Nota sobre un ensayo de Deleuze titulado Foucault.

Sin resume

Nota sobre un ensayo de Deleuze titulado Foucault.

Sin resume

Management of Locally Advanced Esthesioneuroblastoma in a Pregnant Woman

Esthesioneuroblastoma (ENB) is a rare malignant tumor that commonly develops in the upper nasal cavity. Standard treatment is not established, especially in locally advanced disease which portends the worse prognosis. Hereby, we report a case of a 27-year-old, 23-week pregnant woman, with a 2-month history of progressively growing right cervical lymphadenopathy, nasal obstruction, anosmia, frequent episodes of epistaxis, and right frontal headache. Imagiological evaluation revealed a lesion with 7×5,2×3,2 cm in the nasal fossae with extension to the ethmoidal complex and right olfactive fend and invasion of the endocranial compartment associated with lymphadenopathy. The biopsy revealed a high-grade EBN. Neoadjuvant chemotherapy with cisplatin and etoposide was administrated during pregnancy and continued after delivery up to 6 cycles of treatment with partial response. Radiotherapy followed, with complete response. This case report is intended to highlight that a high grade of suspicion should be kept in the presence of nonspecific symptoms of nasal obstruction, anosmia, facial pain, and/or headache and focus that chemotherapy is an important component of a combined-treatment modality for locally advanced ENB that can be used during pregnancy in a lifesaving situation.info:eu-repo/semantics/publishedVersio

El periódico en Educación Infantil como motor de desarrollo de la Alfabetización Mediática

Visibilizar y desarrollar adecuadamente la alfabetización mediática dentro de la etapa de Educación Infantil, requiere un tratamiento conjunto de la competencia digital y la competencia mediática, como un mecanismo idóneo para lograr una ciudadanía crítica y responsable en la sociedad tecnológica ymediática en la que vivimos. Para ello, proponemos una propuesta didáctica, vinculando la metodología por proyectos de trabajo y el periódico como un recurso didáctico con un enorme potencial por los múltiples beneficios que aporta a la práctica de aula, no solo a nivel de aprendizajes instrumentales, sino también a nivel mediático y digital en la Educación Infantil. En este sentido, las actividades propuestas abarcan distintas dimensiones de la competencia mediática, relacionadas con la manipulación mediática, el lenguaje audiovisual y estético, y la búsqueda, selección, transformación y difusión de la información que desde las primeras edades es necesario desarrollar.To make visible and to develop properly the media literacy within the Kindergarden Stage requires a joint treatment of digital competence and the media competence, as the best mechanism to achieve a critical and responsible citizenship in the technological and media society in which we live. To this end, we propose a didactic approach linking the methodology of work by projects and the newspapers as a teaching resource with enormous potential because of the many benefits it brings to the classroom practice, not only at instrumental learning level but also to media level and to digital level in the kindergarden stage. In this sense, the proposed activities encompass different dimensions of media competence linked to media manipulation, audio-visual and aesthetic language, and searching, sorting, processing and diffusion of information which from the earliest ages is necessary to develop

La vivienda de interés social

La vivienda de interés socia

Patient Experience in Home Respiratory Therapies: Where We Are and Where to Go

The increasing number of patients receiving home respiratory therapy (HRT) is imposing a major impact on routine clinical care and healthcare system sustainability. The current challenge is to continue to guarantee access to HRT while maintaining the quality of care. The patient experience is a cornerstone of high-quality healthcare and an emergent area of clinical research. This review approaches the assessment of the patient experience in the context of HRT while highlighting the European contribution to this body of knowledge. This review demonstrates that research in this area is still limited, with no example of a prescription model that incorporates the patient experience as an outcome and no specific patient-reported experience measures (PREMs) available. This work also shows that Europe is leading the research on HRT provision. The development of a specific PREM and the integration of PREMs into the assessment of prescription models should be clinical research priorities in the next several years.info:eu-repo/semantics/publishedVersio

Validity and reliability of an offline ultrasound measurement of bladder base displacement in women

[Abstract] The effect of different exercises on the position of pelvic organs in women has not been sufficiently assessed. The objective was to analyze the validity and reliability of a new two-dimensional ultrasound algorithm to measure offline the displacement of the bladder base during abdominal exercises. This algorithm could be a useful method to future studies in determine the most appropriate exercises in sports and in rehabilitative program for the pelvic floor in women. All subjects were tested by transverse transabdominal ultrasound. The measurements were conducted offline using a customized code written in MATLAB (Ecolab) for image-processing, and manually on the ultrasound monitor using electronic calipers. The agreement was assessed with a paired t-test, Pearson’s linear correlation coefficient (r), the Lin’s concordance correlation coefficient (CCC), the intraclass correlation coefficient ICC (A,2) and a Bland–Altman plot. The reliability was confirmed by the interdays intra-rater ICC coefficient. The results were that Ecolab and ultrasound transducer measures did not differ statistically (p = 0.246). Furthermore, both methods showed a very strong relationship, and the Ecolab demonstrated to be a valid and reliable method. We concluded that Ecolab seemed to be a valid and reliable tool to assess the effect of abdominal contractions in the female pelvic floor.Ministerio de Ciencia e Innovación (España); PID2020-113578RB-I00Xunta de Galicia; ED431C-2020/14Xunta de Galicia; ED431G 2019/0

Of Fears and Budgets: Strategies of Control in Vespa velutina Invasion and Lessons for Best Management Practices

[Abstrat] Implementing management practices for the control of invasive species can be a complex task with multiple dimensions, where the identification of stakeholders and drivers of those practices is of paramount importance. The invasive hornet Vespa velutina has spread across Europe and Asia from its native range in SE Asia in recent years. A common control method is the removal and destruction of its nests on citizens’ request to call centers. In this paper we have explored the knowledge and main factors that influence the perceptions of the citizens on the species in an invaded municipality in NW Spain, as well as the management practices of the municipal emergency unit responsible for nest removal activities. Our analysis brings out multiple drivers of management practices that derive both from the citizens’ and practitioners’ knowledge, and highlights several points of conflict between both stakeholder groups connected to (1) the degree of service provided to the local population, (2) the risk of allergic reactions as a motive to urge removals, or (3) the quality of information provided by mass media. Our results support the crucial importance of environmental education programs that seek to increase the knowledge of the general public about the threats of invasive species. Such programs might be incorporated to implement and optimize management plans of V. velutina by enhancing communication between experts and local population

Nota editorial: alejandro prospero reverend (el médico del libertador)

Si el nombre de Alejandro Próspero Révérend, no ha sido olvidado en la América Latina" como probablemente sí lo está en Francia, lugar de su nacimiento, es porque el azar de su destino lo condujo a jugar un papel histórico con ocasión de la muerte de Simón Bolívar, Libertador del Continente Suramericano. No hay libro de historia ni biografía, que no relate con gratitud los actos de consagración, de este médico francés y no alaben la filantropía y la abnegación - nosotros diremos más simplemente, la conciencia y la probidad profesionales-con las cuales él cumplió la triste tarea que le impusieron las circunstancias

Dinámica del género Anastrepha, en el cultivo de guayaba (Pisum guajava), en la parroquia Guasaganda Ecuador

La presente investigación se realizó en el Cantón La Maná, Parroquia Guasaganda, recinto La Playa con el objeto del estudio de la dinámica poblacional de la mosca de la fruta en el cultivo de guayaba (Psidium guajava L.), para el ensayo se colectaron las muestras utilizando trampas caseras tipo Harris con un atrayente (5ml de melaza, 5mg de bórax, 10mg de sulfato de amonio), que fue colocado en el hospedero, para determinar su capacidad hospedante sobre los individuos del género Anastrepha sp. Los frutos infestados se los llevó a laboratorio para realizar una cría, donde se utilizó turba y una dieta para adultos del género Anastrepha compuesta de agua y miel al 50%.  Como resultado se obtuvo 396 individuos correspondientes a Anastrepha striata, Anastrepha fraterculus, Anastrepha pickeli, con un índice de captura de 2.87 MTD (moscas/trampa/día), ­­con una capacidad hospedante de 5 a 7 larvas por fruto. De las diferentes colectas de los frutos se observó una infestación del  81 al 95%.  En la cría de las moscas de la fruta a partir de frutos infestados, en laboratorio se observó una emergencia del 65 a 85% de moscas con un total 1200 individuos que corresponden a especies: Anastrepha striata y Anastrepha fraterculus