La puesta del cuerpo en la escena del acompañamiento terapéutico con niños

Los objetivos de esta investigación apuntan a dar cuenta de cuáles la función que despeña el acompañante terapéutico en el trabajo con niños que padecen de patologías graves. Se abordará laproblemática a través de un seguimiento conceptual que deje enevidencia las modificaciones que tuvo este rol en los últimos años,para luego relacionarlo con nuestras experiencias en la clínica conniños. El análisis realizado permitiría concluir que el acompañanteterapéutico despeña un rol flexible en donde no hay pautas preestablecidas acerca de cómo proceder frente a determinadas situaciones, por tanto, es un rol que se construye a partir de la experienciade la práctica. En el trabajo con niños el cuerpo del acompañantebrinda un soporte en donde se depositan las ansiedades y miedosque surgen durante el proceso de integración social.Fil: Granovsky, Barbara. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Russi, Mauro Martín. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Serafini, Matías. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Médicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Médicas; ArgentinaV Congreso Internacional de Investigación y Práctica Profesional en Psicología; XX Jornadas de Investigación y Noveno Encuentro de Investigadores en Psicología del MercosurArgentinaUniversidad de Buenos Aires. Facultad de Psicologí

Mortality risk in preterm and small-for-gestational-age infants in low-income and middle-income countries: a pooled country analysis.

BACKGROUND: Babies with low birthweight (<2500 g) are at increased risk of early mortality. However, low birthweight includes babies born preterm and with fetal growth restriction, and not all these infants have a birthweight less than 2500 g. We estimated the neonatal and infant mortality associated with these two characteristics in low-income and middle-income countries. METHODS: For this pooled analysis, we searched all available studies and identified 20 cohorts (providing data for 2,015,019 livebirths) from Asia, Africa, and Latin America that recorded data for birthweight, gestational age, and vital statistics through 28 days of life. Study dates ranged from 1982 through to 2010. We calculated relative risks (RR) and risk differences (RD) for mortality associated with preterm birth (<32 weeks, 32 weeks to <34 weeks, 34 weeks to <37 weeks), small-for-gestational-age (SGA; babies with birthweight in the lowest third percentile and between the third and tenth percentile of a US reference population), and preterm and SGA combinations. FINDINGS: Pooled overall RRs for preterm were 6·82 (95% CI 3·56-13·07) for neonatal mortality and 2·50 (1·48-4·22) for post-neonatal mortality. Pooled RRs for babies who were SGA (with birthweight in the lowest tenth percentile of the reference population) were 1·83 (95% CI 1·34-2·50) for neonatal mortality and 1·90 (1·32-2·73) for post-neonatal mortality. The neonatal mortality risk of babies who were both preterm and SGA was higher than that of babies with either characteristic alone (15·42; 9·11-26·12). INTERPRETATION: Many babies in low-income and middle-income countries are SGA. Preterm birth affects a smaller number of neonates than does SGA, but is associated with a higher mortality risk. The mortality risks associated with both characteristics extend beyond the neonatal period. Differentiation of the burden and risk of babies born preterm and SGA rather than with low birthweight could guide prevention and management strategies to speed progress towards Millennium Development Goal 4--the reduction of child mortality. FUNDING: Bill & Melinda Gates Foundation