En los márgenes de los márgenes: Procesos de individuación y experiencias migratorias de jóvenes en barrios populares del Área Metropolitana de Buenos Aires

En este trabajo presentamos resultados de dos proyectos de investigación financiados, culminados recientemente, y un estudio doctoral en proceso, en el marco de los cuales analizamos los procesos de individuación en jóvenes en diversos barrios vulnerabilizados del Área Metropolitana de Buenos Aires. Para la construcción de datos empíricos realizamos entrevistas en profundidad y relatos biográficos, para cuyo análisis seguimos los lineamientos generales de la teoría fundamentada, utilizando como auxiliar el software Atlas.ti. Aquí nos centramos en el estudio de las experiencias migratorias de cinco jóvenes, de entre 16 y 23 años, provenientes de Paraguay. En primer lugar, presentamos algunas herramientas conceptuales utilizadas para el despliegue del problema. Luego abordamos las tensiones presentes en dichas experiencias entre los proyectos individuales, los vínculos afectivos y las condiciones estructurales de los países de origen y destino. En tercer lugar, analizamos las vivencias y las tácticas de los jóvenes frente a situaciones de discriminación y estigmatización. Finalmente, articulamos las categorías y proposiciones presentadas reflexionando sobre los posibles aportes de la sociología de la individuación y el enfoque biográfico para la visibilización y abordaje –desde la investigación social y las políticas públicas– de los procesos de vulnerabilidad de jóvenes migrantes en barrios populares.In this paper we present results of two research funded projects recently culminated and a doctoral study in process, in which we analyze the individuation processes in young people in different vulnerabilized neighborhoods of the Metropolitan Area of Buenos Aires. The empirical data was constructed using deep interviews and life story as methodological tools, following for this analysis the general guidelines of grounded theory and using Atlas.ti software assistant. Here we focus on the study of migratory experiences of five young people from Paraguay, aged between 16 and 23 years old. First, we present some theoretical tools used to display the problem. Then, we address the existing tensions in their experiences among individual projects, emotional relationships and the structural conditions of the countries of origin and destination. In third place, we develop our analysis of the experiences and the tactics of young migrants in situations of discrimination and stigmatization. Finally, we relate the categories and propositions presented, reflecting on the possible contributions of sociology of individuation and biographical approach to the visualization and to address –from social research and public policies– the vulnerability processes of young people migrants in popular neighborhoods.Fil: Di Leo, Pablo Francisco. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; ArgentinaFil: Tapia, Silvia Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; Argentin

Health professionals learning qualitative research in their workplace: a focused ethnography

Background The interest for qualitative research methodology has expanded beyond theoretical academic research on medical education, gathering interest from all healthcare professionals. Qualitative research has potentials in exploring the social, emotional, psychological aspects of care and in broadening professionals\u2019 scientific competencies. Nonetheless, qualitative research has still not been embraced within formal and academic curricula for future professionals, preventing newer generations from appreciating the value of its epistemological and methodological aspects and from using it in the development and implementation of clinical research. The purpose of this study was to comprehend the attitudes of health professionals learning and conducting qualitative studies within a practical training program developed in their workplace. Methods The present work consisted of a focused ethnography, including 14 professionals during their one-year attendance training on qualitative research methodology. Strategies used for collecting data included participant observations, field notes, semi-structured interviews, and a focus group. All the data were analyzed consistently with ethnographic indications. Results Analyses allowed us to evidence the educational, motivational, group-related and organizational factors influencing the attitudes and skill acquisition of healthcare professionals learning and conducting qualitative research within a practical training program developed in their workplace. Prior educational background was perceived as a sort of barrier. Nonetheless, the training boosted a change in attitude both in terms of appreciation of the research approach and trainees\u2019 emotional involvement with research participants. Doing a qualitative study in a multidisciplinary team raised in-group dynamics that hindered bringing the studies to conclusion. Trainees repeatedly lamented the difficulty in managing time to devote to research-related activities and questioned the feasibility of adopting this methodology for conducting research in their workplace. Conclusions Continual education training on the methodological aspects and practical implications of qualitative research may foster a renewed attitude towards one\u2019s professional education, while making inter-professional relationship issues emerge. Nonetheless, broadening the perspectives of professionals on their clinical practice by means of learning qualitative methodology may have an evident quality improvement return. Strategies for future qualitative research methodology hands-on training addressed to health professionals in continuing education are proposed

\u201cI go into crisis when \u2026\u201d: ethics of care and moral dilemmas in palliative care

Background: Recognising and knowing how to manage ethical issues and moral dilemmas can be considered an ethical skill. In this study, ethics of care is used as a theoretical framework and as a regulatory criterion in the relationship among healthcare professionals, patients with palliative care needs and family members. This study is a part of a larger project aimed at developing and implementing a training programme on \u201cethical communication\u201d addressed to professionals caring for patients with palliative care needs. The aim of this study was comprehending whether and how the ethics of care informs the way healthcare professionals make sense of and handle ethical issues in palliative care. Methods: Qualitative study employing a theoretically driven thematic analysis performed on semi-structured interviews. The research was conducted in a clinical cancer centre in northern Italy. Eligible participants were physicians and nurses from eleven hospital wards who assisted patients with chronic advanced disease daily and had previously attended a 4-h training on palliative care held by the hospital Palliative Care Unit. Results: The researchers identified five themes: morality is providing global care; morality is knowing how to have a relationship with patients; morality is recognizing moral principles; moral dimension and communication; and moral dilemmas are individual conflicts. Conclusions: Ethics of care seems to emerge as a theoretical framework that includes the belief systems of healthcare professionals, especially those assisting patients with palliative care needs; moreover, it allows the values of both the patients and professionals to come to light through the relationship of care. Ethics of care is also appropriate as a framework for ethical training

Mobilities, Individuation, and Agencies: An Analysis Based on Young Migrants’ Biographical Narratives in Buenos Aires, Argentina

Social studies point out the unequal conditions for moving or staying, internally or internationally, that young people from different social sectors face in their biographies. In this article, we analyze the migratory experiences of young people from popular sectors of the Metropolitan Area of Buenos Aires, Argentina. To do that, we put into dialogue recent studies on migration and proposals of the sociology of individuation and the new mobility paradigm. We approach the individuation processes of these young people through the qualitative analysis of their biographical narratives in which their migration experiences emerged as turning points in their lives. The article argues that young migrants from popular sectors draft their agencies and shape themselves as individuals by mobilizing material and symbolic supports and accessing different social shock-absorbers that allow them to cope with three major social challenges in their migratory processes: the socio-labor trial; the family trial, and the identity trial. By identifying the discontinuities and the common evidence present in the migratory experiences of these young people and their families, the paper ends highlighting the articulations among coercions, elasticities, and strategies that these youth migrant mobilize, individually and collectively, around themselves and others, through border-links to create shelters and deal with such challenges

Undergoing head and neck cancer surgery: A grounded theory

Surgery is the treatment of choice in most head and neck cancers. Very often, the surgery is radical with high impact on the psychosocial, functional and aesthetic fields. The aim of this study is to gain a deeper understanding of the patient's, clinician's and key informant's point of view when surgery is proposed, to improve the quality of pathways in terms of patients' practical, psychological and relational needs. We followed a Grounded Theory approach with semi-structured interviews. Seventeen participants (six patients, nine healthcare professionals and two volunteers) were interviewed immediately before surgery. The study generated a process of "persuading the patient of an obligation" as the core category. The other principal categories that emerged highlighted the patients' doubts and fears regarding the surgery consequences and, in parallel, strategies employed by the healthcare professionals to rebut hindering issues impeding surgery. In particular, healthcare professionals involved patients in an affiliation process through simplified communication to sustain the choice of surgery; the family plays a supportive role in this process. The interplay between the organisational process and patients' experience results in "I will let you convince me" at the end of the decision-making process, where the main aim was to save and be saved

Successful endoscopic closure of iatrogenic duodenal perforation with the new Padlock Clip

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Triterpenic Acids and Flavonoids from Satureja parvifolia: Evaluation of their Antiprotozoal Activity

Bioassay-guided fractionation of a Satureja parvifolia MeOH extract led to the isolation of eriodictyol, luteolin and ursolic and oleanolic acids as its active components against Plasmodium falciparum K1. This is the first time these compounds are reported as constituents of S. parvifolia. Ursolic acid showed an IC50 of 4.9,Mg/ml, luteolin 6.4,μg/ml, oleanolic acid 9.3,μg/ml and eriodictyol 17.2,μg/ml. Antiplasmodial activity of eriodictyol and luteolin is reported here for the first time. Besides, the four compounds showed activity against P falciparum 3D7 strain and Trypanosoma brucei rhodesiense. Eriodictyol showed moderate activity on all the parasites but was the most selective compound as a result of its rather low cytotoxicity (IC50 174.2,μg/ml) on the mammalian KB cell line.Facultad de Ciencias Exacta

Psychological adjustment and heart rate variability in ovarian cancer survivors

Introduction: Body image, posttraumatic growth, quality of life, coping, and social support are relevant concepts to ovarian cancer survivors. This study aimed to examine the associations among these concepts as well as their relationships with heart rate variability (HRV), which is an index of vagal tone. Methods: an exploratory and correlational study was conducted on 25 ovarian cancer survivors. We used self-report measures to assess psychological variables. HRV parameters recorded for this study were analyzed in the time domain and in the frequency domain. Spearman correlations were performed. Results: Positive attitude coping strategy was associated with psychological and physical distress related to problems of appearance (Rho = -.57, p < .01), emotional functioning (Rho = .53, p < .01), and global health (Rho = .47, p < .05). Problem solving coping strategy was correlated with a higher posttraumatic growth, namely greater personal strength (Rho = .44, p < .05) and better relationships with others (Rho = .40, p < .05). Seeking social support was associated with growth in relationships with others (Rho = .40, p < .05). Higher HRV parameters were associated with higher physical functioning (SDNN: Rho = .59, p < .01; RMSSD: Rho = .54; p < .01; pNN50: Rho = .56, p < .01; HF: Rho = .58, p < .01). The ratio of low-frequency to high-frequency power (LF/HF) was negatively associated with posttraumatic growth (i.e., personal strength: Rho = .51, p < .05; new possibilities: Rho = -.54, p < .01). Discussion: Positive attitude and problem solving coping strategies may facilitate psychological adjustment to ovarian cancer. The strong association between markers of vagal tone and physical functioning offers insights on the possible role of vagus nerve in ovarian cancer survivors. These findings should be further investigated by future studies with larger samples and longitudinal designs

Triterpenic Acids and Flavonoids from Satureja parvifolia: Evaluation of their Antiprotozoal Activity

Bioassay-guided fractionation of a Satureja parvifolia MeOH extract led to the isolation of eriodictyol, luteolin and ursolic and oleanolic acids as its active components against Plasmodium falciparum K1. This is the first time these compounds are reported as constituents of S. parvifolia. Ursolic acid showed an IC50 of 4.9,Mg/ml, luteolin 6.4,μg/ml, oleanolic acid 9.3,μg/ml and eriodictyol 17.2,μg/ml. Antiplasmodial activity of eriodictyol and luteolin is reported here for the first time. Besides, the four compounds showed activity against P falciparum 3D7 strain and Trypanosoma brucei rhodesiense. Eriodictyol showed moderate activity on all the parasites but was the most selective compound as a result of its rather low cytotoxicity (IC50 174.2,μg/ml) on the mammalian KB cell line.Facultad de Ciencias Exacta