Asociación entre la geohelmintiasis materna y el bajo peso al nacer en los recién nacidos de una clínica de ginecobstetricia de la ciudad de Cartagena atendidos durante diciembre 2018 y septiembre de 2019

El bajo peso al nacer, es un importante problema de salud pública que afecta la salud del recién nacido e impacta la morbimortalidad, la educación, productividad, la familia, la transmisión intergeneracional de la pobreza y la desigualdad. Esta investigación, establece la relación entre la geohelmintiasis materna y el bajo peso al nacer en los recién nacidos de una Clínica de Gineco-obstétrica de la ciudad de Cartagena. Se realizó un estudio transversal con análisis de casos y controles. Se estudiaron 836 recién nacidos seleccionados por muestreo aleatorio sistemático, evaluando la presencia de geohelmintiasis y factores sociodemográficos, antecedentes personales, maternos y factores relacionados con el recién nacido, encontrando una prevalencia de BPN de 7,2% y geohelmintiasis materna de 2,4%. La geohelmintiasis materna mostro asociación con el bajo peso al nacer en esta población. Los factores de riesgo que estadísticamente se asociaron a bajo peso en este grupo de pacientes, fueron el control prenatal, periodo intergenésico menor a 2 años y parto a término como un factor protector

De l’exubérance végétale à la prédation animale

It is paradoxically reductive to summarize the bachelardian imaginary of the four fundamental elements. Not only the elements themselves are declined in a variety of materials, but also the bachelardian dynamic is open to the size of a cosmos that can not be reduced to the logic of a quadrangulation. In this context, for the philosopher, the vegetal world also seems to be an inexhaustible source of references and rêveries, which constitute a main pole of meditation. Naturally, references to the plant world appear dispersed in the work of the philosopher: the “aerial tree”, the root, the vine, the water lilies. They are not less multiplied and subtly recurring. Thus Bachelard talks about “notre végétalisme profond” (our deep vegetality). It is necessary to consider the meaning of this enigmatic formula. And this is even more important since the philosopher has always kept himself to the edge of the animal world, to which, after all, he rarely refers to, and in front of which he repeatedly expresses a kind of surprising reluctance. It may be possible that it is not adapted to what, for Bachelard, is more essential while he proceed with is work to a “philosophie du repos” (philosophy of rest). We can also make a disturbing hypothesis: is animality, full of the “Will to Live” that Schopenhauer placed at the heart of his system? Is it ontologically close to that troubled humanity the philosopher feels a very ambiguous sympathy for? Bachelardian vegetality would it be the opposite of what we might call problematic humanism

De l’exubérance végétale à la prédation animale

It is paradoxically reductive to summarize the bachelardian imaginary of the four fundamental elements. Not only the elements themselves are declined in a variety of materials, but also the bachelardian dynamic is open to the size of a cosmos that can not be reduced to the logic of a quadrangulation. In this context, for the philosopher, the vegetal world also seems to be an inexhaustible source of references and rêveries, which constitute a main pole of meditation. Naturally, references to the plant world appear dispersed in the work of the philosopher: the “aerial tree”, the root, the vine, the water lilies. They are not less multiplied and subtly recurring. Thus Bachelard talks about “notre végétalisme profond” (our deep vegetality). It is necessary to consider the meaning of this enigmatic formula. And this is even more important since the philosopher has always kept himself to the edge of the animal world, to which, after all, he rarely refers to, and in front of which he repeatedly expresses a kind of surprising reluctance. It may be possible that it is not adapted to what, for Bachelard, is more essential while he proceed with is work to a “philosophie du repos” (philosophy of rest). We can also make a disturbing hypothesis: is animality, full of the “Will to Live” that Schopenhauer placed at the heart of his system? Is it ontologically close to that troubled humanity the philosopher feels a very ambiguous sympathy for? Bachelardian vegetality would it be the opposite of what we might call problematic humanism

La tradición oral del caribe colombiano como estrategia pedagógica para fortalecer la comprensión lectora

At a global level, the problems of reading comprehension have been constant, since students present problems to reach the inferential and critical level, being easier to cover the literal level. The development and strengthening of reading comprehension in students has become a challenge for current education, since, it is intended that at the end of school education they will obtain the necessary tools to deal with any type of text, however, the little interest and reading habits requires establishing strategies and sources of motivation to awaken the love of reading, therefore, the present research is designed with the objective of developing a pedagogical strategy mediated by the oral tradition of the Colombian Caribbean to strengthen reading comprehension in the 6th students of the Jorge Robledo Ortíz District Educational Institution of Barranquilla. A qualitative research was developed, with a methodological approach Research-Action - Participation, with a sample of 12 students of grade 6. The results allowed to demonstrate significant advances in the strengthening of reading comprehension, pointing to the inferential and critical levels.A nivel mundial los problemas sobre comprensión lectora han sido constantes, ya que, los estudiantes presentan problemas para alcanzar el nivel inferencial y crítico, siendo más fácil abarcar el nivel literal. El desarrollo y fortalecimiento de la comprensión lectora en los estudiantes se ha convertido en un desafío para la educación actual, ya que, se pretende que al finalizar la formación escolar obtengan las herramientas necesarias para enfrentarse a cualquier tipo de texto, no obstante, el poco interés y hábitos de lectura requiere establecer estrategias y fuentes de motivación para despertar el amor por la lectura, por ello, se diseña la presente investigación con el objetivo de desarrollar una estrategia pedagógica mediada por la tradición oral del caribe Colombiano para fortalecer la compresión lectora en los estudiantes de 6° de la Institución Educativa Distrital Jorge Robledo Ortíz de Barranquilla. Se desarrolló una investigación de tipo cualitativo, con un enfoque metodológico Investigación- Acción – Participación, con una muestra de 12 estudiantes de grado 6. Los resultados permitieron evidenciar avances significativos en el fortalecimiento de la comprensión lectora, apuntando a los niveles inferencial y crítico

Moodle y Jclic como herramienta de apoyo pedagógico para aprender números fraccionarios

Moodle y Jclic como herramientas de apoyo pedagógico para el aprendizaje de números fraccionarios es un estudio orientado al fortalecimiento del aprendizaje de este conjunto numérico con los estudiantes de grado quinto de la I. E Sagrada Corazón de Jesús del Municipio de Buenavista – Córdoba. La problemática identificada subyace en escasa comprensión conceptual y operativa de los estudiantes frente al tema en mención. Hecho que afecta el desempeño académico de los mismo y socava la calidad educativa de la institución. Metodológicamente, esta investigación se enmarca en el enfoque multimodal o mixto con diseño cuasi experimental cuya prueba de hipótesis se sustenta en la correlación del valor promedio de los puntajes obtenidos en la aplicación de cuestionario pretest y otro postest sobre una muestra no probabilística de 12 estudiantes elegidos de manera intencional según sus posibilidades para participar. Por otra parte, la descripción y análisis del comportamiento social de partícipes de ejercicio investigativo están sujeto a la observación y a la reflexión. Finalmente, y en virtud de los resultados apropiados es posible constatar a modo de conclusión que, en la medida, que se integren las tecnologías educativas y la gamificación como herramienta para la gestión de aprendizaje el docente optimiza su enseñanza de las matemáticas de fracciones, mientras que el estudiante obtiene un aprendizaje que le va a permitir potenciar su cogniciónMoodle and Jclic as pedagogical support tools for learning fractional numbers is a study aimed at strengthening the learning of this numerical set with fifth grade students of the Sagrado Corazón de Jesús School of the Municipality of Buenavista - Córdoba. The identified problem underlies the students' poor conceptual and operational understanding of the topic in question. Fact that affects their academic performance and undermines the educational quality of the institution. Methodologically, this research is framed in the multimodal or mixed approach with a cusi experimental design whose hypothesis test is based on the correlation of the average value of the scores obtained in the application of a pre-test questionnaire and another post-test on a non probabilistic sample of 12 chosen students. intentionally according to your ability to participate. On the other hand, the description and analysis of the social behavior of research exercise participants are subject to observation and reflection. Finally, and by virtue of the appropriate results, it is possible to state by means of conclusion that, to the extent that educational technologies and gamification are integrated as a tool for learning management, the teacher optimizes his teaching of fraction mathematics, the Students compete motivated by learning, this leads to enhance cognition and content production

Affective pathology and quality of life at chronic heart failure patient’s with sex-taking account during antidepressant therapy

In order to determine the severity of affective pathology by sex, with further assessment of the dynamics of the clinical status and quality of life in chronic heart failure (CHF) patient’s during therapy, including the antidepressant escitalopram (Selectra) 117 patients were examined. Methods: HADS scale and Zung; questionnaire MLHFQ; SACS scale. From the respondents patients were selected with chronic heart failure in combination with increased levels of anxiety and depression, which in addition to traditional treatment of CHF were receiving escitalopram (Selectra) for two months at a dose of 20 mg per day. All patients underwent a test of 6-minute walk, echocardiography. Statistical analysis of results was carried out using Statistica 6.0. Results: In women with CHF severity of affective pathology was 1.8 higher than in men, largely due to anxiety. In men with CHF reduced QoL is mainly due to its physical component, while in women changes all three aspects of QOL. Regardless of gender in patients with chronic heart failure, coupled with anxiety and depression treatment, including escitalopram (Selectra), accompanied by improved affective status, indicators of QOL, as well as decrease the severity of clinical symptoms of cardiac decompensation. For women compared with men positive changes in the indices of QOL during therapy with antidepressants were more pronounced.С целью определения выраженности аффективной патологии с умётом пола с дальнейшей оценкой динамики клинического состояния и качества жизни у больных с хронической сердечной недостаточностью (ХСН) на фоне терапии, включающей антидепрессант зсциталопрам (Селектра) обследовано 117 пациентов. Методы: шкалы HADS и Цунга; опросник MLHFQ; шкала ШОКС. Из опрошенных были выбраны пациенты с ХСН в сочетании с повышенным уровнем тревоги и депрессии, которые помимо традиционного лечения ХСН получали зсциталопрам (Селектра) в течение двух месяцев в дозе до 20 мг в сутки. Всем больным проводился тест 6-минутной ходьбы (ТШХ), эхокардиографическое исследование (ЗХО-КГ). Статистическая обработка результатов проводилась с помощью программы Statistica 6.0. Результаты: У женщин с ХСН выраженность аффективной патологии в 1,8 выше, чем у мужчин, в большей степени за счёт тревоги. У мужчин с ХСН снижение КЖ в основном обусловлено его физическим компонентом, в то время как у женщин изменяются все три аспекта КЖ. Независимо от пола больных с ХСН, сочетающейся с тревогой и депрессией, лечение, включающее зсциталопрам (Селектра), сопровождается улучшением аффективного статуса, показателей КЖ, а также уменьшением выраженности клинической симптоматики сердечной декомпенсации. У женщин в сравнении с мужчинами позитивные изменения показателей КЖ на фоне терапии антидепрессантом более выражены

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Departamentos de Cesar y Bolívar

El conflicto armado desarrollado en Colombia por décadas ha dejados huellas significativas en cada uno de los habitantes que por indistintas razones lo han padecido de cerca, la cifra de las Víctimas es amplia y sin dudarlo los esfuerzos ejecutados para brindar procesos de atención psicosocial han logrado efectos resilientes en quienes han hecho un afrontamiento positivo de las situaciones adversas que les ha tocado vivir. La imagen y la narrativa permiten que la memoria de las Víctimas transforme experiencias duras y dolorosas en experiencias esperanzadoras, en un futuro donde si bien, no se ha logrado reparar la totalidad de daño vivido, se logra dar un sentido diferente al vivir de una persona, de una familia o de una comunidad. El Relato 4: Ana Ligia, tomado del Banco Mundial (2009), muestra como desde la poesía y la narración se logra una visión diferente del conflicto, para ello se plantean preguntas circulares, estratégicas y reflexivas, buscando el acercamiento y entendimiento con quien narra este relato. Acto seguido se analiza el caso de Peñas Coloradas, tomado de “El estado declaró al ejército dueño temporal de nuestro caserío y nos condenó al destierro” Comisión de la verdad, (2009), partiendo de la resolución de ítems orientadores desde los cuales las víctimas pueden afrontar la situación con miras a obtener el apoyo y acompañamiento que los lleven a tener herramientas para lograr la recuperación del espacio perdido, buscando mecanismos que contribuyan de manera interdisplinaria a la consolidación de esta comunidad.The armed conflict developed in Colombia for decades has left significant traces in each of the inhabitants who for various reasons have been related to it, the number of victims is large and without hesitation the efforts made to provide psychosocial care processes have achieved effects resilient in those who have coped positively with the adverse situations they have had to live through. The image and the narrative allow the memory of the victims to transform hard and painful experiences into hopeful experiences, in a future where, although it has not been possible to repair all the damage experienced, it is possible to give a different meaning to the life of a person, a family or a community. Story 4: Ana Ligia, taken from the World Bank (2009), shows how from poetry and narration a different vision of the conflict is achieved, for which circular, strategic and reflective questions are raised, seeking rapprochement and understanding with the narrator. this story. Then, the case of Peñas Coloradas is analyzed, taken from "The state declared the army temporary owner of our village and sentenced us to exile" Truth Commission, (2009), based on the resolution of guiding items from which the Victims can face the situation with a view to obtaining the support and accompaniment that lead them to have tools to achieve the recovery of lost space, seeking mechanisms that contribute in an interdisciplinary way to the consolidation of this community

Varespladib and cardiovascular events in patients with an acute coronary syndrome: the VISTA-16 randomized clinical trial

IMPORTANCE: Secretory phospholipase A2(sPLA2) generates bioactive phospholipid products implicated in atherosclerosis. The sPLA2inhibitor varespladib has favorable effects on lipid and inflammatory markers; however, its effect on cardiovascular outcomes is unknown. OBJECTIVE: To determine the effects of sPLA2inhibition with varespladib on cardiovascular outcomes. DESIGN, SETTING, AND PARTICIPANTS: A double-blind, randomized, multicenter trial at 362 academic and community hospitals in Europe, Australia, New Zealand, India, and North America of 5145 patients randomized within 96 hours of presentation of an acute coronary syndrome (ACS) to either varespladib (n = 2572) or placebo (n = 2573) with enrollment between June 1, 2010, and March 7, 2012 (study termination on March 9, 2012). INTERVENTIONS: Participants were randomized to receive varespladib (500 mg) or placebo daily for 16 weeks, in addition to atorvastatin and other established therapies. MAIN OUTCOMES AND MEASURES: The primary efficacy measurewas a composite of cardiovascular mortality, nonfatal myocardial infarction (MI), nonfatal stroke, or unstable angina with evidence of ischemia requiring hospitalization at 16 weeks. Six-month survival status was also evaluated. RESULTS: At a prespecified interim analysis, including 212 primary end point events, the independent data and safety monitoring board recommended termination of the trial for futility and possible harm. The primary end point occurred in 136 patients (6.1%) treated with varespladib compared with 109 patients (5.1%) treated with placebo (hazard ratio [HR], 1.25; 95%CI, 0.97-1.61; log-rank P = .08). Varespladib was associated with a greater risk of MI (78 [3.4%] vs 47 [2.2%]; HR, 1.66; 95%CI, 1.16-2.39; log-rank P = .005). The composite secondary end point of cardiovascular mortality, MI, and stroke was observed in 107 patients (4.6%) in the varespladib group and 79 patients (3.8%) in the placebo group (HR, 1.36; 95% CI, 1.02-1.82; P = .04). CONCLUSIONS AND RELEVANCE: In patients with recent ACS, varespladib did not reduce the risk of recurrent cardiovascular events and significantly increased the risk of MI. The sPLA2inhibition with varespladib may be harmful and is not a useful strategy to reduce adverse cardiovascular outcomes after ACS. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01130246. Copyright 2014 American Medical Association. All rights reserved