La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Tunja, Villa de Leyva y Zetaquira Boyacá.

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Tunja, Villa de Leyva y Zetaquira Boyacá.El siguiente trabajo presenta un análisis de dos casos de violencia social producto del conflicto armado en Colombia, el caso escogido en relatos de vida y el caso de Pandurí, donde los estudiantes analizan los impactos psicosociales que estos temas implican y por medio de un análisis reflexivo se realiza un abordaje desde la psicología y posible intervención psicosocial, a través de preguntas orientadoras, formulación de preguntas de tipo reflexivas, circulares y estratégicas y el estudio de las unidades propuestas, el estudiante podrá aplicar los conocimientos adquiridos y desarrollar habilidades de intervención, manejo de conflictos, identificación de eventos, así como profundizar en el tema de la elaboración de un diagnostico psicosocial enfocado al empoderamiento de la comunidad o personas víctimas de conflicto armado u otro tipo de violencia. También se presenta la actividad número 3 de este Diplomado de la foto voz para complementar los conocimientos y el proceso psicosocial que se puede realizar desde diferentes enfoques y contextos sociales. Por medio de las actividades propuestas se analizan las consecuencias más significativas que han tenido la violencia y el conflicto armado en el entorno familiar, social y comunitario. Los relatos reflejan los impactos psicosociales y desde ahí se inician las propuestas de intervención psicosocial para transformar y reconstruir sucesos de gran impacto social y comunitario que influyeron en el ámbito familiar.The following work presents an analysis of two cases of social violence resulting from the armed conflict in Colombia, the case chosen in life stories and the case of Pandurí, where the students analyze the psychosocial impacts that these themes imply and through a reflexive analysis an approach is made from psychology and possible psychosocial intervention, through guiding questions, the formulation of reflective, circular and strategic questions and the study of the proposed units the student can apply the acquired knowledge and develop intervention skills, management of conflicts, identification of events, as well as to deepen in the topic of the elaboration of a psychosocial diagnosis focused on the empowerment of the community or people victims of armed conflict or other type of violence. The activity number 3 of this Diploma of the photo voice is also presented to complement the knowledge and the psychosocial process that can be done from different approaches and social contexts. Through the proposed activities, the most significant consequences of violence and armed conflict in the family, social and community environment are analyzed. The stories reflect the psychosocial impacts and from there the psychosocial intervention proposals are initiated to transform and reconstruct events of great social and community impact that influenced the family environment

American College of Rheumatology Provisional Criteria for Clinically Relevant Improvement in Children and Adolescents With Childhood-Onset Systemic Lupus Erythematosus

10.1002/acr.23834ARTHRITIS CARE & RESEARCH715579-59

American college of rheumatology provisional criteria for clinically relevant improvement in children and adolescents with childhood-onset systemic Lupus erythematosus

To develop a Childhood Lupus Improvement Index (CHILI) as a tool to measure response to therapy in childhood-onset systemic lupus erythematosus (cSLE), with a focus on clinically relevant improvement (CRIcSLE). Methods Pediatric nephrology and rheumatology subspecialists (n = 213) experienced in cSLE management were invited to define CRIcSLE and rate a total of 433 unique patient profiles for the presence/absence of CRIcSLE. Patient profiles included the following cSLE core response variables (CRVs): global assessment of patient well-being (patient-global), physician assessment of cSLE activity (MD-global), disease activity index score (here, we used the Systemic Lupus Erythematosus Disease Activity Index), urine protein-to-creatinine ratio, and Child Health Questionnaire physical summary score. Percentage and absolute changes in these cSLE-CRVs (baseline versus follow-up) were considered in order to develop candidate algorithms and validate their performance (sensitivity, specificity, area under the receiver operating characteristic curve [AUC]; range 0-1). Results During an international consensus conference, unanimous agreement on a definition of CRIcSLE was achieved; cSLE experts (n = 13) concurred (100%) that the preferred CHILI algorithm considers absolute changes in the cSLE-CRVs. After transformation to a range of 0-100, a CHILI score of >= 54 had outstanding accuracy for identifying CRIcSLE (AUC 0.93, sensitivity 81.1%, and specificity 84.2%). CHILI scores also reflect minor, moderate, and major improvement for values exceeding 15, 68, and 92, respectively (all AUC >= 0.92, sensitivity >= 93.1%, and specificity >= 73.4%). Conclusion The CHILI is a new, seemingly highly accurate index for measuring CRI in cSLE over time. This index is useful to categorize the degree of response to therapy in children and adolescents with cSLE.715579590CNPQ - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPESP – Fundação de Amparo à Pesquisa Do Estado De São Paulo303422/2015-7; 7/2016-9; 304255/2015-7215/03756-