Los perturbados entre lilas, de Alejandra Pizarnik: una edición crítico-genética

Esta tesis doctoral es una edición crítico genética de la obra Los perturbados entre lilas de Alejandra Pizarnik. El estudio crítico comienza con una breve nota biográfica que tiene en cuenta, especialmente, el aspecto intelectual y creativo, para continuar con un breve estudio de la cronología de su escritura. Las diferentes cuestiones acerca de su composición- con énfasis en su densidad intertextual y su estrecha relación con Fin de partida, texto tomado por Pizarnik como modelo para la escritura de su propia obra- son revisadas en el punto siguiente, y, al final del estudio, una extensa lectura de la obra ¿centrada en la fuerte influencia de Antonin Artaud y Georges Bataille- es realizada mediante el análisis de los diferentes temas convergentes en la obra. En la segunda parte del trabajo, la edición genética presenta ¿con sus pertinentes notas al final- una triple división en columnas. Toma Fin de partida de Beckett como primera fase en el desarrollo del texto de Pizarnik por su condición de basamento textual, y muestra las siguientes dos etapas en el proceso de construcción textual. La versión definitiva se revela en las notas al final a través de los cambios producidos en la versión previa.Caja CanariasFEDE

«Diana», de Alejandra Pizarnik

Nota del edito

Focused critical care echocardiography: training for pediatricians and pediatric intensivists in an intensive care unit

Introducción: La ecocardiografía, enfocada al cuidado crítico, se ha convertido hoy en día en una competencia necesaria del médico que labora en las unidades de cuidado intensivo pediátrico. Objetivo: Evaluar un programa de entrenamiento teórico y práctico, diseñado para explorar la adquisición de habilidades en la obtención de imágenes y algunas medidas ecocardiográficas sugeridas para la ecocardiografía enfocada al cuidado crítico. Materiales y métodos: Se realizó un entrenamiento teóricopráctico, de 26 horas de duración, por médicos pediatras y pediatras intensivistas, bajo la tutoría de un cardiólogo pediatra. El programa incluyó análisis cualitativos de las variables pertenecientes a las ventanas básicas y cuantitativos de la ecocardiografía enfocada al cuidado crítico. Resultados: Las diferencias significativas se presentaron entre tener conocimientos previos en ecocardiografía, que se asoció a un mejor puntaje en la ventana apical cuatro cámaras (media: 9,0 DE: 1,02 P=0,021), y mejor correlación con el cardiólogo pediatra en la medición de la funcionalidad del ventrículo izquierdo (media:92,2 DE:6,3 P=0,036). Conclusiones: Este programa de entrenamiento fue útil para el entrenamiento en nivel básico de la ecocardiografía enfocada al cuidado crítico, con un nivel óptimo en la adquisición de las principales ventanas ecocardiográficas, y para la toma de algunas medidas ecocardiográficas.Introduction: Focused critical care echocardiography (FCCE) has become a necessary competency for physicians working in pediatric intensive care units. Objective: To asses a theoretical and practical training program designed to explore skills acquisition for obtaining views and some echocardiographic measurements suggested for FCCE. Materials and methods: A 26-hour long theoretical and practical training for pediatricians and pediatric intensivists under the guidance of a pediatric cardiologist. The program included qualitative analysis of the variables pertaining to basic echocardiographic windows, and quantitative analysis of FCCE. Results: There were significant differences between having prior echocardiography knowledge, associated with a higher score in the 4-chamber apical window (mean: 9.0; standard deviation [SD]: 1.02; P=0.021), and better correlation with the pediatric cardiologist regarding left ventricular function measurements (mean: 92.02; SD: 6.3; P=0.036). Conclusion: The program was useful for basic level training in FCCE with an optimal level of acquisition of the main echocardiographic windows and some echocardiographic measurements

Carcinoid Tumor of the Caecal Appendix in a Adolescent Woman: in Regards to a Case

Carcinoids are neuro-endocrine tumors of low incidence in the general population. Appendix carcinoid tumors may present asymptomatically, which are discovered in biopsies of the surgical pieces of appendectomies. In other cases the usual manifestation of these tumors is the acute inflammatory process of the caecal appendix, so the concluding diagnosis is only known with the histo-pathological report. A 15 year old case of carcinoid tumor of the appendix body diagnosed in this adolescent who was performed a surgery due to suspicion of acute appendicitis. The interest of this case presentation is related to its infrequent presentation in adolescence so as its location in body or middle third medium of the orga

Cystic Pheochromocytoma. Case presentation

Pheocromocytomas are relatively unusual tumors. They are vascularized lesions that, in the 90% of the cases produce arterial hypertension. Generally reported as solid lesions due to hyper-vascularization. They may present areas with focal or partial cystic degeneration. Although infrequent, however, pheochromocytomas with total of subtotal cystic degeneration has been reported and are called cystic Pheochromocytomas. Due to these reasons it was decided to publish the case of a male patient who died at the Gustavo Aldereguía Lima Hospital, aged 65 with a ten year personal history of arterial hypertension, gout arthritis and nausea. He came to the hospital complaining of universal cephalea and nausea. Imaging studies showed a tumorous mass in the suprarenal right gland. During admission he presented a non-cardiogenic severe pulmonary edema which caused his death. The necropsy study confirmed a cystic pheochromocytoma

Prevention of road crashes in older adults: perspectives on facilitators, barriers and the role of the family doctor

This work was supported by the SEMERGEN-UGR Chair of Teaching and Research in Family Medicine (Catedra de Docencia e Investigacion en Medicina de Familia SEMERGEN-UGR), University of Granada, Spain.Background: People over 64 years have a high fatality rate when they are involved in traffic accidents. Besides, older victims of road crashes are expected to rise in the future due to population aging. The purpose of the study was to document their perception on the role of the family doctor, the main facilitating factors, and the perceived barriers to the temporary or permanent restriction of their driving. Methods: This qualitative study used focus group methodology. A sample of 16 people over 65 years old was obtained through a series of segmentation criteria at an active participation centre for older adults in a small town in Jaén province (Spain). All were invited to participate in a discussion during which they were asked to express their opinions and subjective experiences concerning the role of their family doctor. The group conversation was taped, fully transcribed and analysed, and codes were generated with both deductive and inductive methods. Results: After merging the codes to generate themes, we identified 9 relevant categories: perception of age-related risk, road safety, role of public authorities, driver assessment centre, role of the family doctor, role of the family, proposals for addressing traffic accidents in older adults, consequences of the driving prohibition, and public transport. All categories help to explain the subjective driving and traffic safety experiences of older road users. Conclusions: Although family doctors do not usually ask their older patients about road driving, they are highly valued by these patients. Thus, family doctors have a great potential to act, along with the family members, for the benefit of older patients’ traffic safety, in ways that can prevent their involvement in road crashes and reduce the negative consequences of having to stop driving if necessary.SEMERGEN-UGR Chair of Teaching and Research in Family Medicine (Catedra de Docencia e Investigacion en Medicina de Familia SEMERGEN-UGR), University of Granada, Spai

A comparison of feature extractors for panorama stitching in an autonomous car architecture.

Panorama stitching consists on frames being put together to create a 360o view. This technique is proposed for its implementation in autonomous vehicles instead of the use of an external 360o camera, mostly due to its reduced cost and improved aerodynamics. This strategy requires a fast and robust set of features to be extracted from the images obtained by the cameras located around the inside of the car, in order to effectively compute the panoramic view in real time and avoid hazards on the road. In this paper, we compare and discuss three feature extraction methods (i.e. SIFT, BRISK and SURF) for image feature extraction, in order to decide which one is more suitable for a panorama stitching application in an autonomous car architecture. Experimental validation shows that SURF exhibits an improved performance under a variety of image transformations, and thus appears to be the most suitable of these three methods, given its accuracy when comparing features between both images, while maintaining a low time consumption. Furthermore, a comparison of the results obtained with respect to similar work allows to increase the reliability of our methodology and the reach of our conclusions

Internacionalización del currículo y experiencias pedagógicas. Pertinencia y aprendizaje global en educación superior.

La internacionalización en la educación superior con frecuencia es vinculada exclusivamente a la movilidad académica entrante y saliente, tanto de estudiantes como de profesores. No obstante, las tecnologías de la información y comunicación e incluso situaciones ocasionadas por el nuevo coronavirus (COVID19), han llevado a replantear estos y otros imaginarios relacionados con la internacionalización, resaltando la importancia de procesos de internacionalización en casa e internacionalización del currículo. A través de la presente obra, se pretende llevar al lector por una ruta que le permita apropiar algunos conceptos claves de internacionalización en casa, cuyo eje central es la internacionalización del currículo. Se resalta, también, la mirada a la metodología COIL como una herramienta relevante y relativamente sencilla para potenciar la visibilidad nacional e internacional. La segunda parte del texto consiste en presentar experiencias pedagógicas significativas en el aula, pues se busca desvincular la internacionalización del “aeropuerto y el avión” y llevarla al aula de clase. La visión general que ofrece la obra puede permitir al lector tener una idea amplia de lo que implica la internacionalización del currículo y de esa forma facilitar la construcción de currículos pertinentes y equitativos en las instituciones de educación superior

Grupo español de cirugía torácica asistida por videoimagen: método, auditoría y resultados iniciales de una cohorte nacional prospectiva de pacientes tratados con resecciones anatómicas del pulmón

Introduction: our study sought to know the current implementation of video-assisted thoracoscopic surgery (VATS) for anatomical lung resections in Spain. We present our initial results and describe the auditing systems developed by the Spanish VATS Group (GEVATS). Methods: we conducted a prospective multicentre cohort study that included patients receiving anatomical lung resections between 12/20/2016 and 03/20/2018. The main quality controls consisted of determining the recruitment rate of each centre and the accuracy of the perioperative data collected based on six key variables. The implications of a low recruitment rate were analysed for '90-day mortality' and 'Grade IIIb-V complications'. Results: the series was composed of 3533 cases (1917 VATS; 54.3%) across 33 departments. The centres' median recruitment rate was 99% (25-75th:76-100%), with an overall recruitment rate of 83% and a data accuracy of 98%. We were unable to demonstrate a significant association between the recruitment rate and the risk of morbidity/mortality, but a trend was found in the unadjusted analysis for those centres with recruitment rates lower than 80% (centres with 95-100% rates as reference): grade IIIb-V OR=0.61 (p=0.081), 90-day mortality OR=0.46 (p=0.051). Conclusions: more than half of the anatomical lung resections in Spain are performed via VATS. According to our results, the centre's recruitment rate and its potential implications due to selection bias, should deserve further attention by the main voluntary multicentre studies of our speciality. The high representativeness as well as the reliability of the GEVATS data constitute a fundamental point of departure for this nationwide cohort

Association of Candidate Gene Polymorphisms With Chronic Kidney Disease: Results of a Case-Control Analysis in the Nefrona Cohort

Chronic kidney disease (CKD) is a major risk factor for end-stage renal disease, cardiovascular disease and premature death. Despite classical clinical risk factors for CKD and some genetic risk factors have been identified, the residual risk observed in prediction models is still high. Therefore, new risk factors need to be identified in order to better predict the risk of CKD in the population. Here, we analyzed the genetic association of 79 SNPs of proteins associated with mineral metabolism disturbances with CKD in a cohort that includes 2, 445 CKD cases and 559 controls. Genotyping was performed with matrix assisted laser desorption ionizationtime of flight mass spectrometry. We used logistic regression models considering different genetic inheritance models to assess the association of the SNPs with the prevalence of CKD, adjusting for known risk factors. Eight SNPs (rs1126616, rs35068180, rs2238135, rs1800247, rs385564, rs4236, rs2248359, and rs1564858) were associated with CKD even after adjusting by sex, age and race. A model containing five of these SNPs (rs1126616, rs35068180, rs1800247, rs4236, and rs2248359), diabetes and hypertension showed better performance than models considering only clinical risk factors, significantly increasing the area under the curve of the model without polymorphisms. Furthermore, one of the SNPs (the rs2248359) showed an interaction with hypertension, being the risk genotype affecting only hypertensive patients. We conclude that 5 SNPs related to proteins implicated in mineral metabolism disturbances (Osteopontin, osteocalcin, matrix gla protein, matrix metalloprotease 3 and 24 hydroxylase) are associated to an increased risk of suffering CKD