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

En las siguientes líneas se profundizará en el tema de los sufrimientos por violencia y que recursos de afrontamiento psicosocial se pueden proponer ante estas situaciones para observar los daños causados por estos. Desde el enfoque narrativo se reconocerán experiencias vividas a raíz del conflicto armado en el territorio colombiano y como todas las victimas que formaron parte de los hechos, hoy día se destacan por tener una gran capacidad de resiliencia luego de todos esos eventos traumáticos y los ataques sociopolíticos. Es importante mencionar que Colombia ha sido un país con múltiples historias de violencia que han marcado la vida de personas, familias y comunidades enteras por delitos cometidos, esto conlleva a revisar los problemas de salud mental en los cuales están inversos muchas personas víctimas, sufriendo graves consecuencias por todo lo vivido. Debido a estos sucesos estas víctimas han adquirido herramientas para poder afrontar esas situaciones que se han ido presentando; creando y construyendo esperanzas que permitan nuevos comienzos para un mejor futuro. Con el caso que se llevará a cabo, se implementaran diversas estrategias de abordaje psicosocial para el restablecimiento del tejido social, dado que, desde el rol del psicólogo esto es lo que se busca, brindar las herramientas adecuadas de acuerdo con cada situación vivida, teniendo en cuenta la dimensión de afectaciones que cada hecho ha traído consigo.In the following lines, the subject of suffering due to violence will be deepened and what psychosocial coping resources can be proposed in these situations to observe the damage caused by them. From the narrative approach, experiences lived as a result of the armed conflict in Colombian territory will be recognized and, like all the victims who were part of the events, today they stand out for having a great capacity for resilience after all those traumatic events and sociopolitical attacks. It is important to mention that Colombia has been a country with multiple stories of violence that have marked the lives of individuals, families and entire communities due to crimes committed, this leads to reviewing the mental health problems in which many victims are inverse, suffering serious consequences for everything lived. Due to these events, these victims have acquired tools to be able to face these situations that have been presented; creating and building hopes that allow new beginnings for a better future. With the case that will be carried out, various psychosocial approach strategies will be implemented for the reestablishment of the social fabric, given that, from the role of the psychologist, this is what is sought, to provide the appropriate tools according to each situation experienced, having taken into account the dimension of affectations that each fact has brought with it

DRAMATURGIA-Proyecto ADAE

Sitio web del proyecto de investigación "Análisis de la dramaturgia actual en español; Cuba, México, Argentina, España (ADAE1)". consultado el 25/04/2019.La finalidad del Proyecto es estudiar la dramaturgia que se escribe y representa actualmente, o sea, desde hace dos o tres décadas, en el ámbito de la lengua española.Ministerio de Economía y Competitividad (España), proyecto FFI2008-01536Peer reviewe

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)