant differences between the exposed and non-exposed groups in most outcomes. Co-morbidities, hemodynamic instability, high Rockall score, low hemoglobin (7.76 ± 2.72 g/dL) and higher international normalized ratio (1.63 ± 1.13) were associated significantly with mortality in a univariate analysis. Conclusions: Adverse outcomes were not associated with antithrombotic use. The management of nonvariceal upper gastrointestinal bleeding constitutes a challenge to clinical performance optimization and clinical cooperation.

Background: Acute severe colitis (ASC) remains a challenging complication of ulcerative colitis. The early identification of patients who will not respond to optimal therapy is warranted. Increasing evidence suggests that endoscopy may play a role in predicting important outcomes in acute severe colitis. Methods: The endoscopic activity of consecutive patients with acute severe colitis was evaluated using the Mayo endoscopic sub-score (Mayo) and the ulcerative colitis endoscopic index of severity (UCEIS). Two segmental indexes were also produced by summing the scores of the rectum and sigmoid (seg-Mayo and seg-UCEIS, respectively). Endpoints included the need for salvage therapy with infliximab or cyclosporine, refractoriness to corticosteroids, and colectomy. Results: Of one hundred and eight patients enrolled in the study, 60 (55.6%) were male; with a median age of 34.5 years (range 15-80). All patients received intravenous steroids. Fifty-nine patients (55.6%) showed an incomplete or absent response to steroids, 35 patients (34.3%) received salvage therapy with infliximab or cyclosporine and 38 patients (33.3%) were colectomized during the index hospitalization or within the first year of follow-up. All scores were able to predict the need for surgery, but only the seg-UCEIS significantly predicted refractoriness to steroids. Conclusions: There was a strong correlation between endoscopic severity and unfavorable outcomes. The UCEIS outperformed the Mayo endoscopic sub-score in all important outcomes. Segmental scoring further improved the performance of the UCEIS.

Ischemic colitis is the most common subtype of intestinal ischemia usually resulting from vasospasm, vessel occlusion or mesenteric hypoperfusion. Neuroleptics have seldom been linked to ischemic colitis by blocking peripheral anticholinergic and antiserotonergic receptors inducing severe gastrointestinal paresis. We report a young patient with severe ischemic colitis requiring surgery due to necrosis of the bowel. After exclusion of other potential causes, olanzapine was admitted as the cause of ischemia. Clinicians should be aware of how to recognize and treat the potentially life-threatening effects of neuroleptics.

Introducción: la obesidad es una causa importante de morbimortalidad, considerada un problema de salud pública. La cirugía bariátrica es actualmente una de las estrategias utilizadas para reducir la obesidad, no obstante existen pocos datos sobre su impacto en la calidad de vida relacionada con la salud (CVRS). El objetivo fue comparar la calidad de vida de obesos programados para cirugía bariátrica con pacientes previamente intervenidos. Metodología: estudio comparativo transversal, en personas con obesidad que fueron reunidos así: [Grupo 1] Pacientes obesos con indicación médica para cirugía bariátrica y en proceso de programación operatoria. [Grupo 2] Pacientes con cirugía bariátrica de reciente intervención, no mayor a seis meses. [Grupo 3] Pacientes con cirugía bariátrica realizada entre seis meses y un año. [Grupo 4] Pacientes con más de un año de intervención de cirugía bariátrica. Los datos de contacto tomados de las historias clínicas de dos centros hospitalarios de Cartagena, Colombia. Fueron contactados, invitados a participar y se les aplicaron las escalas de calidad de vida, SF-36 y B.A.R.O.S. Los datos fueron analizados por medio del programa estadístico EPI-INFO versión 3.5.1 Resultados: en el estudio se incluyeron 94 personas de las cuales 66 (70.2%) eran mujeres y 28 (29.8%) hombres. Estaban distribuidos así: Grupo 1: 22; Grupo 2: 24; Grupo 3: 20 y Grupo 4: 28 personas. La cirugía que más se realizaron fueron: sleeve gástrico (59.7%) y bypass gástrico 40.3%. El promedio del índice de masa corporal en el grupo 1, programados a cirugía, fue 40.5 y el promedio de los intervenidos fue 29.9. La puntuación total y los dominios de la escala SF-36 se aumentó significativamente entre mayor tiempo existía desde la realización de la cirugía, o sea tenían mejor calidad de vida. También con la escala B.A.R.O.S. se observó mejoría en todos sus dominios, excepto sexual, en los grupos de personas intervenidos frente a los que estaban pendientes de la cirugía. Conclusiones: los pacientes obesos programados a cirugía bariátrica tuvieron peor calidad de vida que los ya intervenidos. Rev.cienc.biomed. 2014;5(1):79-87