The epistemological trends of Social Work in the latin american context

ABSTRACT: The purpose of this article is to share some of the results of the research State of the Art of the Theoretical and Methodological Foundations of the Professional Intervention of Social Work in Latin America. It analyzes the epistemological dimension of professional intervention in Social Work by reviewing scholarly production in Argentina, Brazil, Chile and Colombia from 1998-2008. The discussion seeks to advance in the configuration of the disciplinary status of Social Work, by consolidating intervention as the foundational and structuralizing axis of the profession, emphasizing its scientific and transformative character in the realm of the social sciences.RESUMEN: El presente artículo tiene como finalidad compartir algunos de los resultados de la investigación Estado del arte sobre la fundamentación teórica y metodológica de la intervención profesional en Trabajo Social en América Latina. Se aborda la problematización de la dimensión epistemológica en la intervención profesional en Trabajo Social a partir de la revisión de esta producción en cuatro países: Argentina, Brasil, Chile y Colombia, en el periodo comprendido ente 1998-2008. La discusión que se propone, pretende avanzar en la configuración del estatuto disciplinar en Trabajo Social, a partir de la consolidación de la intervención como eje fundante y estructurante de la profesión, reivindicando su carácter científico y transformador en el concierto de las ciencias sociales

Bloodstream infections caused by multidrug-resistant Klebsiella pneumoniae producing the carbapenem-hydrolysing VIM-1 metallo-beta-lactamase: first Italian outbreak

Abstract OBJECTIVES: To investigate the first Italian outbreak of bloodstream infections caused by multidrug-resistant (MDR) Klebsiella pneumoniae producing metallo-beta-lactamase (MBL), which occurred in three wards of one large tertiary-care hospital in Genoa, Italy, from September 2004 to March 2005. METHODS: MBL production was screened by an imipenem-EDTA disc synergy test and confirmed by a conventional hydrolysis test. Antibiotic susceptibility was determined by broth microdilution or disc diffusion. PFGE was used to study the genetic relatedness of isolates. PCR and sequencing were carried out to identify the beta-lactamase genes and to analyse the genetic context of the MBL gene. Outer membrane protein (OMP) profiles were analysed by SDS-PAGE. RESULTS: Nine cases of bloodstream infections caused by an MDR strain of K. pneumoniae producing the VIM-1 MBL and the SHV-5 extended-spectrum beta-lactamase (ESBL) were identified. The isolates exhibited various carbapenem resistance levels (imipenem MICs ranged from 4 to 64 mg/L) and were resistant to other beta-lactams, fluoroquinolones, trimethoprim/sulfamethoxazole and chloramphenicol. The isolate with the highest imipenem MIC also lacked the k36 OMP. The bla(VIM-1) gene cassette was part of the variable region of a class 1 integron that also included an aac(6')-IIc cassette. The ESBL and MBL genes were transferable by conjugation. CONCLUSIONS: This is the first report on the emergence of an MDR strain of K. pneumoniae producing the VIM-1 MBL, causing an outbreak of bloodstream infections in an Italian hospital. The strain evolved through OMP alterations generating a mutant with increased carbapenem resistance

Vipera snakebite in Europe: a systematic review of a neglected disease

In 2009, snakebites were included in the list of the World Health Organization (WHO) neglected diseases. Dermatological literature lacks current and up to date articles about snakebites and their management, despite the fact that dermatologists, especially from rural hospitals, can be called into the emergency room to consult the management of suspected snakebites. In this systematic review, we highlighted the main clinical and laboratory aspects of snakebites from Vipera spp. in Europe, by reviewing 3574 studies initially retrieved from PubMed, EMBASE and Cochrane CENTRAL databases. Of these, 78 were finally included in the systematic review. We found that the most involved taxon was V. berus in 63.3% and the most involved anatomic site of the bite was the upper limbs 53.1% with fang marks reported in 90.5%. The mean age of the patients was 32.9 years and bites were slightly more common among males (58.2%). A wound washing was performed in 86.9% of cases before the hospitalization. The most frequently reported grade of envenomation was G2 (42.2%). In addition to local dermatological symptoms (extended erythema, edema, cutaneous necrosis, hives, purpura, petechiae, acute compartment syndrome), numerous systemic symptoms have also been reported, including fatigue (14.4%), pain (75.3%), fever (49.2%), direct anaphylactoid reaction (5.3%), anxiety (60.8%), cranial nerve neurotoxicity (14.8%), dysesthesia/paresthesia (7.9%), vomiting (33.7%), abdominal pain (23.3%), diarrhea (15.4%), dyspnea (6.3%), proteinuria (10.6%) and hematuria (9.3%). Secondary infections were present in 3.5%, disseminated intravascular coagulation in 3.1% of cases, fasciotomy was performed in 4.2% cases, while an amputation in 6.9%. Only 0.9% of patients died. Antivenom was administered in 3053 cases. In conclusion there is a pressing need for robust multi-center randomized control trials, standardized protocol for snakebite management and antivenom administration across Europe and a National snakebite register for each European country

Living with aliens: Suboptimal ecological condition in semiaquatic snakes inhabiting a hot spot of allodiversity

The presence of alien species can embody a form of disturbance for natural communities and the concomitant presence of alien species at different levels within the trophic chain may compromise ecosystem functionality. We studied the ecology of two species of snake (Natrix tessellata and N. natrix) in a system of five ponds with a high number of alien species at a Mediterranean area in central Italy. We evaluated the potential perturbations to ecological traits of snakes due to the presence of alien species, including their body size, population density, and food habits. We compared the studied populations' body size to that estimated in conspecific populations studied elsewhere, including populations at close distance from the study site. Distance sampling and Capture-Mark-Recapture techniques were used to calculate the population density. Diet was estimated using stomach contents and stable isotope ratios (δ 15 N and δ 13 C), using Bayesian stable isotope mixing models to estimate the contribution of food sources and species' isotopic niche spaces. Few prey items were found in the stomach contents of either species, with Ameiurus melas as the main prey. Based on isotope niche analyses, N. tessellata diet consisted of only alien species, and N. natrix diet mostly relied on alien species (> 80%). Stomach contents revealed high overlap between the two species, although isotopes showed a random resource use (i.e. low isotopic niche space overlap). Overall, we caught a low number of individuals, indicating small population sizes. Moreover, snakes at the study site were comparatively smaller in size than most other populations found in the literature and almost all the recorded individuals were in very poor condition or injured by ingested alien prey. We suggest that the presence of rich allodiversity has negatively affected the snakes' fitness by decreasing their foraging performance, increasing their risk of being preyed upon, or through other mechanisms

Bloodstream infections caused by multidrug-resistant Klebsiella pneumoniae producing the carbapenem-hydrolysing VIM-1 metallo-β-lactamase: first Italian outbreak.

Abstract OBJECTIVES: To investigate the first Italian outbreak of bloodstream infections caused by multidrug-resistant (MDR) Klebsiella pneumoniae producing metallo-beta-lactamase (MBL), which occurred in three wards of one large tertiary-care hospital in Genoa, Italy, from September 2004 to March 2005. METHODS: MBL production was screened by an imipenem-EDTA disc synergy test and confirmed by a conventional hydrolysis test. Antibiotic susceptibility was determined by broth microdilution or disc diffusion. PFGE was used to study the genetic relatedness of isolates. PCR and sequencing were carried out to identify the beta-lactamase genes and to analyse the genetic context of the MBL gene. Outer membrane protein (OMP) profiles were analysed by SDS-PAGE. RESULTS: Nine cases of bloodstream infections caused by an MDR strain of K. pneumoniae producing the VIM-1 MBL and the SHV-5 extended-spectrum beta-lactamase (ESBL) were identified. The isolates exhibited various carbapenem resistance levels (imipenem MICs ranged from 4 to 64 mg/L) and were resistant to other beta-lactams, fluoroquinolones, trimethoprim/sulfamethoxazole and chloramphenicol. The isolate with the highest imipenem MIC also lacked the k36 OMP. The bla(VIM-1) gene cassette was part of the variable region of a class 1 integron that also included an aac(6')-IIc cassette. The ESBL and MBL genes were transferable by conjugation. CONCLUSIONS: This is the first report on the emergence of an MDR strain of K. pneumoniae producing the VIM-1 MBL, causing an outbreak of bloodstream infections in an Italian hospital. The strain evolved through OMP alterations generating a mutant with increased carbapenem resistance