La violencia contra las mujeres en la legislación penal colombiana

This article explains and analyzes some criminal prohibitions that, according to the author, penalize some types of gender violence, which are enshrined in the Convention of Belem Do Para and which is introduced by the Law 1257 of 2008 to the Colombian leEl artículo explica y analiza algunos tipos penales que, a juicio del autor, sancionan las formas de violencia contra el género o la mujer, que están consagradas en la Convención de Belem Do Para y que introduce la Ley 1257 de 2008 al ordenamiento colomb

La violencia contra las mujeres en la legislación penal colombiana

This article explains and analyzes some criminal prohibitions that, according to the author, penalize some types of gender violence, which are enshrined in the Convention of Belem Do Para and which is introduced by the Law 1257 of 2008 to the Colombian legal system. To do so, the author uses not only what is prohibiting by the law, but some of the relevant jurisprudential decisions that have been made in this subject. Thus, the author begins by giving a clear definition of gender violence, then she establishes the different forms of violence against women as the Convention established and finally analyzes in detail each of the forms of violence according to how they are typified in the Colombian criminal legislationEl artículo explica y analiza algunos tipos penales que, a juicio del autor, sancionan las formas de violencia contra el género o la mujer, que están consagradas en la Convención de Belem Do Para y que introduce la Ley 1257 de 2008 al ordenamiento colombiano. Para ello, el autor se vale de la crítica no solo de los tipos penales como tal, sino de algunas decisiones jurisprudenciales relevantes que se han dado sobre el tema. Así, comienza por dar una definición clara sobre la violencia de genero, luego establece las diferentes formas de violencia contra la mujer según lo ha establecido la Convención y finalmente analiza en detalle cada una de las formas de violencia según la forma en como están tipificadas en la legislación penal colombian

La experiencia de formación en intervención terapéutica: reflexiones suscitadas durante el entrenamiento de la Especialización en Terapia Familiar de la Universidad Católica Luis Amigó

This paper establishes some reflections as result of a training exercise in the family therapeutic intervention carried out with families, during the first semester of the Family Therapy specialization program at Universidad Católica Luis Amigó. This exercise brings about meaning issues such as: the understanding of one´s self, communication as a possibility, the use of techniques and observation experiences in early sessions with families. The analysis of this training experience, is based on conceptual and life elements that are fundamental in family therapy that try influence the professional exercise under a systematic epistemology with a theoretical basis and a true reflective process.El presente artículo plantea reflexiones resultado de la experiencia de entrenamiento en intervención terapéutica con familias, llevada a cabo durante el primer semestre de formación como especialistas en terapia familiar de la Universidad Católica Luis Amigó. En el ejercicio se identifican asuntos significativos como la comprensión del sí mismo (self), la comunicación como posibilidad, el uso de técnicas y la experiencia de observación en las primeras sesiones con familias. Al plantear reflexiones suscitadas durante la práctica de entrenamiento, se retoman elementos conceptuales y vivenciales que articulados se consideran eje central del terapeuta familiar que busca conducir el ejercicio profesional bajo una epistemología sistémica con asiento conceptual y un verdadero proceso reflexivo

Depression and anxiety in decision-making, existential isolation, death and lack of vital sense in religious and non-religious people

El presente estudio tiene como objetivo describir la ansiedad ante las situaciones existenciales en religiosos y no religiosos en una muestra 100 universitarios colombianos, con una edad promedio de 22 años. Los participantes completaron el ANSIV que mide ansiedad existencial (ANSIV) y la Escala de Depresión de Zung. Los hallazgos comprueban que los no religiosos presentaron mayor ansiedad que los religiosos frente a la toma de decisiones; que no se observaron diferencias en relación al sentido de vida en ambos grupos; que los no religiosos presentaron ansiedad más exacerbada frente a la muerte que los religiosos y que los religiosos se encontraron menos ligeramente deprimidos que los no religiosos.The present study aims to describe the anxiety in existential situations in religious and non-religious people in a sample of 100 students from Colombia with an average age of 22 years. The participants completed the ANSIV that measures Existential Anxiety and SelfRating Depression Scale. The findings show that the non-religious presented higher anxiety than the religious people in decision-making process; no differences were observed in relation to the meaning of life in both groups; non-religious presented anxiety more exacerbated in the face of death than religious people and the religious were found slightly less depressed than non-religious

Depression and anxiety in decision-making, existential isolation, death and lack of vital sense in religious and non-religious people

El presente estudio tiene como objetivo describir la ansiedad ante las situaciones existenciales en religiosos y no religiosos en una muestra 100 universitarios colombianos, con una edad promedio de 22 años. Los participantes completaron el ANSIV que mide ansiedad existencial (ANSIV) y la Escala de Depresión de Zung. Los hallazgos comprueban que los no religiosos presentaron mayor ansiedad que los religiosos frente a la toma de decisiones; que no se observaron diferencias en relación al sentido de vida en ambos grupos; que los no religiosos presentaron ansiedad más exacerbada frente a la muerte que los religiosos y que los religiosos se encontraron menos ligeramente deprimidos que los no religiosos.The present study aims to describe the anxiety in existential situations in religious and non-religious people in a sample of 100 students from Colombia with an average age of 22 years. The participants completed the ANSIV that measures Existential Anxiety and SelfRating Depression Scale. The findings show that the non-religious presented higher anxiety than the religious people in decision-making process; no differences were observed in relation to the meaning of life in both groups; non-religious presented anxiety more exacerbated in the face of death than religious people and the religious were found slightly less depressed than non-religious

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Depression and anxiety before decision making, existential isolation, death and lack of vital sense in religious and non-religious

El presente estudio tiene como objetivo describir la ansiedad ante las situaciones existenciales en religiosos y no religiosos en una muestra 100 universitarios colombianos, con una edad promedio de 22 años. Los participantes completaron el ANSIV que mide ansiedad existencial (ANSIV) y la Escala de Depresión de Zung. Los hallazgos comprueban que los no religiosos presentaron mayor ansiedad que los religiosos frente a la toma de decisiones; que no se observaron diferencias en relación al sentido de vida en ambos grupos; que los no religiosos presentaron ansiedad más exacerbada frente a la muerte que los religiosos y que los religiosos se encontraron menos ligeramente deprimidos que los no religiosos.The present study aims to describe the anxiety in existential situations in religious and non-religious people in a sample of 100 students from Colombia with an average age of 22 years. The participants completed the ANSIV that measures Existential Anxiety and SelfRating Depression Scale. The findings show that the non-religious presented higher anxiety than the religious people in decision-making process; no differences were observed in relation to the meaning of life in both groups; non-religious presented anxiety more exacerbated in the face of death than religious people and the religious were found slightly less depressed than non-religious

Surgical site infection after gastrointestinal surgery in children : an international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45 center dot 1%) children were from high HDI, 397 (34 center dot 2%) from middle HDI and 239 (20 center dot 6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12 center dot 8% (51/397) in middle HDI and 24 center dot 7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.Peer reviewe