La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Departamentos del Huila y Tolima

El siguiente trabajo se dividió en cinco fases, donde se debían desarrollar una serie de actividades, dentro de las tareas desarrolladas se encontró con la aproximación al enfoque narrativo y análisis de los relatos de manera individual, estos relatos son hechos por la Comisión de la verdad. Posterior a la realización del análisis de los casos de manera individual, se procede a realizar la elección de uno de los relatos, el cual se eligió por criterios de pertenencia y claridad en el proceso argumentativo, el caso elegido fue el de Comisión de la verdad (2022). Historias que retornan – Amparo. Partiendo de esta elección se desarrolló un análisis colaborativo, teniendo en cuenta los ítems orientadores por la guía. Asimismo, como grupo se hace una simulación de entrevista al protagonista del relato y para ello se formuló tres preguntas circulares, tres reflexivas y tres estratégicas. Asimismo, dentro del trabajo se encuentra el análisis del caso “Masacre en El Salado”, posterior a ello se plantearon tres estrategias psicosociales dirigidas a los pobladores del salado, que faciliten la potenciación de recursos de afrontamiento a la situación expresada. En última instancia encontramos un informe analítico y reflexivo, de igual manera el enlace del vídeo de YouTube realizado en el paso anterior, donde se narran los ejercicios de la foto voz como las reflexiones y conclusiones más relevantes del proceso de análisis, discusión, sistematización y resultados de aprendizajes.The following work was divided into five phases, where a series of activities had to be developed, within the tasks developed, the approach to the narrative approach and analysis of the stories individually were found, these stories are made by the Truth Commission. After carrying out the analysis of the cases individually, we proceed to choose one of thestories, which was chosen by criteria of belonging and clarity in the argumentative process, the case chosen was that of Commission of the TRUE. (2022). Stories that return |Amparo. Based on this choice, a collaborative analysis was developed, taking into account the guiding items for the guide. Likewise, as a group, a simulation of an interview with the protagonist of the story is carried out and for this, three circular questions were formulated, threereflective and three strategic. Likewise, within the work is the analysis of the case "Massacre in El Salado", after whichthree psychosocial strategies were proposed aimed at the inhabitants of Salado, which facilitate the empowerment of coping resources to the expressed situation. Ultimately we find an analytical and reflective report, in the same way the link of the YouTube video made in the previous step, where the photo voice exercises are narrated as the most relevant reflections and conclusions of the process of analysis, discussion, systematizationand learning outcomes

El programa de tutorías: un reto educativo post-pandemia

Undergraduate tutoring programs have the purpose of improving academic performance, reducing dropouts, favoring insertion into the world of work and preventing problems that put the emotional and mental health of the tutors at risk during their training. This paper describes the Tutorial Action Program of the Southern Huasteca Region Academic Coordination of the Autonomous University of San Luis Potosí, the training areas, modalities, and program evaluation. It concludes with a proposal to define new paths to address the challenges presented by the COVID-19 pandemic.Los programas de tutorías en el nivel superior tienen la finalidad de mejorar el rendimiento académico, disminuir la deserción, favorecer la inserción al mundo laboral y, prevenir problemas que ponen en riesgo la salud emocional y mental de los tutorados durante su formación. En este trabajo se describe el Programa de Acción Tutorial de la Coordinación Académica Región Huasteca Sur de la Universidad Autónoma de San Luis Potosí, las áreas de formación, modalidades, y evaluación del programa. Se concluye con una propuesta para definir nuevos caminos para dar atención a los retos presentados por la pandemia por COVID-19

La Imagen y la Narrativa como Herramientas para el Abordaje Psicosocial en Escenarios de Violencia. Departamento Norte de Santander y España.

A través de la historia de nuestro País Colombia, podemos observar como la guerra ha sido una de las principales características del desarrollo cultural y social, es parte de la memoria de los habitantes del país porque la violencia y el conflicto armado acaparan muchos ámbitos en la existencia del ser humano, debido a la variedad de factores que representa, en el desarrollo ejercicios como la foto voz y la narración tomadas como herramientas psicosociales en escenarios de violencia se entrelazan las características ambientales que rodean a un individuo, se puede observar el medio hostil que le rodea, las consecuencias y los actos violentos. A través de este tipo de herramientas como la foto voz y la narración se puede brindar una luz de esperanza en la victima para empoderarla y que pueda destacar de aquello negativo la fuerza y el valor que ha tenido como ser humano para lograr reconstruir su identidad partiendo de la subjetividad, es entonces un referente para los demás miembros de su familia, comunidad o colectivo; Resaltar la importancia del acompañamiento psicosocial desde la narrativa es relevante porque se dibuja el sentido del relato y a través de las relaciones siendo el lenguaje el principal factor de significado para las experiencias vividas sin dejar de resaltar la importancia de la imagen, la creatividad y la sensibilidad para la interpretación en cuanto a las vivencias de cada individuo inmerso en el trauma de acontecimientos dolorosos buscando siempre aceptación y posteriormente la superación personal, identificando aquellas posibles falencias y buscando fortalecer aquellas habilidades desarrolladas. Por medio de estrategias de empoderamiento que se pueden implementar tanto a nivel colectivo, como en cada uno de los miembros de estas familias, se logra un acercamiento de mayor transformación del dolor a causa de cualquier evento traumático, en este caso el desalojo de territorios. Donde las víctimas se encaminan a ser sobrevivientes, un camino difícil de recorrer si no cuentan con diferentes redes de apoyo que faciliten los medios para llegar a un equilibrio familiar, pues al fortalecer esos lazos afectivos y establecer dicho equilibro se facilita para afrontar las situaciones adversas y facilitar el acompañamiento psicosocial. Todo esto implica un arduo tr5abajo psicosocial para fortalecer y restaurar los daños causados o por lo menos mitigar el impacto social y cultural que se ha venido presentando a lo largo de la historia.Throughout the history of our country Colombia, we can observe how war has been one of the main characteristics of cultural and social development, is part of the memory of the inhabitants of the country because violence and armed conflict monopolize many areas in the existence of human beings, due to the variety of factors that represents, in the development exercises such as photo voice and narration taken as psychosocial tools in scenarios of violence intertwine environmental characteristics that surround an individual, you can observe the hostile environment around him, the consequences and violent acts. Through this type of tools such as photo voice and narration can provide a light of hope in the victim to empower it and that can highlight the negative force and value that has had as a human being to manage to rebuild their identity from the subjectivity, is then a reference for other members of their family, community or collective; Highlighting the importance of psychosocial accompaniment from the narrative is relevant because it draws the meaning of the story and through the relationships being the language the main factor of meaning for the experiences lived without ceasing to highlight the importance of image, creativity and sensitivity for the interpretation of the experiences of each individual immersed in the trauma of painful events always looking for acceptance and later personal improvement, identifying those possible shortcomings and seeking to strengthen those skills developed. By means of empowerment strategies that can be implemented both at a collective level and in each of the members of these families, an approach of greater transformation of the pain caused by any traumatic event is achieved, in this case the eviction of territories. Where the victims are on their way to becoming survivors, a difficult road to travel if they do not have different support networks that facilitate the means to reach a family equilibrium, since by strengthening these emotional ties and establishing this equilibrium it is easier to face adverse situations and facilitate psychosocial accompaniment. All of this implies an arduous psychosocial work to strengthen and restore the damage caused or at least mitigate the social and cultural impact that has been present throughout history

Machine learning approach applied to human activity recognition – an application to the VanKasteren dataset

Reminders are a core component of many assistive technology systems and are aimed specifically at helping people with dementia function more independently by compensating for cognitive deficits. These technologies are often utilized for prospective reminding, reminiscence, or within coaching-based systems. Traditionally, reminders have taken the form of nontechnology based aids, such as diaries, notebooks, cue cards and white boards. This article is based on the use of machine learning algorithms for the detection of Alzheimer’s disease. In the experimentation, the LWL, SimpleLogistic, Logistic, MultiLayerPercepton and HiperPipes algorithms were used. The result showed that the LWL algorithm produced the following results: Accuracy 98.81%, Precission 100%, Recall 97.62% and F- measure 98.80

Prevention of sexual violence through research as a pedagogical strategy in basic education

La violencia sexual es una problemática de salud pública que viene en aumento, convirtiéndose en un flagelo nacional, presentándose especialmente al interior del núcleo familiar, pero se manifiesta también en las diversas instituciones del colectivo social. El estudio busco prevenir la violencia sexual mediante la investigación como estrategia pedagógica en educación básica. Se guio bajo el enfoque de Investigación como estrategia pedagógica. Donde se utilizaron herramientas como diario de campo y observación participante. La unidad de análisis estuvo conformada por cuarenta (40) estudiantes de la IED Francisco de Paula Santander, Sede Simón Bolívar de Fundación-Magdalena. Los resultados evidenciaron que los alumnos no tenían conocimientos previos sobre violencia sexual, luego de la integración de la IEP al aula de clase desde el área de sociales se logró la apropiación y socialización de los conocimientos adquiridos a través del proceso de indagación por parte de los estudiantes con el apoyo docente.Sexual violence is a problem of public health that is increasing, becoming a national scourge, appearing especially within the family nucleus, but also manifested in the various institutions of the social collective. The study sought to prevent sexual violence through research as a pedagogical strategy in basic education. It was guided under the Research approach as a pedagogical strategy. Where tools were used as field diary and participant observation. The analysis unit consisted of forty (40) students of the IED Francisco de Paula Santander, Simón Bolívar campus of Fundación- Magdalena. The results showed that the students did not have previous knowledge about sexual violence, after the integration of the IEP into the classroom from the social area, the appropriation and socialization of the acquired knowledge was achieved through the process of inquiry by the students. students with teacher support

Detection methods predict differences in biology and survival in breast cancer patients

BackgroundThe aim of this study was to measure the biological characteristics involved in tumorigenesis and the progression of breast cancer in symptomatic and screen-detected carcinomas to identify possible differences.MethodsFor this purpose, we evaluated clinical-pathological parameters and proliferative and apoptotic activities in a series of 130 symptomatic and 161 screen-detected tumors.ResultsAfter adjustment for the smaller size of the screen-detected carcinomas compared with symptomatic cancers, those detected in the screening program presented longer disease-free survival (RR = 0.43, CI = 0.19-0.96) and had high estrogen and progesterone receptor concentrations more often than did symptomatic cancers (OR = 3.38, CI = 1.72-6.63 and OR = 3.44, CI = 1.94-6.10, respectively). Furthermore, the expression of bcl-2, a marker of good prognosis in breast cancer, was higher and HER2/neu expression was lower in screen-detected cancers than in symptomatic cancers (OR = 1.77, CI = 1.01-3.23 and OR = 0.64, CI = 0.40-0.98, respectively). However, when comparing prevalent vs incident screen-detected carcinomas, prevalent tumors were larger (OR = 2.84, CI = 1.05-7.69), were less likely to be HER2/neu positive (OR = 0.22, CI = 0.08-0.61) and presented lower Ki67 expression (OR = 0.36, CI = 0.17-0.77). In addition, incident tumors presented a shorter survival time than did prevalent ones (RR = 4.88, CI = 1.12-21.19).ConclusionsIncident carcinomas include a variety of screen-detected carcinomas that exhibit differences in biology and prognosis relative to prevalent carcinomas. The detection method is important and should be taken into account when making therapy decisions

Clinical and Laboratory Features in Anti-NF155 Autoimmune Nodopathy

BACKGROUND AND OBJECTIVES: To study the clinical and laboratory features of antineurofascin-155 (NF155)-positive autoimmune nodopathy (AN). METHODS: Patients with anti-NF155 antibodies detected on routine immunologic testing were included. Clinical characteristics, treatment response, and functional scales (modified Rankin Scale [mRS] and Inflammatory Rasch-built Overall Disability Scale [I-RODS]) were retrospectively collected at baseline and at the follow-up. Autoantibody and neurofilament light (NfL) chain levels were analyzed at baseline and at the follow-up. RESULTS: Forty NF155+ patients with AN were included. Mean age at onset was 42.4 years. Patients presented with a progressive (75%), sensory motor (87.5%), and symmetric distal-predominant weakness in upper (97.2%) and lower extremities (94.5%), with tremor and ataxia (75%). Patients received a median of 3 (2-4) different treatments in 46 months of median follow-up. Response to IV immunoglobulin (86.8%) or steroids (72.2%) was poor in most patients, whereas 77.3% responded to rituximab. HLA-DRB1*15 was detected in 91.3% of patients. IgG4 anti-NF155 antibodies were predominant in all patients; anti-NF155 titers correlated with mRS within the same patient (r = 0.41, p = 0.004). Serum NfL (sNfL) levels were higher in anti-NF155+ AN than in healthy controls (36.47 vs 7.56 pg/mL, p < 0.001) and correlated with anti-NF155 titers (r = 0.43, p = 0.001), with I-RODS at baseline (r = -0.88, p < 0.001) and with maximum I-RODS achieved (r = -0.58, p = 0.01). Anti-NF155 titers and sNfL levels decreased in all rituximab-treated patients. DISCUSSION: Anti-NF155 AN presents a distinct clinical profile and good response to rituximab. Autoantibody titers and sNfL are useful to monitor disease status in these patients. The use of untagged-NF155 plasmids minimizes the detection of false anti-NF155+ cases. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that anti-NF155 antibodies associate with a specific phenotype and response to rituximab

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Tendencias y retos de la geografía en América Latina en el siglo XXI: una perspectiva desde el VII CGAL

Su estructura contempla siete capítulos: en el primero denominado Origen y devenir histórico del Coloquio Geográfico sobre América Latina de la Facultad de Geografía de la UAEM de los autores Carlos Reyes Torres, Agustín Olmos Cruz y Fernando Carreto Bernal, integrantes del Cuerpo Académico en Educación y Enseñanza de la Geografía, da cuenta del origen de los Coloquios Geográficos de AL, estableciendo sus etapas de desarrollo desde 1993 al 2014, caracterizando sus comités organizadores, ejes temáticos, así como la representación de los ponentes de las instituciones y países participantes. La relevancia de estos estudios radica en la recuperación de la historia de los eventos para fomentar la identidad y sentido de pertenencia con la disciplina y con la institución.El presente libro intitulado Tendencias y retos de la geografía en América Latina en el siglo XXI: una perspectiva desde el VII CGAL, es un producto derivado del 7° Coloquio Geográfico sobre América Latina, celebrado en desde hace ya dos décadas en la Facultad de Geografía de la Universidad Autónoma del Estado de México, convocando con el eje temático sobre “Las Tendencias y retos de la Geografía en América Latina en el siglo XXI”Universidad Autónoma del Estado de México Facultad de Geografí

Impacts of the Tropical Pacific/Indian Oceans on the Seasonal Cycle of the West African Monsoon

The current consensus is that drought has developed in the Sahel during the second half of the twentieth century as a result of remote effects of oceanic anomalies amplified by local land–atmosphere interactions. This paper focuses on the impacts of oceanic anomalies upon West African climate and specifically aims to identify those from SST anomalies in the Pacific/Indian Oceans during spring and summer seasons, when they were significant. Idealized sensitivity experiments are performed with four atmospheric general circulation models (AGCMs). The prescribed SST patterns used in the AGCMs are based on the leading mode of covariability between SST anomalies over the Pacific/Indian Oceans and summer rainfall over West Africa. The results show that such oceanic anomalies in the Pacific/Indian Ocean lead to a northward shift of an anomalous dry belt from the Gulf of Guinea to the Sahel as the season advances. In the Sahel, the magnitude of rainfall anomalies is comparable to that obtained by other authors using SST anomalies confined to the proximity of the Atlantic Ocean. The mechanism connecting the Pacific/Indian SST anomalies with West African rainfall has a strong seasonal cycle. In spring (May and June), anomalous subsidence develops over both the Maritime Continent and the equatorial Atlantic in response to the enhanced equatorial heating. Precipitation increases over continental West Africa in association with stronger zonal convergence of moisture. In addition, precipitation decreases over the Gulf of Guinea. During the monsoon peak (July and August), the SST anomalies move westward over the equatorial Pacific and the two regions where subsidence occurred earlier in the seasons merge over West Africa. The monsoon weakens and rainfall decreases over the Sahel, especially in August.Peer reviewe