Wine routes in Spain: A case study

Spain is a country with an enormous wine-growing tradition and with a huge tourist industry, although it has not made the importance of wine tourism profitable. Thus, it was not until 2000 that different official wine routes seemed to appear, with the main objective, amongst others, being to help develop rural areas where wine production is of crucial importance and to offer alternatives to traditional sun and beach tourism. In this paper, we will present an analysis of wine tourism in Spain based on the premise that wine (and regional cuisine) may be, and very frequently is, the main reason for visiting a certain area. To investigate this, we will present the results of an empirical study carried out in one of the official wine routes of Andalusia, a Spanish region where sun and beach tourism and cultural tourism represent a highly significant part of tourist activity. We have analysed how this tourist route is bringing about significant socioeconomic changes to the geographical area. To achieve this aim, we have conducted a survey of the companies involved in the wine route in order to ascertain their opinions on the impact and influence of the route. The main results of the study demonstrate the need to consolidate the development of such routes through collaboration between public institutions, ensuring the participation of all the different social actors involved

Una mirada desde trabajo social en la incidencia de los procesos políticos y de liderazgo de los jóvenes que hacen parte de las organizaciones juveniles y culturales (Guaguas Morochas, Arcoíris) del sector Bolonia –Usme.

La presente investigación tiene como objetivo Indagar sobre la incidencia de los procesos políticos y de liderazgo en los jóvenes que hacen parte de organizaciones juveniles (Guaguas Morochos, Arcoíris, del sector Bolonia Usme), para contribuir en el mejoramiento de sus procesos y el reconocimiento de su actuar político, permitiendo aportar saberes dentro de cada organización y dentro del sector. Esta es una investigación cualicuantitativo; como técnicas se utilizó la encuesta, la cartografía social, la entrevista semi-estructurada. Las categorías que enmarcan la investigación fueron: política, incidencia política, trabajo social, liderazgo, organización social, participación, entre otros

New tracheal stainless steel stent pilot study: twelve month follow-up in a rabbit model

Background Canine tracheal collapse is a complex airway pathology without promising treatment results. Currently nitinol stents are the best surgical option; however, some professionals are doubting if stent placement is the best option due to the associated complications. Objective Determine the technical feasibility, safety, and long-term follow-up after the implantation of a new tracheal stent designed for canine tracheal collapse. Methods Thirteen healthy, adult female New Zealander rabbits were involved in this pilot study.A new intra-tracheal device (Reference number 902711 patent registered as CasMin-Twine) was implanted in ten animals. Deployment was performed under general anesthesia, making a puncture incision via a 21 Gauge needle in the intra-tracheal space where the stent was introduced with a screwing process. The device was fixed to the tracheal wall with a non-absorbable suture. Computerized Tomography (CT) and an endoscopy to study structural abnormalities were performed after 30, 90 and 365 days after stent placement. Results Technical and clinical success was 100%. There was no significant change in behavior or respiratory disorders. CT studies showed no significant alterations. After the 30 days, 60% of the animals showed partial endothelization in the endoscopy study, and only one animal still presented partial endothelization after 12 months. Mucus accumulation was only present in 40% of cases and classified as low, without respiratory consequences. Only one animal presented a single granuloma at caudal stent tip. Conclusions This new tracheal stent (CasMin-Twine) is an effective and safe procedure with promising results, and also shows the possibility of removing the device after endothelization has been produced. New studies should be carried out to evaluate the effectiveness in patients with tracheomalacia. Clinical Significance/Impact This new product can give veterinarians a new option of treatment for this complicated pathology. Minimizing specific equipment for its deployment, CasMin-Twine will be more accessible for all professionals

A new airway spiral stent designed to maintain airway architecture with an atraumatic removal after full epithelization - Research of feasibility and viability in canine patients with tracheomalacia

Objective: Surgical management of tracheomalacia is a challenge, with current treatments still presenting numerous complications. In the field of veterinary medicine, this same pathology is present in a significant number of dogs. For this reason, we present an experimental clinical trial performed on canines with tracheobronchomalacia, using a new atraumatic removable tracheal spiral stent (SS). Both implantation procedure and clinical improvement have been analyzed in this study.Methods: In this study, four small dogs, a mean weight of 4.89 kg and body condition scores IV‐V, were included. SS was implanted by two different surgical approaches. Image and clinical follow‐up have been performed during 90 days. Symptoms were evaluated from 1 to 10 every week. Results: This study achieved 100% technical and clinical success. Median tracheal diameters were as follows: cervical 10.85 (3.3), inlet 7.75 (2.1), and carina 7.75 (1.9) mm, and length was 77.5 (26) mm. A 12 × 10 × 100‐mm SS was implanted in all cases. Goose honk cough punctuation improved from 8 to 1; also, there were important changes in exercise intolerance, a mean weight loss of 8.76%. The values of modified Karnofsky scale varied from 50 (20) before surgery to 90 (10) after 30 days of surgery. Neither granuloma tissue nor fractures of the prosthesis was observed.Conclusion: The results in dogs are promising, and a new therapeutic alternative seems to be available for veterinarian field. The similarity of this disease between dogs and newborns suggests that this SS design can also be useful for human trials

Instrumentos de evaluación de la funcionalidad familiar: una revisión integrativa

Introduction For family assessment in terms of its context, dynamics and functioning, several evaluation instruments have been developed in recent years, but currently there is no review in the scientific literature that would allow the compilation and visualization of instruments that measure family functionality and are validated for the Latin American region. Objective To identify instruments that assess family functioning and are validated in Latin America in Spanish. Methodology An integrative review was carried out using the following descriptors: family health, psychometrics, family nursing, nursing, using in the search strategy the Boléan operators OR and AND in English and Spanish, using the following databases: Virtual Health Library (BVS), Cochrane, Science Direct, Redalyc, Google academic. Results Twelve articles were finally retained which were developed in Colombia, Peru, Uruguay, Mexico, Chile and Argentina, one in each country; these studies were published between 2002 and 2017. The studies performed tests such as KMO, Bartlett test and Cronbach’s Alpha. The instruments reported and validated to local contexts are the Family APGAR, FACES III and IV and ASF-E. Conclusion There is a need for further development of reliable and validated instruments for Latin America and their application in local contexts, which will make it possible to generate more accurate information for effective family intervention actions and adequate decision making.Introducción Para la valoración familiar en cuanto a su contexto, su dinámica y funcionamiento en los últimos años se han generado diversos instrumentos de evaluación, actualmente en la literatura científica no se encuentra una revisión que permitiera compilar y visualizar los instrumentos que midan la funcionalidad familiar y se encuentren validados para la región de América Latina. Objetivo Identificar los instrumentos que evalúen la funcionalidad familiar y se encuentren validados en Latinoamérica en idioma español. Metodología Se realizó una revisión integrativa donde se utilizaron los siguientes descriptores salud familiar, psicometría, enfermería familiar, enfermería usando en la estrategia de búsqueda los operadores booleanos OR y AND en los idiomas inglés y español, se utilizaron las bases de datos: Biblioteca Virtual en Salud (BVS), Cochrane, Science Direct, Redalyc, Google académico. Resultados Se retienen finalmente doce artículos los cuales fueron desarrollados en Colombia, Perú, Uruguay, México, Chile y Argentina uno en cada país; estos estudios fueron publicados entre el año 2002 hasta el 2017. Los estudios realizaron pruebas como el KMO, la prueba de Bartlett y el Alfa de Cronbach. Los instrumentos reportados y validados a los contextos locales son el APGAR Familiar, FACES III y IV y ASF-E. Conclusión Se necesita mayor desarrollo de instrumentos confiables y validados para América Latina y su aplicación en los contextos locales, lo que permita generar información con mayor exactitud para tomar acciones de intervención familiar efectivas y toma de decisiones adecuadas

PLANEACIÓN DIDÁCTICA GENERAL DE LA ASIGNATURA: HERENCIA Y EVOLUCIÓN

GUÍA DIDÁCTICA / PLANEACIÓN DIDÁCTICA (NMS

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Ciudad Bogotá

El conflicto armado en Colombia ha dejado una huella profunda en el país, afectando a millones de personas. Por ende, es imperativo entender el impacto de la violencia para identificar los emergentes psicosociales, que son manifestaciones de las consecuencias de la violencia en las personas y comunidades inmersas en el conflicto armado. Un ejemplo ilustrativo de esto es la narrativa de la editorial de la comisión de la verdad del tiempo, capítulo 1, el caso de Luz. Esta historia permite comprender las experiencias traumáticas sufridas por las víctimas del conflicto armado que, a mediano o largo plazo, se ven abocadas al desplazamiento forzado. Este desplazamiento genera traumas psicológicos y deteriora el tejido social. Para abordar el caso de Luz, se plantearon preguntas reflexivas, circulares y estratégicas, diseñadas para resignificar la experiencia de la narradora, explorar sus emociones y llevarla a reflexionar sobre su futuro. Otro ejemplo impactante de las secuelas de la guerra es el caso de El Salado, donde una masacre generó un trauma colectivo en la comunidad, con un impacto negativo tanto social como culturalmente. Para abordar este desafío, se propusieron tácticas de apoyo psicosocial, basándose en un informe analítico de las vivencias documentadas a través de la foto voz, la imagen y la narrativa. Estas herramientas sirven para la reconstrucción de la memoria y la visualización de realidades identificadas en diferentes contextos de la ciudad de Bogotá.The armed conflict in Colombia has left a deep mark on the country, affecting millions of people. Finally, it is imperative to understand the impact of violence to identify psychosocial emergents, which are manifestations of the consequences of violence on people and communities immersed in the conflict armed. An illustrative example of this is the narrative of the publisher of the truth commission of the time, chapter 1, the case of Luz. This story allows us to understand the traumatic experiences suffered by the victims of the armed conflict who, in the medium or long term, are doomed to forced displacement. This displacement generates psychological trauma and deteriorates the social fabric. To address Luz's case, reflective, circular and strategic questions were posed, designed to redefine the narrator's experience, explore her emotions and lead her to reflect on her future. Another shocking example of the aftermath of war is the case of El Salado, where a massacre generated collective trauma in the community, with a negative impact both socially and culturally. To address this challenge, psychosocial support tactics were proposed, based on an analytical report of the experiences documented through photo voice, image and narrative. These tools serve to reconstruct memory and visualize realities identified in different contexts of the city of Bogotá

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Ciudad Bogotá

El conflicto armado en Colombia ha dejado una huella profunda en el país, afectando a millones de personas. Por ende, es imperativo entender el impacto de la violencia para identificar los emergentes psicosociales, que son manifestaciones de las consecuencias de la violencia en las personas y comunidades inmersas en el conflicto armado. Un ejemplo ilustrativo de esto es la narrativa de la editorial de la comisión de la verdad del tiempo, capítulo 1, el caso de Luz. Esta historia permite comprender las experiencias traumáticas sufridas por las víctimas del conflicto armado que, a mediano o largo plazo, se ven abocadas al desplazamiento forzado. Este desplazamiento genera traumas psicológicos y deteriora el tejido social. Para abordar el caso de Luz, se plantearon preguntas reflexivas, circulares y estratégicas, diseñadas para resignificar la experiencia de la narradora, explorar sus emociones y llevarla a reflexionar sobre su futuro. Otro ejemplo impactante de las secuelas de la guerra es el caso de El Salado, donde una masacre generó un trauma colectivo en la comunidad, con un impacto negativo tanto social como culturalmente. Para abordar este desafío, se propusieron tácticas de apoyo psicosocial, basándose en un informe analítico de las vivencias documentadas a través de la foto voz, la imagen y la narrativa. Estas herramientas sirven para la reconstrucción de la memoria y la visualización de realidades identificadas en diferentes contextos de la ciudad de BogotáThe armed conflict in Colombia has left a deep mark on the country, affecting millions of people. Finally, it is imperative to understand the impact of violence to identify psychosocial emergents, which are manifestations of the consequences of violence on people and communities immersed in the conflict armed. An illustrative example of this is the narrative of the publisher of the truth commission of the time, chapter 1, the case of Luz. This story allows us to understand the traumatic experiences suffered by the victims of the armed conflict who, in the medium or long term, are doomed to forced displacement. This displacement generates psychological trauma and deteriorates the social fabric. To address Luz's case, reflective, circular and strategic questions were posed, designed to redefine the narrator's experience, explore her emotions and lead her to reflect on her future. Another shocking example of the aftermath of war is the case of El Salado, where a massacre generated collective trauma in the community, with a negative impact both socially and culturally. To address this challenge, psychosocial support tactics were proposed, based on an analytical report of the experiences documented through photo voice, image and narrative. These tools serve to reconstruct memory and visualize realities identified in different contexts of the city of Bogotá

No Place Like Home: Examining a Bilingual-Bicultural, Self-Run Substance Abuse Recovery Home for Latinos

Latinos often do not seek substance abuse services, and this might be correlated to the lack of culturally-modified substance abuse treatment approaches. Oxford House is the largest self-help residential recovery program in the U.S., yet few Latinos are among their current residents. In an effort to change this, bilingual-bicultural recovery homes were recently developed for Latinos. This article describes the process in opening these bilingual-bicultural houses and how sociocultural factors such as the family, simpatía, and gender roles impacted the living environment of these houses. In addition, language is highlighted as a key factor to the comfort and success of Latinos living in Oxford Houses. Based on these experiences, the article addresses several obstacles/barriers that impacted this process and possible feasible solutions to these challenges. One challenge is the Latino family system. While this may provide a supportive, cost-effective option for some; it can also perpetuate a cycle of codependence and substance abuse