Éros philosophe

Est-ce que l´avènement de la postmodernité amène une nouvelle façon de regarder la société ? Dans cet article, on dit que oui à cause des alchimies festives et de la pusissance des émotions. C´est à dire que des « communions émotionnelles » sont un nouvel espace propice à un réenchantement du monde. Il s´agit aussi sur le rôle de l´immatériel, celui du culturel et aussi du spirituel. Tels sont les caractères essentiels de la religiosité postmoderne.</p

APRESENTAÇÃO DOSSIÊ EDUCAÇÃO E CONTEMPORANEIDADE

As palavras Educa&ccedil;&atilde;o e Contemporaneidade carregamsem&acirc;nticas cujos sentidos nos lan&ccedil;am num labirinto comin&uacute;meros e surpreendentes percursos. Por isso, nos parece que oeducador contempor&acirc;neo &eacute; aquele que aprendeu a andar peloslabirintos dos saberes, das hist&oacute;rias, das mem&oacute;rias, dos afetos edos sentimentos, do caminho racional sem tornar sua caminhadaum exerc&iacute;cio exacerbado; aquele que sonha e luta por mudan&ccedil;as,por transforma&ccedil;&otilde;es sociais e humanas, compreendendo que aimagina&ccedil;&atilde;o pode romper com modelos estagnados,ultrapassados, pode inventar vida, mundos outros, coisas esignicados novos e educa&ccedil;&atilde;o outra; pode abrir &quot;...olhos que t&ecirc;mnovos tipos de vis&atilde;o...Ter&aacute; vis&otilde;es se se educar com devaneiosantes de educar-se com experi&ecirc;ncias, se as experi&ecirc;ncias vieremdepois como provas de seus devaneios&quot; (BACHELARD, 1989, p.19). Por isso, convidamos o educador a fazer uma travessia pelosdiversos labirintos sem receio de perder-se nos caminhoslabir&iacute;nticos desse dossi&ecirc;

Successful enteral nutrition in the treatment of esophagojejunal fistula after total gastrectomy in gastric cancer patients

<p>Abstract</p> <p>Background</p> <p>Esophagojejunal fistula is a serious complication after total gastrectomy in gastric cancer patients. This study describes the successful conservative management in 3 gastric cancer patients with esophagojejunal fistula after total gastrectomy using total enteral nutrition.</p> <p>Methods</p> <p>Between January 2004 to December 2008, 588 consecutive patients with a proven diagnosis of gastric cancer were taken to the operation room to try a curative treatment. Of these, 173 underwent total gastrectomy, 9 of them had esophagojejunal fistula (5.2%). In three selected patients a trans-anastomotic naso-enteral feeding tube was placed under fluoroscopic vision when the fistula was clinically detected and a complete polymeric enteral formula was used.</p> <p>Results</p> <p>The complete closing of the esophagojejunal fistula was obtained in day 8, 14 and 25 respectively.</p> <p>Conclusion</p> <p>In some selected cases it is possible to make a successful enteral nutrition using a feeding tube distal to the leak area inserted with the help of fluoroscopic vision. The specialized management of a gastric surgery unit and nutritional therapy unit are highlighted.</p

Éros filósofo

Est-ce que l´avènement de la postmodernité amène une nouvelle façon de regarder la société ? Dans cet article, on dit que oui à cause des alchimies festives et de la pusissance des émotions. C´est à dire que des « communions émotionnelles » sont un nouvel espace propice à un réenchantement du monde. Il s´agit aussi sur le rôle de l´immatériel, celui du culturel et aussi du spirituel. Tels sont les caractères essentiels de la religiosité postmoderne.Est-ce que l´avènement de la postmodernité amène une nouvelle façon de regarder la société ? Dans cet article, on dit que oui à cause des alchimies festives et de la pusissance des émotions. C´est à dire que des « communions émotionnelles » sont un nouvel espace propice à un réenchantement du monde. Il s´agit aussi sur le rôle de l´immatériel, celui du culturel et aussi du spirituel. Tels sont les caractères essentiels de la religiosité postmoderne.Será que o advento da pós-modernidade nos leva a uma nova maneira de olhar a sociedade? Neste artigo, trata-se de observar que, possivelmente, sim, por causa, sobretudo, das alquimias festivas e da potência das emoções. Logo, as “comunhões emocionais” são um novo espaço propício a um reencantamento do mundo. Fala-se também do papel do imaterial, da cultura e da espiritualidade. Estes são os “caracteres essenciais” da religiosidade pós-moderna

Primary non-polipoid intestinal folicular lymphoma: case report and review of the literature

[email protected] primary intestinal follicular lymphoma is a rare disease described in the last classification of lymphomas from WHO. It is a localized disease with excellent prognosis. We describe in this article ,a 64 year-old Peruvian female with abdominal pain and delayed vomiting for the last two years, has undergone a partial intestinal resection due to bowel obstruction. There was a well-circumscribed annular tumor. A diagnosis of non-polypoid primary intestinal follicular lymphoma was made. We report the case and review the literature in this article.El linfoma folicular primario intestinal es un desorden raro descrito en la última clasificación de linfomas de la WHO. Es una entidad localizada con excelente pronóstico. En el presente artículo, reportamos una mujer peruana de 64 años de edad diagnosticada con linfoma folicular primario intestinal. Ella tuvo dos años con dolor abdominal y vómitos tardíos. Ella desarrolló una obstrucción intestinal y tuvo una resección completa del tumor. Se describe el caso y se realiza una revisión de la literatura de esta entidad

Lipoma gástrico gigante en paciente adulta mayor con síntomas de obstrucción digestiva: Primer reporte de caso en el Perú

Gastric lipoma is a very rare condition, which accounts for 5% of gastrointestinal lipomas and for less than 1% of benign tumors of the stomach. Giant gastric lipomas (≥ 4 cm) are extremely rare, and we found only 32 cases reported in the literature. We report the first case of a giant gastric lipoma in Peru, which led to a corporal gastrectomy using a laparotomy approach in a 79-year old woman, who presented with a 2-month history with abdominal and epigastric pain, early fullness, dark stools, and weight loss. Physical examination revealed a 7- to 8-cm palpable mass in the left upper quadrant. Upper gastrointestinal endoscopy revealed an elevated lesion in the proximal third of the gastric body, measuring approximately 30-mm. A CT scan revealed a mass compatible with a gastric lipoma, so a corporal gastrectomy with a laparotomy approach was performed. The anatomopathological report confirmed the diagnosis of a giant gastric lipoma. There were no complications during the postoperative period, and the patient was discharged on the seventh post-op day.Los lipomas gástricos son una patología muy rara que representan el 5% de los lipomas gastrointestinales y menos del 1% de los tumores benignos del estómago. Los lipomas gástricos gigantes (≥ 4 cm) son extremadamente raros, habiéndose encontrado solo 32 casos reportados en la bibliografía. Reportamos el primer caso de un lipoma gástrico gigante en el Perú, operado por gastrectomía corporal por laparotomía en una paciente mujer de 79 años que acudió con un cuadro clínico de dos meses de evolución caracterizado por dolor abdominal en epigastrio más sensación de llenura precoz, deposiciones oscuras y pérdida de peso. Al examen físico se halló una masa palpable de aproximadamente 8 cm en hipocondrio izquierdo. La endoscopía digestiva alta reveló una lesión elevada en el tercio proximal del cuerpo gástrico de aproximadamente 30 mm. Se realizó un estudio tomográfico que evidenció una masa sospechosa de lipoma gástrico por lo que se procedió a realizar una gastrectomía corporal por laparotomía. El informe anatomopatológico confirmó el diagnóstico de lipoma gástrico gigante. En el posoperatorio no hubo complicaciones y fue dada de alta al séptimo día

Pharmacological Evaluation and Preliminary Pharmacokinetics Studies of a New Diclofenac Prodrug without Gastric Ulceration Effect

Long-term nonsteroidal anti-inflammatory drugs (NSAIDs) therapy has been associated with several adverse effects such as gastric ulceration and cardiovascular events. Among the molecular modifications strategies, the prodrug approach is a useful tool to discover new safe NSAIDs. The 1-(2,6-dichlorophenyl)indolin-2-one is a diclofenac prodrug which demonstrated relevant anti-inflammatory properties without gastro ulceration effect. In addition, the prodrug decreases PGE2 levels, COX-2 expression and cellular influx into peritoneal cavity induced by carrageenan treatment. Preliminary pharmacokinetic studies have shown in vivo bioconversion of prodrug to diclofenac. This prodrug is a new nonulcerogenic NSAID useful to treat inflammatory events by long-term therapy