Maloca: Espaço de ação afirmativa e ação da política de assistência estudantil?

The purpose of this research is to make an analysis about the Center for the Coexistence of Indigenous Peoples - Maloca and understand its contribution to the permanence of indigenous students at the University of Brasília (UnB). The work in question is the result of the effort made by the aforementioned group of Social Work students during the Social Research discipline. The methodology adopted for the research is semi-open interviews with indigenous students who participated in the Maloca elaboration process or who enjoy the space and institutional actors who contributed (or did not) to this process. As well as bibliographical revision regarding the subject and documentary research concerning the idealization and construction of the Maloca. The results point to the lack of understanding by the indigenous students of Maloca as a space for student assistance, to somehow discharacterize their struggle for space effectiveness. Bearing in mind the National Policy on Student Assistance and the particularities of indigenous culture, the aim was to bring these two axes through Maloca with the objective of broadening the perspective of Student Assistance and the greater recognition and incorporation of history, values ”‹”‹and knowledge of the Indigenous people.La propuesta de esta investigación es hacer un análisis sobre el Centro de Convivencia de los Pueblos Indígenas ”“ Maloca y comprender su contribución a la permanencia de los estudiantes indígenas en la Universidad de Brasilia (UnB). El trabajo en cuestión es resultado del esfuerzo dedicado por el referido grupo de estudiantes de Servicio Social durante la disciplina de Investigación Social del año 2015. La metodología adoptada para la investigación fue de entrevistas semi-abiertas con estudiantes indígenas que participaron del proceso de elaboración de la Maloca o que usufructúan el espacio, además de los actores institucionales que contribuyeron (o no) en ese proceso. Se complementó con  la revisión bibliográfica acerca del tema y la revisión documental referente a la idealización y construcción de la Maloca. Los resultados indican que los estudiantes indígenas no perciben la Maloca como un espacio de asistencia estudiantil, porque de alguna forma se distorsiona la lucha de ellos para poner en práctica dicho espacio. Teniendo en mente la Política Nacional de Asistencia Estudiantil y las particularidades de la cultura indígena se busca aproximar esos dos ejes que atraviezan la Maloca con el objetivo de ampliar la perspectiva de la asistencia estudantil, además de un mayor reconocimiento e incorporación de la historia, valores y conocimiento de los pueblos indígenas.A proposta desta pesquisa é fazer uma análise sobre o Centro de Convivência dos Povos Indígenas ”“ Maloca e compreender sua contribuição para a permanência dos estudantes indígenas na Universidade de Brasília (UnB). O trabalho em questão é resultado do esforço empenhado pelo referido grupo de estudantes de Serviço Social durante a disciplina de Pesquisa Social no ano de 2015. A metodologia adotada para a pesquisa é de entrevistas semi-abertas com estudantes indígenas que participaram do processo de elaboração do Maloca ou que usufruem do espaço e atores institucionais que contribuíram (ou não) nesse processo. Assim como revisão bibliográfica a respeito do tema e pesquisa documental referente à idealização e construção do Maloca. Os resultados apontam para a não compreensão por parte dos estudantes indígenas do Maloca como espaço de assistência estudantil, por de alguma forma descaracterizar a luta deles para efetivação do espaço. Tendo em mente a Política Nacional de Assistência Estudantil e as particularidades da cultura indígena buscou-se aproximar esses dois eixos que perpassam o Maloca com o objetivo de ampliação da perspectiva de Assistência Estudantil e o maior reconhecimento e incorporação da história, valores e conhecimento dos povos indígenas

Development of a Nomogram Predicting the Risk of Persistence/Recurrence of Cervical Dysplasia

Background: Cervical dysplasia persistence/recurrence has a great impact on women's health and quality of life. In this study, we investigated whether a prognostic nomogram may improve risk assessment after primary conization. Methods: This is a retrospective multi-institutional study based on charts of consecutive patients undergoing conization between 1 January 2010 and 31 December 2014. A nomogram assessing the importance of different variables was built. A cohort of patients treated between 1 January 2015 and 30 June 2016 was used to validate the nomogram. Results: A total of 2966 patients undergoing primary conization were analyzed. The median (range) patient age was 40 (18-89) years. At 5-year of follow-up, 6% of patients (175/2966) had developed a persistent/recurrent cervical dysplasia. Median (range) recurrence-free survival was 18 (5-52) months. Diagnosis of CIN3, presence of HR-HPV types, positive endocervical margins, HPV persistence, and the omission of HPV vaccination after conization increased significantly and independently of the risk of developing cervical dysplasia persistence/recurrence. A nomogram weighting the impact of all variables was built with a C-Index of 0.809. A dataset of 549 patients was used to validate the nomogram, with a C-index of 0.809. Conclusions: The present nomogram represents a useful tool for counseling women about their risk of persistence/recurrence after primary conization. HPV vaccination after conization is associated with a reduced risk of CIN2+

Laparoscopy for ureteral endometriosis: surgical details, long-term follow-up, and fertility outcomes

To evaluate perioperative details, long-term outcomes, and postsurgical fertility in case of laparoscopic ureterolysis for deep endometriosis

Laparoscopic versus open abdominal management of cervical cancer: long-term results from a propensity-matched analysis

To compare perioperative and long-term outcomes related to laparoscopic and open abdominal surgical management of cervical cancer.To compare perioperative and long-term outcomes related to laparoscopic and open abdominal surgical management of cervical cancer

Perioperative and long-term outcomes of laparoscopic, open abdominal, and vaginal surgery for endometrial cancer in patients aged 80 years or older

This study was undertaken to evaluate the safety, feasibility, and the long-term effectiveness of laparoscopy in endometrial cancer patients aged 80 years or older

Hysterectomy for non-prolapsed uterus in elderly patients: predictors of prolonged hospital stay

Objective: To investigate surgical outcomes and complications of hysterectomy for benign conditions other than prolapse in elderly patients and to define predictors of prolonged hospitalization. Design: Retrospective analysis of prospectively-collected data. Setting: Academic research center Patients: We utilized our institution surgical database to identify patients aged 60 years or more ("elderly") who underwent hysterectomy for benign conditions other than pelvic organ prolapse during a 20-year period (January 2000 - December 2019). Methods: Length of stay (LOS) of more than 2 days (90th percentile of LOS) was defined as prolonged hospitalization. Patient demographics, comorbid conditions, and surgical approach (vaginal hysterectomy (VH), laparoscopic hysterectomy (LH) and abdominal hysterectomy (AH)) were identified. Patients treated via LH or VH were also grouped as minimally invasive surgery (MIS). Multivariable logistic regression was used to identify factors associated with prolonged LOS. Results: Overall, 334 patients were included in this study, 262 (78.4%) of whom underwent LH, 42 (12.6%) VH and 30 (9.0%) AH. Median LOS was 2 days (1-8), and 63 (18.8%) patients required prolonged LOS. Compared to AH, median hospital stay was shorter in MIS group (2 days vs. 3 days, p<0,001). No admission variables were associated with prolonged LOS. The only independent predictors of prolonged LOS were AH (Odds ratio 24.82, 95%CI 4.84-127.16) and operative time (Odds ratio for 30mins-increased 11.34, 95%CI 1.63-78.78). Compared to those who underwent VH, patients having LH had a higher rate of concomitant salpingo-oophorectomy (96.6% vs. 61.9%, p<0.001). Limitations: retrospective single-center study design, number of patients with prolonged hospitalization, setting (tertiary minimally invasive gynecology referral center) which might have reduced the generalizability of our results. Conclusions: The abdominal route of hysterectomy was found as the main driver of prolonged hospitalization, reinforcing the benefits of MIS for benign hysterectomy in elderly patients with non-prolapsed uteri; the higher chance of performing concomitant salpingo-oophorectomy supports the laparoscopic approach as the first option for these patients

The Feasibility of Cardiophrenic Lymphnode Assessment and Removal in Patients Requiring Diaphragmatic Resection During Interval Debulking Surgery for Ovarian Cancer

Background Several studies have demonstrated the feasibility and role of bulky cardiophrenic lymph nodes (CPLNs) resection during primary debulking surgery (PDS) for stage IV ovarian cancer (OC). However, no studies, to date, investigated the accuracy and feasibility of CPLNs assessment and removal during interval debulking surgery (IDS) after neoadjuvant chemotherapy (NACT). Material and Methods A retrospective analysis of consecutive stage IV OC patients who underwent NACT followed by IDS with CPLNs assessment and/or resection from July 2017 to June 2018. Bulky CPLNs were considered for excision when a full-thickness diaphragmatic resection was required in order to achieve complete tumour resection. Results A total of 21 ovarian cancer stage IV patients treated with NACT followed by IDS were identified. Seven (33.3%) patients underwent CPLNs resection due to bulky appearance of the CPLNs at the intraoperative palpation. The final histological examination of the CPLNs reported metastatic disease in four (57%) of seven patients. Complete cytoreduction without residual disease was achieved in five cases (71.4%) while in two case (28.6%) optimal cytoreduction was performed. Intra-operative surgical complications occurred in one patient. One patient had a major postoperative complication (Clavien-Dindo 3). Two cases of postoperative cardiac arrhythmia were observed. Conclusions CPLNs intraoperative assessment is less accurate during IDS compared to previous PDS studies. CPLNs removal during IDS after NACT for stage IV OC could be safely performed to achieve a complete resection

Nerve-sparing versus conventional laparoscopic radical hysterectomy: a minimum 12 months' follow-up study

The objective of this study was to determinate whether the introduction of nerve-sparing (NS) procedure influences surgical and survival outcomes of cervical cancer patients undergoing laparoscopic radical hysterectomy (LRH)

Local anesthetic versus forced coughing at colposcopic-guided biopsy: a prospective study

To evaluate whether the administration of local anesthetic (LA) reduces pain in comparison with forced coughing (FC) for the execution of colposcopically guided biopsies (CGBs)

Laparoscopic Versus Open Hysterectomy for Benign Disease in\ua0Women with Giant Uteri ( 651500\ua0g): Feasibility and Outcomes

Study Objective To evaluate perioperative outcomes and complications of laparoscopic hysterectomy (LH) in women with giant uteri ( 651.5 kg) compared with open abdominal hysterectomy (AH), which is considered the reference. Design A retrospective analysis of prospectively collected data (Canadian Task Force Classification II-2). Setting An academic research center. Patients All consecutive women who underwent hysterectomy for uteri weighing 651500 g (total = 51) between 2000 and 2015 were analyzed. Twenty-seven (53%) patients had been scheduled for the laparoscopic approach (LH), whereas 24 (48%) had been scheduled for AH. Interventions Hysterectomy \ub1 mono/bilateral salpingo-oophorectomy. Main Outcome Measures Perioperative details, incidence, severity, and type of complications were analyzed according to surgical approach (AH vs LH). We also evaluated the trends over time in terms of perioperative outcomes. Results AH was associated with a shorter operative time (97.5 vs 160 minutes, p = .004) compared with LH. Blood loss (200 vs 225 mL, p = .21) and the decrease in postoperative hemoglobin ( 121.2 vs 121.1, p = .89) were similar between AH and LH. Intra- and postoperative complications were similar between the 2 groups; however, hospital stay was significantly shorter in the LH group (median = 3 days vs 1 day, p < .001). A significant trend toward a progressive increase in the use of the minimally invasive approach was registered through the years (p = .001). Parallel to this increase, we observed a significant reduction in terms of length of stay. Moreover, a decrease in the total number of complications, mainly because of a decrease in the rate of early minor events, was observed through the years. Conclusions Our experience shows that LH can be considered a feasible procedure, even in cases of uteri 651.5 kg, with significant advantages over open surgery in terms of postoperative hospital stay