Access to healthcare for deaf people: a model from a middle-income country in Latin America

OBJECTIVE: To determine if there are existing healthcare access inequities among the deaf Chilean population when compared to the general Chilean population. METHODS: Data were obtained from a population-based national survey in Chile. In total, 745 prelingually deaf individuals were identified. The number of times the person used the healthcare system was dichotomized and analyzed using a multivariate logistic regression model. RESULTS: Prelingually deaf people had lower incomes, fewer years of education, and greater rates of unemployment and poverty when compared with the general population. Moreover, they visited more general practitioners, mental health specialists, and other medical specialists. On average, they attended more appointments for depression but had fewer general checkups and gynecological appointments than the general population. CONCLUSIONS: Deaf people in Chile have a lower socioeconomic status than the rest of the Chilean population. The results from this study are similar to the findings reported for high-income countries, despite differences in the magnitude of the associations between being deaf and healthcare access. Further studies should be conducted to determine the health status of deaf people in Chile and other Latin American countries and what factors are associated with a significantly lower prevalence of gynecological appointments among deaf women when compared with non-deaf women

Desire and subjective structuring.

La publicación de distintos manuales diagnósticos para los trastornos mentales ha sido objeto de gran reflexión y polémica para los especialistas en el campo de la salud, la ocupación de dichos manuales en el campo de la Psicología no es la excepción debido a que la gran variedad en la que se presentan los síntomas sigue siendo un enigma para los psicólogos clínicos a pesar de los esfuerzos de la psiquiatría de clasificar y describir los trastornos; por otro lado el Psicoanálisis al proponer la escucha de los síntomas en relación al deseo incita a la Psicología a dejar de lado la generalización que puede llegar a interpretarse en los manuales y trabajar caso por caso, pensando en las distintas relaciones de objeto como representaciones de la representación que marcan la estructura psíquica de un sujeto que se posiciona frente a un deseo producto de esta primer representación que está en el campo de lo impensable

Deseo y estructuración subjetiva

La publicación de distintos manuales diagnósticos para los trastornos mentales ha sido objeto de gran reflexión y polémica para los especialistas en el campo de la salud, la ocupación de dichos manuales en el campo de la Psicología no es la excepción debido a que la gran variedad en la que se presentan los síntomas sigue siendo un enigma para los psicólogos clínicos a pesar de los esfuerzos de la psiquiatría de clasificar y describir los trastornos; por otro lado el Psicoanálisis al proponer la escucha de los síntomas en relación al deseo incita a la Psicología a dejar de lado la generalización que puede llegar a interpretarse en los manuales y trabajar caso por caso,pensando en las distintas relaciones de objeto como representaciones de la representación que marcan la estructura psíquica de un sujeto que se posiciona frente a un deseo producto de esta primer representación que está en el campo de lo impensable

Evaluacion de nuevos disenos y cebos de trampas para adultos de Cydia pomonella (L.), en un huerto de manzano de la Region del Maule

31 p.La polilla,Cydia pomonella (L.)es la principal plaga de pomaceas y nogales en Chile. Actualmente, en nuestro país se monitorea su fenología a través de la captura de machos en trampas cebadas con codlemona. Sin embargo, la obtención de capturas de hembras de polilla de manzana en trampas cebadas con kairomonas como el éster de pera y ácido acético, permitiría predecir con más exactitud sus estados fenológicos y mejorar su control. En la presente memoria se evaluaron nuevos diseños y cebos de trampas para capturar machos y hembras adultas de la polilla de la manzana en un huerto de manzano de la Escuela Agrícola de Colín, Talca Región del Maule. Las trampas y cebos evaluados fueron: i) trampa delta transparente con éster de pera y ácido acético, ii) trampa cilíndrica transparente con éster de pera y ácido acético, iii) trampa delta blanca con codlemona, iv) trampa delta blanca con éster de pera y codlemona, y v) trampa delta naranja con éster de pera y codlemona. Las trampas se revisaron cada semana registrando las capturas para cada sexo. Encontramos que la trampa cilíndrica transparente cebada con éster de pera más ácido acético, captura significativamente mayor cantidad de hembras de la polilla de la manzana que las otras trampas. La trampa delta naranja con codlemona y éster de pera significativam ente captura más machos y polillas totales. Por lo tanto, para obtener una mayor proporción de hembras de la polilla de la manzana, se debería utilizar la trampa cilíndrica transparente con éster de pera más ácido acético. Esto permitiría predecir con mayor exactitud los estados fenológicos de la polilla de la manzana, lo que podría reducir el daño en la producción de fruta./ ABSTRACT: The codling moth, Cydia pomonella (L.), is the main pest of pome fruits and walnuts in Chile. At present, codling moth phenology is monitored by adult male catch in codlemone baited traps. However, the catch of females of the codling moth could be improved using kairomones lures, such as pear ester and acetic acid, which could allow a better henological prediction and improved control. In this work new trap designs and lures were evaluated to capture codling moth adult males and females from an apple orchard at Escuela Agrícola de Colín, Talca, Región del Maule. The following traps and lures were used: i) transparent delta trap with pear ester and acetic acid, ii) transparent round trap with pear ester and acetic acid, iii) white delta trap with codlemone, iv) white delta trap with codlemone and pear ester, and v) orange delta trap with codlemone and pear ester. Traps were checked weekly recording catches by sex. We found that the transparent cylindrical trap using pear ester and acetic acid was significantly more effective catching codling moth females than the other traps. The orange delta trap with codlemone and pear ester significantly captured more male and total moths. Therefore, in order to obtain a higher proportion of codling moth females we propose to use the transparent cylindrical trap using pear ester and acetic acid. This could allow a better prediction of codling moth phenology, which might reduce the damage to fruit production

Geometry of the Proximal Phalanx of Hallux and First Metatarsal Bone to Predict Hallux Abducto Valgus: A Radiological Study

[Abstract] Background Hallux abducto valgus (HAV) is one of the most common forefoot deformities in adulthood with a variable prevalence but has been reported as high as 48%. The study proposed that HAV development involves a skeletal parameter of the first metatarsal bone and proximal phalanx hallux (PPH) to determine if the length measurements of the metatarsal and PPH can be used to infer adult HAV. Methods All consecutive patients over 21 years of age with HAV by roentgenographic evaluation were included in a cross-sectional study. The control group included patients without HAV. The study included 160 individuals. We identified and assessed the following radiographic measurements to evaluate HAV: the distances from the medial (LDM), central (LDC), and lateral (LDL) aspects of the base to the corresponding regions of the head of the PPH. The difference between the medial and lateral aspect of PPH was also calculated. Results The reliability of the variables measured in 40 radiographic films show perfect reliability ranging from 0.941 to 1 with a small error ranging from 0.762 to 0. Also, there were no systematic errors between the two measurements for any variable (P > 0.05). The LDM PPH showed the highest reliability and lowest error. Conclusion It is more suitable to measure the LDM PPH instead of the LDC PPH when calculating the hallux valgus angle based on our reliability results. When the differences of the medial and lateral PPH are greater, the risk for developing HAV increases

Análisis del efecto provocado en los establecimientos de alojamiento y hospedaje de la ciudad de Tunja, a partir de la implementación de la norma sectorial NTS-002

El turismo y todas sus actividades relacionadas son en su conjunto el segundo sector económico que más contribuyó al crecimiento del PIB en el año 2018 según el informe económico 04 del 2018 del ministerio de industria, comercio y turismo. (MINCIT, 2018). Por esta razón en los últimos años se han ideado una serie de medidas que buscan fomentar el crecimiento y fortalecer este sector, una de ellas es la norma técnica NTS-002. Esta norma se basa en tres criterios de sostenibilidad: ambiental, económico y sociocultural, y su implementación es obligatoria desde 2017. Este artículo indaga la experiencia obtenida por los prestadores del servicio de alojamiento en la ciudad de Tunja a la hora de enfrentarse a la implementación de la norma en su establecimiento. Por otro lado, se evidencia que, a pesar de los beneficios generados, se está produciendo una disyuntiva importante entre: los avances en materia organizacional, de formalización y legalización que ha provocado esta serie de políticas, y la grave afectación que se está generando a los prestadores que no han podido adaptarse a esta nueva normatividad y no pueden competir en igualdad de condiciones.Tourism and all its related activities are together the second economic sector that contributed the most to GDP growth in 2018 according to the economic report 04 of 2018 of the Ministry of Industry, Commerce, and Tourism. For this reason, in recent years a series of measures have been devised that seek to promote growth and strengthen this sector, one of which is the technical standard NTS-002. This standard is based on three criteria of sustainability: environmental, economic and sociocultural, and its implementation is mandatory since 2017. This article explores the experience obtained by the providers of the accommodation service in the city of Tunja at the time of facing the implementation of the norm in your establishment. On the other hand, it is evident that, in spite of the benefits generated, an important disjunction is taking place between: the advances in organizational, formalization and legalization that this series of policies have caused, and the serious impact that is being generated on the providers that have not been able to adapt to this new regulation and can not compete on equal termsEspecialista en Gobierno y Gestión Territorialhttp://unidadinvestigacion.usta.edu.coEspecializació

Formation and characterization of crosslinks, including Tyr-Trp species, on one electron oxidation of free Tyr and Trp residues by carbonate radical anion

Dityrosine and ditryptophan bonds have been implied in protein crosslinking. This is associated with oxidative stress conditions including those involved in neurodegenerative pathologies and age-related processes. Formation of dityrosine and ditryptophan derives from radical–radical reactions involving Tyr˙ and Trp˙ radicals. However, cross reactions of Tyr˙ and Trp˙ leading to Tyr–Trp crosslinks and their biological consequences have been less explored. In the present work we hypothesized that exposure of free Tyr and Trp to a high concentration of carbonate anion radicals (CO(3)˙(−)), under anaerobic conditions, would result in the formation of Tyr–Trp species, as well as dityrosine and ditryptophan crosslinks. Here we report a simple experimental procedure, employing CO(3)˙(−) generated photochemically by illumination of a Co(iii) complex at 254 nm, that produces micromolar concentrations of Tyr–Trp crosslinks. Analysis by mass spectrometry of solutions containing only the individual amino acids, and the Co(iii) complex, provided evidence for the formation of o,o′-dityrosine and isodityrosine from Tyr, and three ditryptophan dimers from Trp. When mixtures of Tyr and Trp were illuminated in an identical manner, Tyr–Trp crosslinks were detected together with dityrosine and ditryptophan dimers. These results indicate that there is a balance between the formation of these three classes of crosslinks, which is dependent on the Tyr and Trp concentrations. The methods reported here allow the generation of significant yields of isolated Tyr–Trp adducts and their characterization. This technology should facilitate the detection, and examination of the biological consequences of Tyr–Trp crosslink formation in complex systems in future investigations

Swine as an experimental model in dentistry: a proposal of surgical approach

Swine is widely used as an experimental model in several areas of medicine based on its anatomical and physiological similarities to humans. In this report, we describe an external surgical approach on the mandible of the swine as a suitable experimental model in dentistry. Several biomaterials were implanted by using this technique in order to evaluate the degree of bone regeneration as well as the suitable sites to accomplish perforation

Mediadiores trombóticos en adultos mayores frágiles

67 p.El Síndrome de Fragilidad es una patología geriátrica que se caracteriza por una vulnerabilidad física al estrés, genera mayor riesgo de diferentes enfermedades y complicaciones en la vida diaria, tiene estrecha relación con la trombosis debido a que estos pacientes presentan mayor riesgo de sufrir un cuadro trombótico, los adultos mayores presentan diferentes alteraciones a nivel plasmático que pueden ser predictoras de una trombosis. El objetivo de esta revisión es estudiar algunos mediadores trombóticos y las alteraciones a nivel plasmático de mayor importancia que se dan en adultos mayores con síndrome de Fragilidad y que se relacionan de cierta forma con trombosis, tales como marcadores de estrés oxidativo, alteraciones en la hemostasia y plaquetas e indicadores de inflamación