Alteraciones psicológicas asociadas a la obesidad infantil

Con el objetivo de identificar las principales alteraciones psicológicas asociadas a la obesidad pediátrica, se realizó una revisión de los artículos publicados en las bases de datos Medline, LILACS, SciELO, Redalyc y los encontrados a través de Google académico. Se ha encontrado relación entre la obesidad en niños y el temperamento de reactividad negativa, actitudes y términos negativos por parte de otros niños, insatisfacción corporal, distorsión de la imagen corporal por parte de los progenitores, bullying, ansiedad, depresión, baja autoestima y trastornos de comportamiento alimentario. Aunque hay cierto grado de conocimiento, se requieren más y mejores estudiossobre el tema

Alteraciones psicológicas asociadas a la obesidad infantil

En: Revista Médica Herediana, No. 29, pp. 111-115Con el objetivo de identificar las principales alteraciones psicológicas asociadas a la obesidad pediátrica, se realizó una revisión de los artículos publicados en las bases de datos Medline, LILACS, SciELO, Redalyc y los encontrados a través de Google académico. Se ha encontrado relación entre la obesidad en niños y el temperamento de reactividad negativa, actitudes y términos negativos por parte de otros niños, insatisfacción corporal, distorsión de la imagen corporal por parte de los progenitores, bullying, ansiedad, depresión, baja autoestima y trastornos de comportamiento alimentario. Aunque hay cierto grado de conocimiento, se requieren más y mejores estudios sobre el tema

Abscess in Adenomyosis Mimicking a Malignancy in a 54-Year-Old Woman

Background: Although there are a few reports describing abscess formation in endometriotic foci no report of abscess formation arising de novo within adenomyosis appears in the literature. Preoperative diagnosis of adenomyosis is frequently difficult because of non-specific signs and symptoms. Synchronous pelvic pathologies such as leiomyoma, endometrial polyp, endometrial hyperplasia, as well as endometrial cancer may cause differential diagnostic problems. Case: A 54-year-old postmenopausal woman complaining of inguinal pain, nightsweats and hot flashes is presented. Radiologic examinations of the pelvis revealed a 95 × 85 mm leiomyoma-like lesion including a 53 × 43 mmcystic space and 9 × 6 mmpapillary formation within the uterus raising clinical suspicion of malignancy. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed accompanied by a frozen section diagnosis. The frozen section revealed an abscess formation arising in a focus of adenomyosis. The postoperative period of the patient was uneventful. Conclusion : The present case, to our knowledge, is the first report representing abscess formation in adenomyosis. Abscess arising within adenomyosis can strongly raise the suspicion of endometrial cancer, particularly if the patient is postmenopausal. If endometrial cancer cannot be ruled out with definitive histopathological diagnosis in the preoperative period, a frozen section becomes mandatory during surgical intervention

MENINGKATKAN KREATIVITAS SISWA KELAS XI SMK NEGERI 4 PADANG DALAM BERKARYA BATIK TULIS

This study uses a qualitative method which aims to determine the form of student creativity in hand-drawn batik before and after the research, the supporting and inhibiting factors of students' creativity in writing batik, and the form of student creativity in learning batik. The researcher acts as an instrument that goes directly to the field with data collection methods in the form of observation, interviews and documentation. The results of this study indicate that the creativity of students in making written batik before the research did not achieve maximum results in terms of shapes, motifs, colors and attachments and students only used shapes, motifs and colors determined by the teacher based on the tasks according to the Learning Implementation Plan (RPP). due to limited learning time during the covid-19 pandemic. The results of learning batik after research, students' creativity has increased. Students have been able to develop the form of batik work, give birth to their own creative motifs, use various colors and the attachments look neat and unbroken. Efforts are made to increase student creativity, namely; utilizing facilities and infrastructure in the form of theoretical rooms, corridors, chairs and tables as an alternative to the limited practice space and batik equipment and preparing various learning media in the form of pictures, videos of the batik process and batik products that have been produced

Relación de estilos de comunicación y tipos de conflicto laboral en ejercicio de enfermería en un hospital de Huancayo 2023

Es historia en la sociedad incluir la comunicación, como resultado del intercambio social. La profesión en enfermería requiere el uso de comunicación hablada y no verbal para identificar necesidades individuales, fomentar relaciones significativas y brindar atención de enfermería. Su objetivo es investigar los estilos de comunicación y conflicto laboral de enfermeras del Hospital Regional Docente ClínicoQuirúrgico Daniel Alcides Carrión Huancayo 2023. Su nivel de investigación se basa en correlaciones básicas y una metodología cuantitativa, de diseño transaccional, correlacional, no experimental, de población de 388 enfermeras y 207 enfermeras de muestra, con un muestreo no probabilístico intencional por demanda. Resultado fue conflicto interpersonal, en enfermeras una forma leve de comunicación pasiva en 28.58 casos, mientras que los otros 18.37 casos fueron intrapersonales y 17.36 casos fueron intergrupales, demostrando su comunicación pasiva. Se encontró que la investigación había rechazado la hipótesis nula. Se observó una correlación positiva significativa. Es asi que, existe una conexión entre los estilos de comunicación y los conflictos laborales, siendo un factor crucial para las enfermeras del Hospital Carrión. Por ende, esta correlación de estilos de comunicación y los conflictos laborales se establece en el Hospital Regional Docente ClínicoQuirúrgico Daniel Alcides Carrión Huancayo 2023

Impact of Post-incarceration Care Engagement interventions On Hiv Transmission among Young Black Men Who Have Sex With Men and their Sexual Partners: an agent-Based Network Modeling Study

BACKGROUND: Understanding the impact of incarceration on HIV transmission among Black men who have sex with men is important given their disproportionate representation among people experiencing incarceration and the potential impact of incarceration on social and sexual networks, employment, housing, and medical care. We developed an agent-based network model (ABNM) of 10,000 agents representing young Black men who have sex with men in the city of Chicago to examine the impact of varying degrees of post-incarceration care disruption and care engagement interventions following release from jail on HIV incidence. METHODS: Exponential random graph models were used to model network formation and dissolution dynamics, and network dynamics and HIV care continuum engagement were varied according to incarceration status. Hypothetical interventions to improve post-release engagement in HIV care for individuals with incarceration (e.g., enhanced case management, linkage to housing and employment services) were compared to a control scenario with no change in HIV care engagement after release. FINDING: HIV incidence at 10 years was 4.98 [95% simulation interval (SI): 4.87, 5.09 per 100 person-years (py)] in the model population overall; 5.58 (95% SI 5.38, 5.76 per 100 py) among those with history of incarceration, and 12.86 (95% SI 11.89, 13.73 per 100 py) among partners of agents recently released from incarceration. Sustained post-release HIV care for agents with HIV and experiencing recent incarceration resulted in a 46% reduction in HIV incidence among post-incarceration partners [incidence rate (IR) per 100 py = 5.72 (95% SI 5.19, 6.27) vs. 10.61 (95% SI 10.09, 11.24); incidence rate ratio (IRR) = 0.54; (95% SI 0.48, 0.60)] and a 19% reduction in HIV incidence in the population overall [(IR per 100 py = 3.89 (95% SI 3.81-3.99) vs. 4.83 (95% SI 4.73, 4.92); IRR = 0.81 (95% SI 0.78, 0.83)] compared to a scenario with no change in HIV care engagement from pre-to post-release. INTERPRETATION: Developing effective and scalable interventions to increase HIV care engagement among individuals experiencing recent incarceration and their sexual partners is needed to reduce HIV transmission among Black men who have sex with men. FUNDING: This work was supported by the following grants from the National Institutes of Health: R01DA039934; P20 GM 130414; P30 AI 042853; P30MH058107; T32 DA 043469; U2C DA050098 and the California HIV/AIDS Research Program: OS17-LA-003; H21PC3466

Indicadores de sostenibilidad para el ecoturismo en México: estado actual

Current management of ecotourism centers is based on intrinsic knowledge of natural and economic areas, cultural resources of local communities where tourism is developed. However, knowledge about the sustainability of these centers is far from complete, and the existence and use of indicators for diagnosis and evaluation to determine its proximity to sustainability are still limited. This manuscript is a review on the use of tourism sustainability indicators in our country and analyzes the information gaps; also examine some of its implications for ecotourism activity. It is proposed that the construction of a system of indicators with its generalities and specificities not only promote the sustainable management of the destination, but also can be a way of dialogue among social actors involved.El manejo de los centros ecoturísticos se basa en el conocimiento de los espacios naturales y los recursos culturales y económicos de las comunidades locales. No obstante, el uso de indicadores que permitan el diagnóstico y evaluación de la sostenibilidad está limitado. Se revisa el uso de indicadores turísticos de sostenibilidad en México y se analizan los vacíos de información, además de algunas implicaciones para el ecoturismo. Se propone que un sistema de indicadores con generalidades y especificidades promovería el manejo más sostenible del turismo y representaría un medio de diálogo entre los actores involucrados