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Sample records for fournier perspectivas actuales

  1. Estado actual y perspectivas de la domótica

    Directory of Open Access Journals (Sweden)

    Recuero, A.

    1999-02-01

    Full Text Available An Intelligent House is the one that allows "a better quality of living through technology, a reduction of domestic tasks, an increase of the well-being and safety of dwellers, and a rationalization of the different consumers power; it includes automatized groups of equipments, usually associated by functions, which have the capacity of interactively communicate between them through an "integrated multimedia domestic bus". For this purpose, the Intelligent House foresees the execution of certain functions, depending on the information captured by measuring systems and sent through the communication network according to specific standards. This paper presents an overview of the present situation regarding these aspects, and their foreseen evolution.

    Una vivienda domótica es aquélla que, a través de la tecnología, permite "una mayor calidad de vida, una reducción del trabajo doméstico, un aumento del bienestar y la seguridad de sus habitantes, y una racionalización de los distintos consumos; en ella existen agrupaciones automatizadas de equipos, normalmente asociadas por funciones, que tienen la capacidad de comunicarse interactivamente entre ellas a través de un "bus doméstico multimedia que las integra ". Para ello, la Domótica prevé la ejecución de ciertas funciones, dependiendo de la información captada por sistemas de medida y trasmitidas a través de redes de comunicación de acuerdo con ciertos estándares. En este trabajo se revisa cuál es la situación actual de estos aspectos y cuál es su evolución previsible.

  2. Fournier gangrene.

    Science.gov (United States)

    Parry, Nadiah

    2015-03-01

    Fournier gangrene is a rapidly progressive necrotizing infection of the perineal and genital fascia, often polymicrobial. Severity is increased in older patients, diabetics and the immunocompromised. As in this case, the disease can have an indolent onset. Early recognition and aggressive treatment is important.

  3. Gangrena de Fournier Fournier's gangrene

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    Emilio Simón Barroso de la Cruz

    2005-12-01

    Full Text Available Se realizó esta revisión relativa a la gangrena de Fournier, motivada por la presentación de una caso atendido en la Sección de Urología del Hospital General Docente de San Antonio de los Baños “Iván Portuondo,” de la provincia de La Habana en el año 2002. Se trató con antibióticos por vía endovenosa y se le practicó desbridamiento quirúrgico y orquiectomía izquierda. La aparición de esta enfermedad es poco frecuente, por lo que se recomienda ante la aparición de la sintomatología correspondiente en el nivel primario de atención ampliar los conocimientos sobre la fascitis necrotizante del periné o Síndrome de Fournier, que es nuestro objetivo final, para la atención temprana en el nivel secundario según los más avanzados criterios médicos. Se ha mantenido la confidencialidad y el consentimiento informado.A review of Fournier's gangrene was made motivated by the report of a case that received attention at the Urology Section of “Iván Portuondo” General Teaching Hospital of San Antonio de los Baños, in 2002. The patient was treated with antibiotics by endovenous route and he underwent surgical débridement and left orchidectomy. The appearance of this disease is uncommon, so when the corresponding symptomatology appears at the primary health care level it is recommended to .widen the knowledge of necrotizing fasciitis of the perineum, or Fournier's syndrome that is our final objective for the early attention at the secondary health care level, according to the most advanced medical criteria. Confidentiality and the informed consent were maintained.

  4. Perspectivas actuales de la proteína unicelular (scp) en la agricultura y la industria

    OpenAIRE

    Alejandro Chac\\u00F3n

    2004-01-01

    Perspectivas actuales de la proteína unicelular (SCP) en la agricultura y la industria. La producción de proteína unicelular ha representado desde principios del siglo XX una opción biotecnológica de discutida viabilidad en el manejo y aprovechamiento de grandes cantidades de desechos orgánicos de origen agrícola, constituyendo una alternativa recurrente para convertir estas fuentes de polución en materiales útiles desde un punto de vista económico, nutricional e industri...

  5. Gangrena de Fournier Fournier's gangrene

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    Gabriel González Sosa

    2010-09-01

    Full Text Available Se presenta el caso de un paciente con gangrena de Fournier o fascitis necrosante. Después de su ingreso en la Unidad de Cuidados Intensivos se le realizó tratamiento quirúrgico precoz (incisión y drenaje amplio de toda la zona afectada así como desbridamiento de la zona de necrosis; se tomó muestra de pus para estudio microbiológico y se comenzó tratamiento antibiótico de inmediato (ceftriaxona, amikacina y metronidazol. Se identificaron como agentes causantes del proceso Pseudomonas aeruginosa y Escherichia coli (sensibles a la ceftriaxona y la amikacina. Como tratamiento coadyuvante, se aplicaron 10 sesiones de cámara hiperbárica y 12 dosis de factor de crecimiento humano recombinante liofilizado, que se infiltraron en el interior de la zona quirúrgica para contribuir al cierre por tercera intención.This is the case of a patient presenting with Fournier gangrene of necrotizing fasciitis. After admission in Intensive Care Unit (ICU he undergoes an early surgical treatment (incision and wide drainage of the whole involved zone as well as debridement of necrosis zone; a pus sample was took for microbiologic study and a immediate antibiotic treatment was started (Ceftriaxone, Amikacin and Metronidazole. Pseudomonas aeruginosa and Escherichia coli (sensitive to Ceftriaxone and Amikacin were identified as the causative agents of process. As adjuvant treatment ten sessions of hyperbaric chamber were applied and twelve dose of lyophilized recombinant human growth factor with infiltration into the surgical zone for the third intention closure.

  6. Control en Estaciones Depuradoras de Aguas Residuales: Estado actual y perspectivas

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    Ramon Vilanova

    2017-10-01

    Full Text Available Resumen: Este trabajo constituye la segunda parte de una revisión de la problemática del control de estaciones depuradoras de aguas residuales (EDAR para el tratamiento de agua residual urbana. Después de haber presentado en la primera parte las perspectivas correspondientes al modelado y simulación, en esta segunda parte nos centramos en el control de las mismas. Esta depuración se realiza, mayoritariamente, mediante procesos biológicos, concretamente, mediante el denominado proceso de fangos activados. El hecho de tratar con un proceso biológico conlleva una elevada complejidad tanto desde el punto de vista de modelado como, por supuesto, de control. Se revisa el control de EDAR desde su perspectiva histórica, como de los lazos de control más usuales, problemáticas que presentan y algunas de las soluciones propuestas. Se realiza también una revisión de la aplicación de las diferentes técnicas de control catalogándolas de acuerdo a su filosofía. Para terminar se ofrece una visión de las tendencia actuales y perspectivas de desarrollos futuros. Abstract: This tutorial is the second part of a review of the problems arising with the control and operation of wastewater treatment plants (WWTP for urban wastewater. Having presented in the first part the modelling and simulation steps, in this second part we cover the control and operation issues. This treatment is carried out, mainly, by biological processes, specifically, by the so-called activated sludge process. Dealing with a biological process entails a high complexity both from the viewpoint of modelling and, of course, from what matters to control and operation. The control of WWTP is reviewed from an historical perspective, as well as the most common control loops, the problems that present and some of the proposed solutions. A review of the applications of different control techniques is also cataloged according to the philosophy of the control approach. Finally, it offers

  7. Fournier's gangrene

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    Milović Novak

    2008-01-01

    Full Text Available Background. Fournier's gangrene (FG represents a necrotizing infection of the skin and subcutaneous soft tissue of the external genitalia and perineum. It arises as a result of propagation of anorectal, urogenital and skin infections. The principles of treatment include improving general condition of a patient, debridement of wound, excision of necrotic tissue, combined antibiotic therapy, hyperbaric oxygen therapy and reconstructive procedures. It is a rare but very serious condition which regardless to aggressive treatment can lead to a lethal outcome in up to 20-30% of patients. Case report. Since the year 2000 we have treated six patients with FG. We presented the course and positive treatment outcome in a 65- year-old male patient with numerous comorbid conditions, nonregulated insulin-dependent diabetes, hypertension, previous myocardial infarction, chronic viral hepatitis and thrombocytopenia, rehabilitation was complicated with heart failure, atrial fibrillation and pulmonary thromboembolism. The treatment consisted of two extensive debridement of the wound with removing necrotic tissue, drainage, consolidation of state of health, correction of his blood sugar levels and thrombocytopenia, antimycotic and combination of three antibiotics and hyperbaric oxygen therapy. In two delayed surgical procedures reconstruction of a large defect of the urethra was performed. Conclusion. A patient with numerous and serious comorbid conditions with FG could recover as a result of teamwork of urologists, infective medicine specialists, cardiologists, endocrinologist, vascular and plastic surgeons.

  8. Perspectivas actuales en el saneamiento de las aguas residuales: gestión pública y privada

    OpenAIRE

    Oller Rubert, Marta

    2006-01-01

    El objeto de esta Tesis Doctoral es el estudio del régimen jurídico del servicio de saneamiento de las aguas residuales, con especial incidencia en uno de los aspectos de este servicio: la gestión del mismo y las perspectivas actuales caracterizadas por la evolución tanto en los modos de gestión pública, como por la introducción de sujetos privados en su gestión. Todo ello enmarcado en las tendencias renovadoras del Derecho Administrativo que plantean debates sobre la evolución de los servici...

  9. SITUACiÓN ACTUAL Y PERSPECTIVAS DE LA INTEGRACIÓN CENTROAMERICANA

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    José Miguel Alfaro; Alvaro de la Ossa Haroldo Rodas; Olga Marta Sánchez

    2012-10-01

    Full Text Available En la presente mesa redonda analizaremos las alternativas de integración. Así a partir de la cita presidencial en Antigua Guatemala, en 1990, hay un nuevo tema para analizar, discutir y proyectar. Es eso lo que da marco a este evento académico, en donde pretendemos hacer un balance y proyectar perspectivas de la integración centroamericana. Nuestros tres expositores analizarán, desde su propia perspectiva, las condiciones, ritmos, actores y posibilidades de estas tendencias históricas del presente. Vamos a iniciar de esta forma, la mesa redonda como un marco académico al importante evento que hoy celebramos, de firma de un convenio con la Facultad Latinoamericana de Ciencias Sociales. De acuerdo con los señores expositores, vamos a iniciar con la exposición del Sr. José Miguel Alfaro, posteriormente daríamos la palabra a don Alvaro de la Ossa y finalizaría el Dr. Haroldo Rodas. Ellos tendrán entre 15 y 20 minutos para hacer sus exposiciones. Posteriormente pasaríamos a una fase de diálogo abierto con las distinguidas personas que nos acompañan en la noche de hoy.

  10. Los cambios familiares y educativos en los actuales contextos migratorios ecuatorianos: una perspectiva transatlántica

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    Claudia Pedone

    2006-11-01

    Full Text Available Los procesos migratorios actuales de las familias ecuatorianas a Europa, específicamente, a España, se han convertido en un proceso transformador con profundas implicaciones a nivel familiar. De manera paralela a estas profundas transformaciones familiares, los ámbitos socioeducativos tanto en origen como en destino se han convertido en espacios sociales transnacionales donde actualmente se socializan niños, niñas y adolescentes ecuatorianos. La finalidad de esta ponencia es presentar algunos resultados de una investigación, llevada a cabo teórica y metodológicamente desde una perspectiva transatlántica, que da cuenta de las nuevas dinámicas familiares transnacionales y su relación con los cambios en las pautas de crianza y la vinculación con los ámbitos socioeducativos en origen.

  11. Fournier gangrene in pregnancy.

    Science.gov (United States)

    Sinha, Rinkita; Arachchi, Asiri; Lee, Peter; Marwan, Kareem

    2015-06-01

    Fournier gangrene is a rare and rapidly progressive necrosis of the perineal and genitourinary region. Although predominantly affecting men, we describe an unusual presentation in pregnancy. A 30-year old primigravid woman in the third trimester of pregnancy presented with a history of low back pain. Subsequently, a diagnosis of perianal sepsis and associated Fournier gangrene was established. The patient underwent an emergency cesarean delivery followed by radical surgical debridement and colostomy. Expedited delivery, timely diagnosis of gangrene, urgent, extensive debridement, and broad-spectrum antibiotic coverage contributed largely to effective management of this rare presentation in pregnancy.

  12. La Revista "Materiales de Construcción". Historia, situación actual y perspectivas

    OpenAIRE

    Vázquez, Tomás; Alonso, Mª del Mar; Puertas, Francisca

    2008-01-01

    In this communication a revision of the most infl uence scientifi c journals on building materials will be presented. Special attention would be paid in historic evolution, actual situation and future perspectives of the journal "Materiales de Construcción". This journal is edited by CSIC and manages in the Eduardo Torroja Institute of Construction Science. The infl uence of its presence on the journal on Journal Citation Reports data base will be examined. Also more data about the prese...

  13. Fournier's gangrene current approaches.

    Science.gov (United States)

    Ozkan, Omer F; Koksal, Neset; Altinli, Ediz; Celik, Atilla; Uzun, Mehmet A; Cıkman, Oztekin; Akbas, Alpaslan; Ergun, Ersin; Kiraz, Hasan A; Karaayvaz, Muammer

    2016-10-01

    Fournier's gangrene is a rare but highly mortal infectious disease characterised by fulminant necrotising fasciitis involving the genital and perineal regions. The objective of this study is to analyse the demographics, clinical feature and treatment approaches as well as outcomes of Fournier's gangrene. Data were collected retrospectively from medical records and operative notes. Patient data were analysed by demographics, aetiological factors, clinical features, treatment approaches and outcomes. Twelve patients (five female and seven male) were enrolled in this study. The most common aetiology was perianal abscess (41·6%). Wound cultures showed a mixture of microorganisms in six (50%) patients. For faecal diversion, while colostomy was performed in six cases (50%), Flexi-Seal was used in two cases (16·6%). In four patients (33·4%), no faecal diversion was performed. Negative pressure wound therapy (NPWT) system was effective in the last four patients (33·4%). The mean hospitalisation period in patients who used NPWT was 18 days, while it was 20 days in the others. NPWT in Fournier's gangrene is a safe dressing method. It promotes granulation formation. Flexi-Seal faecal management is an alternative method to colostomy and provides protection from its associated complications. The combination of two devices (Flexi-Seal and NPWT) is an effective and comfortable method in the management of Fournier's gangrene in appropriate patients. © 2014 The Authors. International Wound Journal © 2014 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  14. Cementos de escorias activadas alcalinamente: Situación actual y perspectivas de futuro

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    Puertas, F.

    1995-09-01

    Full Text Available The paper presents the state of the art in cements and concretes with alkaline-activated slag. Characteristics and properties of these materials are given. Special emphasis is made on those scientific and technical aspects which remain unsolved and which, therefore, call for further research.

    Se presenta el estado del conocimiento actual de los cementos y hormigones de escorias activadas alcalinamente, detallándose las características y propiedades de los citados materiales. Se incide especialmente en aquellos aspectos de carácter científico y técnico que permanecen sin resolver y que, por tanto, precisan nuevas investigaciones.

  15. Aspectos globales de la patentabilidad de las invenciones implementadas por ordenador. estado actual y nuevas perspectivas

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    Manuel Guerrero Gaitán

    2007-01-01

    Full Text Available En el presente escrito se exponen, en primer lugar, las particularidades de la industria del software, que debido a su rápido y peculiar desarrollo, producen importantes efectos colaterales en toda la cadena productiva, haciendo de esta manera, vital la elección de la forma de protección dada por la disciplina de la propiedad intelectual. Paso seguido, se aborda la evolución de la protección que se ha dado al software hasta llegar al consenso mayoritariamente aceptado de protección por vía del derecho de autor, para posteriormente analizar el objeto de protección, tanto de las patentes de invención, como del derecho de autor, con el fin de presentar las ventajas y desventajas de la protección dada por los dos sistemas. Posteriormente, se presenta de forma global una descripción de la situación actual en Europa, Estados Unidos, China y Japón. Para finalizar, se formulan algunos comentarios acerca de los efectos y riesgos que supondría la aplicación generalizada del sistema de patentes a las invenciones implementadas por ordenador.

  16. La 'revuelta' como perspectiva teórica para la crítica literaria actual

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    Paula Andrea Marín Colorado

    2010-06-01

    Full Text Available Este artículo propone un diálogo entre el concepto de ‘revuelta’ de Kristeva y los conceptos de ‘sujeto cultural’ y ‘‘sujeto de deseo’’ de Cros, que permitirá entender las implicaciones de la experiencia social en la estructuración del espacio psíquico del escritor y viceversa. Con ello se buscará la comprensión de la literatura reciente y de la crítica literaria en la configuración actual de la sociedad y de los Estudios Literarios. Estos dos conceptos permitirán acercarse a la noción de escritor como una figura que elabora en la literatura el malestar social, no conceptualizado y muchas veces banalizado, y ofrecen una interpretación desde la cual el lector puede experimentar su propia ‘revuelta’.This article proposes a dialog between the concept of ‘revolt’ by Kristeva and Cros’s concepts of ‘cultural subject’ and ‘subject of desire’. This dialog will allow understanding the perception of the social experience in the writer’s psychic space and vice versa, the recent literature and the role of the literary criticism in the present-day configuration of the society and the Literary Studies. The ‘revolt’ and the ‘subject of desire’ will approach to the notion of writer like a figure that elaborates in the literature the not conceptualized and many times trivialized civil unrest, and will offer an interpretation which enables the reader to experience its own ‘revolt’.

  17. Fournier\\'s gangrene secondary to prolonged use of Steroid ...

    African Journals Online (AJOL)

    A case of Fournier's gangrene in a patient that had used a steroid containing bleaching cream for five years is reported with a brief discussion on the possible mode of action of the cream. Other effects of the cream (striae, 'bleaching') are also noted. We also present this case as a rare cause of Fournier's gangrene.

  18. An unusual presentation of Fournier's gangrene.

    LENUS (Irish Health Repository)

    Kearney, D E

    2011-06-01

    INTRODUCTION: Fournier\\'s gangrene is a rare severe necrotising fasciitis of the genitalia. CASE: A case of Fournier\\'s gangrene caused by perforated sigmoid diverticulitis in a patient with systemic lupus erythematosus is presented along with a review of the relevant literature.

  19. A auditoria legal na União Europeia: enquadramento, debate actual e perspectivas futuras

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    José Joaquim Marques de Almeida

    2002-04-01

    up by their professional associations, manage or want to provide to the public in general. Actually, the auditing standards that deal with the planning, execution and evaluation of the auditor's work have been the shelter chosen by the auditors. The auditing profession had unanimously used them as a justification for rejecting the expansion of the functions of auditing to the analysis of the company's viability and the detection of errors and fraud. In this context, nowadays, the function of legal accounting lies under heavy criticism, since it does not provide the public with the "certainties" related to such questions as correct financial statements, the going-concern of the company, the absence of fraud or irregularities, whether the company acted within the law, was administered in a competent way and adopted a responsible attitude with respect to environmental and social issues. The objective of this paper is, then, to present the origin of legal auditing with respect to the European Union and, more generally speaking, to give a picture of the current preoccupations and draw a perspective for the function in relation to the not very distant future.

  20. Fournier's Gangrene: Current Practices

    Science.gov (United States)

    Mallikarjuna, M. N.; Vijayakumar, Abhishek; Patil, Vijayraj S.; Shivswamy, B. S.

    2012-01-01

    Fournier's gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children. There has been an increase in number of cases in recent times. Despite advanced management mortality is still high and averages 20–30%. Early diagnosis using Laboratory Risk Indicator for Necrotizing Fasciitis score and stratification of patients into high risk category using Fournier's Gangrene Severity Index score help in early initiation of treatment. Triple antibiotic combined with radical debridement is the mainstay of treatment. There have been many advances in management of Fournier gangrene including use of vaccum assisted closure and hyperbaric oxygen therapy. With introduction of newer devices like Flexi-Seal, fecal diversion can be done, avoiding colostomy. Reconstruction of perineal defects using skin grafts, flaps, and urethral reconstruction using gracilis flaps can reduce the morbidity associated with FG and provide acceptable functional and aesthetic outcomes. PMID:23251819

  1. [Gangrene of Fournier, treatment, classification].

    Science.gov (United States)

    Kharchenko, D A; Dubinskiĭ, N V; Tunik, R A; Kovalenko, E A; Tolstoĭ, R A; Omel'chenko, S D; Chernukha, L V; Mykhaĭlyk, A N

    2009-05-01

    The experience of treatment with favorable outcome of 3 patients, in whom gangrene of Fournier was diagnosed, was summarized.The necessity of application of "agressive" surgical tactics in early terms of the disease was stressed.

  2. Fournier gangrene: role of imaging.

    Science.gov (United States)

    Levenson, Robin B; Singh, Ajay K; Novelline, Robert A

    2008-01-01

    Fournier gangrene is a rapidly progressing necrotizing fasciitis involving the perineal, perianal, or genital regions and constitutes a true surgical emergency with a potentially high mortality rate. Although the diagnosis of Fournier gangrene is often made clinically, emergency computed tomography (CT) can lead to early diagnosis with accurate assessment of disease extent. CT not only helps evaluate the perineal structures that can become involved by Fournier gangrene, but also helps assess the retroperitoneum, to which the disease can spread. Findings at CT include asymmetric fascial thickening, subcutaneous emphysema, fluid collections, and abscess formation. Subcutaneous emphysema is the hallmark of Fournier gangrene but is not seen in all cases. Compared with radiography and ultrasonography, CT provides a higher specificity for the diagnosis of Fournier gangrene and superior evaluation of disease extent; however, diagnosis and evaluation can also be performed with these other modalities. The administration of broad-spectrum antibiotics and aggressive surgical débridement of the nonviable tissue are both essential for successful treatment. An awareness of the CT features of Fournier gangrene is imperative for prompt diagnosis and effective treatment planning. (c) RSNA, 2008

  3. Fournier's gangrene. A clinical review.

    Science.gov (United States)

    Singh, Ariana; Ahmed, Kamran; Aydin, Abdullatif; Khan, Muhammad Shamim; Dasgupta, Prokar

    2016-10-05

    Fournier's gangrene is a rare, necrotising fasciitis of the external genitalia, perineal or perianal regions. The disease has a higher incidence in males and risk factors for development include diabetes, HIV, alcoholism and other immune-compromised states. The aggressive disease process is associated with a high mortality rate of 20-30%. In addition, the increasing age and prevalence of diabetes in the population, begs the need for increased clinical awareness of Fournier's gangrene with emphasis on early diagnosis and management. This review aims to highlight the relevant research surrounding Fournier's gangrene, in particular the various prognostic indicators and management strategies. A search was conducted on the MEDLINE database for all applicable research; clinical reviews, retrospective studies and case reports. In addition to which a search of the European Association of Urology, the British Association for Urological Surgeons and the British Medical Journal was conducted for the most recent recommendations. Immediate broad-spectrum antibiotic therapy and urgent surgical debridement are the core managerial principles of Fournier's gangrene. The use of adjunctive therapies such as hyperbaric oxygen and vacuum assisted closure are supported in some aspects of the literature and disputed in others. The lack of randomized controlled studies limits the use of these potential additional therapies to patients unresponsive to conventional management. The value of unprocessed honey as a topical antimicrobial agent has been highlighted in the literature for small lesions in uncomplicated patients. Fournier's gangrene is a urological emergency with a high mortality rate despite advances in the medical and surgical fields. The aggressive nature of the infection advocates the need for early recognition allowing immediate surgical intervention. The opposing results of available research as well as the lack of high quality evidence surrounding emergent therapies prevents

  4. Situación actual y perspectivas del desempeño docente en la Escuela de Sanidad de la Armada

    OpenAIRE

    Ortega Rosero, María

    2009-01-01

    El estudio “Situación actual y perspectiva del desempeño docente en la Escuela de sanidad de la Armada”, Guayaquil, Mayo de 2009, permitió detectar las falencias pedagógicas que tienen los profesores sin formación docente y que se desempeñan como tales de acuerdo a la profesión o especialidad que poseen. Si bien es cierto que las instituciones educativas tienen directrices y políticas estrictas para el cumplimiento pedagógico de estos profesores, estas no se han aplicado con la...

  5. [Reconstructive methods after Fournier gangrene].

    Science.gov (United States)

    Wallner, C; Behr, B; Ring, A; Mikhail, B D; Lehnhardt, M; Daigeler, A

    2016-04-01

    Fournier's gangrene is a variant of the necrotizing fasciitis restricted to the perineal and genital region. It presents as an acute life-threatening disease and demands rapid surgical debridement, resulting in large soft tissue defects. Various reconstructive methods have to be applied to reconstitute functionality and aesthetics. The objective of this work is to identify different reconstructive methods in the literature and compare them to our current concepts for reconstructing defects caused by Fournier gangrene. Analysis of the current literature and our reconstructive methods on Fournier gangrene. The Fournier gangrene is an emergency requiring rapid, calculated antibiotic treatment and radical surgical debridement. After the acute phase of the disease, appropriate reconstructive methods are indicated. The planning of the reconstruction of the defect depends on many factors, especially functional and aesthetic demands. Scrotal reconstruction requires a higher aesthetic and functional reconstructive degree than perineal cutaneous wounds. In general, thorough wound hygiene, proper pre-operative planning, and careful consideration of the patient's demands are essential for successful reconstruction. In the literature, various methods for reconstruction after Fournier gangrene are described. Reconstruction with a flap is required for a good functional result in complex regions as the scrotum and penis, while cutaneous wounds can be managed through skin grafting. Patient compliance and tissue demand are crucial factors in the decision-making process.

  6. Fournier gangrene and unexpected death.

    Science.gov (United States)

    Bury, Danielle; Byard, Roger W

    2012-11-01

    Fournier gangrene represents a rare but progressive perineal infection that may result in rapid death. A 70-year-old man with poorly controlled diabetes mellitus and alcohol abuse is reported who was found unexpectedly dead. He had last been contacted the night before his death. At autopsy, the most striking finding was deep necrotic ulceration of the scrotum with exposure of underlying deep muscles and testicles, with blood cultures positive for Escherichia coli. Death was, therefore, attributed to necrotic ulceration/gangrene of the perineum (Fournier gangrene) that was due to E. coli sepsis with underlying contributing factors of diabetes mellitus and alcoholism. In addition there was morbid obesity (body mass index 46.9), cirrhosis of the liver, and marked focal coronary artery atherosclerosis with significant cardiomegaly. Fournier gangrene may be an extremely aggressive condition that can result in rapid death, as was demonstrated by the rapid progression in the reported case. © 2012 American Academy of Forensic Sciences.

  7. EDUCACIÓN FÍSICA EN EL CONTEXTO ESCOLAR ACTUAL: DESAFÍOS Y PERSPECTIVAS DE CAMBIO

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    Viviana Betancur Chicué

    2009-06-01

    Full Text Available A partir de la experiencia de trabajo en instituciones escolares de Bogotá, se puede hacer un llamadoa la interpretación y el estudio de la escuela como un espacio que, más allá de la formación en la“normalidad”, se ha convertido en una excusa para el encuentro y la realización de múltiples mundos,puestos en escena por sus integrantes y en quienes se pueden resaltar perspectivas de cambio. Así,desde la educación física como área inmersa en el contexto escolar se potencian transformacionesen torno a la comprensión del cuerpo y sus movimientos como procesos de subjetivación capaces deevidenciar otras formas de vivir y habitar la tierra, sin perder de vista el desdibujamiento y la crisis enla que se ha desenvuelto durante los últimos tiempos.

  8. Fournier's gangrene during ACTH therapy.

    Science.gov (United States)

    Numoto, Shingo; Kurahashi, Hirokazu; Azuma, Yoshiteru; Numaguchi, Atsushi; Nakahara, Kozaburo; Tainaka, Takahisa; Takasu, Michihiko; Yamakawa, Kiyoshi; Nago, Nozomi; Muto, Taichiro; Kitagawa, Yoshiro; Okumura, Akihisa

    2017-05-01

    Fournier's gangrene is an infectious necrotizing fasciitis of the perineal, genital, or perianal regions and is uncommon in children. Adrenocorticotropic hormone (ACTH) is effective for the treatment of infantile spasms; however, suppression of immune function is one of the major adverse effects of this approach. We encountered a 2-month-old boy with infantile spasms that had been treated with ACTH and had developed complicating Fournier's gangrene. Strangulation of a right inguinal hernia was observed after ACTH treatment. Although surgical repair was successful and no intestinal injuries were detected, swelling and discoloration of the right scrotum developed in association with pyrexia and a severe inflammatory response. A scrotal incision revealed pus with a putrid smell. The patient was subsequently diagnosed with Fournier's gangrene complicated by septic shock and disseminated intravascular coagulation. Extensive debridement and intensive care was performed. Enterobactor aerogenes, methicillin-resistant Staphylococcus aureus, and Enterococcus faecalis were isolated from the pus. Meropenem, teicoplanin, and clindamycin were administered to control the bacterial infection. The patient was discharged from the intensive care unit without any obvious neurological sequelae. Suppression of immune function associated with ACTH therapy may have been related to the development of Fournier's gangrene in this case. Copyright © 2016 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  9. LA PERSPECTIVA HISTÓRICO-CULTURAL Y LA EDUCACIÓN ESPECIAL: CONTRIBUCIONES INICIALES Y DESARROLLOS ACTUALES

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    Albertina Mitjáns Martínez

    2009-01-01

    Full Text Available El objetivo principal del artículo es destacar la significación de la perspectiva histórico-cultural del desarrollo humano para el diseño de estrategias educativas favorecedoras del aprendizaje escolar de niños y niñas con deficiencias. A partir de las contribuciones de Vygotsky, en ese campo, y de los aportes de la Teoría de la Subjetividad, elaborada a partir da la perspectiva histórico-cultural, se presentan principios que, en su configuración sistémica, pueden constituir una base sólida para la reestructuración de diversos aspectos del trabajo educativo en la Educación Especial. En la primera parte del artículo son discutidas algunas de las concepciones y conceptos desarrollados por Vygotsky en su obra "Fundamentos de Defectología". La fundamentación del carácter social de la deficiencia, los conceptos de defecto primario, defecto secundario y compensación, y la consideración del carácter creativo del aprendizaje y del desarrollo de las niñas y los niños deficientes. Se presentan las ideas centrales de la Teoría de la Subjetividad elaborada por González Rey, especialmente la concepción del aprendizaje escolar como un proceso de la subjetividad irreducible a habilidades y procesos intelectuales. Por último, se fundamentan tres implicaciones educacionales derivadas de la articulación de los dos sistemas conceptuales presentados: favorecer la creación de espacios comunicativos/relacionales que contribuyan a generar en el niño nuevas producciones de sentido sobre el aprendizaje y sobre la deficiencia, estimular en ellos el desarrollo de la condición de sujetos negada por las posiciones asistencialistas y paternalistas dominantes y el enfoque cualitativo, constructivo, singular, procesual e interactivo de los procesos de diagnóstico y de evaluación educacional.

  10. Group C streptococcal sepsis complicating Fournier gangrene.

    Science.gov (United States)

    Marinella, Mark A

    2005-09-01

    Fournier gangrene is a life-threatening necrotizing fasciitis of the perineal-scrotal area that occurs in diabetic males. Patients typically present with systemic toxicity and significant inflammatory changes in the scrotum and perineum. Most cases of Fournier gangrene are polymicrobic and require urgent surgical debridement and broad-spectrum antibiotic therapy. We describe a case of Fournier gangrene in a young diabetic man that was associated with group C streptococcal bacteremia, an association previously unreported in the literature to our knowledge.

  11. Fungal Fourniers Gangrene in an Immunocompromised Patient

    Directory of Open Access Journals (Sweden)

    Winston Crowell

    2016-01-01

    Full Text Available Fournier's Gangrene is a rapidly progressive necrotizing fasciitis of the groin, perianal and perineal region that is often polymicrobial in nature, often averaging 3 species of bacteria per patient. The typical infection can be due to a host of microbes, including gram positive, gram negative and anaerobic species including. Many of the causative organisms are found in the normal microbial flora of the perineum. Therefore, Fourniers is an opportunistic infection most commonly affecting the immunosuppressed. The majority of Fournier's gangrene are bacterial; however there have been cases of fungal Fournier's gangrene reported in the literature.

  12. Gangrena de Fournier

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    Edelberto Fuentes Valdés

    Full Text Available Introducción: la gangrena de Fournier es una enfermedad rara y grave, caracterizada por fasciitis necrotizante, sinergística y polimicrobiana, que mantiene alta mortalidad. Objetivo: contribuir a un mayor conocimiento del diagnóstico, tratamiento y pronóstico individual de esta rara enfermedad. Métodos: fueron estudiados siete pacientes tratados entre febrero de 2010 y abril de 2011. Se evaluaron datos demográficos, enfermedades asociadas, etiología, tratamiento, complicaciones y mortalidad, así como tiempo con sonda y estadía hospitalaria. Resultados: Los pacientes fueron hombres con edad media de 43,3 años; el más joven tenía 30 años y el mayor 49. Enfermedades asociadas: síndrome de inmuno deficiencia adquirida (2, diabetes mellitus (1, hipertensión arterial (1. El origen perineal (4 y escrotal (3. Tres pacientes referían fístulas o abscesos perineales. El tiempo de evolución fluctuó entre 6 y 30 días. Las manifestaciones clínicas se caracterizaron por dolor, aumento de volumen en regiones perineal, escrotal o ambas y secreción fétida. Se encontró crepitación cuando la enfermedad invadió regiones inguinales y pared abdominal. El tratamiento quirúrgico comprendió desbridamiento y derivaciones digestivas (colostomía, urológicas (cistotomía o ambas. El número de intervenciones varió entre tres y siete. Se practicó la reconstrucción quirúrgica del periné y escroto con el uso de injertos de piel a los sobrevivientes. Tres enfermos (42,9 % tuvieron complicaciones: shock séptico, fallo orgánico múltiple y estenosis uretral tardía (1. Falleció un enfermo (14,3 %, que había ingresado con manifestaciones de shock séptico. Conclusiones: El éxito del tratamiento se logra con el diagnóstico temprano, desbridamiento quirúrgico precoz, agresivo y antibioticoterapia de amplio espectro.

  13. Fournier's gangrene--current concepts.

    Science.gov (United States)

    Wróblewska, Marta; Kuzaka, Bolesław; Borkowski, Tomasz; Kuzaka, Piotr; Kawecki, Dariusz; Radziszewski, Piotr

    2014-01-01

    Fournier's gangrene (FG) is a rapidly progressive form of infective necrotising fasciitis of the perineal, genital, or perianal regions, leading to thrombosis of the small subcutaneous vessels and necrosis of the overlying skin. It is believed that the occurrence of the disease in women is underreported and may be unrecognised by some clinicians. Fournier's gangrene is a life-threatening condition, constituting an urological emergency. Many patients with Fournier's gangrene have medical or surgical conditions, which are predisposing factors to this disease or its more severe or fatal course. These comprise diabetes mellitus, hypertension, alcoholism and advanced age. Recent reports in the literature point to changes in the epidemiology of FG, comprising an increasing age of patients. Several authors reported that the mean age of FG patients is at present 53-55 years. Prognosis in FG patients is based on FGSI (Fournier's gangrene severity index) score. Despite the progress in medical care for FG patients, the mortality rate reported in the literature remains high--most often 20-40%, but ranges from 4% to 80%. The most common isolates cultured from FG lesions are both Gram-positive and Gram-negative, as well as strictly anaerobic bacteria. Recently community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has emerged as an etiological agent of FG with severe clinical course and even fulminant sepsis. Rarely FG may have a fungal etiology, being caused by yeast-like fungi Candida spp. or by moulds. Antibiotics should be administered parenterally and in doses high enough to reach an effective concentration in the infected tissues.

  14. Prognostic factors in Fournier gangrene.

    Science.gov (United States)

    Ruiz-Tovar, Jaime; Córdoba, Luis; Devesa, Jose Manuel

    2012-01-01

    Fournier gangrene is a necrotizing fasciitis, arising in the genital and perineal area. This entity is still associated with a high mortality rate despite improvements in antibiotic and surgical treatment. This is a retrospective study of all the patients diagnosed and surgically treated for Fournier gangrene at General University Hospital Ramon y Cajal between 1988 and 2008. Possible prognostic factors that could have any influence on the evolution of Fournier gangrene were analyzed. Seventy patients were analyzed, 62 males (88.6%) and 8 females (11.4%) with a mean age of 57.9 ± 13.5 years. Most frequent clinical manifestations were perineal pain (82.9%) and fever (60%). Physical examination revealed edema (91.4%), erythema (88.6%) and perineal skin necrosis (60%). All the patients underwent surgical debridement of necrotic tissue. In 54.3% reoperations were necessary for new surgical debridements. Medical complications rate was 27.1% and mortality one 22.9%. Ethylism, coexistence of neoplasms, presence of skin necrosis, myonecrosis, abdominal wall affection, number of debrided areas, reoperations, concentration of creatinine in serum>1.4 mg/dL, and hemoglobin <10 g/dL, and platelet count <150 × 10(9)/L in whole blood are associated with higher mortality rates. Identification of prognostic factors may help to determine high-risk patients in order to establish an optimal treatment, according to severity of the infection and general status. Copyright © 2012. Published by Elsevier B.V.

  15. Fournier's gangrene: a model for early prediction.

    Science.gov (United States)

    Palvolgyi, Roland; Kaji, Amy H; Valeriano, Javier; Plurad, David; Rajfer, Jacob; de Virgilio, Christian

    2014-10-01

    Early diagnosis remains the cornerstone of management of Fournier's gangrene. As a result of variable progression of disease, identifying early predictors of necrosis becomes a diagnostic challenge. We present a scoring system based on objective admission criteria, which can help distinguish Fournier's gangrene from nonnecrotizing scrotal infections. Ninety-six patients were identified, 38 diagnosed with Fournier's gangrene and 58 diagnosed with scrotal cellulitis or abscess. Statistical analyses comparing admission vital signs, laboratory values, and imaging studies were performed and Classification and Regression Tree analysis was used to construct a scoring system. Admission heart rate greater than 110 beats/minute, serum sodium less than 135 mmol/L, blood urea nitrogen greater than 15 mg/dL, and white blood cell count greater than 15 × 10(3)/μL were significant predictors of Fournier's gangrene. Using a threshold score of two or greater, our model differentiates patients with Fournier's gangrene from those with nonnecrotizing infections with a sensitivity of 84.2 per cent. Only 34.2 per cent of patients with Fournier's gangrene had hard signs of necrotizing infection on admission, which were not observed in patients with nonnecrotizing infections. Objective admission criteria assist in distinguishing Fournier's gangrene from scrotal cellulitis or abscess. In situations in which results of the physical examination are ambiguous, this scoring system can heighten the index of suspicion for Fournier's gangrene and prompt rapid surgical intervention.

  16. Análisis del panorama actual de productos asistivos para la vida cotidiana a través de las perspectivas de Víctor Papanek.

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    Juliana Maria Moreira Soares

    2015-07-01

    Full Text Available El presente artículo tiene como objetivo relacionar los temas abordados en los estudios del diseñador y educador Víctor Papanek (1923-1998 con relación al diseño de productos enfocados en las personas con discapacidad y el panorama actual encontrado en ese ámbito, según la perspectiva de los usuarios de este tipo de producto. Ésta investigación se desarrolla sobre un abordaje comparativo, y fue realizada a través del estudio de textos de Papanek escritos en diferentes décadas, siendo el primero del año 1971 y el segundo de 1995. La captación del discurso del consumidor relativa a la experiencia del producto asistencial se dio a través de entrevistas cortas, emprendidas inicialmente para la investigación pertinente a los estudios de maestría de la autora principal, así como con investigación bibliográfica sobre el tema.

  17. Fournier gangrene: a series of 12 patients.

    Science.gov (United States)

    Hosseini, Seyed Jalil; Rahmani, Mohammadreza; Razzaghi, Mohammadreza; Barghi, Mohammadreza; Hosseini Moghaddam, Seyed Mohammad Mehdi

    2006-01-01

    Fournier gangrene is a rare, rapidly progressive, necrotizing fasciitis of the external genitalia, the perineum, or the abdominal wall that is associated with high morbidity and mortality. In this series, we describe 12 patients with Fournier gangrene who had presented to our medical center. Twelve men had been diagnosed with Fournier gangrene in Shohada-e-Tajrish hospital between March 2002 and September 2005. Their medical records were reviewed and the Fournier Gangrene Severity Index scores before and after the treatment were determined. Fifty percent of the patients were diabetic and their mean age was 58.2 +/- 17.8 years. The mean delay between the onset of the disease and the admission was 4.9 days and the mortality rate was 16.6%. The median Fournier Gangrene Severity Index scores before the admission and at the time of discharge were 4.5 (range, 0 to 11) and 0 (range, 0 to 9), respectively (P = .005). One of the patients who died had the scores of 11 and 9, respectively. Split-thickness skin graft was performed for 5 patients (41.7%). In Fournier gangrene, a rapid diagnosis and emergent surgical intervention is crucial. The Fournier Gangrene Severity Index seems to be an excellent tool for outcome prediction.

  18. Síndrome de Fournier

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    Bruna Ramirez

    2014-10-01

    Full Text Available Introdução: A gangrena de Fournier é uma infecção polimicrobiana, causado por bactérias aeróbias e anaeróbias.É destrutiva e rapidamente progressiva do tecido subcutâneo e fáscia superficial, caracterizando, portanto, uma fasciite necrosante, acometendo principalmente as regiões perineal,perianal e genital. Caracterizada pela rápida evolução, se não tratada pode evoluir para sepse e falência múltipla dos órgãos. A gangrena de Fournier pode ser idiopática, ou estar relacionada com fatores de risco como: trauma mecânico,procedimentos cirúrgicos,pacientes imunossuprimidos, infecções urinárias ou perianais, diabetes mellitus, entre outras. Objetivo: Relatar o caso de paciente que manifestou a Síndrome de Fournier no Conjunto Hospitalar de Sorocaba. Contribuir com o meio cientifico através da ilustração do caso e seu manejo. Metodologia: As informações contidas nesse trabalho foram obtidas por meio de análise de prontuário, registros fotográficos de métodos diagnósticos, e revisão de literatura. Relato de Caso: Paciente do sexo masculino, 34 anos, diagnosticado com Síndrome de Fournier, iniciada com quadro de dor e edema em testículo esquerdo. Identificada no exame uma lesão ulcerada de 2cm, necrótica, com saída de secreção purulenta em períneo e necrose em escroto. Atualmente, o paciente encontra-se REG, corado, hidratado, AAA, normotenso, eupnéico e com colostomia rósea funcionante. Conclusão: A síndrome descrita acima foi de grande relevância clínica devido à sua rápida evolução no paciente, que culminou com o debridamento das bordas da ferida e a posterior melhora da secreção purulenta, com início de tecido de degranulação sobre a região lesada.

  19. Fournier gangrene: first manifestation of occult rectal cancer.

    Science.gov (United States)

    Ruiz-Tovar, J; Córdoba, L; Devesa, J M

    2011-01-01

    Fournier gangrene is a necrotizing fasciitis of the genital and perineal region. Diverse factors predispose to Fournier gangrene, such as diabetes mellitus, ethylism, liver dysfunction, haematological disorders, obesity or recent regional instrumentation. Rectal tumours can also predispose to Fournier gangrene; most of the reported cases are perforated or unresectable colorectal tumours, but some cases of anorectal cancer diagnosed after recovery from Fournier gangrene have also been reported. In these cases, the presence of a rectal tumour at the time of, or prior to, diagnosis of Fournier gangrene could not be ruled out. We present three cases of rectal cancer whose first manifestation was as Fournier gangrene.

  20. Fournier's ganrene in the HIV era.

    Science.gov (United States)

    Ngugi, Peter; Magoha, George; Nyaga, Paul

    2014-12-01

    Fournier's gangrene is a devastating condition that affects mostly patients whose immunity has been reduced. There is increasing evidence for increasing incidence of the disease in those with HIV disease. To evaluate the presentation, bacteriology and outcome of Fournier's gangrene in our area in recent times in view of the high prevalence in Nairobi and its environs. One hundred and forty six patients were treated for Fournier's gangrene during the study period; all were male. They had a mean age of 38.6 years (range 2 months - 86 years). HIV infection was the most common associated underlying illness (16.4 %), followed by diabetes mellitus and alcoholism (11%). HIV infection is emerging as leading predisposing factor and has overtaken diabetes in predisposing for Fournier's gangrene in Kenyatta National Hospital.

  1. La automatización de los servicios bibliotecarios de la Biblioteca Nacional de España: antecedentes, situación actual y perspectivas de futuro

    Directory of Open Access Journals (Sweden)

    Martínez Serrano, Lucía

    2015-12-01

    Full Text Available The aim of this article is to describe the activities undertaken by the Service of Bibliographic Data Bases and the Service of Bibliographic Projects, both in charge of the management, configuration and maintenance of the integrated library management system of the National Library of Spain. Enhancements to adapt a commercial software to library specifics needs are listed. Future prospects of the ILS and its capacity of adequacy to the profound changes in traditional systems of information requests and library services, due to technological revolution, are analyzed, as well as the difficulties of balancing local and remote users of the web services, the latter in constant growth.Partiendo de la historia de la automatización de los servicios bibliotecarios de la Biblioteca Nacional de España, se detallan las tareas desarrolladas por el Servicio de Bases de Datos Bibliográficas y el Servicio de Proyectos Bibliográficos, encargados de la administración, configuración y mantenimiento del actual sistema integrado de gestión bibliotecaria de esta institución. Se enumeran las mejoras introducidas para adaptar un software comercial a las necesidades específicas de la propia biblioteca. Se analizan las perspectivas de futuro de los SIGB y su capacidad de adecuación a los profundos cambios en los esquemas tradicionales de demandas de información y servicios bibliotecarios, como consecuencia de la revolución tecnológica, y las dificultades que conlleva compaginar la atención de los usuarios presenciales y los, en constante crecimiento, usuarios remotos de servicios web.

  2. Isolated Fournier's gangrene of the penis

    African Journals Online (AJOL)

    2015-12-11

    Dec 11, 2015 ... Ersoz F, Sari S, Arikan S, Altiok M, Bektas H, Adas G, et al. Factors affecting mortality in Fournier's gangrene: Experience with fifty‑two patients. Singapore. Med J 2012;53:537‑40. 7. Bernstein SM, Celano T, Sibulkin D. Fournier's gangrene of the penis. South. Med J 1976;69:1242‑4. 8. Mouraviev VB, Pautler ...

  3. Presentation and Diagnosis of Fournier Gangrene.

    Science.gov (United States)

    Voelzke, Bryan B; Hagedorn, Judith C

    2018-04-01

    Necrotizing fasciitis is a severe type of necrotizing soft tissue infection involving the superficial fascia and subcutaneous tissues. Fournier gangrene, a type of necrotizing fasciitis, affects the genitalia or perineum. Although a rare health condition, Fournier gangrene can result in significant morbidity and unnecessary mortality following delay in diagnosis and management. We provide a review of relevant presenting features to aid diagnosis and allow timely surgical management of this serious infectious condition. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Gangrena de Fournier numa Mulher

    OpenAIRE

    Murinello, A; Figueiredo, AM; Athayde, M; Grima, B; Ribeiro, V; Lourenço, S; Fernandes, C; Goja, M; Coleho, JF

    2009-01-01

    A fasceíte necrotizante dos tecidos infra-diafragmáticos (gangrena de Fournier) é uma grave infecção sinergística por agentes aeróbicos/anaeróbicos, com uma evolução clínica súbita e rápida de gangrena da fascia e sepsis generalizada, associada a elevada mortalidade. Trata-se de uma emergência médico-cirúrgica necessitando de tratamento intensivo englobando a correcção das anomalias hemodinâmicas, hidroelectrolí- ticas e metabólicas, antibioterapia dupla/tripla de largo espectro por ...

  5. Metabolitos secundários como fontes de bioherbicidas: situação actual e perspectivas Secondary metabolites as sources of bioherbicides: present situation and perspectives

    Directory of Open Access Journals (Sweden)

    L.S. Dias

    2007-01-01

    Full Text Available Metabolitos secundários produzidos e libertados por plantas, bactérias e fungos estão envolvidos numa variedade de processos ecológicos, nomeadamente como semioquímicos e alelopatinos. Adicionalmente, e para além das suas possíveis funções ecológicas, muitos dos metabolitos secundários são fitotóxicos, constituindo uma fonte relativamente inexplorada de novos herbicidas. Solanum nigrum (erva-moira é uma infestante importante e muito bem sucedida num grande número de culturas, nomeadamente hortícolas e será usada como exemplo principal das utilizações actuais de aleloquímicos vegetais bem como das perspectivas de utilização deste tipo de compostos como bioherbicidas. Nesse âmbito revêem-se as principais estratégias de pesquisa de bioherbicidas e apresenta-se o estado da arte dos modos de acção de aleloquímicos já comercializados como herbicidas (Bialaphos e PPT, patenteados (AAL-toxina e em investigação, quer produzidos por plantas superiores (sorgoleona e derivados do cineol quer de origem bacteriana (hidantocidina e fúngica (fumonisinas, coletotriquina.Secondary metabolites produced and released by plants, bacteria, and fungi are involved in a number of ecological processes, namely as semiochemicals and allelopathins. In addition, and beside their possible ecological roles, a greater number of secondary metabolites are phytotoxic and represent a relatively unexplored source of new herbicides. Solanum nigrum (black nightshade is an important and successful weed in many crops, namely in horticulture, and will be used as a major example of actual and prospective uses of phytoallelochemicals as bioherbicides. Therefore, the main strategies for bioherbicides search are reviewed and the state of art of the modes of action of allelochemicals is presented, including those already in use as herbicides (Bialaphos and PPT, patented (AAL-toxin, and under investigation, whether produced by plants (sorgoleone and cineol

  6. Situación actual y perspectivas profesionales de los estudiantes de medicina de nueve países de Latinoamérica, 2008: estudio preliminar

    Directory of Open Access Journals (Sweden)

    Percy Mayta-Tristán

    2010-01-01

    Full Text Available Objetivos: explorar, en forma preliminar, la situación actual y perspectivas profesionales de estudiantes de medicina de Latinoamérica. Diseño: Análisis secundario de datos de un estudio transversal para validación de dos escalas. Lugar: 19 escuelas de medicina de nueve países de Latinoamérica. Participantes: Estudiantes de medicina de primer a sexto año que estaban matriculados en el primer semestre académico del 2008. Intervenciones: Encuesta autoadministrada. Principales medidas de resultados: Frecuencias absolutas y relativas de los diversos indicadores del perfil estudiantil. Resultados: Se incluyó 443 estudiantes, 55% fueron varones con edad promedio de 21,5 ± 2,6 años, 4,5% tiene hijos, 37% estudia en una ciudad diferente a la que nació, 39% fue hospitalizado antes de ingresar a la carrera, 20,3% refiere haber sido influenciados por sus padres para elegir la carrera, 7% no está seguro si es su vocación y 22,9% ha pensado retirarse. 82% se proyecta trabajar en labor hospitalaria y 2,3% en un centro de salud, 47,6% refiere que la remuneración que perciben los médicos en sus países es insuficiente, 40,1% quiere ejercer su carrera fuera de su país (Brasil 12,5%, Chile 18,5%, Honduras 26,5%, Venezuela 31,3%, Ecuador 37,5%, Paraguay 38,3%, Perú 47,7%, Colombia 47,8% y El Salvador 59,1%, 15,4% de ellos refiere no regresar a su país. Conclusiones: Los estudiantes de medicina tienen diferentes motivaciones y expectativas sobre su futuro profesional, que deben tenerse en cuenta para futuras intervenciones o políticas que permitan orientar la formación médica según los requerimientos de cada país.

  7. Isolated Fournier's gangrene of the penis.

    Science.gov (United States)

    Obi, A O

    2016-01-01

    To share experience on the presentation and management of 4 cases of isolated penile Fournier's gangrene. Clinical and demographic data of four patients with isolated penile Fournier's gangrene seen over an 8-year period (January 2006-December 2013) were reviewed. All patients had intravenous fluid resuscitation, emergency surgical debridement, and broad-spectrum intravenous antibiotics. Fournier's gangrene of the penis was, respectively, due to long segment anterior urethral stricture, penile edema from poorly controlled congestive cardiac failure, penile abrasion from oral sex and idiopathic. The mean age of the patients was 34.3 ± 5.6 years. One patient with urethral stricture had urinary tract infection. The patients presented with a prodromal period of genital pain and fever followed by genital swelling, gangrene, and ulceration. The most common wound swab isolates were Staphylococcus aureus and Escherichia coli. Only the skin and dartos fascia were affected with sparing of the corporal cylinders. Mean hospital stay was 17.3 ± 3.0 days and mean Fournier's gangrene severity index (FGSI) was 4.0 ± 0.8. Wound closure was achieved by split skin grafting in 2 patients, delayed primary closure in the third and healing by secondary intention in the fourth patient. Subjectively assessed erectile function was preserved in all four patients. Isolated Fournier's gangrene of the penis is very rare. It is associated with low FGSI and sparing of the three corporal cylinders. It may rarely follow oral sexual practice.

  8. Fournier's Gangrene: Irrua Teaching Hospital, Nigeria, Experience.

    African Journals Online (AJOL)

    as the infection can usually be localized to a cutaneous, urethral or rectal source. [3]. Other workers such as Aghaji [4], Edino [5], ..... the disease is found both in the U. S. A and Canada [16]. Because of the high ... management of patients with Fournier's gangrene in intensive care units. Corman et al [20] in their work had ...

  9. Fournier's ganrene in the HIV era

    African Journals Online (AJOL)

    of the body such as the perineum, anterior abdominal and chest wall sometimes in the axilla11,12. Wilson de- scribed the underlying pathology as necrotizing fasciitis of deep fascia with subsequent loss of all the overlying skin and subcutaneous tissues.13. Fournier's gangrene has been reported from all parts of the world.

  10. Fournier's gangrene complicating vasectomy | Lema | East African ...

    African Journals Online (AJOL)

    Journal Home > Vol 80, No 9 (2003) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Fournier's gangrene complicating vasectomy. VM Lema. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  11. Fournier gangrene: rare complication of rectal cancer.

    Science.gov (United States)

    Ossibi, Pierlesky Elion; Souiki, Tarik; Ibn Majdoub, Karim; Toughrai, Imane; Laalim, Said Ait; Mazaz, Khalid; Tenkorang, Somuah; Farih, My Hassan

    2015-01-01

    Fournier's Gangrene is a rare complication of rectal cancer. Its discovery is often delayed. It's incidence is about 0.3/100,000 populations in Western countries. We report a patient with peritoneal perforation of rectal cancer revealed by scrotal and perineal necrotizing fasciitis.

  12. Fournier's gangrene secondary to appendicectomy | Onyenyirionwu ...

    African Journals Online (AJOL)

    Background: Fournier's gangrene is predominantly an infectious process involving the superficial and deep fascial planes in the perineal area. Aim: To highlight the existence of a potential space between the Scarpa's and Camper's fascia which allows for spread of infection from an infected appendicectomy wound to the ...

  13. Fournier gangrene. Approaches to diagnosis and treatment.

    Science.gov (United States)

    Unal, Bulent; Kocer, Belma; Ozel, Ebru; Bozkurt, Betul; Yildirim, Osman; Altun, Buket; Dolapci, Mete; Cengiz, Omer

    2006-07-01

    To investigate the factors associated with patients with Fournier's gangrene, and to clarify the effect of diabetes mellitus (DM) as a comorbid disease on morbidity and mortality of patients with Fournier's gangrene. Twenty-six Fournier's gangrene patients who were admitted to the Emergency Department of Ankara Numune Teaching and Research Hospital, Ankara, Turkey from 1997 to 2003 were examined retrospectively. The mean age of the patients was 52.8 years. There were 8 female (30.8%) and 18 male (69.2%) patients. The etiological causes were as follows: diseases of the perianal region, history of operations, trauma and injections. Major comorbid disease states were diabetes mellitus (DM) and hypertension. The lesions in Fournier's gangrene were most commonly located in the perineum and genital region. Female patients with diabetes mellitus had significantly unusual extensive involvement, especially abdominal wall involvement. The most frequently isolated pathogen was Escherichia coli, while staphylococcal infection was most commonly seen in the presence of DM. Colostomy was performed on 53.8% of the patients, and cystostomy on 7.6% of the patients. Average time of staying at the hospital was 25 days with a mortality rate of 34.6%. Patients with DM had high mortality rates and stayed longer at the hospital than the non-diabetic patients. In addition to early diagnosis, early and aggressive debridement and administration of multiple wide spectrum antibiotics chosen for the causative agent are the golden standard for decreasing the mortality and morbidity. Diabetes mellitus has been found to be an important factor to increase mortality rates of patients with Fournier's gangrene.

  14. Fournier's gangrene: Clinical case and review of the literature

    Directory of Open Access Journals (Sweden)

    Remigio Pernetti

    2016-10-01

    Full Text Available Fournier's gangrene is a life-threatening acute necrotizing fasciitis of perianal,genitourinary and perineal areas. Nowadays, is well known that Fournier gangrene is almost never an idiopathic disease. In this article we report a case of a 70-year-old patient that initially was not treated properly. The gold standard therapy of the Fournier's gangrene remains today a complete, early and extended surgical debridement.

  15. La productividad de la población económicamente activa (PEA en México: historia, panorama actual y perspectiva

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    Ernesto Felipe Peralta Solorio

    2016-01-01

    Full Text Available El artículo da una perspectiva de la relación entre la población económicamente activa (PEA y el Producto Interno Bru - to (PIB en México de 1895 a 2015, ya que la dimensión y estructura de aquélla inciden en éste; el objetivo es estimar la productividad laboral con los datos disponibles y plantear algunos ajustes para tener estimadores confiables. Hay cinco fases: la primera dimensiona la pea ; la segunda la liga con el crecimiento económico; la tercera señala deficiencias en la medición de la pea ; la cuarta es de prospectiva para PEA, PIB y ocupación; la quinta es de conclusiones y recomendaciones. Se infiere que la productividad crece hasta el inicio de los 1980, luego desciende en perspectiva conflictiva; a mediano y corto plazo se le estima estadísticamente con resultados congruentes; y se sugiere que la pea se mida en años de vida activa para tener una mejor estimación de la fuerza de trabajo.

  16. Factores de riesgo para mortalidad en gangrena de Fournier

    OpenAIRE

    Azolas M,Rodrigo

    2011-01-01

    Introducción: La Gangrena de Fournier fue descrita por Fournier en 1883, es una fasceitis necrotizan-te que afecta la región perianal y genital. El objetivo del presente trabajo es analizar los factores de riesgo de mortalidad en pacientes portadores de Gangrena de Fournier y su relación con el score pronóstico FGSI (Fournier Gangrene Severity Index Score). Material y Método: Estudio prospectivo entre enero de 2000 y diciembre de 2007 en el Hospital Barros Luco Trudeau, que incluyó 31 pacient...

  17. Alain-Fournier. El eterno adolescente

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    Manuela SAN MIGUEL

    2009-11-01

    Full Text Available Ejerce ahora la escuela rural una innegable atracción, recuperándose del injusto olvido en que durante muchos años se hallaba sumida. Su renacimiento pone de manifiesto la vigencia y validez de una historia escrita otrora y en otro lugar por un joven que nació en 1886 y murió, cual héroe mítico de cuento o narración infantil, antes de llegar a la madurez, en plena acción de armas, durante la primera Guerra Mundial. Su nombre: Henri Fournier, más conocido como Alain-Fournier en el mundo literario.

  18. Fournier's Gangrene: Report of 2 Cases

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    Prasan Kumar Hota

    2012-01-01

    Full Text Available Fournier's gangrene is a very serious surgical emergency seen all over the world. With the newer advancement of surgical techniques and critical care medicine, the mortality and morbidity of this disease has come down significantly over a period of time. An early diagnosis including evaluation of predisposing and etiological factors, metabolic and physiological parameters with prompt resuscitation, aggressive surgical debridement, broad-spectrum antibiotic coverage, and continuous monitoring of all the parameters is essential for a good outcome, therefore reducing the high mortality and morbidity of this condition. In this study, we report 2 different cases of Fournier gangrene. Our first case was a young, nondiabetic, and without any multiorgan failure, who was managed successfully with good outcome. The second case was a 67-year-old man with diabetes and multiorgan dysfunction with extensive gangrene at presentation, who recovered well, but with a stormy postoperative period.

  19. Fournier's Gangrene: Report of 2 Cases

    Science.gov (United States)

    Hota, Prasan Kumar

    2012-01-01

    Fournier's gangrene is a very serious surgical emergency seen all over the world. With the newer advancement of surgical techniques and critical care medicine, the mortality and morbidity of this disease has come down significantly over a period of time. An early diagnosis including evaluation of predisposing and etiological factors, metabolic and physiological parameters with prompt resuscitation, aggressive surgical debridement, broad-spectrum antibiotic coverage, and continuous monitoring of all the parameters is essential for a good outcome, therefore reducing the high mortality and morbidity of this condition. In this study, we report 2 different cases of Fournier gangrene. Our first case was a young, nondiabetic, and without any multiorgan failure, who was managed successfully with good outcome. The second case was a 67-year-old man with diabetes and multiorgan dysfunction with extensive gangrene at presentation, who recovered well, but with a stormy postoperative period. PMID:23326734

  20. A clinical case of Fournier gangrene.

    Science.gov (United States)

    Iordache, F M; Beuran, M; Turculeţ, C; Vasilescu, C; Surdeanu, D

    2012-01-01

    To present a case of Fournier gangrene and the specific surgical therapy A 71-year old patient with a two days history of pain in the perineal region, swelling, developing necrosis and foul-smelling lesions was examined in emergency settings. The swelling of subcutaneous plane involved the flank regions, mainly on the left side. The investigations were performed (full blood count, blood urea, electrolytes, coagulation profile). A Fournier gangrene was diagnosed and surgery performed under general anesthesia. Broad spectrum antibiotics were given concomitantly. The first surgical procedure consisted in surgical debridement and excision of all the necrotic tissue. Cultures were taken. We performed counter incisions bilaterally on both flanks. The communication through the fascial planes was clearly demonstrated, especially on the left side. A loop colostomy was also performed. Multiple re-excisions were further employed. Due to a precarious evolution, the patient were on mechanical ventilation for 13 days. Inotrope medication was given for a total of 19 days and, the antibiotherapy adapted to the antibiogram (Bacterioides eggerthii was identified). The reconstruction of the perineum was later performed and, after 3 months, the colostomy was closed in good conditions without further complications. Early recognition and aggressive surgical excision are mandatory for success in patients with Fournier gangrene. Colonic diversion can be very useful if employed from the beginning.

  1. Tetanus following Fournier's gangrene: case report and literature ...

    African Journals Online (AJOL)

    A forty-year-old man with Tetanus complicating Fournier's gangrene seen at the Ahmadu Bello University Teaching Hospital Zaria is presented. Fournier's gangrene is a form of necrotizing fascitis affecting the scrotum. It can occur in otherwise healthy individual, but in many cases underlying problems like diabetes mellitus, ...

  2. Fournier's gangrene in the HIV era | Ngugi | African Health Sciences

    African Journals Online (AJOL)

    Background: Fournier's gangrene is a devastating condition that affects mostly patients whose immunity has been reduced. There is increasing evidence for increasing incidence of the disease in those with HIV disease. Objective: To evaluate the presentation, bacteriology and outcome of Fournier's gangrene in our area in ...

  3. La "cultura de la inteligencia" y la Historia contemporánea de España: Problemas actuales y perspectivas de futuro

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    JUAN R. GOBERNA FALQUE

    2006-01-01

    Full Text Available Desde las más altas instancias del Centro Nacional de Inteligencia (CNI se viene proponiendo desde hace algunos años la creación y difusión de algo que se ha dado en llamar la “cultura de la inteligencia”. Como miembro de un equipo de investigación de un proyecto sobre espionaje y relaciones internacionales, el autor de este artículo pretende poner de manifiesto las dificultades que plantea en la actualidad la promoción de esta cultura desde la perspectiva de la investigación histórica así como suscitar un debate que permita desbloquear su progreso. El trabajo consta de dos partes: en primer lugar, se presenta un balance historiográfico relativo a los estudios sobre servicios de inteligencia en España y, en segundo lugar, se abordan los problemas con lo que suelen topar los investigadores a la hora de llevar a cabo esta tarea, a saber: las dificultades de acceso a la documentación, y, desde un punto de vista más genérico, la “cultura de la desmemoria” que caracteriza a la sociedad española.

  4. PERSPECTIVA ACTUAL DE LA PROMOCIÓN DE ACTIVIDAD FÍSICA PARA LA SALUD EN NIÑOS Y ADOLESCENTES EN EL CONTEXTO ESCOLAR. REVISIÓN

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    Jairo Alejandro Fernández Ortega

    2016-03-01

    Full Text Available La escuela es considerada el escenario ideal para intervenir sobre las condiciones de salud de niños y jóvenes; por ello ha sido el centro de múltiples programas diseñados a partir de perspectivas teóricas diversas, que van desde los enfoques biologistas hasta los de medicina social, con la esperanza de impactar en las condiciones de calidad de vida. El propósito del estudio fue analizar e identificar los diferentes componentes utilizados (modelo, estrategias, agentes involucrados y duración en el diseño de programas de promoción de actividad física (af para la salud en el contexto escolar, por lo cual se analizaron diferentes estudios que desarrollaron programas de af en este aspecto. La evidencia observada indica una gran diversidad en el diseño y componentes de las intervenciones. A pesar de los resultados positivos obtenidos, se identificó heterogeneidad: en la metodología, la población, los actores involucrados y en los indicadores de eficacia, lo cual no permite realizar comparaciones entre los diferentes estudios. Es necesario que futuras intervenciones involucren indicadores individuales y colectivos, que su acción sea de orden longitudinal implicando a todos los actores que inciden en diferentes niveles de intervención.

  5. Validation and simplification of Fournier's gangrene severity index.

    Science.gov (United States)

    Lin, Tsung-Yen; Ou, Chien-Hui; Tzai, Tzong-Shin; Tong, Yat-Ching; Chang, Chien-Chen; Cheng, Hong-Lin; Yang, Wen-Horng; Lin, Yung-Ming

    2014-07-01

    To validate the predictive value of Fournier's Gangrene Severity Index in patients with Fournier gangrene and to facilitate patient mortality risk-stratification by simplifying the Fournier's Gangrene Severity Index. From January 1989 to December 2011, 85 male patients with clinically-documented Fournier's gangrene undergoing intensive treatment and with complete medical records were recruited. The demographic information and nine parameters of Fournier's Gangrene Severity Index were compared between survivors and non-survivors. The parameters that showed a significant difference between the two groups were selected to generate a simplified scoring index. Of the 85 patients recruited, 16 patients died of the disease with mortality rate of 18.8%. The Fournier's Gangrene Severity Index score at initial diagnosis was significantly higher in non-survivors than in survivors. Of the nine parameters of Fournier's Gangrene Severity Index, the scores of serum creatinine level, hematocrit level and serum potassium level were significantly different between the two groups. However, the mean body temperatures, heart rate, respiration rate, white blood cell count, serum sodium and bicarbonate levels were non-significantly different. Of the 12 patients with chronic kidney disease or end-stage renal disease, 10 died of severe sepsis. A simplified scoring index including parameters of creatinine, hematocrit and potassium was generated, which provided sensitivity and specificity of 87% and 77% in predicting patient mortality, respectively. The predictive values of this simplified Fournier's Gangrene Severity Index were shown to be non-inferior to Fournier's Gangrene Severity Index in our patients. The simplified Fournier's Gangrene Severity Index is easy to use at initial diagnosis, and offers a way to compare outcomes in different clinical populations. © 2014 The Japanese Urological Association.

  6. Rehabilitación psicosocial: perspectiva actual y directrices en la Reforma Psiquiátrica Psychosocial rehabilitation: current perspectives and guidelines in the Psychiatric Reform

    Directory of Open Access Journals (Sweden)

    Mariano Hernández Monsalve

    2011-12-01

    Full Text Available Se describen las etapas que ido atravesando la rehabilitación psicosocial en España, con especial atención a su paralelismo con la transformación de los servicios públicos de salud que se inició en 1986 con la promulgación de la Ley General de Sanidad (LGS en 1986 y, especialmente, con el desarrollo de la Reforma Psiquiátrica que se inició formalmente con el Informe Ministerial para la Reforma Psiquiátrica (1985 y con la citada LGS. Se revisan los aspectos más relevantes del proceso de despliegue de los nuevos servicios de rehabilitación, y el nuevo escenario asistencial tras la publicación de la Estrategia en Salud Mental del Sistema Nacional de Salud (2007, incluyendo la rehabilitación laboral de personas con enfermedad mental, finalizando con una estimación de las perspectivas de futuro.It describes the stages gone through psychosocial rehabilitation in Spain with special attention to parallels with the transformation of public health services that began in 1986 with the enactment of the General Health Law in 1986 and especially with the development of the Psychiatric Reform which began formally with the Ministerial Report for Psychiatric Reform (1985 and with the above GHL. We review the relevant aspects of the deployment process of new rehabilitation services, and the new stage of care following the publication of the Mental Health Strategy in the National Health System (2007, including the vocational rehabilitation of people with mental illness ending with an estimate of future prospects.

  7. Sumisión química: antecedentes, situación actual, y perspectivas. protocolos de actuación para estudios multicéntricos

    OpenAIRE

    M. López-Rivadulla; A. Cruz; O. Quintela; A. de Castro; M. Concheiro; A. Bermejo; C. Jurado

    2005-01-01

    La sumisión química, que se puede definir como la administración de sustancias psicoactivas a una persona con fines delictivos, constituye un acto criminal cuya prevalencia, todavía escasa, parece estar en aumento. En el presente trabajo se realiza una revisión de la situación actual del problema, partiendo de los antecedentes, pero con especial énfasis en la descripción de los compuestos más frecuentemente utilizados para estos fines, las muestras biológicas más adecuadas para...

  8. Deep-water fisheries in Brazil: history, status and perspectives Pesquerías de aguas profundas en Brasil: historia, situación actual y perspectivas

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    José Angel Alvarez Perez

    2009-01-01

    Full Text Available The recent development of deep-water fisheries off Brazil is reviewed from biological, eco-nomic, and political perspectives. This process has been centered in the southeastem and southern sectors of the Brazilian coast (19°-34°S and was motivated by the overfishing of the main coastal resources and a government-induced vessel-chartering program. Shelf break (100-250 m operations by national hook-and-line and trawl vessels intensified in the 1990s. Around 2000-2001, however, foreign-chartered longliners, gillnetters, potters, and trawlers started to operate in Brazilian waters, leading the occupation of the upper slope (250-500 m, mostly targeting monkfish (Lophyus gastrophysus, the Argentine hake (Merluccius hubbsi, the Brazilian codling (Urophycis mystacea, the wreckfish (Polyprion americanus, the Argentine short-fin squid (Illex argentinus, the red crab (Chaceon notialis, and the royal crab (Chaceon ramosae. Between 2004 and 2007, chartered trawlers established a valuable fishery on deep-water shrimps (family Aristeidae, heavily exploiting the lower slope (500-1000 m. Total catches of deep-water resources varied annually from 5,756 ton in 2000 to a maximum of 19,923 ton in 2002, decreasing to nearly 11,000 ton in 2006. Despite intensive data collection, the availability of timely stock assessments, and a formal participatory process for the discussion of management plans, deep-water stocks are already considered to be overexploited due to limitations of governance. .El reciente desarrollo de la pesca profunda en Brasil fue revisado desde perspectivas biológicas, econômicas y políticas. Este proceso se ha centrado en los sectores sureste y sur de la costa de Brasil (19°-34°S y fue motivado por la sobrepesca de los principales recursos costeros en conjunto con una política gubernamental de arriendo de buques pesqueros. Las operaciones de pesca sobre el borde de la plataforma (100-250 m por buques palangreros y arrastreros se

  9. La Actividad Física Adaptada para personas con discapacidad en España: perspectivas científicas y de aplicación actual

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    Javier Pérez Tejero

    2012-01-01

    Full Text Available A día de hoy, seguramente nunca había sido tan socialmente reconocido el deporte para personas con discapacidad en España. El área dentro de las ciencias del deporte que se ocupa del tema es la Actividad FísicaAdaptada (AFA, que incluye a los deportes adaptados. Este artículo presenta el área, su desarrollo histórico y sus principales características como área de conocimiento y de desarrollo profesional, contextualizándolos dentro de la actual clasificación del Funcionamiento, la Discapacidad y la Salud (OMS, 2001. Tras ello, se analiza la evolución que ha experimentado la AFA y los deportes adaptados en relación a las áreas de investigación a nivel internacional, presentando los principales tópicos. Así mismo, las principales líneas de investigación más actuales a nivel nacional son indicadas. Son además presentadas una serie de propuestas concretas para favorecer el desarrollo de la AFA como campo de estudio multidisciplinar y como disciplina profesional. En el ar tículo se indican pautas concretas para el adecuado desarrollo de investigaciones en los deportes para personas con discapacidad y así mismo se detallan las actividades formativas y foros de difusión científica más relevantes sobre el área. Son indicadas a lo largo del texto sugerencias para el fomento del conocimiento y la colaboración multidisciplinar para seguir avanzando en el desarrollo de la AFA en nuestro país.

  10. Evaluación de programas de salud electrónica en el Perú: enfoque multidisciplinario y perspectivas actuales

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    Milagro Henríquez-Suarez

    Full Text Available RESUMEN La salud electrónica (eSalud requiere un enfoque multidisciplinario que incluya diversos campos como la medicina, la informática, ingenierías e, incluso, las ciencias sociales como la sociología, la antropología, el trabajo social, la administración, el derecho y las ciencias de la comunicación. Al evaluar la eSalud debemos tener en cuenta que las tecnologías de información y comunicación (TIC son solo una parte del sistema de información de una organización; es fundamental considerar los factores humanos involucrados en los procesos del sistema de salud, y tomar en cuenta el entorno y el ecosistema en el que se utilizan las TIC en salud. El objetivo de este artículo es describir la situación actual de la evaluación de experiencias de eSalud en el Perú y discutir las estrategias de evaluación multidisciplinaria que deben considerarse para lograr éxito y sostenibilidad de estas iniciativas, basadas en la experiencia nacional e internacional.

  11. Perspectiva histórica y claves actuales de la diversidad terminológica aplicada a la educación mediática

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    Alejandro Buitrago Alonso

    2017-07-01

    Full Text Available El ámbito de la educación mediática transita en un terreno científico que a lo largo del tiempo ha sido etiquetado con un extenso catálogo de denominaciones diferentes. “Educomunicación”, “alfabetización mediática” o “competencia digital” son sólo algunos ejemplos de los vocablos que encontramos con mayor frecuencia a la hora de sumergirnos en el campo de estudio que aboga por empoderar al ciudadano en el sentido crítico ante sus medios. Más allá de la preferencia de los diversos autores ante unas u otras opciones terminológicas, se hace necesaria una revisión conceptual que trate de arrojar luz acerca de las particularidades teóricas y semánticas relativas a los diversos sustantivos y adjetivos que conviven en el entramado léxico que rodea a la educación mediática. De este modo, el presente artículo se fundamenta en un recorrido histórico a través de las nomenclaturas que mayor influencia alcanzaron en las últimas décadas, a la vez que trata de ofrecer las claves actuales para caminar hacia una convergencia que establezca un criterio sólido y común en lo referente a la cuestión terminológica de la educación mediática.

  12. Fistula‑in‑Ano Complicated by Fournier's Gangrene Our Experience ...

    African Journals Online (AJOL)

    % of patients had fistulotomy and seton application for adequate drainage. Mucosal advancement ... bodies or diverticulitis. Fournier's gangrene, which was .... or recurrent complex fistula‑in‑ano, rectal cancer or Crohn's disease, diagnostic ...

  13. Equinodermos del Cámbrico de España: situación actual de las investigaciones y perspectivas futuras

    Directory of Open Access Journals (Sweden)

    Zamora, S.

    2011-06-01

    Full Text Available This paper reviews all finds of Cambrian echinoderms from Spain since their first discovery in the XIX century. Recent research techniques used for the study of echinoderms are also described, providing a guide for procedure. Sampling in new fossiliferous localities from the Cambrian of North Spain and the review of classic ones has yielded more than 2,000 echinoderm fossils. These include species belonging to five major classes, Cincta, Eocrinoidea, Edrioasteroidea, Stylophora and Ctenocystoidea, which show the highest diversity reported from Gondwana. These results suggest that echinoderms underwent major diversification during the middle Cambrian, with many groups more widely distributed than previously thought. These arguments suggest that many classes originated in the lower Cambrian where only a few taxa have been described. Finally, I offer some suggestions about where research efforts need to be focussed for a better knowledge of Cambrian echinoderm faunas in Gondwana.

    En este trabajo se presenta una revisión histórica de todos los equinodermos cámbricos descubier tos en España, desde su primer hallazgo a finales del siglo XIX y las técnicas actuales que se utilizan para su estudio. El muestreo sistemático de nuevas localidades cámbricas del Norte de España y la revisión de otras ya conocidas, ha proporcionado más de 2.000 ejemplares de equinodermos. En total se han reconocido taxones pertenecientes a cinco clases: Cincta, Eocrinoidea, Edrioasteroidea, Stylophora y Ctenocystoidea, que muestran la mayor diversidad para este periodo en Gondwana. Estos hallazgos muestran que los equinodermos alcanzaron su primer pico de diversidad durante el Cámbrico medio. Esto, unido a la amplia distribución paleobiogeográfica de algunos clados, nos advierte de un origen para muchos grupos en el Cámbrico inferior, donde sólo unos pocos taxones han sido descritos a nivel mundial. Por último se dan algunas ideas de hacia d

  14. [Our experience in Fournier's gangrene with severe septic shock].

    Science.gov (United States)

    Lukász, Péter; Ecsedy, Gábor; Lovay, Zoltán; Nagy, István; Kári, Dániel; Vörös, Attila; Ender, Ferenc

    2014-06-01

    Fournier's gangrene is a rare, rapidly progressing necrotizing fasciitis, which involves the genital area and perineum, progresses towards the thighs and abdominal wall through fascial plains. In our surgical department we treated seven patients with Fournier's gangrene between 2007 and 2011. Early diagnosis, immediate radical surgical debridement, necrosectomy, appropriate antibiotics and intensive care are all required and necessary for the successful treatment. Despite appropriate therapy, two patients were lost in septic shock.

  15. Magnetic resonance imaging in the diagnosis of Fournier's gangrene

    International Nuclear Information System (INIS)

    Kickuth, R.; Adams, S.; Kirchner, J.; Simon, S.; Liermann, D.; Pastor, J.

    2001-01-01

    Magnetic resonance imaging and ultrasound are the imaging modalities recommended in the early diagnosis of Fournier's gangrene. Because of the high mortality of this inflammatory disease early diagnosis is essential to initiate adequate surgical and medical treatment. In the clinical literature only a handful of cases, in which diagnosis of Fournier's gangrene is based on MRI findings, have been reported; therefore, we report another case which shows the ability of MRI especially to determine the point of origin and extension of disease. (orig.)

  16. Manejo de la Gangrena de Fournier: Nuestra experiencia / Fourniers Gangrene Management: Our Experience

    OpenAIRE

    Etcheverry MG; Pierini A; Brosutti O; Ruiz G; Canga V

    2015-01-01

    Fournier ‘s gangrene (GF) is an infection that rapidly expands and affects the perineum, perianal region and the external genitalia. Without early treatment, based on life support, antibiotics and surgery it has a high mortality, even today. A retrospective, observational study was performed. All patients treated for GF in General Surgery third level hospital for the period between January 2002 and April 2014 were included. 23 patients are described and several variables regarding the diag...

  17. La enseñanza del cine en España: perspectiva histórica y panorama actual Cinema teaching in Spain. A historical perspective and a contemporary view

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    Eduardo Rodríguez Merchán

    2007-10-01

    Full Text Available El artículo trata de ofrecer una perspectiva histórica de la enseñanza superior del cine en España, desde sus orígenes en los años cuarenta hasta la actualidad. Dada la complejidad del mapa actual de titulaciones, cursos, talleres y propuestas docentes sobre la cinematografía, se ofrece también un cuadro sinóptico bastante amplio de las asignaturas universitarias vinculadas al cine –al margen de las troncales de Comunicación Audiovisual– que se ofrecen en los centros de enseñanza superior de las distintas Comunidades Autónomas. This paper tries to offer a historical perspective of higher cinema teaching in Spain, from its origins in the 40s to the present. The current map of official studies in film, courses, workshops, seminars, etc., in Spain is very complex. This is the reason why we offer a complete diagram of university subjects related to the cinema in higher education in all the autonomous regions.

  18. Computed Tomography findings in Fournier's gangrene

    International Nuclear Information System (INIS)

    Isusi, M.; Campo, M.; Oleaga, L.; Grande, J.; Grande, D.

    2000-01-01

    To assess the utility of computed tomography (CT) as an imaging technique in the diagnosis and determination of the extension of Fournier's gangrene (FG). We report the cases of six patients who had been clinically diagnosed as having FG, CT, enhanced by oral and intravenous contrast media, was performed in all the patients. All six patients presented soft tissue masses and gas in the scrotal region, which were also detected in the perineal region in five. In two patients, the gas extended toward anterior abdominal wall and in one of them, it also observed in anterior and posterior para renal space. The major predisposing factors were diabetes and alcoholism and the most common triggering factor was urologic disease. CT confirms the existence of FG and aids in assessing its extension and, in some cases, in identifying the underlying cause. (Author) 15 refs

  19. Manifestaciones orales del sida: perspectiva actual

    OpenAIRE

    Chimenos Küstner, Eduardo

    1997-01-01

    Con esta revisión se pretende remarcar al odontoestomatólogo los aspectos clínicos que con mayor frecuencia se asocian a la infección producida por el VIH. Entre ellos cabe resaltar las infecciones producidas por virus (herpes simple, herpes varicela-zoster, citomegalovirus. papilomavirus), hongos (sobre todo candidiasis) y bacterias (caries y patología periodontal); la patología tumoral asociada (sarcoma de Kaposi, linfoma no Hodgkin, carcinomas); así como otras manifestaciones patológicas q...

  20. LE PÈRE INVISIBLE ET SILENCIEUX CHEZ GISÈLE FOURNIER (The Invisible and Silent Father by Gisèle Fournier

    Directory of Open Access Journals (Sweden)

    Julie Crohas Commans

    2015-06-01

    Full Text Available The game of visible and invisible led by the paternal character in the novel Non-dits (2000 of Gisèle Fournier betrays the threat which presses on the story of a family torn by the secrets of the past. The father keeps out of the oppressive closed world he is sentenced to, using silence. Far from losing him, this attitude allows him to be marked out. And actually in the slow succession of the novel’s monologues, his image and his presence persist even after his suicide. The look of both character and reader is thus headed towards this paternal figure. Once narrativized, this vision allows us to question the contemporary illness which affects the transmission.

  1. Fournier gangrene in spinal cord injury: a case report.

    Science.gov (United States)

    Nambiar, Prabhakaran K; Lander, Stuart; Midha, Meena; Ha, Chang

    2005-01-01

    Fournier gangrene is a necrotizing fasciitis of the perineal and genital region resulting from polymicrobial infection in which infection spreads along fascial planes, causing soft-tissue necrosis. If surgical debridement and control of infection are delayed, the disease can progress and result in septic shock, multiorgan failure, and death. Initial symptoms are severe pain in the genital region followed by swelling and erythema. In patients with spinal cord injury (SCI), lack of pain sensation could cause delay in seeking medical attention. SCI patients are at higher risk for Fournier gangrene secondary to neurogenic bladder, neurogenic bowel, and impaired sensation. A literature search resulted in only 1 report of Fournier gangrene with localized necrosis of the scrotum in a patient with SCI. Case report of a 47-year-old man with C4 tetraplegia. Patient presented with a necrotic ulceration on the ventral aspect of the penis and scrotum of 2 days duration and was diagnosed with fulminant Fournier gangrene. Patients with SCI are at higher risk for Fournier gangrene secondary to neurogenic bladder, neurogenic bowel, and impaired sensation. Mortality is high. Prevention and early diagnosis are essential. Prompt aggressive intervention is warranted to maximize outcomes.

  2. Manejo de la Gangrena de Fournier: Nuestra experiencia / Fourniers Gangrene Management: Our Experience

    Directory of Open Access Journals (Sweden)

    Etcheverry MG

    2015-11-01

    Full Text Available Fournier ‘s gangrene (GF is an infection that rapidly expands and affects the perineum, perianal region and the external genitalia. Without early treatment, based on life support, antibiotics and surgery it has a high mortality, even today. A retrospective, observational study was performed. All patients treated for GF in General Surgery third level hospital for the period between January 2002 and April 2014 were included. 23 patients are described and several variables regarding the diagnosis, treatment and monitoring of these patients were analized.

  3. Fournier's gangrene: A retrospective analysis of 25 patients.

    Science.gov (United States)

    Yücel, Metin; Özpek, Adnan; Başak, Fatih; Kılıç, Ali; Ünal, Ethem; Yüksekdağ, Sema; Acar, Aylin; Baş, Gürhan

    2017-09-01

    Fournier's gangrene is a surgical emergency that progresses rapidly and insidiously and results in high morbidity and mortality rates unless it is immediately diagnosed and managed. Here we analyze the outcomes of patients who were followed up and treated for Fournier's gangrene. We conducted a retrospective analysis of the medical data of 25 patients operated on for Fournier's gangrene between January 2010 and June 2015. The diagnosis of Fournier's gangrene was made by performing a physical examination. Patients who had genital, perineal, and perianal tenderness; induration; cyanosis; gangrene; and subcutaneous crepitation were considered as having Fournier's gangrene. Following resuscitation, aggressive surgical debridement was performed and vacuum-assisted closure (VAC) was conducted in addition to debridement in select patient. Repeat debridements were performed as requirement. This study included 25 patients. Fourteen patients (56%) were females and 11 (44%) were males. The mean age of the patients was 54.3 years (range: 27-82 years). The mean duration of hospital stay was 21.4 days; the mean number of debridements performed was 2.4. Thirteen patients (52%) had perianal abscesses, and 20 (80%) had diabetes mellitus. All patients underwent extensive debridement; 16 patients (64%) underwent VAC in addition to debridement. Patients undergoing VAC had significantly longer durations of hospital stay and a higher mean number of debridements performed (p=0.004 and p=0.048, respectively). An ostomy was made in one patient, and one patient died. In Fournier's gangrene, early diagnosis, effective resuscitation, aggressive debridement, and VAC application in suitable cases may reduce the morbidity and mortality rates and the need for an ostomy.

  4. Fournier's gangrene as first presentation of promyelocytic leukemia

    NARCIS (Netherlands)

    Faber, HJ; Girbes, ARJ; Daenen, S

    A 50-year-old male is described who presented with Fournier's gangrene as what is probably the first manifestation of a newly diagnosed acute myelogenous leukemia (AML), promyelocytic type or variant type M-3, according to the FAB classification. Despite aggressive fluid resuscitation, tuned

  5. Fournier gangrene: Rare complication of rectal cancer | Ossibi | Pan ...

    African Journals Online (AJOL)

    Fournier's Gangrene is a rare complication of rectal cancer. It's discovery is often delayed. It's incidence is about 0.3/100 000 populations in Western countries. We report a patient with peritoneal perforation of rectal cancer revealed by scrotal and perineal necrotizing fasciitis. AJOL African Journals Online. HOW TO USE ...

  6. Stepwise minimal debridement in Fournier's gangrene: a technical ...

    African Journals Online (AJOL)

    Fournier's gangrene, so called after the French physician who first described this condition in 1883, is a necrotizing fasciitis of the perineum and the genitalia. It is a fulminant gangrene of the genitalia. It is a polymicrobial infection caused by gram-positive, gram-negative anaerobic bacteria.1-4 The infection is said to spread ...

  7. [Fournier gangrene. A retrospective study of 41 cases].

    Science.gov (United States)

    Torremadé Barreda, Jose; Millán Scheiding, Mónica; Suárez Fernández, Cristina; Cuadrado Campaña, Jose María; Rodríguez Aguilera, José; Franco Miranda, Eladio; Biondo, Sebastiano

    2010-04-01

    Fournier's gangrene is a rapidly progressing necrotizing fascitis that affects the perineal and genital area. Mortality still remains high. The aim of this study was to evaluate the epidemiological progression and morbidity-mortality of Fournier's gangrene at our centre over the past 10 years. Retrospective study of 41 patients treated for Fournier's gangrene between 1998 and 2007. Variables studied included, demographic variables, aetiology, microbiology, surgical and antibiotic treatment, morbidity, and mortality. The mean age of the patients was 60, and 93% were male. The most common co-morbidity was diabetes (49%), followed by alcoholism (46%) and immunosuppression or neoplasia (34%). The origin was perianal in 66% of cases, followed by a urological origin (32%). The median time from the onset of symptoms to diagnosis was 3 days. Several surgical debridements were required in 49% of the patients, and the mortality rate was 29%. Most cases had positive cultures (93%), and in 76% more than one microorganism was isolated (enterobacteriaceae and anaerobic flora). In the bivariate analysis, antimicrobial treatment with carbapenems and the absence of systemic complications were associated with lower mortality. Fournier's gangrene continues to be a severe surgical emergency, with a high mortality rate. Early diagnosis and aggressive surgical and antibiotic therapy are necessary for adequate management.

  8. Management of a young female patient with Fournier's gangrene ...

    African Journals Online (AJOL)

    Fournier's gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions. Lemierre's syndrome is a condition characterized by thrombophlebitis of the internal jugular vein and bacteremia caused by primarily anaerobic organisms, ...

  9. Fournier's gangrene - a rare complication of hydrocele aspiration

    International Nuclear Information System (INIS)

    Ali, M.Z.

    2004-01-01

    A case of Fournier's gangrene of scrotum with systemic inflammatory response syndrome resulting from hydrocele aspiration in young male patient is presented. He was treated with antibiotics, wide local debridement of scrotal skin with evacuation of pus and gas; followed by serial debridements and dressings. Secondary suturing of scrotal defect was done after 02 weeks. (author)

  10. Management of equivocal (early) Fournier's gangrene.

    Science.gov (United States)

    El-Shazly, Mohamed; Aziz, Mohamed; Aboutaleb, Hamdy; Salem, Shady; El-Sherif, Eid; Selim, Mohamed; Sultan, Mohamed; Omar, Mohamed; Abd Elbaky, Tarek; Zanaty, Fouad; Alenezi, Talal; Ghobashi, Abdelazeem; Allam, Adel

    2016-10-01

    Fournier's gangrene (FG) is an acute progressive necrotizing fasciitis of the genital area and perineum with possible extension to the abdominal wall. Surgical debridement is the gold standard management modality of established patients. Equivocal (early) FG represents a challenge in diagnosis. The objective of this study was to compare conservative management and early exploration in cases of equivocal (early) FG. This was an observational study where data of all patients diagnosed as early FG in our departments over 4 years (2011-2015) were enrolled. Patients were divided into two groups: group 1 with conservative treatment, and group 2 managed with urgent exploration with longitudinal hemiscrotal incision starting from external inguinal ring. All patients' demographics, vital signs, laboratory finding and clinical findings were reported. A total of 28 patients were enrolled in the study. Group 1 was managed with conservative treatment (17 patients) and group 2 underwent urgent exploration (11 patients). Overall, four patients (23.5%) out of 17 patients of group 1 showed a good response to conservative management without any surgical debridement. A total of 13 patients (76.5%) developed gangrenous discoloration and needed surgical debridement later. In group 2, four patients (36.4%) underwent scrotal exploration and release incision only without debridement and showed an excellent clinical outcome. A total of four patients (36.4%) underwent debridement with excision of doubtful deep subcutaneous and fascial tissues. The remaining three patients (27.2%) underwent debridement of necrotic fascia. The hospital stay was significantly shorter in group 2 patients than group 1 (7.5 ± 3.75 versus 13.4 ± 5.19 days p < 0.05). The mean number of debridement sessions was 3.74 ± 0.69 in group 1 versus 1.82 ± 0.34 in group 2. Early exploration and debridement in equivocal (early) FG has a better clinical outcome with reduced hospital stay and number of debridement sessions

  11. Fournier gangrene: our approach and patients.

    Science.gov (United States)

    Fajdic, Josip; Gotovac, Nikola; Hrgovic, Zlatko

    2011-01-01

    This retrospective analysis presents our experience in treating Fournier gangrene (FG) and aims to bring in focus diagnostic and therapeutic problems as well as early and aggressive treatment. A total of 16 male patients were included in the study. The gastrointestinal form was seen in 5 and the urogenital form in 11 patients. The subjects ranged in age from 39 to 74 years (average 61) for the urogenital, and from 48 to 72 (average 58) for the gastrointestinal form. Other conditions were seen in 9 patients (diabetes mellitus was most common). Most patients were infected with several bacteria. We performed colostomy in 1 patient, orchidectomy in 2 patients, cystostomy in 2 patients and penis amputation in 1 patient. Ultrasound-guided biopsy or aspiration, and CT was also used. Aggressive surgical necrectomy and aggressive antimicrobial therapy was used. Treatment was successful in 14 of 16 patients (87.5%). The length of hospitalization was 19-58 days (average 48) for the urogenital form and 24-56 days (average 41) for the gastrointestinal form. Mortality was 12.5%. A lethal outcome was recorded in two patients infected with methicillin-resistant Staphylococcus aureus. The average time between onset and hospitalization was 3-11 days (5 on average) for urogenital FG and 4-10 days (average 6) for gastrointestinal FG. Treatment was significantly longer in patients with a comorbidity, such as diabetes or liver cirrhosis due to alcohol abuse. Early diagnosis as well as intensive and aggressive treatment are key to successful treatment of FG. Comorbidity increases length of therapy and lowers the chance for recovery. Disease can be seen again several years after the initial outburst. Copyright © 2011 S. Karger AG, Basel.

  12. Fournier's gangrene in a patient after third-degree burns: a case report

    Directory of Open Access Journals (Sweden)

    Iavazzo Christos

    2009-05-01

    Full Text Available Abstract Introduction Fournier's gangrene is characterized by tissue ischemia leading to rapidly progressing necrotizing fasciitis. Case presentation We present the case of a patient with Fournier's gangrene after third-degree burns. Clinical manifestations, laboratory results and treatment options are discussed. Conclusion Fournier's gangrene is a surgical emergency. Although it can be lethal, it is still a challenging situation in the field of surgical infections.

  13. Neutrophil to Lymphocyte and Platelet to Lymphocyte Ratios Are More Effective than the Fournier's Gangrene Severity Index for Predicting Poor Prognosis in Fournier's Gangrene.

    Science.gov (United States)

    Yim, Sang Un; Kim, Sun Woo; Ahn, Ji Hoon; Cho, Yang Hyun; Chung, Hoseok; Hwang, Eu Chang; Yu, Ho Song; Oh, Kyung Jin; Kim, Sun-Ouck; Jung, Seung Il; Kang, Taek Won; Kwon, Dong Deuk; Park, Kwangsung

    2016-04-01

    We investigated the value of the neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) as markers of mortality in patients with Fournier's gangrene. Records from 62 patients treated for Fournier's gangrene between 2003 and 2014 were reviewed retrospectively. Data were collected regarding medical history, symptoms, physical examination findings, admission laboratory tests, and the extent of body surface area involved (%). Fournier's Gangrene Severity Index score, NLR, and PLR were calculated. The data were assessed separately for surviving and deceased patients. Of the 62 patients, 36 survived (58%, group 1) and 26 died (42%, group 2). Parameters that were statistically different between the two groups (p Fournier's Gangrene Severity Index score, and admission laboratory parameters, including body temperature, heart rate, bicarbonate, albumin, and serum calcium. The average body surface area affected in group 2 was statistically different from that of group 1 (6.0% versus 2.3%, p = 0.001). A high Fournier's Gangrene Severity Index score (>9), high NLR (>8), and high PLR (>140) were associated more frequently with group 2 patients. Multivariable regression analysis showed that high NLR (adjusted odds ratio [OR], 4.66; 95% confidence interval [CI], 1.25-17.3; p = 0.022) and high PLR (adjusted OR, 11.6; 95% CI, 2.7-49.5; p = 0.001) were independent prognostic factors for poor prognosis from Fournier's gangrene. However, the Fournier's Gangrene Severity Index score did not shown any statistically significant effect on mortality (p = 0.086). The Fournier's Gangrene Severity Index scoring system was not associated with determining poor prognosis, however, high NLR and high PLR were associated with predictors of mortality in patients with Fournier's gangrene.

  14. [Fournier gangrene (necrotizing fasciitis) in a woman with diabetes mellitus].

    Science.gov (United States)

    Kamper, Lars; Piroth, W; Haage, P

    2009-08-01

    A 67-year-old woman with insuline-dependent diabetes mellitus and chronic alcohol abuse was admitted with impaired consciousness and fever. Physical examination showed a livid induration of the perineal and vaginal soft tissues with crepitations. Laboratory tests showed greatly elevated infection parameters. Abdominal computed tomography revealed perineal and vaginal subcutaneous gas accumulation extending into the ventral abdominal wall. The combination of an obscure infection and subcutaneous genital gas accumulation suggested the diagnosis of Fournier gangrene, a necrotizing fasciitis. In spite of administration of broad-spectrum antibiotics and repeated surgical removal of necrotic tissue the patient died of multiple organ failure. Successful treatment of Fournier gangrene critically depends on immediate treatment. Administration of broad-spectrum antibiotics and aggressive surgical resection of the necrotic tissue may prevent continuing spreading of the infection. Computed tomography provides an early diagnosis and guides the presurgical evaluation of the subcutaneous spread. Georg Thieme Verlag KG Stuttgart * New York.

  15. Fascitis necrotizant of the perinea (Gangrene of Fournier)

    International Nuclear Information System (INIS)

    Marquez, Juan R; Martinez, Carlos E; Escobar, Jaime; Hormaza, Jose A; Sanchez, William

    2000-01-01

    The Gangrene of Fournier (GF) it is one of the last stages and the most serious in the call perineal sepsis; it is defined like a synergic fascitis necrotizant of the genital area that produces thrombosis of the subcutaneous microvasculature for an endarteritis obliterative, secondary to a bacterial dissemination that produce the necrosis and it gangrenes of the underlying tissue. The paper includes etiology and image studies among other topics

  16. [Fournier gangrene: evaluation of prognostic factors in 90 patients].

    Science.gov (United States)

    Medina Polo, J; Tejido Sánchez, A; de la Rosa Kehrmann, F; Felip Santamaría, N; Blanco Alvarez, M; Leiva Galvis, O

    2008-01-01

    This study evaluates the risk factors and prognostic variables that affect survival of patients with gangrene of Fournier. The study retrospectively analyzed 90 consecutive patients with gangrene of Fournier treated in our institution between 1975 and 2008. We evaluated the average age, associated systemic diseases, and the source, time of evolution and extent of necrotizing fasciitis. The outcomes were assessed according to whether the patient survived or died. All patients had aggressive surgical debridement, and received parenteral antibiotic therapy. The mortality rate was 34.4%. The mean age was 63.0 years (range 33-95), a statistically significant difference was found between the age of the survivors (median age, 59.84 years) and those who died (median age, 70.20 years) (p = 0.001). Medical comorbidities were identified in 51 patients; the death rate was higher in patients who had any medical disease, especially those who suffered from cancer. Although diabetes mellitus was the most common associated pathology, it was not related to a statistically significant worst prognosis. The source of the infection was identified in 62 patients, who showed a higher mortality (p = 0.015), the mortality rate when a urological source is identified was 50%. Moreover, patients suffering from a more extensive necrotizing infection showed a worst prognosis. The gangrene of Fournier has a high mortality rate. Large series are required to study prognostic variables of this disease. The patient age, the presence of systemic risk factors, especially cancer, a urological source of infection and the extent of the disease have impact on the prognosis of Fournier's gangrene.

  17. Reconstruction of Defects After Fournier Gangrene: A Systematic Review.

    Science.gov (United States)

    Karian, Laurel S; Chung, Stella Y; Lee, Edward S

    2015-01-01

    Reconstruction of scrotal defects after Fournier gangrene is often achieved with skin grafts or flaps, but there is no general consensus on the best method of reconstruction or how to approach the exposed testicle. We systematically reviewed the literature addressing methods of reconstruction of Fournier defects after debridement. PubMed and Cochrane databases were searched from 1950 to 2013. Inclusion criteria were reconstruction for Fournier defects, patients 18 to 90 years old, and reconstructive complication rates reported as whole numbers or percentages. Exclusion criteria were studies focused on methods of debridement or other phases of care rather than reconstruction, studies with fewer than 5 male patients with Fournier defects, literature reviews, and articles not in English. The initial search yielded 982 studies, which was refined to 16 studies with a total pool of 425 patients. There were 25 (5.9%) patients with defects that healed by secondary intention, 44 (10.4%) with delayed primary closure, 36 (8.5%) with implantation of the testicle in a medial thigh pocket, 6 (1.4%) with loose wound approximation, 96 (22.6%) with skin grafts, 68 (16.0%) with scrotal advancement flaps, 128 (30.1%) with flaps, and 22 (5.2%) with flaps or skin grafts in combination with tissue adhesives. Four outcomes were evaluated: number of patients, defect size, method of reconstruction, and wound-healing complications. Most reconstructive techniques provide reliable coverage and protection of testicular function with an acceptable cosmetic result. There is no conclusive evidence to support flap coverage of exposed testes rather than skin graft. A reconstructive algorithm is proposed. Skin grafting or flap reconstruction is recommended for defects larger than 50% of the scrotum or extending beyond the scrotum, whereas scrotal advancement flap reconstruction or healing by secondary intention is best for defects confined to less than 50% of the scrotum that cannot be closed

  18. Fournier's Gangrene due to Masturbation in an Otherwise Healthy Male.

    Science.gov (United States)

    Heiner, Jason D; Eng, Katisha D; Bialowas, Todd A; Devita, Diane

    2012-01-01

    Fournier's gangrene is a rare and often fulminant necrotizing fasciitis of the perineum and genital region frequently due to a synergistic polymicrobial infection. This truly emergent condition is typically seen in elderly, diabetic, or otherwise immune-compromised individuals. Here, we report an unusual case of Fournier's gangrene due to excessive masturbation in an otherwise healthy 29-year-old male who presented to the emergency department complaining of two days of fever, vomiting, and diffuse myalgias. Upon further questioning, he also endorsed severe scrotal pain and swelling and frequent masturbation with soap as a lubricant resulting in recurrent penile erythema and minor skin abrasions. Examination of the patient's perineum was consistent with Fournier's gangrene and included significant erythema, edema, and calor of the penis and scrotum with a large malodorous eschar. He was given intravenous antibiotics and immunoglobulin and promptly underwent three surgical debridements of the scrotum and penis with split-thickness skin grafting. Complications from excessive masturbation are exceedingly rare, but as this case illustrates, they can be life threatening.

  19. Fournier's Gangrene due to Masturbation in an Otherwise Healthy Male

    Directory of Open Access Journals (Sweden)

    Jason D. Heiner

    2012-01-01

    Full Text Available Fournier's gangrene is a rare and often fulminant necrotizing fasciitis of the perineum and genital region frequently due to a synergistic polymicrobial infection. This truly emergent condition is typically seen in elderly, diabetic, or otherwise immune-compromised individuals. Here, we report an unusual case of Fournier's gangrene due to excessive masturbation in an otherwise healthy 29-year-old male who presented to the emergency department complaining of two days of fever, vomiting, and diffuse myalgias. Upon further questioning, he also endorsed severe scrotal pain and swelling and frequent masturbation with soap as a lubricant resulting in recurrent penile erythema and minor skin abrasions. Examination of the patient's perineum was consistent with Fournier's gangrene and included significant erythema, edema, and calor of the penis and scrotum with a large malodorous eschar. He was given intravenous antibiotics and immunoglobulin and promptly underwent three surgical debridements of the scrotum and penis with split-thickness skin grafting. Complications from excessive masturbation are exceedingly rare, but as this case illustrates, they can be life threatening.

  20. [Fournier's gangrene: Cervical and facial extension. A very rare case].

    Science.gov (United States)

    Carloni, R; Pechevy, L; Isola, N; Vidal, L; Goga, D; Watier, E; Bertheuil, N

    2016-02-01

    Fournier's gangrene is a fearsome disease with a bad prognosis and a mortality rate ranging between 10 and 80% according to the literature. It is extensive in 13 to 54% of cases. Up to date, cervico-facial extension has never been reported. We describe the case of a 51-year-old overweighed woman with a history of type 2 diabetes and a narrow lumbar canal who was referred to our institution for significant fatigue and increasingly painful legs. A diagnosis of Fournier's gangrene was made after correlating the physical findings with the results of a full body scan. Diffuse subcutaneous emphysema involving the face, neck, mediastinum, abdominal wall, right buttock, perineum and the right thigh was identified. Treatment included multiple surgical debridements, admission to intensive care unit, and an efficient antibiotic therapy that enabled preservation of the patient's life. To our knowledge, this is the first case of cervical and mediastinal extension of Fournier's gangrene to be reported. No clear guidelines exit on the management of this complication (cervico-facial and mediastinal drainage). We share our experience of this unusual case. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  1. Fournier's gangrene: review of 120 patients and predictors of mortality.

    Science.gov (United States)

    Yılmazlar, Tuncay; Işık, Özgen; Öztürk, Ersin; Özer, Ali; Gülcü, Barış; Ercan, İlker

    2014-09-01

    Fournier's gangrene (FG) is a devastating and potentially fatal disease requiring prompt and aggressive debridement. In this study, it was aimed to assess the predictors of mortality in a large cohort. Prospectively maintained data of patients with FG were analyzed. Demographic data, duration of symptoms, Uludag Fournier's Gangrene Severity Index (UFGSI) scores, co-morbidities [particularly diabetes mellitus (DM)], etiologies, number of debridement, stoma requirements, length of intensive care unit and hospital stay, and morbidity and mortality rates were reviewed. Multivariate analysis was performed in order to determine factors affecting mortality. 120 patients (81 males) were included in the study. Median age was 58 (22-85) years. UFGSI score was median 9 (1-30). DM was present in 69 (57.5%) patients. Etiology of FG was perianal in fifty-nine, urogenital in 52, and skin in 9 patients. Median debridement count was 3 (1-12). Thirty-one patients required stoma. Forty-eight patients were admitted to intensive care unit and 25 patients required mechanical ventilation. Overall mortality rate was 20.8%. Multivariate analysis revealed UFGSI as the only predictor of mortality (p=0.001). Mortality rate was 13.64 times higher for patients with a UFGSI score of 9 or higher. Fournier's gangrene is a mortal disease requiring emergency surgery. UFGSI is an efficient predictor of mortality for patients with FG.

  2. Enterostomy can decrease the mortality of patients with Fournier gangrene.

    Science.gov (United States)

    Li, Yan-Dong; Zhu, Wei-Fang; Qiao, Jian-Jun; Lin, Jian-Jiang

    2014-06-28

    To determine the significance of enterostomy in the emergency management of Fournier gangrene. The clinical data of 51 patients (49 men and 2 women) with Fournier gangrene who were treated at our hospital over the past 12 years were retrospectively analyzed. The patients were divided into two groups according the surgical technique performed: enterostomy combined with debridement (the enterostomy group, n = 28) or debridement alone (the control group, n = 23). Patients in the enterostomy group received thorough debridement during surgery and adequate local drainage after surgery, as well as administration of broad-spectrum antibiotics. The clinical data and outcomes in both groups were analyzed. The surgical procedures were successful in both patient groups. In the enterostomy group, 10 (35.8%) patients required skin grafting with a total of six debridement procedures. While in the control group, six (26.1%) patients required four debridement procedures. However, this difference was not statistically significant. Following surgery, the time to normal body temperature (6 d vs 8 d, P Fournier gangrene.

  3. A 12-month-old infant with Fournier gangrene associated with varicella.

    Science.gov (United States)

    Cortés, Jeff R; Arratia, Jorge A; Jaime, Rodolfo

    2007-10-01

    Fournier gangrene is a progressive infection of the genital and perianal regions. It is a truly rare entity in association with varicella. There is only a single case published in the literature. We present the second case of a Fournier gangrene associated with varicella in an infant.

  4. Fournier Gangrene Caused by Candida albicans in an Infant After Cardiac Surgery.

    Science.gov (United States)

    Jaworski, Radoslaw; Irga-Jaworska, Ninela; Naumiuk, Łukasz; Chojnicki, Maciej; Haponiuk, Ireneusz

    2017-04-01

    Fournier gangrene is a rare, rapidly progressive, life-threatening condition. We report a 23-day-old boy with pulmonary atresia and ventricular septal defect treated surgically, who developed Fournier gangrene. Emergency surgery was performed with tissue sampling for microbiological examination. Candida albicans was confirmed; caspofungin followed by fluconazole was administered with excellent results.

  5. Fournier's gangrene – analysis of 78 cases La gangrene perineale a ...

    African Journals Online (AJOL)

    Objectives: To describe the epidemiologic, diagnostic and therapeutic aspects of Fournier's gangrene. Patients and Methods : This retrospective study was carried out on 78 patients (77 males and 1 female) treated for Fournier's gangrene at the University Hospital of Treichville, Abidjan, Côte d'Ivoire, between January 1998 ...

  6. Prospective evaluation of risk factors for mortality in patients of Fournier's gangrene: A single center experience

    Science.gov (United States)

    Vyas, Hari Gopal; Kumar, Anup; Bhandari, Vimal; Kumar, Niraj; Jain, Abhinav; Kumar, Rohit

    2013-01-01

    Introduction: Fournier's gangrene is an aggressive disease with high morbidity and mortality. The aim of this study was to assess risk factors associated with mortality among patients of Fournier's gangrene. Materials and Methods: Between May 2011 and September 2012, all patients of Fournier's gangrene treated at our center were included in the study. All patients underwent emergency surgical debridement and received broad spectrum intravenous antibiotics. Their baseline characteristics, treatment, and follow-up data were recorded and analyzed. Results: A total of 30 patients were included in the study. Of these, six patients (20%) died during the treatment. Age Fournier gangrene severity index (FGSI) score Fournier's gangrene, increased age, total leukocyte count, extent of the area involved, septic shock at admission, VAS score, and FGSI score at admission have a significant association with mortality. PMID:24082432

  7. La vida social de las máquinas: orígenes, desarrollo y perspectivas actuales en la sociología de la tecnología

    Directory of Open Access Journals (Sweden)

    EDUARDO AIBAR

    1996-01-01

    Full Text Available aunque la denominada nueva sociologia de la tecnologia cuenta con una historia relativamente corta -aproximadamente unos quince años-, ha logrado articular una nueva y prometedora perspectiva teorica sobre la compleja relacion entre sociedad y tecnologia, asi como una gran cantidad de estudios detallados de caso. este trabajo describe los origenes y desarrollo de esta disciplina y ofrece una vision esquematica de los tres enfoques que la caracterizan: el enfoque de sistemas, el constructivismo social y la teoria del actor-red. se tratan igualmente algunas implicaciones sociologicas y teoricas de estos enfoques y se presta especial atencion a los problematicos vinculos entre la sociologia de la tecnologia y la sociologia del conocimiento cientifico. finalmente, se apuntan de forma tentativa algunas posibles lineas de investigacion para los proximos años.

  8. La perspectiva histórico-cultural y la educación especial: contribuciones iniciales y desarrollos actuales ( HISTORICAL – CULTURAL PERSPECTIVE AND THE SPECIAL EDUCATION: EARLY CONTRIBUTIONS AND CURRENT DEVELOPMENTS

    Directory of Open Access Journals (Sweden)

    Mitjáns Martínez Albertina

    2009-11-01

    Full Text Available Resumen:El objetivo principal del artículo es destacar la significación de la perspectiva histórico-cultural del desarrollo humano para el diseño de estrategias educativas favorecedoras del aprendizaje escolar de niños y niñas con deficiencias. A partir de las contribuciones de Vygotsky, en ese campo, y de los aportes de la Teoría de la Subjetividad, elaborada a partir da la perspectiva histórico-cultural, se presentan principios que, en su configuración sistémica, pueden constituir una base sólida para la reestructuración de diversos aspectos del trabajo educativo en la Educación Especial. En la primera parte del artículo son discutidas algunas de las concepciones y conceptos desarrollados por Vygotsky en su obra “Fundamentos de Defectología”. La fundamentación del carácter social de la deficiencia, los conceptos de defecto primario, defecto secundario y compensación, y la consideración del carácter creativo del aprendizaje y del desarrollo de las niñas y los niños deficientes. Se presentan las ideas centrales de la Teoría de la Subjetividad elaborada por González Rey, especialmente la concepción del aprendizaje escolar como un proceso de la subjetividad irreducible a habilidades y procesos intelectuales. Por último, se fundamentan tres implicaciones educacionales derivadas de la articulación de los dos sistemas conceptuales presentados: favorecer la creación de espacios comunicativos/relacionales que contribuyan a generar en el niño nuevas producciones de sentido sobre el aprendizaje y sobre la deficiencia, estimular en ellos el desarrollo de la condición de sujetos negada por las posiciones asistencialistas y paternalistas dominantes y el enfoque cualitativo, constructivo, singular, procesual e interactivo de los procesos de diagnóstico y de evaluación educacional.Abstract:The main proposal of this paper is to discuss the significance of historical–cultural approach in human development for the designing

  9. [Fournier gangrene: presentation of 6 cases with no mortality].

    Science.gov (United States)

    Comín Novella, Laura; del Val Gil, José María; Oset García, Mónica

    2008-07-01

    Fournier's gangrene is a serious and potentially lethal rare infection of perineal and external genital that must be treated as a medical and surgical emergency. The aim of this study is to share our experience over the last 10 years in the management of this disease. We carried out a descriptive and retrospective chart review of patients diagnosed and treated for this pathology in our Hospital over the last 10 years. The patient age, sex, risk factors, urgent laboratory investigations, presenting symptoms, duration of hospital stay, microbiological findings, and number of debridements were recorded. Six patients had this pathology, all males, with a mean age of 58.5 years. Half of them (50%) showed predisposing factors, but none of them showed a clear aetiology. The initial symptomatology was perineal or perianal phlegmon-abscess with a torpid evolution and gangrene. The treatment was intravenous antibiotics and debridement, which was repeated in 4 patients. The most commonly isolated microorganism was Escherichia coli followed by Acinetobacter and Bacteroides. The mean hospital stay was 32 days. There were no deaths recorded in this study. Fournier's gangrene is a serious disease that occurs in patients with risk factors. Early surgical treatment and broad-spectrum antibiotics are important.

  10. [Two Cases of Fournier's Gangrene That Occurred during Chemotherapy for Rectal Cancer].

    Science.gov (United States)

    Koyama, Makoto; Kitazawa, Masato; Ehara, Takehito; Yamamoto, Yuta; Suzuki, Akira; Miyagawa, Yusuke; Miyagawa, Shinichi

    2017-02-01

    Two cases of Fournier's gangrene occurred during chemotherapy for advanced rectal cancer. Patients were treated using surgical debridement and antibiotic therapy. Case 1: A 66-year-old man had advanced rectal cancer with para-aortic and inguinal lymph node metastases. He received a sigmoid colostomy and chemotherapy(capecitabine, oxaliplatin, bevacizumab). Due to progression of the rectal mass, we performed radiotherapy(30 Gy)and chemotherapy(irinotecan, S-1, bevacizumab). After 14 days, he was hospitalized with a diagnosis of Fournier's gangrene with anal pain and fever. Case 2: A 63-year-old man had mucinous rectal carcinoma with sacrum invasion. He received a sigmoid colostomy and chemotherapy. Sixteen days after regorafenib therapy, as a fifth-line of chemotherapy, he was hospitalized with a diagnosis of Fournier's gangrene with hip pain, swollen perineum, and fever. There have been no reports of Fournier's gangrene occurring during chemotherapy for rectal cancer. We report 2 cases with a review of literature.

  11. Fournier's gangrene caused by Actinomyces funkei, Fusobacterium gonidiaformans and Clostridium hathewayi.

    Science.gov (United States)

    Tena, Daniel; Losa, Cristina; Medina-Pascual, María José; Sáez-Nieto, Juan Antonio

    2014-06-01

    We report the first case of Fournier's gangrene caused by three unusual anaerobic organisms: Actinomyces funkei, Fusobacterium gonidiaformans and Clostridium hathewayi. The infection occurred in a 73-year-old man without typical risk factors for the development of Fournier's gangrene. Clinical outcome was good after prolonged antibiotic treatment and extensive debridement of the perineum. The case suggests that A. funkei, F. gonidiaformans and C. hathewayi should be considered as potential pathogens of Fournier's gangrene. Human infections caused by these organisms are very rare but can be underestimated because correct identification is very difficult, especially in polymicrobial infections such as Fournier's gangrene. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. [Fournier's gangrene-variety of clinical model of critical states in surgery].

    Science.gov (United States)

    Aliev, S A; Aliev, E S; Mirzoev, R A; Mirzoeva, K A

    2015-01-01

    The investigation based on a retrospective analysis of the treatment results of Fournier's gangrene (FG) in 27 patients aged from 34 till 82 years old. There were 27 patients. Diseases of colorectal zone were the nosological reasons of FG in 15 patients. Diseases of urogenital tract had 10 patients with FG. The development of FG was determined by closed trauma (1 patient) and a gunshot wound of the perineum and the scrotum in one patient. The slowly progressive (limited) forms of the disease were noted in 15 patients, although the rapid progressive (extensive) forms were in 12 patients.All the patients had the clinical manifestations of the disease and at the same time laboratory indices indicated a presence of generalized infection and they were characterized by symptoms of systemic inflammatory response syndrome (SIRS). There were 6 patient, who died out of 27.The lethality consisted of 22.2%. The reasons of the death were an infection-toxic shock (1 case), a progressive endotoxicosis (3 cases) and a pulmonary artery thromboembolism (2 cases). The results obtained testified that early diagnostics and the active strategy with radical surgical d-bridement of necrotic suppurative foci combined with programmed (staged) sanitation necrosectomy, complex system of local wound treatment, the rational antibacterial therapy, a task-specific and syndrome correction of dyscrasia could be the actual ways to improve the treatment results in patients with FG.

  13. Severe Fournier's gangrene in a patient with rectal cancer: case report and literature review.

    Science.gov (United States)

    Yoshino, Yu; Funahashi, Kimihiko; Okada, Rei; Miura, Yasuyuki; Suzuki, Takayuki; Koda, Takamaru; Yoshida, Kimihiko; Koike, Junichi; Shiokawa, Hiroyuki; Ushigome, Mitsunori; Kaneko, Tomoaki; Nagashima, Yasuo; Goto, Mayu; Kurihara, Akiharu; Kaneko, Hironori

    2016-09-01

    Fournier's gangrene in the setting of rectal cancer is rare. Treatment for Fournier's gangrene associated with rectal cancer is more complex than other cases of Fournier's gangrene. We report on a patient with severe Fournier's gangrene in the setting of locally advanced rectal cancer who was treated with a combined modality therapy. A 65-year-old man presented with general fatigue and anal pain. The medical and surgical histories were unremarkable. A black spot on the perineal skin surrounded by erythema was found on physical examination, suspicious for Fournier's gangrene. Computed tomography scan showed a rectal tumor invading into the bladder (clinically T4bN2M0) and abscess formation with emphysema around the rectum. He was thus diagnosed with locally advanced rectal cancer and Fournier's gangrene with a severity index score of 12 points. We created a diverting loop colostomy of the transverse colon and performed extensive debridement of the perineum and perianal area. Fifty days later, the patient underwent radical total pelvic exenteration with sacrectomy. In addition, reconstruction of the soft tissue defect was performed using the rectus muscle, the gluteus maximus muscle, and the femoral muscle. Histopathological findings of the specimen were as follows: the tumor was a moderately adenocarcinoma with invasion to the bladder and the prostate (T4b), metastases to four resected lymph nodes (N2), and lymphovascular invasion. There were no major postoperative complications, and the patient was discharged 108 days postoperatively. We report a rare case of locally invasive rectal cancer associated with Fournier's gangrene. This case highlights a usual cause of Fournier's gangrene. Physicians should be cognizant not only of the more common condition but also of the rare presentations including those associated with rectal cancer.

  14. Fournier gangrene: a review of 41 patients and strategies for reconstruction.

    Science.gov (United States)

    Chen, Shih-Yi; Fu, Ju-Peng; Wang, Chih-Hsin; Lee, Tzu-Peng; Chen, Shyi-Gen

    2010-06-01

    Fournier gangrene is an acute and potentially fatal infection of the scrotum, perineum, and abdominal wall. It is characterized by necrotizing fasciitis with loss of subcutaneous tissue and skin. The aim of this study was to analyze the prognosis and treatment effectiveness of this fulminant infectious disease. Forty-one patients were admitted to our hospital with the diagnosis of Fournier gangrene between January 1998 and December 2006. The patients' age, sex, predisposing factors, duration of symptoms and hospital stay, time to operation, size of the skin defect, bacteria isolated, treatment modalities, and outcomes were reviewed. The data were analyzed by chi2 analysis and Student t test. A P-value Fournier gangrene undergoing debridement and reconstructive procedure. Because of the fulminant course of Fournier gangrene, it may be difficult to design a prospective study. Fournier gangrene is a severe infectious disease with a high mortality rate. Early and aggressive debridement is a significant prognostic factor in the management of Fournier gangrene. Several reconstructive modalities are useful to correct the tissue defect. Early debridement and reconstructive surgery for wound coverage improve the quality of life.

  15. Fournier gangrene presenting in a patient with undiagnosed rectal adenocarcinoma: a case report.

    Science.gov (United States)

    Moslemi, Mohammd Kazem; Sadighi Gilani, Mohammad Ali; Moslemi, Ali Akbar; Arabshahi, Ali

    2009-12-03

    Fournier gangrene is a rare necrotising fascitis of the perineum and genitals caused by a mixture of aerobic and anaerobic microorganisms. The first case was described by Baurienne in 1764 but the condition was named by Fournier in 1883 who reported the cases of five men with the condition with no apparent etiology. Infection most commonly arises from the skin, urethra, or rectal regions. Despite appropriate therapy, mortality in this disease is still high. We report a case of a low rectal malignancy presenting as Fournier gangrene. This case report serves to highlight an extremely unusual presentation of rectal cancer, a common surgical pathology. The patient is a 48 years old Afghanian male that admitted with Fournier gangrene. In the course of medical and surgical treatment the presence of extensive rectal adenocarcinoma was discovered. After partial recovery, standard loop colostomy was inserted. Skin grafting of necrotic areas was performed and systemic rectal cancer chemotherapy initiated after full stabilization. Fournier gangrene is an uncommon but life threatening condition with high associated mortality and morbidity. Usually there is an underlying cause for the development of Fournier gangrene, that if addressed correctly, can lead to a good outcome. Early diagnosis and treatment decrease the morbidity and mortality of this life threatening condition. Good management is based on aggressive debridement, broad spectrum antibiotics and intensive supportive care.

  16. Abordaje quirúrgico combinado como alternativa mínimamente invasiva en el tratamiento de la Gangrena de Fournier

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    Juan C. Larsson

    Full Text Available Introducción y Objetivo: La Gangrena de Fournier es una fascitis necrotizante del perineo y genitales externos que presenta una morbi-mortalidad elevada debido a su diagnóstico tardío y a las comorbilidades comúnmente asociadas en estos pacientes. Terapias adyuvantes como la presión negativa y los sustitutos dérmicos, han mostrado eficacia en el tratamiento de pacientes con defectos complejos de tejidos blandos y forman parte de nuestro protocolo de tratamiento actual. El objetivo de este estudio es describir la utilidad de nuestro abordaje quirúrgico combinado en la Gangrena de Fournier. Material y método. Presentamos un trabajo retrospectivo en el que describimos 3 pacientes varones tratados por defectos complejos de tejidos blandos secundarios a Gangrena de Fournier mediante nuestro protocolo de tratamiento quirúrgico que comprende: una primera etapa de control de la herida mediante desbridamientos agresivos y terapia de presión negativa, seguido de una etapa de contemporización que combina la utilización de matriz dérmica y terapia de presión negativa, y por último una etapa de reconstrucción para dar cobertura final al defecto. Resultados. Los 3 pacientes presentaron compromiso extenso de la región perineal y de las regiones adyacentes incluyendo genitales externos y miembros inferiores. Todos fueron tratados con éxito mediante el abordaje que describimos, sin secuelas funcionales y manteniendo el contorno a la región. Conclusiones. El abordaje utilizado en nuestros 3 casos representó una alternativa terapéutica eficaz. La combinación de terapia de presión negativa y matriz dérmica nos permitió un manejo simplificado de la herida y una reconstrucción con mayor seguridad y mínima morbilidad mediante cierre primario de las heridas y avance de colgajos locales.

  17. Perspectivas actuales en el tratamiento del trastorno de estrés postraumático en la población infantil: Análisis bibliométrico

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    Pilar Bas Sarmiento

    2006-01-01

    Full Text Available El Trastorno de Estrés Postraumático en la población pediátrica, ha sido poco investigado. Así, hasta 1987 no se reconoce, en los criterios diagnósticos, que las reacciones de los niños al trauma pueden diferir de la de los adultos. Teniendo en cuenta estas diferencias en cuanto a la semiología del Trastorno de Estrés Postraumático, es lógico pensar que la evaluación e intervención de estos pacientes no puede plantearse de igual modo que en el caso de la población adulta. Por todo ello, el objetivo del presente artículo es describir la evolución de la literatura científica, en los últimos 10 años, y establecer el estado actual de la cuestión, determinando las deficiencias y necesidades a considerar para desarrollar vías de estudio en futuras investigaciones.

  18. Fournier's gangrene syndrome in a chimpanzee (Pan troglodytes).

    Science.gov (United States)

    Okeson, Danelle M; Marrow, Judilee; Carpenter, James W; Armbrust, Laura J; Ragsdale, John M; Klocke, Emily

    2010-03-01

    A 37-yr-old male chimpanzee (Pan troglodytes) was evaluated for intermittent diarrhea, scrotal swelling, and lethargy of 2 days duration. Physical examination revealed marked swelling of the scrotum and perineal tissues with mild pitting edema and crepitus. Computed tomography revealed a mixed gas and soft-tissue density extending from the caudal ventral subcutaneous tissues caudally to the scrotum and perineal tissues. Surgical exploration and castration were performed to establish drainage, and culture revealed a polymicrobial infection. A diagnosis of scrotal and fascial plane abscessation consistent with Fournier's gangrene was made. Although castration with open drainage was performed, the animal died 36 hr after surgery. Postmortem examination and histopathology revealed necrotizing fasciitis of the penis, vaginal tunic, and subcutaneous perineal and perianal tissues.

  19. Estado actual y perspectiva de las pruebas relacionadas con el estudio de la función tiroidea Present state and prospects of tests related to the thyroid function study

    Directory of Open Access Journals (Sweden)

    Ernesto Alavez Martín

    2003-04-01

    Full Text Available Las enfermedades tiroideas pueden ser diagnosticadas, en la mayoría de los casos, por la clínica. Sin embargo, existen situaciones que requieren de las pruebas de función tiroidea con el fin de valorar correctamente al paciente en las etapas iniciales de la disfunción de esta glàndula, con el fin de establecer el tratamiento adecuado de forma individual y el seguimiento de la evolución de la enfermedad. En esta revisión hacemos referencia a las pruebas empleadas para valorar el estado de la función tiroidea y se señalan sus ventajas, limitaciones y tendencias actuales. La determinación de TSH por procederes de segunda y tercera generaciones permite establecer el diagnóstico del hipertiroidismo e hipotiroidismo primarios, aún en las formas subclínicas de ambos, al mostrar inhibición o hipersecreción, respectivamente, así como la dosis adecuada de l-levotiroxina y orientar a una causa hipofisaria de esta disfunción. La determinación de T4 es de gran valor para conocer la intensidad de la disfunción tiroidea y para valorar la eficacia del tratamiento en las primeras semanas de iniciado. La determinación de T3 tiene su principal indicación ante la sospecha de la presencia del llamado hipertiroidismo por T3. La determinación de T4 y T3 totales da lugar a una interpretación incorrecta en cuanto a las situaciones que modifican la globulina transportadora de tiroxina (TBG. La tendencia actual es al empleo de TSHs como prueba inicial para el diagnóstico de la disfunción tiroidea, la cual se debe indicar teniendo siempre en cuenta la clínica y, de ser necesario, asociarla a la determinación de T4 o T3 libres.The thyroid diseases may be diagnosed in most of cases by the clinics. However, there are circumstances that required thyroid function tests to correctly assess the patient in initial stages of thyroid dysfunction and give an adequate treatment on an individual basis and the follow-up of the disease. This review makes

  20. Women of the Second Republic and the Civil War from the present-day democratic perspective | Las mujeres de la República y la Guerra Civil desde la perspectiva democrática actual

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    Mónica Moreno Seco

    2007-12-01

    Full Text Available The strong social interest which women of the Second Republic and the civil war arouse, together with the wealth of solid historical works with a gender perspective, justify female experiences having a place in the debate on the memory of these two periods. The survival to the present day of stereotypes and myths about Republican women, despite the historiographical progress, has served to consolidate a depoliticized view of the past, which presents women as heroines without a clear ideological profile and as innocent victims of the changes and upheaval of the 1930s. These myths and stereotypes, which emphasize the idea of change experienced by women, rather than continuity and resistance to change, have influenced the current perception of the extension of female citizenship in Spanish society. | El especial interés social que las mujeres de la República y la Guerra Civil despiertan, así como la existencia de una nutrida y sólida historiografía de género justifican que las experiencias femeninas ocupen un lugar en el debate sobre la memoria de estos dos periodos. La pervivencia, en la actualidad, de estereotipos y mitos sobre las mujeres republicanas, a pesar de los avances historiográficos, contribuye a consolidar una visión despolitizada del pasado, que presenta a las mujeres como heroínas sin un perfil ideológico claro y víctimas inocentes de las transformaciones y convulsiones de los años treinta. Estos mitos y estereotipos, que refuerzan la idea del cambio experimentado por las mujeres, olvidando las permanencias y las resistencias al mismo, influyen en la percepción actual sobre la ampliación de la ciudadanía femenina en la sociedad española.

  1. Computed Tomography findings in Fournier's gangrene; Hallazgos en tomografia computarizada de la grangrena de Fournier

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    Isusi, M.; Campo, M.; Oleaga, L.; Grande, J.; Grande, D. [Hospital de Barsurto. Bilbao (Spain)

    2000-07-01

    To assess the utility of computed tomography (CT) as an imaging technique in the diagnosis and determination of the extension of Fournier's gangrene (FG). We report the cases of six patients who had been clinically diagnosed as having FG, CT, enhanced by oral and intravenous contrast media, was performed in all the patients. All six patients presented soft tissue masses and gas in the scrotal region, which were also detected in the perineal region in five. In two patients, the gas extended toward anterior abdominal wall and in one of them, it also observed in anterior and posterior para renal space. The major predisposing factors were diabetes and alcoholism and the most common triggering factor was urologic disease. CT confirms the existence of FG and aids in assessing its extension and, in some cases, in identifying the underlying cause. (Author) 15 refs.

  2. De Florence Nightingale às perspectivas atuais sobre o cuidado de enfermagem: a evolução de um saber/fazer Desde Florence Nightingale a las perspectivas actuales sobre el cuidado en enfermería: la evolución del saber/hacer From Florence Nightingale to the current perspectives about nursing care: the evolution of a know-how

    Directory of Open Access Journals (Sweden)

    Fátima Helena do Espírito Santo

    2006-12-01

    Full Text Available O trabalho apresenta uma reflexão teórica sobre a evolução do cuidado de enfermagem a partir dos princípios nightingaleanos confrontados com as perspectivas atuais de alguns autores que vem abordando essa temática. Concluímos que as bases sólidas fincadas por Florence Nightingale estão permitindo à Enfermagem avançar em estudos que legitimam e fundamentam o cuidado enquanto essência do saber e fazer de enfermeiras e enfermeiros nos seus vários campos de atuação. Atualmente esses estudos apontam o cuidado como objeto de teorização em dimensões que aliam aspectos internos e externos à profissão, inserindo e explorando temas que antes eram velados, embora presentes no cotidiano da nossa prática, como o significado do corpo e suas formas de expressão na interação entre quem cuida e é cuidado.El trabajo presenta una reflexión teórica sobre la evolución del cuidado en el oficio de enfermeros a partir de los principios Nightingaleanos confrontados con las perspectivas actuales de algunos autores que vienen abordando esa temática. Concluimos que las bases sólidas lanzadas por Florence Nightingale están permitiendo al oficio de enfermeros avanzar en estudios que legitiman y fundamentan el cuidado en cuanto esencia del saber y hacer de las enfermeras y enfermeros en sus variados campos de actuación. Actualmente eses estudios indican el cuidado como objeto de teoría en dimensiones que alían aspectos internos y externos a la profesión, proponiendo y explorando temas que antes eran velados aunque presentes en el cotidiano de nuestra práctica como el significado del cuerpo y sus formas de expresión en la interacción entre quien cuida y quien es cuidado.The work presents a theoretical observation on the evolution of the nursing care from the Nightingalean principles faced to the current perspectives of some authors that approach this subject. We concluded that the solid base proposed by Florence Nightingale allow to

  3. [Different scoring systems to evaluate the prognosis of Fournier's gangrene: A comparative study].

    Science.gov (United States)

    Zhu, Xiao-dong; Ding, Fei; Wang, Guo-dong; Shao, Qiang

    2015-08-01

    To sum up the experience in diagnosis and treatment of Fournier's gangrene and find an optimal evaluation tool for its prognosis by comparing currently used prognostic scoring systems. We retrospectively analyzed 16 cases of Fournier's gangrene diagnosed and surgically treated in our hospital between 2004 and 2012. Using Fournier's Gangrene Severity Index (FGSI), Uludag Fournier's Gangrene Severity Index (UFGSI), Age-Adjusted Charlson Comorbidity Index (ACCI), and Surgical Apgar Score (sAPGAR) , we obtained the prognostic scores of the patients and made comparisons among different scoring systems. FGSI, UFGSI, ACCI, and sAPGAR were all clinically used scoring systems. Statistically significant differences were found in the scores of ACCI and UFGSI but not in those of FGSI and sAPGAR between the death and survival groups, with the maximum area under the ROC curve and minimum standard error for the ACCI score. Both ACCI and UFGSI are useful for evaluating the prognosis of Fournier's gangrene. However, ACCI is even better for its higher sensitivity and specificity and easier clinical collection.

  4. Squamous cell carcinoma developing in the scar of Fournier's gangrene – Case report

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    Bansal Anju

    2004-04-01

    Full Text Available Abstract Background Squamous cell carcinoma of the scrotum is rare and its development in the scar of Fournier's gangrene is still rarer. Case presentation A 65-year-old gentleman presented with a small non-healing ulcer developing on right hemi-scrotum two years after the treatment for Fournier's gangrene. On histological examination it was found to be squamous cell carcinoma. He was successfully managed by surgery in the form of wide local excision and ilio-inguinal lymph node dissection followed by adjuvant radiotherapy and chemotherapy. Conclusions Squamous cell carcinoma can develop in the scar of Fournier's gangrene after a long delay, which differentiates it from other scar carcinomas or Marjolin's ulcer.

  5. Perforated Duodenum – An Unusual Etiology of Fournier's Disease: A Case Report

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    Yung-Chin Lee

    2003-12-01

    Full Text Available Fournier's disease, a form of necrotizing fasciitis, is a rapidly progressing subcutaneous infection of the male genitalia. We report a case of Fournier's disease with the unusual etiology of a perforated duodenum. This patient suffered from progressive right scrotal swelling after percutaneous transhepatic cholangeal drainage. Scrotal exploration revealed a large abscess with muscle necrosis that had spread up to the right retroperitoneal space. Radiologic studies and second abdominal exploration documented the origin as a perforated duodenum. The pus distribution in this case suggested that the infection process differed from that in previous reports. In future cases of Fournier's disease involving previous abdominal events, we recommend that abdominal origins be carefully surveyed before scrotal exploration.

  6. Squamous cell carcinoma developing in the scar of Fournier's gangrene – Case report

    International Nuclear Information System (INIS)

    Chintamani; Shankar, Manu; Singhal, Vinay; Singh, JP; Bansal, Anju; Saxena, Sunita

    2004-01-01

    Squamous cell carcinoma of the scrotum is rare and its development in the scar of Fournier's gangrene is still rarer. A 65-year-old gentleman presented with a small non-healing ulcer developing on right hemi-scrotum two years after the treatment for Fournier's gangrene. On histological examination it was found to be squamous cell carcinoma. He was successfully managed by surgery in the form of wide local excision and ilio-inguinal lymph node dissection followed by adjuvant radiotherapy and chemotherapy. Squamous cell carcinoma can develop in the scar of Fournier's gangrene after a long delay, which differentiates it from other scar carcinomas or Marjolin's ulcer

  7. Fournier gangrene as a manifestation of undiagnosed metastatic perforated colorectal cancer.

    Science.gov (United States)

    Chan, Cyrus C; Williams, Mallory

    2013-01-01

    Abstract Fournier gangrene is a necrotizing soft tissue infection involving the perineum. We present a case of Fournier gangrene as the clinical presentation of perforated metastatic rectal cancer. The patient is a 78-year-old man in a nursing home who presented to our institution with necrosis and ischemia of the scrotum. After wide debridement of necrotic tissue and bilateral orchiectomy, computed tomography was carried out to investigate abnormal findings seen on his chest X-ray, which revealed multiple pulmonary metastases as well as a mass highly suspicious for a perforated rectal mass. Once stable, a diverting colostomy and biopsies of the rectal mass were performed, confirming the presence of a metastatic, poorly differentiated rectal adenocarcinoma. Albeit an unusual etiology of Fournier gangrene, this case highlights the rare but important causes of this deadly condition and teaches us to be cognizant of the variations in the presentation of colorectal cancer.

  8. Fournier gangrene: description of 37 cases and analysis of associated health care costs.

    Science.gov (United States)

    Jiménez-Pacheco, A; Arrabal-Polo, M Á; Arias-Santiago, S; Arrabal-Martín, M; Nogueras-Ocaña, M; Zuluaga-Gómez, A

    2012-01-01

    Fournier gangrene is a urological emergency associated with a high mortality. It is a necrotizing fasciitis caused by polymicrobial infection originating in the anorectal or genitourinary area. The aim of this study was to analyze the epidemiological and clinical characteristics of Fournier gangrene along with the variables that influence disease course and mortality in patients treated in our department. We carried out a retrospective study of 37 patients diagnosed with Fournier gangrene between January 2001 and October 2010. All the patients were men, 43.2% had diabetes, and the mean age of the patients was 57.68 years. Statistically significant differences were observed between the age of surviving patients and that of patients who died (55.8 and 69.6 years, respectively). The mean hospital stay was 27.54 days and 32.4% of patients required admission to the intensive care unit. Etiology was unknown in 39.8% of cases. Polymicrobial infection was observed in 59.5% of cases. The mean health care cost associated with a patient diagnosed with Fournier gangrene admitted to intensive care and requiring at least 1 procedure in the operating room was €25,108.67. Mortality was 13.5%. Based on analysis of individual comorbid conditions, only ischemic heart disease displayed a statistically significant association with mortality due to Fournier gangrene; ischemic heart disease was also associated with longer hospital stay. Fournier gangrene is associated with high mortality despite appropriate early treatment. Although the condition is infrequent, the high associated health care costs suggest that primary and secondary prevention measures should be implemented. Copyright © 2011 Elsevier España, S.L. and AEDV. All rights reserved.

  9. [Fournier gangrene: description of 37 cases and analysis of associated health care costs].

    Science.gov (United States)

    Jiménez-Pacheco, A; Arrabal-Polo, M Á; Arias-Santiago, S; Arrabal-Martín, M; Nogueras-Ocaña, M; Zuluaga-Gómez, A

    2012-01-01

    Fournier gangrene is a urological emergency associated with a high mortality. It is a necrotizing fasciitis caused by polymicrobial infection originating in the anorectal or genitourinary area. The aim of this study was to analyze the epidemiological and clinical characteristics of Fournier gangrene along with the variables that influence disease course and mortality in patients treated in our department. We carried out a retrospective study of 37 patients diagnosed with Fournier gangrene between January 2001 and October 2010. All of the patients were men, 43.2% had diabetes, and the mean age of the patients was 57.68 years. Statistically significant differences were observed between the age of surviving patients and that of patients who died (55.8 and 69.6 years, respectively). The mean hospital stay was 27.54 days and 32.4% of patients required admission to the intensive care unit. Etiology was unknown in 39.8% of cases. Polymicrobial infection was observed in 59.5% of cases. The mean health care cost associated with a patient diagnosed with Fournier gangrene admitted to intensive care and requiring at least 1 procedure in the operating room was €25,108.67. Mortality was 13.5%. Based on analysis of individual comorbid conditions, only ischemic heart disease displayed a statistically significant association with mortality due to Fournier gangrene; ischemic heart disease was also associated with longer hospital stay. Fournier gangrene is associated with high mortality despite appropriate early treatment. Although the condition is infrequent, the high associated health care costs suggest that primary and secondary prevention measures should be implemented. Copyright © 2011 Elsevier España, S.L. and AEDV. All rights reserved.

  10. Síndrome de Fournier: análise dos fatores de mortalidade Analysis of mortality in Fournier's gangrene

    Directory of Open Access Journals (Sweden)

    Paulo de Azeredo Passos Candelária

    2009-06-01

    Full Text Available A fascite necrótica perineal (Síndrome de Fournier é infecção grave dos tecidos moles, de etiologia não totalmente esclarecida, porém associada a procedimentos urológicos, proctológicos ou ginecológicos, além de diabetes melito, alcoolismo, desnutrição grave e outros estados de imunodepressão. Trata-se de situação grave, exigindo antibioticoterapia de amplo espectro, desbridamentos cirúrgicos e por vezes derivação do trânsito fecal e/ou urinário. OBJETIVO: Avaliar os fatores relacionados com mortalidade. CASUÍSTICA: Foram avaliados retrospectivamente 43 doentes (39 masculinos com média de idade de 54,8 anos, no período de 1998 a 2005, na Santa Casa de São Paulo. MÉTODO: foram analisados sexo, idade, sinais e sintomas, tempo de evolução e de internação, doenças associadas, sepse, broncopneumonia, exames laboratoriais, área comprometida, cirurgias realizadas, índice fisiológico Apache II e causa de óbito. RESULTADOS: Sobreviveram 33 doentes e houve 10 (23,2% ��bitos. A letalidade relacionou-se a pacientes mais velhos, tempo de evolução longo, internações curtas, índice fisiológico Apache II elevado, sepse e broncopneumonia . Não houve relação com sexo, diabetes melito, desnutrição, culturas e antibioticoterapia, local de início, extensão da necrose, número de desbridamentos, bem como com colostomias e cistostomias. CONCLUSÃO: a letalidade relaciona-se à disseminação da infecção e retardo do tratamento. Não é relacionada com diabete nem cirurgias como colostomia ou cistostomia.BACKGROUND: Necrotizing fasciitis is a severe infection of soft tissues, and when it affects the perineum it is called Fournier's gangrene. Some controversy exists over the origin of the disease, but all studies identified correlations between infection and proctologic, urologic, gynecologic origin procedures or trauma. In addition, many other causes are commonly associated, such as diabetes mellitus, abuse of

  11. Evidências científicas brasileiras sobre gangrena de Fournier

    OpenAIRE

    Érick Igor dos Santos; Amanda Luiza Vasconcellos Vertulli Vale; Isabel Cristina Peixoto Marinho dos Reis; Priscila Benevides Neves; Cristiane Marinho Pontes; Sarita Gonçalves de Campos Camara

    2014-01-01

    El objetivo fue describir producciones brasileñas publicadas en los últimos veinte años acerca de la gangrena de Fournier. Revisión integradora realizada en las bases de datos LILACS, MEDLINE, BDENF y Colecciona SUS, con el descriptor “Gangrena de Fournier”. Se seleccionaron textos publicados entre enero de 1994 y julio de 2014, en portugués y disponibles gratuitamente en Internet. Según los 14 artículos encontrados, los principales síntomas de la gangrena de Fournier incluyen malestar, con s...

  12. Fournier gangrene associated with hyper IgE syndrome (Job syndrome).

    Science.gov (United States)

    Hori, Junichi; Yamaguchi, Satoshi; Watanabe, Masaki; Osanai, Hiroaki; Hori, Masako

    2008-04-01

    We report a case of a 32-year-old man with hyper IgE syndrome (Job syndrome) who developed Fournier gangrene due to infectious multiple atheromas of the scrotal skin that progressed to the right groin and thigh. The patient required surgical debridement and subsequent skin grafting. This is a rare case of Fournier gangrene associated with hyper IgE syndrome (Job syndrome). When a patient without diabetes mellitus has repeated infections and atopic-like dermatitis, Job syndrome should be considered.

  13. Magnetic resonance imaging in the diagnosis of Fournier's gangrene

    Energy Technology Data Exchange (ETDEWEB)

    Kickuth, R.; Adams, S.; Kirchner, J.; Simon, S.; Liermann, D. [Dept. of Radiology, Marienhospital Herne, University of Bochum, Herne (Germany); Pastor, J. [Dept. of Urology, Marienhospital Herne, University of Bochum, Herne (Germany)

    2001-05-01

    Magnetic resonance imaging and ultrasound are the imaging modalities recommended in the early diagnosis of Fournier's gangrene. Because of the high mortality of this inflammatory disease early diagnosis is essential to initiate adequate surgical and medical treatment. In the clinical literature only a handful of cases, in which diagnosis of Fournier's gangrene is based on MRI findings, have been reported; therefore, we report another case which shows the ability of MRI especially to determine the point of origin and extension of disease. (orig.)

  14. Situación actual y perspectivas de desarrollo

    Directory of Open Access Journals (Sweden)

    Gabriel Lo\\u0301pez Nava

    2014-01-01

    un modelo táctico de planeación de la cadena de suministro. Este análisis considera las relaciones entre empresas pequeñas y medianas (Pyme. Los resultados permitieron la obtención de información relacionada con la industria; la identificación de las áreas de oportunidad de los agentes de la cadena; y la evaluación del potencial y restricciones de la cadena de suministro del agave-mezcal del estado de Zacatecas.

  15. Tomasello y Stern: Dos perspectivas actuales incluyentes del Desarrollo Infantil

    Directory of Open Access Journals (Sweden)

    Marta Isabel López Giraldo

    2011-10-01

    Full Text Available The objective of the present article is to illustrate two current perspectives of child development that areinclusive rather than exclusive -Michael Tomasello (cognitive and Daniel Stern (social-subjective-, in the sense that theyintegrate the discoveries of the early skills of the baby -carried out as of 1970-80- to their explanation, without giving upthe particular theoretical paradigm they come from. They recognize these early skills and the fundamental role of the various factors involved in development -the innate, the environmental (social and cultural-, different research methods and thelimitations of a reductionist view. In addition they postulate that the dialog between the different theoretical perspectives isnecessary to achieve a description of the infant as a unit.

  16. Estado actual de fruticultura colombiana y perspectivas para su desarrollo

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    Diego Miranda Lasprilla

    2011-10-01

    Full Text Available La horticultura en Colombia comprende las áreas de floricultura, fruticultura, olerícultura, producción de plantas aromáticas y medicinales y la horticultura urbana. La promoción y desarrollo del sector frutícola representa para Colombia una importante fuente de crecimiento de la agricultura, de generación de empleo rural y de desarrollo con equidad para las distintas regiones puesto que las frutas pueden asentarse en los diversos pisos térmicos de que dispone el país, a la vez que conforma una producción administrada con criterios de eficiencia y sostenibilidad en escalas que van desde micro, pequeños y medianos productores hasta grandes productores y empresas. Durante las últimas cuatro décadas el área sembrada en frutas expresa una dinámica de constante crecimiento, consiguiendo así aumentar su participación tanto en el área dedicada a cultivos no transables, como en el total del área de la agricultura sin café. Así, mientras en 1970 la participación del área frutícola en los no transables era del 1,6%, en el 2005 ésta era del 12,6%. Las áreas plantadas en frutas en Colombia pasaron de 191.035 ha en 2003 a 225.325 ha en 2007 lo que representa un crecimiento de 17,9 %, mientras que los volúmenes de producción pasaron de 2.675.736 t a 3.279.264 t en el mismo período en 47 especies frutícolas. El Plan Frutícola Nacional - PFN, constituye una propuesta estratégica conformada por conjunto coherente de objetivos, estrategias y programas que, con base en una visión de futuro, buscan la meta inicial de duplicar el área de la producción frutícola nacional, asegurar las condiciones tecnológicas y de innovación para una producción sostenible y de calidad, agregar valor en la cadena frutícola, y lograr una vinculación plena en los mercados internacionales. Se busca que los participantes conozcan los principales desarrollos de la fruticultura Colombiana, sus retos y oportunidades para la próxima década.

  17. Estado actual y perspectivas de la domótica

    OpenAIRE

    Recuero, A.

    1999-01-01

    An Intelligent House is the one that allows "a better quality of living through technology, a reduction of domestic tasks, an increase of the well-being and safety of dwellers, and a rationalization of the different consumers power; it includes automatized groups of equipments, usually associated by functions, which have the capacity of interactively communicate between them through an "integrated multimedia domestic bus". For this purpose, the Intelligent House foresees the execution of cert...

  18. Perspectivas agroindustriales actuales de los oligofructosacáridos (FOS

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    Alejandro Chac\\u00F3n-Villalobos

    2006-01-01

    Full Text Available Los oligofructosacáridos representan una importante tendencia agroindustrial por sus aplicaciones técnicas, productivas y nutricionales. Este trabajo abordó los principales aspectos asociados con los oligofructosacáridos desde el punto de vista de sus características químicas, biosíntesis, métodos de análisis, fuentes vegetales y microbianas, métodos de obtención y aspectos nutricionales (rol como fibra dietética. Aplicaciones industriales prácticas de estos carbohidratos son también discutidas, entre ellas su capacidad como sustituto de la grasa, estabilizante y mejorador de textura

  19. Neonatal scrotal wall necrotizing fasciitis (Fournier gangrene: a case report

    Directory of Open Access Journals (Sweden)

    Zgraj Oskar

    2011-12-01

    Full Text Available Abstract Introduction Necrotizing fasciitis in neonates is rare and is associated with almost 50% mortality. Although more than 80 cases of neonates (under one month of age with necrotizing fasciitis have been reported in the literature, only six of them are identified as originating in the scrotum. Case presentation We report the case of a four-week-old, full-term, otherwise-healthy Caucasian baby boy who presented with an ulcerating lesion of his scrotal wall. His scrotum was explored because of a provisional diagnosis of missed torsion of the testis. He was found to have necrotizing fasciitis of the scrotum. We were able to preserve the testis and excise the necrotic tissue, and with intravenous antibiotics there was a successful outcome. Conclusions Fournier gangrene is rarely considered as part of the differential diagnosis in the clinical management of the acute scrotum. However, all doctors who care for small babies must be aware of this serious condition and, if it is suspected, should not hesitate in referring the babies to a specialist pediatric surgical center immediately.

  20. Bilateral femoral posterior neurocutaneous perforater flap successfully treating Fournier gangrene

    Science.gov (United States)

    Wang, Tao; Zhao, Gang; Rui, Yong-Jun; Mi, Jing-Yi

    2017-01-01

    Abstract Rationale: Necrotizing fasciitis (NF), characterized by widespread fascial necrosis, is a rare disease in clinic. Fournier gangrene (FG) is a special type of NF involved of perineum and scrotum. To our knowledge, no article has reported on bilateral femoral posterior neurocutaneous perforater flap treating for FG. Patient concerns: A 61-year-old Chinese male complained of perineal skin necrosis for 19 days. The patient received treatment in other hospital due to chronic bronchitis on April 15th and body temperature ranged from 38 to 39 °C. Then he received antiinfection therapy. Perianal cutaneous occurred mild necrosis on May 08th. And the necrosis generally deteriorated. He came to our hospital for treating necrosis in area of perineum and scrotum on May 28th. Diagnoses: He was diagnosed with FG and chronic bronchitis. Interventions: The patient underwent debridement on June 2nd and received bilateral femoral posterior neurocutaneous perforater flap on June 29th. Besides, the patient was treated with whole-body nutrition support and antibiotic treatment. Outcomes: One week after the 2nd operation, the flap showed normal color. The result shows good outcome and no recurrence of the clinical symptoms occur till now. Lessons: FG is rare. Bilateral femoral posterior neurocutaneous perforater flap is an effective procedure to treat FG. The outcome of combined therapy is satisfactory. PMID:29145312

  1. Rectal cancer and Fournier's gangrene - current knowledge and therapeutic options.

    Science.gov (United States)

    Bruketa, Tomislav; Majerovic, Matea; Augustin, Goran

    2015-08-14

    Fournier's gangrene (FG) is a rapid progressive bacterial infection that involves the subcutaneous fascia and part of the deep fascia but spares the muscle in the scrotal, perianal and perineal region. The incidence has increased dramatically, while the reported incidence of rectal cancer-induced FG is unknown but is extremely low. Pathophysiology and clinical presentation of rectal cancer-induced FG per se does not differ from the other causes. Only rectal cancer-specific symptoms before presentation can lead to the diagnosis. The diagnosis of rectal cancer-induced FG should be excluded in every patient with blood on digital rectal examination, when urogenital and dermatological causes are excluded and when fever or sepsis of unknown origin is present with perianal symptomatology. Therapeutic options are more complex than for other forms of FG. First, the causative rectal tumor should be removed. The survival of patients with rectal cancer resection is reported as 100%, while with colostomy it is 80%. The preferred method of rectal resection has not been defined. Second, oncological treatment should be administered but the timing should be adjusted to the resolution of the FG and sometimes for the healing of plastic reconstructive procedures that are commonly needed for the reconstruction of large perineal, scrotal and lower abdominal wall defects.

  2. Fournier's Gangrene: A Summary of 10 Years of Clinical Experience

    Science.gov (United States)

    Oguz, Abdullah; Gümüş, Metehan; Turkoglu, Ahmet; Bozdağ, Zübeyir; Ülger, Burak Veli; Agaçayak, Elif; Böyük, Abdullah

    2015-01-01

    We aimed to present our clinical experience with FG treatment. Fournier's gangrene (FG) is a rare but serious disease characterized by progressive necrosis in the genitourinary and perineal region. The retrospective study included 43 patients. Patients were divided into 2 groups as survivors and nonsurvivors. Included in the analysis were data pertaining to demographics, predisposing factors, comorbidities, results of bacteriologic analyses, number of debridements, duration of treatment, FG Severity Index (FGSI) score, fecal diversion methods (trephine ostomy or Flexi-Seal Fecal Management System-FMS), and dressing methods (wet or negative aspiration system). In the nonsurvivor group, urea, WBC, and age were significantly higher, whereas albumin, hematocrit, platelet count, and length of hospital stay (LOHS) were significantly lower compared to the survivor group. Mean FGSI was lower in survivors in comparison with nonsurvivors (5.00 ± 1.86 and 10.00 ± 1.27, respectively; P < 0.001). We conclude that FGSI is an important predictor in the prognosis of FG. Vacuum-assisted closure (VAC) should be performed in compliant patients in order to enhance patient comfort by reducing pain and the number of dressings. Fecal diversion should be performed as needed, preferably by using FMS. The trephine ostomy should be the method of choice in cases where an ostomy is necessary. PMID:25859652

  3. Neonatal scrotal wall necrotizing fasciitis (Fournier gangrene): a case report.

    Science.gov (United States)

    Zgraj, Oskar; Paran, Sri; O'Sullivan, Maureen; Quinn, Feargal

    2011-12-12

    Necrotizing fasciitis in neonates is rare and is associated with almost 50% mortality. Although more than 80 cases of neonates (under one month of age) with necrotizing fasciitis have been reported in the literature, only six of them are identified as originating in the scrotum. We report the case of a four-week-old, full-term, otherwise-healthy Caucasian baby boy who presented with an ulcerating lesion of his scrotal wall. His scrotum was explored because of a provisional diagnosis of missed torsion of the testis. He was found to have necrotizing fasciitis of the scrotum. We were able to preserve the testis and excise the necrotic tissue, and with intravenous antibiotics there was a successful outcome. Fournier gangrene is rarely considered as part of the differential diagnosis in the clinical management of the acute scrotum. However, all doctors who care for small babies must be aware of this serious condition and, if it is suspected, should not hesitate in referring the babies to a specialist pediatric surgical center immediately.

  4. Extended retroperitoneal necrotizing fasciitis with genital involvement, resembling fournier gangrene.

    Science.gov (United States)

    Sugimoto, Motokazu; Matsuura, Kenji; Takayama, Hiroshi; Kayo, Munefumi; Ie, Tomotsugu

    2010-10-01

    Necrotizing fasciitis is a serious infection that originates in the subcutaneous tissues. Although many reports have been published about necrotizing infections of other anatomical sites, retroperitoneal necrotizing soft tissue infection is a rare entity that has been described in only a few case reports. The etiology and clinical course of retroperitoneal necrotizing fasciitis can be variable and it is often difficult to identify the etiology of the infective process. We report a 58-year-old man with rapidly progressive, gas-producing, necrotizing inflammation in the retroperitoneum, complicated with genital involvement resembling Fournier gangrene. The patient was managed successfully by aggressive drainage, debridement, and sequential laparotomies to track and control the extensive necrosis of the retroperitoneum and perineum, in addition to systemic care to control sepsis. After his general condition stabilized, early rectosigmoid adenocarcinoma was identified and resected curatively. He remained well at follow up, six months after discharge. In retrospect, the trigger of the disease process was unclear. Although it was believed possibly to be due to the colon lesion, adenocarcinoma of the rectosigmoid colon was identified and the patient was managed successfully. Similar to necrotizing infections at other anatomical sites, early diagnosis and timely surgical intervention and systemic antimicrobial therapy are mandatory for treating patients with retroperitoneal necrotizing fasciitis.

  5. Neonatal scrotal wall necrotizing fasciitis (Fournier gangrene): a case report

    LENUS (Irish Health Repository)

    Zgraj, Oskar

    2011-12-12

    Abstract Introduction Necrotizing fasciitis in neonates is rare and is associated with almost 50% mortality. Although more than 80 cases of neonates (under one month of age) with necrotizing fasciitis have been reported in the literature, only six of them are identified as originating in the scrotum. Case presentation We report the case of a four-week-old, full-term, otherwise-healthy Caucasian baby boy who presented with an ulcerating lesion of his scrotal wall. His scrotum was explored because of a provisional diagnosis of missed torsion of the testis. He was found to have necrotizing fasciitis of the scrotum. We were able to preserve the testis and excise the necrotic tissue, and with intravenous antibiotics there was a successful outcome. Conclusions Fournier gangrene is rarely considered as part of the differential diagnosis in the clinical management of the acute scrotum. However, all doctors who care for small babies must be aware of this serious condition and, if it is suspected, should not hesitate in referring the babies to a specialist pediatric surgical center immediately.

  6. Fournier gangrene: report of three cases, computed tomography imaging findings and literature review;Gangrena de Fournier: relato de tres casos, achados tomograficos e revisao da literatura

    Energy Technology Data Exchange (ETDEWEB)

    Judici, Paola Lima Pasini; Christofoli, Maria Olivia Jacques de Medeiros; Oliveira, Paulo Cesar Rocha; Teles, Ilailson de Goes; Najjar, Yana Senna Jeronimo, E-mail: paolajudice@sarah.b [Rede Sarah de Hospitais de Reabilitacao, Brasilia, DF (Brazil)

    2010-08-15

    The authors report three cases of patients with Fournier gangrene. This is a polymicrobial infectious disease that affects the perineum and genitalia, especially in males, whose source is most commonly genitourinary, colorectal or cutaneous and may also not have a clearly defined focus. Potentially lethal, requires immediate clinical and surgical treatment. The purpose of this report is to describe the main findings of imaging on computed tomography in this disease and to briefly review the literature on the subject. (author)

  7. Emergence of antibiotic-resistant bacteria in patients with Fournier gangrene.

    Science.gov (United States)

    Lin, Wei-Ting; Chao, Chien-Ming; Lin, Hsin-Lan; Hung, Ming-Chran; Lai, Chih-Cheng

    2015-04-01

    This study was conducted to investigate the bacteriology and associated patterns of antibiotic resistance Fournier gangrene. Patients with Fournier's gangrene from 2008 to 2012 were identified from the computerized database in a medical center in southern Taiwan. The medical records of all patients with Fournier's gangrene were reviewed retrospectively. There were 61 microorganisms, including 60 bacteria and one Candida spp, isolated from clinical wound specimens from 32 patients. The most common isolates obtained were Streptococcus spp. (n=12), Peptoniphilus spp. (n=8), Staphylococcus aureus (n=7), Escherichia coli (n=7), and Klebsiella pneumoniae (n=7). Among 21 strains of gram-negative bacilli, five (23.8%) were resistant to fluoroquinolones, and three isolates were resistant to ceftriaxone. Two E. coli strains produced extended-spectrum beta-lactamase. Four of the seven S. aureus isolates were methicillin-resistant. Among 15 anaerobic isolates, nine (60%) were resistant to penicillin, and eight (53.3%) were resistant to clindamycin. Four (26.7%) isolates were resistant to metronidazole. The only independent risk factor associated with mortality was inappropriate initial antibiotic treatment (p=0.021). Antibiotic-resistant bacteria are emerging in the clinical setting of Fournier gangrene. Clinicians should use broad-spectrum antibiotics initially to cover possible antibiotic-resistant bacteria.

  8. Suture Technique to Prevent Air Leakage during Negative-Pressure Wound Therapy in Fournier Gangrene

    Directory of Open Access Journals (Sweden)

    Feng-Shu Chang, MD

    2018-01-01

    Conclusions:. The present results suggest that partial wound-edge closure and in situ GranuFoam fixation improve the NPWT leaks in Fournier gangrene wounds. Furthermore, this method is simple to learn and can be useful in applying NPWT to anatomically difficult areas.

  9. Bilateral Necrotizing Fasciitis around the Hips Differentiated from Fournier Gangrene: A Case Report.

    Science.gov (United States)

    Yang, Bo Kyu; Yi, Seung Rim; Lee, Ye Hyun; Kim, Hyun See; Nam, Seok Woo; Ahn, Young Joon; Kim, Seong Wan; Yang, Sung Wook; Im, Se Hyuk

    2014-12-01

    As an emergency encountered in orthopedic practice requiring prompt diagnosis and aggressive treatment, necrotizing fasciitis around the hip must be discriminated from Fournier gangrene. The current case report describes a patient who suffered from bilateral type I necrotizing fasciitis around the hips, which was alleviated by prompt surgical debridement and intensive postoperative care.

  10. A rare case of juvenile-onset Behçet's disease: Fournier's gangrene ...

    African Journals Online (AJOL)

    Behçet's disease (BD) is a multisystemic, inflammatory disease with still unknown etiology and rarely seen in childhood. BD has worse prognosis in young, male patients. BD exacerbations may be triggered by viral, bacterial, and other undefined antigenic stimuli in genetically predisposed individuals. Fournier's gangrene ...

  11. Jean-Alfred Fournier - the founder of the European venereology and dermatology (on the one hundredth death anniversary

    Directory of Open Access Journals (Sweden)

    O. A. Kisteneva

    2014-01-01

    Full Text Available The article presents a life story of a great French dermatologist and venereologist, one of the founders of the theory of syphilis Jean-Alfred Fournier (1832-1914. It provides data on the published works by Jean-Alfred Fournier, some of which earned him a doctoral degree. It also provides data on Fournier’s election as a member of the French Academy of Medicine in 1879 as well as on the founding of the French Society of Dermatology and Syphiligraphy by Fournier and other French dermatologists in 1889. The article defines the contribution made by Fournier to the development of venereology and practical medicine in the second half of the 19th century and early 20th century.

  12. Retro y perspectiva del (desempleo sonorense

    Directory of Open Access Journals (Sweden)

    Ernesto Peralta

    2012-01-01

    Full Text Available El artículo revisa y actualiza la evolución, estado actual y perspectiva del (desempleo sonorense. Compara su evolución con previos pronósticos y la proyecta hasta 2030 porque los buscadores de empleo viven actualmente; da un marco para políticas que lo reduzcan. La hipótesis es que si bien no suficiente, sí es nece-sario acelerar y cambiar la estructura del crecimiento económico en favor de sectores intensivos en trabajo. Este trabajo tiene cinco secciones: la primera revisa el (desempleo reciente y lo compara con su perspectiva delineada años atrás; la segunda presenta el marco teórico; en la tercera se proyectan y contrastan oferta y demanda laboral; la cuarta revisa tipos de desempleo y la inversión para reducirlo; la quinta es para conclusiones y recomendaciones.

  13. Experience in management of Fournier's gangrene: a report of 24 cases.

    Science.gov (United States)

    Wang, Longwang; Han, Xiaomin; Liu, Mei; Ma, Yan; Li, Bing; Pan, Feng; Li, Wencheng; Wang, Liang; Yang, Xiong; Chen, Zhaohui; Zeng, Fuqing

    2012-10-01

    Fournier's gangrene (FG) is an extremely aggressive and rapidly progressive polymicrobial soft tissue infection of the perineum, anal area or genitalial regions with a high mortality rate. The objectives of this study were to share our experience with the management of this serious infectious disease over the last 15 years. This retrospective study examined 24 patients diagnosed as having FG who were admitted to our hospital between March 1996 and December 2011. The gender, age, etiology, predisposing factors, laboratory findings, treatment modality, hospitalization time and spread of gangrene of the subjects were all recorded and analyzed. The results showed that the mean age of the patients was 48.33 years, the male-to-female ratio was 5:1 and the mortality rate was 20.8% (5/24). The most common predisposing factor was diabetes mellitus in 10 patients (41.6%), followed by alcohol abuse, obesity, neoplasms and immunosuppression. The most common etiology was peri-anal and peri-rectal abscesses (45.8%), followed by lesions of urogenital origin (33.3%) and cutaneous (8.3%) origin. No local pathologies could be identified in 3 (12.5%) patients. The most commonly isolated microorganisms were Escherichia coli (62.5%), followed by Enterococcus, Pseudomonas aeruginosa and Staphylococcus aureus. The median admission Fournier's gangrene severity index (FGSI) score for survivors was 5.63±1.89 against 13.6±3.64 for non-survivors which was designed for predicting the disease severity in the series. Early diagnosis and immediate extensive surgical debridement were significant prognostic factors in the management of Fournier gangrene. Individualized reconstructive modalities for wound coverage were useful in that they repaired the tissue defect and improved the quality of life. We are led to conclude that Fournier's gangrene is a severe condition with a high mortality. The Fournier's gangrene severity index (FGSI) score at admission serves as a good predictor for the disease

  14. Fournier's gangrene of the penis in a 12-year-old patient secondary to phimosis.

    Science.gov (United States)

    Ward, Luther; Eisenson, Daniel; Fils, Jean-Louis

    2016-12-01

    We report a case of Fournier's gangrene in a 12-year-old boy from St. Boniface Hospital in Fond-des-Blancs, Haiti. Fournier's gangrene, a fulminant necrotizing fasciitis of the penis and scrotum, is a rare and life-threatening infection that requires hospitalization, broad-spectrum antibiotics, and surgical debridement.1-3 It is usually associated with impaired cellular immunity due to systemic disorders such as diabetes and liver disease.4,5 This patient had none of those risk factors, but had severe, longstanding phimosis, for which circumcision had been recommended many years before. This case illustrates how lack of access to basic surgical care for an easily treatable condition leads to advanced presentation of a severe disease process. [Full article available at http://rimed.org/rimedicaljournal-2016-12.asp].

  15. Fournier gangrene: report of three cases, computed tomography imaging findings and literature review

    International Nuclear Information System (INIS)

    Judici, Paola Lima Pasini; Christofoli, Maria Olivia Jacques de Medeiros; Oliveira, Paulo Cesar Rocha; Teles, Ilailson de Goes; Najjar, Yana Senna Jeronimo

    2010-01-01

    The authors report three cases of patients with Fournier gangrene. This is a polymicrobial infectious disease that affects the perineum and genitalia, especially in males, whose source is most commonly genitourinary, colorectal or cutaneous and may also not have a clearly defined focus. Potentially lethal, requires immediate clinical and surgical treatment. The purpose of this report is to describe the main findings of imaging on computed tomography in this disease and to briefly review the literature on the subject. (author)

  16. Fournier Gangrene in a patient receiving chemo-radiation for rectal cancer.

    Science.gov (United States)

    Pittaka, Maria; Georgiou, Chrysanthos; Polyviou, Petros; Kountourakis, Pantelis; Loizou, Panayiotis; Constantinou, Ifigenia; Andreopoulos, Demetris; Vassiliou, Vassilios P

    2018-02-01

    We herein present a case of a 24-year-old patient with a cT4N+ rectal cancer who developed Fournier's gangrene (FG) 1 week after the completion of preoperative chemoradiotherapy. The patient was promptly referred to the surgical department where she was treated with antibiotics and repeated surgical debridement. FG is a rare and life-threatening situation that needs to be managed aggressively with no delay. The clinical image above is unique and characteristic of this clinical entity.

  17. Treatment, outcome and quality of life after Fournier's gangrene: a multicentre study.

    Science.gov (United States)

    Czymek, R; Kujath, P; Bruch, H-P; Pfeiffer, D; Nebrig, M; Seehofer, D; Guckelberger, O

    2013-12-01

    The object of this study was to describe the course of Fournier's gangrene and assess quality of life in a group of affected patients. We evaluated patients who received inpatient treatment for Fournier's gangrene at five hospitals in northern Germany from 1995 to 2010. Surviving patients were asked to take part in a clinical follow-up and complete the Short-Form 36 (SF-36) quality-of-life questionnaire and a disease-specific questionnaire including a physical examination. Of the 86 patients, 72 (83.7%) were men. The mean age of the patients was 57.9 ± 13.9 (25-89) years. The mean length of hospital stay was 52.0 ± 54.0 (1-329) days. Fourteen (16.3%) patients (eight men) died primarily from Fournier's gangrene. The most common aetiological event was anogenital abscess formation (n = 24; 27.9%). Seventy-one (82.5%) patients had a mixed polymicrobial infection. SF-36 physical role functioning (P = 0.010), physical functioning (P = 0.008), general health (P = 0.010) and physical health summary (P = 0.006) scores were significantly lower than those of the normal population. Deterioration in sexual function was reported by 65% of the patients. Patients with Fournier's gangrene experience persistent physical and mental health problems for a long period of time following their primary hospital stay and must receive long-term care from a variety of specialists, otherwise the disease leads to an increase in the duration of morbidity and a decrease in quality of life. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.

  18. A case of Fournier's gangrene following local radiation for the recurrence of rectal carcinoma

    International Nuclear Information System (INIS)

    Ohashi, Hideyuki; Okuno, Tetsuo; Mizuo, Toshiyuki

    1993-01-01

    A case of Fournier's gangrene in a 69-year-old man was reported. He had diabetes mellitus and had received 30 Gy radiation for local recurrence of rectal carcinoma. Immediately after the irradiation the disease of scrotum began as redness and swelling, and developed ulcer and necrosis. Antibiotics and local drainage were not of benefit, so we performed debridement and obtained good result. We described our experience of the gangrene from the early phase to recovery. (author)

  19. USING THE FOURNIER INDEXES IN ESTIMATING RAINFALL EROSIVITY. CASE STUDY - THE SECAŞUL MARE BASIN

    Directory of Open Access Journals (Sweden)

    M. COSTEA

    2012-03-01

    Full Text Available Using the Fournier Index in Estimating Rainfall Erosivity. Case Study - The Secaşul Mare Basin. Climatic aggressiveness is one of the most important factors in relief dynamic. Of all climatic parameters, rainfall is directly involved in versant dynamic, in the loss of soil quality and through pluvial denudation and the processes associated with it, through the erosivity of torrential rain. We analyzed rainfall aggressiveness based on monthly and annual average values through the Fournier's index (1970 and Fournier's index modified by Arnoldus (1980. They have the advantage that they can be used not only for evaluating the land susceptibility to erosion and the calculation of erodibility of land and soil losses, but also in assessing land susceptibility to sliding (Aghiruş, 2010. The literature illustrates the successful use of this index which provides a summary assessment of the probability of rainfall with significant erosive effects. The results obtained allow observation of differences in space and time of the distribution of this index.

  20. Management of Fournier's gangrene non-healing wounds by autologous skin micrograft biotechnology: a new technique.

    Science.gov (United States)

    Bocchiotti, M A; Bogetti, P; Parisi, A; Rivarossa, F; Frenello, A; Baglioni, E A

    2017-06-02

    Fournier's gangrene is an acute bacterial infection producing necrosis of the perineum and external genitalia that generally affects elderly men. Although skin grafts and flaps are the standard procedure for reconstruction, sometimes wounds can become chronic. Rigenera Protocol is a new technique based on autologous skin micrografts that reactivates and supports wound healing. A 40-year-old male with Fournier's gangrene, due to a rectal microperforation following diarrhoea, was treated with surgical debridement, negative pressure wound therapy and subsequently coverage with skin grafts. He developed non-healing wounds treated by Rigenera protocol after two months of advanced wound dressings. This technique is based on skin micrografts obtained by mechanical dermal disgregation to provide mesenchymal stem cells and extracellular matrix to the wound. The suspension injected into the wound triggers reactivation of healing without significant residual scarring on both donor site and treated area. Non-healing wounds were reduced by 15% at day 7 and by 50% after 30 days. Wounds completely healed after seventy days. The regenerated tissue appeared closer to skin graft than to scar tissue. This report shows how the use of skin micrografts through Rigenera protocol can be a useful method to reactivate wound healing resulting from Fournier's gangrene, with no discomfort for patient in a practical, safe and easy way.

  1. Fournier gangrene from a thirty-two-centimeter rectosigmoid foreign body.

    Science.gov (United States)

    Abate, Getahun; Shirin, Mazumder; Kandanati, Vivek

    2013-02-01

    Medical and surgical problems associated with rectal foreign bodies are rare. Although most rectal foreign bodies can be removed without subsequent sequelae, they pose significant risk of infection. We report a patient with a 32-cm rectosigmoid foreign body and subsequent development of Fournier gangrene despite successful removal of the foreign body. A 63-year-old Caucasian man with past medical history of diabetes mellitus and depression presented with a chief complaint of "something stuck in my intestine." He admitted that he placed a foreign body in the rectum. Abdominal X-ray study and computed tomography of the abdomen/pelvis showed a conical-shaped 32-cm rectosigmoid foreign body. The foreign body was removed manually and follow-up colonoscopy was done. The patient's condition deteriorated in the first 2 days of hospital stay and he was diagnosed with Fournier gangrene. He required multiple surgeries and received broad-spectrum antibiotic coverage for mixed bacterial flora grown from deep tissue. Rectal foreign bodies can cause Fournier gangrene. A close observation and follow-up is important after removal of rectal foreign bodies. Published by Elsevier Inc.

  2. Comparison of Diverting Colostomy and Bowel Management Catheter Applications in Fournier Gangrene Cases Requiring Fecal Diversion.

    Science.gov (United States)

    Eray, Ismail Cem; Alabaz, Omer; Akcam, Atilgan Tolga; Ulku, Abdullah; Parsak, Cem Kaan; Sakman, Gurhan; Seydaoglu, Gulsah

    2015-12-01

    In some patients of Fournier gangrene originated from perianal region, it is important to prevent fecal contamination in order to provide healing without wound infection. For this purposes, diverting colostomy or bowel management catheter methods were performed. In this study, it is aimed to carry out a comparison of prognosis and cost efficiency between diverting colostomy and bowel management catheter methods applied for preventing fecal contamination in Fournier's gangrene patients. Fourty-eight patients with diagnosis of Fournier's gangrene, serious perianal infections, and preserved sphincters and without rectum injury after debridement were included in the study. The cases were divided into two groups as patients who were subjected to colostomy for fecal diversion and who were subjected to bowel management catheter without colostomy. Then, the groups were compared in terms of age, predisposing factors, duration of hospital stay, mortality, additional surgery requirements, and cost. Fourty-eight patients were included the study. Sixteen patients were treated without colostomy. Decreased duration of total hospital stay, additional surgery requirements, and hospital expense in bowel management catheter group has determined. It is thought that preferring bowel management catheter method instead of colostomy in patients without rectum injury, who require diverting colostomy and have undamaged anal sphincters, can relieve patients, patients' relatives, healthcare organizations, and the national economy of a serious burden. In addition, although patients' satisfaction and workforce loss factors are not taken into consideration in this study, the bowel management catheter method is thought to have positive effects also on these parameters.

  3. Hyperbaric Oxygen Therapy as an Adjuvant Therapy for Comprehensive Treatment of Fournier's Gangrene.

    Science.gov (United States)

    Li, Chao; Zhou, Xu; Liu, Long-Fei; Qi, Fan; Chen, Jin-Bo; Zu, Xiong-Bing

    2015-01-01

    To compare simple conventional treatment with the addition of hyperbaric oxygen therapy (HBOT) to conventional therapies in the treatment of Fournier's gangrene (FG). A retrospective study of clinical data was performed by reviewing 28 cases of FG from January 2004 to December 2013 at Xiangya Hospital, Central South University. Among them, 12 patients were treated with the conventional therapy (non-HBOT group) and the other 16 cases were combined with hyperbaric oxygen therapy besides conventional therapy (HBOT group). All patients were followed up for 2 months to assess the therapeutic effect. The analyzed data included age, Fournier gangrene severity index (FGSI) score, number of surgical debridement, indwelling drainage tube time, length of stay (LOS), effective time, and curative time. The mortality rate was lower in the HBOT group at 12.5% (2/16) compared to the non-HBOT group, which was 33.3% (4/12). The difference in the number of surgical debridement, indwelling drainage tube time, and curative time between were significantly lower in the HBOT group compared to the non-HBOT group. Our preliminary research suggests that the effect of combining hyperbaric oxygen therapy with conventional therapy offers considerable advantage in the management of Fournier's gangrene. Multicenter studies with a larger sample size are required to confirm these observations. © 2015 S. Karger AG, Basel.

  4. Desarrollo social y personalidad. Una perspectiva interdisciplinar

    OpenAIRE

    Riesco González, Manuel

    2016-01-01

    En las siguientes páginas se pretende establecer un diálogo interdisciplinar y abierto sobre cuestiones relevantes acerca del desarrollo social y de la personalidad. A partir de una breve reseña histórica del tema desde una perspectiva psicológica, se trata de comprender, con una visión amplia, el progreso humano como marco general del desarrollo social y de las personas. Finalmente, se muestra un bosquejo de la sociedad actual, definida como “sociedad del conocimiento”, “sociedad abierta” y ...

  5. Síndrome de Fournier: a percepçao do seu portador Síndrome de Fournier The perception of the Fournier syndrome's patient: la percepción de su portador

    Directory of Open Access Journals (Sweden)

    Fernanda Cavalini

    2002-06-01

    Full Text Available O propósito da presente investigação foi identificar a percepção dos pacientes que tiveram Síndrome de Fournier (SF sobre esta afecção, bem como sobre seus cuidadores. Os dados foram coletados através de entrevista com roteiro estruturado e a análise baseada na Análise de Prosa de André. Segundo os entrevistados, a SF causa dor intensa, edema, febre e ferida, necessitando tratamento cirúrgico, curativos e que traz problemas físicos, econômicos e familiares. Sobre seus cuidadores descreveram demonstração de atitudes e comportamentos mais negativos que positivos. A necessidade de melhor treinamento de seus cuidadores tanto nos aspectos cognitivos e psicomotor quanto afetivo, ficou evidente.El propósito de la presente investigación fue identificar la percepción de los pacientes que tuvieron el Síndrome de Fournier (SF sobre esa afección, así como acerca de sus cuidadores. Los datos fueron colectados a través de entrevista con formulário estructurado y análisis basado en el Análisis de Prosa de André. Según los entrevistados, el SF causa dolor intenso, edema, fiebre y heridas, que necesitan de tratamiento quirúrgic y curativos ocasionando problemas físicos, económicos y familiares. Sobre sus cuidadores, describieron la demostración de actitudes y comportamientos más negativos que positivos. La necesidad de un entrenamiento mejor de sus cuidadores tanto en los aspectos cognitivos y psicomotores como afectivos, fue evidente.The purpose of the present investigation was to identify the perception of the Fournier syndrome's patients about their disease and caregivers- Data was collected by means of interviews with a structured routine and the analysis was based on the Andres analysis of prose. According to the patients, the syndrome causes intense pain, edema, fever and wounds, demanding surgical treatment, dressings and bringing physical, economical and familiar problems. The caregivers' attitudes and behaviors were

  6. Una perspectiva latinoamericana

    Directory of Open Access Journals (Sweden)

    Jaime Torres Guillén

    2008-01-01

    Full Text Available En este trabajo se ensaya la idea de la desobediencia civil como praxis desde una perspectiva del continente americano. Al hacer alusión al término civil, se plantea la importancia de teorizar sobre la categoría de sociedad civil en conjunto con los conceptos de democracia y praxis. Esto con el objeto de explicitar la justificación de la desobediencia civil dentro de las sociedades democráticas y la posibilidad de extender dicha desobediencia al terreno de la praxis social más allá de la concepción liberal.

  7. Manejo da gangrena de Fournier: experiência de um hospital universitário de Curitiba

    OpenAIRE

    Mehl,Adriano Antonio; Nogueira Filho,Dorivam Celso; Mantovani,Lucas Marques; Grippa,Michele Mamprim; Berger,Ralf; Krauss,Denise; Ribas,Denise

    2010-01-01

    OBJETIVO: Analisar os resultados obtidos no Serviço de Cirurgia Geral do Hospital Universitário Cajuru - PUCPR, com o tratamento da gangrena de Fournier. MÉTODOS: Foram revisados os prontuários de 40 pacientes com diagnóstico de Gangrena de Fournier internados no hospital universitário Cajuru de Novembro de 1999 a Abril de 2006, analisando-se as variáveis: sexo, idade, fatores predisponentes, etiologia, localização da lesão, exames laboratoriais, procedimentos cirúrgicos realizados, antibioti...

  8. [A Case of Pyoderma Gangrenosum of the Penis Difficult to Distinguish from Fournier Gangrene].

    Science.gov (United States)

    Taguchi, Makoto; Inoue, Takaaki; Nishida, Teruhisa; Kawabata, Takashi; Kawakita, Shigenari; Muguruma, Kouei; Murota, Takashi; Kinoshita, Hidefumi; Matsuda, Tadashi

    2015-11-01

    Here, we report a case of pyoderma gangrenosum of the penis which was difficult to distinguish from Fournier gangrene. The patient was a 54-year-old male who was aware of redness and swelling of the glanspenis for 1 month prior to a consultation at our department. Although he was diagnosed with herpes and treated at a nearby hospital, his symptoms did not improve. Subsequently, the patient visited our department following the onset of pain and fever. During his initial consultation, he had a fever of 39 °C as well as redness and swelling of the glans penis with partial spontaneous purulent discharge. His blood test revealed an elevated white blood cell count (20, 000/μl) and C-reactive protein (19.1 mg/dl). Because Fournier gangrene was suspected, administration of broad-spectrum antimicrobial agents was initiated but proved to be ineffective. An abscess (2 cm in diameter) was also noted in the umbilical region.Enterococcus faecalis was detected by the bacterial culture ; and therefore, Fournier gangrene was diagnosed. A partial penectomy was performed to control the infection. Pathological findings showed only non-specific inflammation ; however, fever persisted postoperatively and blood test results showed no improvement. Furthermore, new abscess lesions emerged on the right heel and back. Because the re-performed abscess bacterial culture test result was negative, pyoderma gangrenosum was suspected, and he was started on oral prednisolone (20 mg/day). On the following day, his fever subsided and his blood test results also showed improvement. A final diagnosis of pyoderma gangrenosum was ultimately made.

  9. Suture Technique to Prevent Air Leakage during Negative-Pressure Wound Therapy in Fournier Gangrene.

    Science.gov (United States)

    Chang, Feng-Shu; Chou, Chieh; Hu, Chuan-Yu; Huang, Shu-Hung

    2018-01-01

    The use of negative-pressure wound therapy (NPWT) for Fournier gangrene management is well documented; however, it is difficult to fixate GranuFoam dressings and maintain an airtight seal over the perineum area. We developed a simple method to facilitate GranuFoam fixation and improve airtight sealing. The Fournier's gangrene severity index (FGSI) score less than 9 was collected in from January 2015 to October 2016. All 13 patients underwent fasciotomy, and NPWT was applied directly on fasciotomy wounds after the debridement of infected tissue. Partial wound closure was performed, and a portion of GranuFoam was inserted to facilitate fixation. The seal check was converted to a 0-10 scale score that was recorded every 4 hours during NPWT. Patient profiles including medical history, FGSI, method of wound closure, and length of stay were collected in this study. The median age of the patients was 62 (38-76) years. The mean FGSI score was 4.3 ± 3.1. The average duration of NPWT was 17.5 ± 11.5 days, and the average seal check score was 0.8 ± 0.5. No seal check alarms were noted during the study. Successful wound closure was achieved in all patients without using additional reconstruction methods such as skin grafting or muscle flap coverage. The present results suggest that partial wound-edge closure and in situ GranuFoam fixation improve the NPWT leaks in Fournier gangrene wounds. Furthermore, this method is simple to learn and can be useful in applying NPWT to anatomically difficult areas.

  10. Fournier's gangrene in a patient receiving treatment for idiopathic thrombocytopenic purpura.

    Science.gov (United States)

    Yuda, Junichiro; Honma, Riko; Yahagi, Tomoyasu; Omoto, Eijiro

    2011-01-01

    We report the case of a 68-year-old man who was diagnosed with Fournier's gangrene (FG), which developed during immunosuppresive treatment for idiopathic thrombocytopenic purpura (ITP). The patient was administered steroids for ITP but on the 36th day, he developed FG and septic shock. We initiated antibiotic treatment and drained a periproctal abscess immediately. On day 53, extensive drainage to progressive FG and a splenectomy was performed, following which both FG and thrombocytopenia improved. This is the first case of FG has developing in a ITP patient. It appears that high-dose immunoglobulin therapy and splenectomy should be considered earlier especially for a patient complicated with FG.

  11. Gangrène de Fournier : Aspects diagnostiques et thérapeutiques au ...

    African Journals Online (AJOL)

    Le but de ce travail était d' évaluer la prise en charge des patients présentant une gangrène de Fournier, la morbi-mortalité et formuler des recommandations. Les auteurs rapportent une série de 22 cas de gangrène périnéoscrotale colligés sur 5 ans d'octobre 2005 à février 2010. Pour chaque patient l'âge, les aspects ...

  12. Solitary Candida albicans Infection Causing Fournier Gangrene and Review of Fungal Etiologies.

    Science.gov (United States)

    Perkins, Tiffany A; Bieniek, Jared M; Sumfest, Joel M

    2014-01-01

    Polymicrobial bacterial infections are commonly found in cases of Fournier gangrene (FG), although fungal growth may occur occasionally. Solitary fungal organisms causing FG have rarely been reported. The authors describe a case of an elderly man with a history of diabetes who presented with a necrotizing scrotal and perineal soft tissue infection. He underwent emergent surgical debridement with findings of diffuse urethral stricture disease and urinary extravasation requiring suprapubic tube placement. Candida albicans was found to be the single causative organism on culture, and the patient recovered well following antifungal treatment. Fungal infections should be considered as rare causes of necrotizing fasciitis and antifungal treatment considered in at-risk immunodeficient individuals.

  13. Importance of repeated CT scan in Fournier gangrene treatment: clinical case

    International Nuclear Information System (INIS)

    Ignatenco, Sergiu

    2011-01-01

    A patient of 53 years presented fever, swelling and erythema in the perineal region. After computed tomography (CT) was diagnosed Fournier gangrene. After aggressive surgical debridement postoperative evolution was unfavorable. Repeated CT scan trace spread of infection to new areas that led to new surgical debridement on time. Use of CT scan in the postoperative period allows assessment of the effectiveness of surgical debridement and spread of infection. This article presents CT scan images and the most important periods of intraoperative surgical intervention. (authors)

  14. Successful Treatment of a Severe Case of Fournier's Gangrene Complicating a Perianal Abscess

    Directory of Open Access Journals (Sweden)

    Ioannis Papaconstantinou

    2011-01-01

    Full Text Available A 67-year-old male patient with diabetes mellitus and nephritic syndrome under cortisone treatment was admitted to our hospital with fever and severe perianal pain. Upon physical examination, a perianal abscess was identified. Furthermore, the scrotum was gangrenous with extensive cellulitis of the perineum and left lower abdominal wall. Crepitations between the skin and fascia were palpable. A diagnosis of Fournier's gangrene was made. He was treated with immediate extensive surgical debridement under general anesthesia. The patient received broad-spectrum antibiotics, and repeated extensive debridements were performed until healthy granulation was present in the wound. Due to the fact that his left testicle was severely exposed, it was transpositioned into a subcutaneous pocket in the inner side of the left thigh. He was finally discharged on the 57th postoperative day. Fournier's gangrene is characterized by high mortality rates, ranging from 15% to 50% and is an acute surgical emergency. The mainstay of treatment should be open drainage and early aggressive surgical debridement of all necrotic tissue, followed by broad-spectrum antibiotics therapy.

  15. Preliminary chronostratigraphy of the Tetagouche and Fournier groups in northern New Brunswick

    International Nuclear Information System (INIS)

    Sullivan, R.W.; VanStaal, C.R.

    1996-01-01

    Seven U-Pb zircon ages of volcanic rocks from northern New Brunswick are reported and a preliminary stratigraphy of the middle Ordovician Tetagouche and Fournier groups is presented. Deposition of the Tetagouche Group started with calcareous rocks of the Vallee Lourdes Formation in the Late Arenig (>470 Ma). Quartz- and feldspar-phyric felsic volcanic rocks of the immediately overlying Nepisiquit Falls Formation yielded U-Pb zircon ages between ca. 471 and 469 Ma. These volcanic rocks are time stratigraphic equivalents of the feldspar-phyric dacites of the Spruce Lake Formation, which yielded a U-Pb zircon age of ca. 470 Ma, and tholeiitic and alkalic pillow basalts of the structurally overlying Canoe Landing Lake Formation. The final phase of rhyolitic to dacitic volcanism is marked by the emplacement of distinct quartz- and feldspar-phyric dacitic porphyries at ca. 465 Ma, thus limiting silicic volcanism to the Late Arenig and llanvim. During the Ilandeilo and Caradoc (ca. 464-457 Ma) volcanic activity in the Tetagouche Group was characterized by extrusion of alkali basalts and minor comendites, interlayered with dark shales and siltstones of the Boucher Brook Formation. Oceanic crust of the Fournier Group was also formed during this period. (author). 29 refs., 1 tab., 10 figs

  16. Evidências científicas brasileiras sobre gangrena de Fournier

    Directory of Open Access Journals (Sweden)

    Érick Igor dos Santos

    2014-01-01

    Full Text Available El objetivo fue describir producciones brasileñas publicadas en los últimos veinte años acerca de la gangrena de Fournier. Revisión integradora realizada en las bases de datos LILACS, MEDLINE, BDENF y Colecciona SUS, con el descriptor “Gangrena de Fournier”. Se seleccionaron textos publicados entre enero de 1994 y julio de 2014, en portugués y disponibles gratuitamente en Internet. Según los 14 artículos encontrados, los principales síntomas de la gangrena de Fournier incluyen malestar, con sensaciones dolorosas, fiebre alta, edema, malestar general, sudoración. En la mayor parte de los casos, son observados eritema y formación de bollas, surgiéndose una herida. El cuadro clínico ayuda en la selección de la terapia antimicrobiana empírica antes del resultado de la cultura. En conclusión, el diagnóstico precoz y el tratamiento apropiado y agresivo son cruciales en el pronóstico del paciente. Aún, hay escasez de producciones científicas brasileñas con gran poder de evidencia sobre el tema.

  17. Predictive factors for mortality in Fournier' gangrene: a series of 59 cases.

    Science.gov (United States)

    García Marín, Andrés; Turégano Fuentes, Fernando; Cuadrado Ayuso, Marta; Andueza Lillo, Juan Antonio; Cano Ballesteros, Juan Carlos; Pérez López, Mercedes

    2015-01-01

    Fournier's gangrene (FG) is the necrotizing fasciitis of the perineum and genital area and presents a high mortality rate. The aim was to assess prognostic factors for mortality, create a new mortality predictive scale and compare it with previously published scales in patients diagnosed with FG in our Emergency Department. Retrospective analysis study between 1998 and 2012. Of the 59 patients, 44 survived (74%) (S) and 15 died (26%) (D). Significant differences were found in peripheral vasculopathy (S 5 [11%]; D 6 [40%]; P=.023), hemoglobin (S 13; D 11; P=.014), hematocrit (S 37; D 31.4; P=.009), white blood cells (S 17,400; D 23,800; P=.023), serum urea (S 58; D 102; PFournier's gangrene severity index score (FGSIS) (S 4; D 7; P=.002) and Uludag Fournier's Gangrene Severity Index (UFGSI) (S 9; D 13; P=.004). Independent predictive factors were peripheral vasculopathy, serum potassium and severe sepsis criteria, and a model was created with an area under the ROC curve of 0.850 (0.760-0.973), higher than FGSIS (0.746 [0.601-0.981]) and UFGSI (0.760 [0.617-0.904]). FG showed a high mortality rate. Independent predictive factors were peripheral vasculopathy, potassium and severe sepsis criteria creating a predictive model that performed better than those previously described. Copyright © 2014 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Using negative pressure therapy for improving skin graft taking on genital area defects following Fournier gangrene.

    Science.gov (United States)

    Orhan, Erkan; Şenen, Dilek

    2017-09-01

    Fournier's gangrene is an infective necrotizing fasciitis of the perineal, genital and perianal regions. Treatment includes aggressive surgical debridement that often results in extensive loss of genital skin. Skin grafts may be used for reconstruction but skin grafting of the male genitalia is diffucult because the penis and scrotum are mobile and deformable. A variety of methods are used to secure skin graft to recipient beds. We used negative pressure therapy (NPT) to secure skin grafts and improve skin graft taking. We used negative pressure therapy for graft fixation in 13 male patients who underwent debridements with the indication of Fournier gangrene, and whose defects formed were reconstructed with grafts between January 2009, and January 2014. Information about age of the patients, sessions of negative pressure therapy applied before, and after reconstruction, duration of hospital stay, and graft losses during postoperative period were recorded. Median age of the patients was 56.15 (46-72) years. NPT was applied to patients for an average of 6.64 sessions (4-12) before and 1 sessions after graft reconstruction. Patients were hospitalized for an average of 26.7 (20-39) days. Any graft loss was not seen after NPT. Because of the peculiar anatomy of the genital region, anchoring of grafts is difficult so graft losses are often encountered. Use of NPT for ensuring graft fixation on the genital region prevents skin graft shearing.

  19. Case of anal fistula with Fournier's gangrene in an obese type 2 diabetes mellitus patient.

    Science.gov (United States)

    Yoshino, Hiroshi; Kawakami, Kyoko; Yoshino, Gen; Sawada, Katsuhiro

    2016-03-01

    A 64-year-old man was admitted to Shin-suma General Hospital, Kobe, Japan, complaining of a 3-day history of scrotal swelling and high fever. He had type 2 diabetes mellitus. On examination, his body temperature had risen to 38.5 °C. Examination of the scrotum showed abnormal enlargement. Laboratory data were as follows: white cell count 35,400/μL and glycated hemoglobin 9.6%. Anal fistula was found in an endorectal ultrasound. Computed tomography scan showed a relatively high density of subcutaneous tissue and elevated air density. Thus, he was diagnosed with Fournier's gangrene. On the fourth hospital day, the patient underwent debridement of gangrenous tissue. Seton surgery was carried out for anal fistula on the 34th hospital day. He responded to the treatment very well. He was discharged on the 33rd postoperative day. Once Fournier's gangrene has been diagnosed, considering the association of anal fistula and perianal abscess is important.

  20. A fascia lata free flap in pelvic exenteration for Fournier gangrene due to advanced rectal cancer: a case report.

    Science.gov (United States)

    Sawayama, Hiroshi; Miyanari, Nobutomo; Sugihara, Hidetaka; Iwagami, Shiro; Mizumoto, Takao; Kubota, Tatsuo; Haga, Yoshio; Baba, Hideo

    2017-12-01

    Fournier gangrene due to advanced rectal cancer is a rapidly progressive gangrene of the perineum and buttocks. Emergency surgical debridement of necrotic tissue is crucial, and secondary surgery to resect tumors is necessary for wound healing. However, pelvic exenteration damages the pelvic floor, increasing the likelihood of herniation of internal organs into the infectious wound. The management of pelvic exenteration for rectal cancer with Fournier gangrene has not yet been established. We herein describe the use of a fascia lata free flap in pelvic exenteration for rectal cancer with Fournier gangrene. A 66-year-old male who had undergone colostomy for large bowel obstruction due to advanced rectal cancer and continued chemotherapy was referred to our hospital for Fournier gangrene resulting from chemotherapy. Emergency surgical debridement was performed, and the infectious wound around the rectal cancer was treated with intravenous antibiotic agents postoperatively. However, the tumor was exposed by the wound, and exudate persisted. Pelvic exenteration was performed due to tumor infiltration into the bladder and prostate. Tumor resection resulted in a defect in the pelvic floor. A fascia lata free flap (15 × 9 cm) obtained from the left thigh was fixed to the edge of the peritoneum and ileal conduit to close the defect in the pelvic floor and prevent small bowel herniation into the resected space. There was no intraabdominal inflammation or bowel obstruction postoperatively, and outpatient chemotherapy was continued. Surgical repair with a fascia lata free flap to close the defect in the pelvic floor led to a good clinical outcome for pelvic exenteration in a patient with Fournier gangrene due to advanced rectal cancer.

  1. Perspectivas del turismo rural

    OpenAIRE

    Szmulewicz Espinosa, Pablo

    1998-01-01

    El documento plantea las tendencias y modalidades actuales del turismo del turismo rural y las condiciones para su desarrollo en Chile. Propone la Acción por un turismo rural integrado y sustentable y analiza la situación de oferta y demanda actual para identificar los desafíos tácticos del turismo rural y las orientaciones estratégicas que conformen una política concreta de fomento para convocatoria y participación de los actores interesados. Fil: Szmulewicz Espinosa, Pablo. Universidad A...

  2. Budget and Actuals

    Data.gov (United States)

    Town of Chapel Hill, North Carolina — This dataset contains the Town's Year-to-Date Budget and Actuals for Fiscal Years 2016, 2017, and 2018. Fiscal years run from July 1 to June 30. The data comes from...

  3. la perspectiva psicosocial

    Directory of Open Access Journals (Sweden)

    Juan Guerrero

    2007-01-01

    Full Text Available Con la opción de analizar las condiciones de trabajo en oficina, el texto realiza una sucinta pero precisa revisión de la conceptualización sobre productividad y consumo. Se documenta la relación contradictoria entre bienestar y rendimiento en el trabajo al identificar el riesgo de llevar al límite de sus capacidades la participación del trabajador como factor de productividad, ignorando que éste tiene además el rol de consumidor activo de bienes y servicios para que la producción tenga sentido. Se plantea que exigir al trabajador hasta su agotamiento puede mermar sustancialmente su doble condición de productor y consumidor. Específicamente, se presenta la perspectiva del trabajo en o"cinas innovadas conceptual y tecnológicamente, con procesos laborales y patrones de desgaste y morbilidad definidos. El tiempo, el ritmo, la parcelación, el control del trabajo y la reestructuración en las organizaciones son, entre otros, factores que convergen para potenciar fenómenos de sobrecarga o subcarga mental con la consecuente aparición de estrés excedente y sus patologías asociadas.

  4. Identification of the cause of severe skin infection by Fournier transform infrared spectroscopy: a case of Fournier's gangrene caused by fish bone.

    Science.gov (United States)

    Shimizu, Takae; Harada, Kazutoshi; Akazawa, Satoshi; Yamaguchi, Miyuki; Inozume, Takashi; Kawamura, Tatsuyoshi; Shibagaki, Naotaka; Momosawa, Akira; Shimada, Shinji

    2014-06-01

    Fournier's gangrene (FG) is an infrequent but highly lethal infection. Here we report a 74-year-old man who presented with genital swelling and severe malaise. Based on the physical and imaging examination results, the diagnosis of FG was confirmed. Intraoperative findings showed dirty necrosis of soft tissue, and a splinter-shaped foreign body was found in the perirectal region. The foreign body was thought to be the cause of the condition, and it was analyzed using Fourier transform infrared spectroscopy. We found that the foreign body was a mixture of calcium phosphate and protein, suggesting that the splinter was a bone. Moreover, during the medical interview, the patient mentioned about intake of fish around the time of onset of symptoms. Therefore, to confirm the results of the analysis, DNA was extracted from the foreign body, and genomic PCR with subsequent sequence analysis was performed. The DNA sequence was identical to that of Oncorhynchus kisutch, a salmon that is a very popular food in Japan. On the basis of these findings, we concluded that FG in this case was caused by the penetration into the rectum of an accidentally ingested fish bone. Although some cases of intra-abdominal abscess due to accidental ingestion of fish bone have been reported, FG caused by fish bone is extremely rare. © 2014 Japanese Dermatological Association.

  5. Modified Fournier and rainfall concentration indices, as estimators of soil erosion factors, Sinaloa, Mexico

    International Nuclear Information System (INIS)

    Velasco, I.; Costes, G.

    2009-01-01

    Some of the parameters which characterize the climatic zones, identified as Hydric Regime Indices are the rainfall concentration index ICP), and the Modified Fournier index (IFM), which allow to evaluate, in terms of the rainfall behavior, the risk of soil erosion. The conventional ICP rank of variation foes from uniforms to irregular (8 to 100%). The calculation of this index must be done for every year and then the average is the value to use. IFM considers the monthly rainfall of the most humid month of the year in relation to the other months. This index characterizes the rainfall aggressiveness, and their conventional values go from very low (0 to 60), until very high (more than 160), and mainly mean the vulnerability and risk to soil loss. (Author) 2 refs.

  6. Bilateral adrenal haemorrhage associated with heparin-induced thrombocytopaenia during treatment of Fournier gangrene.

    Science.gov (United States)

    Tattersall, Timothy Lee; Thangasamy, Isaac A; Reynolds, Jamie

    2014-10-14

    We present a case of bilateral adrenal haemorrhage (BAH) associated with heparin-induced thrombocytopaenia (HIT) in a 61-year-old man admitted to hospital for the treatment of Fournier's gangrene. He presented to hospital with scrotal swelling and fever, and developed spreading erythaema and a gangrenous scrotum. His scrotum was surgically debrided and intravenous broad-spectrum antibiotics were administered. Unfractionated heparin was given postoperatively for venous thromboembolism prophylaxis. The patient deteriorated clinically 8-11 days postoperatively with delirium, chest pain and severe hypertension followed by hypotension and thrombocytopaenia. Abdominal CT scan revealed bilateral adrenal haemorrhage. Antibodies to the heparin-platelet factor 4 complex were present. HIT-associated BAH was diagnosed and heparin was discontinued. Intravenous bivalirudin and hydrocortisone were started, with rapid improvement in clinical status. BAH is a rare complication of HIT and should be considered in the postoperative patient with unexplained clinical deterioration. 2014 BMJ Publishing Group Ltd.

  7. [Primary cutaneous T-cell lymphoma of the penis complicated by Fournier gangrene: a case report].

    Science.gov (United States)

    Zhou, Zun-lin; Wang, Chuan-yun; Xu, Zhi-shun; Zheng, Bao-zhong

    2008-06-01

    To explore the clinical presentation, pathologic characteristics, diagnosis and treatment of cutaneous T-cell lymphoma of the penis. A 49-year-old man presented with painful swelling and inflammation of the foreskin, failed to respond to antibiotic treatment and dorsal incision, and was instead complicated by Fournier gangrene. Then he underwent debridement and pathological examination. Pathological results indicated cutaneous T-cell lymphoma of the penis. Immunohistochemistry showed CD3 and CD45 RO to be positive, but CD30, CD79a, CD20 and HMB negative. The patient was treated by interferon alpha and ultraviolet B for 2 weeks, followed by total removal of the external genitalia because of necrosis of the corpus spongiosum, which involved the scrotum and right testis on pathological examination. Cutaneous T-cell lymphoma of the penis is a rare condition and easily mis diagnosed in the early phase. Definitive diagnosis depends on pathological study.

  8. Abdominal implantation of testicles in the management of intractable testicular pain in Fournier gangrene.

    Science.gov (United States)

    Chan, Cyrus C; Shahrour, Khaled; Collier, Ronald D; Welch, Marlene; Chang, Shiliang; Williams, Mallory

    2013-01-01

    Fournier gangrene (FG) is a necrotizing soft tissue infection involving the superficial and fascial planes of the perineum. In many cases of FG, debridement of the scrotum is necessary, leaving definitive management of the exposed testicles a significant surgical challenge. Frequent incidental trauma to the testicles can cause severe pain, especially in laborers. Practical surgical solutions are few and not well detailed. Various options exist, including creating a neoscrotum with adjacent thigh tissue, split-thickness skin grafts (STSGs), or even creating a subcutaneous thigh pocket. We describe a case of abdominal implantation of bilateral testicles for persistent testicular pain in a case where STSGs did not provide adequate protection, adjacent thigh skin was not available for creation of a neoscrotum, and significant cord contracture occurred. We detail the advantages and disadvantages of the commonly described techniques, including this approach, and how in select individuals this may be a suitable alternative.

  9. Unusual foreign body in the sigmoid colon, chronic alcohol abuse, and Fournier gangrene: a case report.

    Science.gov (United States)

    Schulz, Dietmar; Mohor, Georgiana Simona; Solovan, Caius

    2015-01-01

    Fournier gangrene (FG) is an infectious condition with fulminant evolution and is sometimes life-threatening. Here, we present the case of an immunocompromised 59-year-old male with surgical history of a pancreatic pseudocyst stented endoscopically. After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene. FG that has spread to the male genital organs presents therapeutic challenges. The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment.

  10. Rumbos actuales del arte

    Directory of Open Access Journals (Sweden)

    Luis Vidales

    1964-01-01

    Full Text Available Si se nos preguntase cual podría ser la síntesis de los problemas actuales del arte, acaso deberíamos decir que no hay nada que la exprese tan cabalmente como la lucha por los espacios plásticos. Y agregar que este fenómeno no es privativo de nuestro tiempo.

  11. Linac project - actual stage

    International Nuclear Information System (INIS)

    Carlin Filho, N.

    1990-01-01

    The actual development stage of Pelletron accelerator to study heavy ion reactions, nuclear structures and applied nuclear physics is presented. The construction of acceleration systems able to provide beams of several mass and energies up to 20 MeV/A, is discussed, describing acceleration structures and implemented systems. (M.C.K.)

  12. Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy

    Directory of Open Access Journals (Sweden)

    Giovanni Zagli

    2011-01-01

    Full Text Available Fournier's gangrene is a rare process which affects soft tissue in the genital and perirectal area. It can also progress to all different stages of sepsis, and abdominal compartment syndrome can be one of its complications. Two patients in septic shock due to Fournier gangrene were admitted to the Intensive Care Unit of Emergency Department. In both cases, infection started from the scrotum and the necrosis quickly involved genitals, perineal, and inguinal regions. Patients were treated with surgical debridement, protective colostomy, hyperbaric oxygen therapy, and broad-spectrum antibacterial chemotherapy. Vacuum-assisted closure (VAC therapy was applied to the wound with the aim to clean, decontaminate, and avoid abdominal compartmental syndrome development. Both patients survived and were discharged from Intensive Care Unit after hyperbaric oxygen therapy cycles and abdominal closure.

  13. A case of Fournier's gangrene following local radiation for the recurrence of rectal carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Ohashi, Hideyuki; Okuno, Tetsuo; Mizuo, Toshiyuki (Tokyo Rosai Hospital (Japan))

    1993-02-01

    A case of Fournier's gangrene in a 69-year-old man was reported. He had diabetes mellitus and had received 30 Gy radiation for local recurrence of rectal carcinoma. Immediately after the irradiation the disease of scrotum began as redness and swelling, and developed ulcer and necrosis. Antibiotics and local drainage were not of benefit, so we performed debridement and obtained good result. We described our experience of the gangrene from the early phase to recovery. (author).

  14. Risk factors for mortality in fournier's gangrene in a general hospital: use of simplified founier gangrene severe index score (SFGSI

    Directory of Open Access Journals (Sweden)

    Carlos Eugênio Lira Tenório

    Full Text Available ABSTRACT Objective To evaluate risk factors for mortality in patients with Fournier's gangrene (FG, with emphasis in the Simplified Fournier Gangrene Severe Index Score (SFGSI. Materials and Methods This was a cross-sectional study that was carried out from January 2010 to December 2014, with 124 patients treated for FG in a General Hospital. Several clinical and laboratory variables, including SFGSI, were evaluated and correlated with mortality through univariate analysis and logistic regression. Results Of the 124 patients, 99 were men (79.8%, the mean age was 50.8±19.5 years and the main comorbidity was diabetes mellitus (51.6%. The mortality rate was 25.8%. Variables that presented independent correlation with mortality were the extension of the lesion to the abdomen (OR=4.0, CI=1.10-14.68, p=0.03, hematocrit (OR=0.81, CI=0.73-0.90, p2 result was the largest of the independent predictors of mortality (OR=50.2; CI=13.18-191.47; p2 presented a higher correlation with mortality than any variable tested alone. It seems to be a promising alternative to evaluate predictors of mortality in Fournier's gangrene. The main advantage is easy applicability because it contains only three parameters and can be used immediately after patient's admission.

  15. Xenogenic (porcine) acellular dermal matrix promotes growth of granulation tissues in the wound healing of Fournier gangrene.

    Science.gov (United States)

    Zhang, Zhaoxin; Lv, Lei; Mamat, Masut; Chen, Zhao; Zhou, Zhitao; Liu, Lihua; Wang, Zhizhong

    2015-01-01

    This article investigates the application values of Xenogenic (porcine) acellular dermal matrix (XADM) in preparation of a Fournier gangrene wound bed. Thirty-six consecutive cases of patients with Fournier gangrene between 2002 and 2012 were enrolled in our department of our hospital. The patients were divided into two groups according to different methods of wound bed preparation after surgical débridement, including the experimental group (17 cases) and the control group (19 cases). The wounds in the experimental group were covered with XADM after surgical wound débridement, whereas the wounds were cleaned with hydrogen peroxide and sodium hypochlorite solution (one time/day) in the control group. The wound bed preparation time and hospital stay were then compared in the two groups. The wound preparation time was 13.64 ± 1.46 days and hospitalization period was 26.06 ± 0.83 days in the experimental XADM group. In the control group, the wound bed preparation time and hospitalization period were 22.37 ± 1.38 and 38.11 ± 5.60 days, respectively. The results showed statistical differences between these two groups. When used in wound débridement after Fournier gangrene, XADM protects interecological organizations, promotes the growth of granulation tissues, and maximally retains function and morphology of the perineum and penis.

  16. Risk factors for mortality in fournier's gangrene in a general hospital: use of simplified founier gangrene severe index score (SFGSI).

    Science.gov (United States)

    Tenório, Carlos Eugênio Lira; Lima, Salvador Vilar Correia; Albuquerque, Amanda Vasconcelos de; Cavalcanti, Mariana Pauferro; Teles, Flávio

    2018-01-01

    To evaluate risk factors for mortality in patients with Fournier's gangrene (FG), with emphasis in the Simplified Fournier Gangrene Severe Index Score (SFGSI). This was a cross-sectional study that was carried out from January 2010 to December 2014, with 124 patients treated for FG in a General Hospital. Several clinical and laboratory variables, including SFGSI, were evaluated and correlated with mortality through univariate analysis and logistic regression. Of the 124 patients, 99 were men (79.8%), the mean age was 50.8±19.5 years and the main comorbidity was diabetes mellitus (51.6%). The mortality rate was 25.8%. Variables that presented independent correlation with mortality were the extension of the lesion to the abdomen (OR=4.0, CI=1.10-14.68, p=0.03), hematocrit (OR=0.81, CI=0.73-0.90, p2 result was the largest of the independent predictors of mortality (OR=50.2; CI=13.18-191.47; p2 presented a higher correlation with mortality than any variable tested alone. It seems to be a promising alternative to evaluate predictors of mortality in Fournier's gangrene. The main advantage is easy applicability because it contains only three parameters and can be used immediately after patient's admission. Copyright® by the International Brazilian Journal of Urology.

  17. Negative Pressure Wound Therapy Applied Before and After Split-Thickness Skin Graft Helps Healing of Fournier Gangrene

    Science.gov (United States)

    Ye, Junna; Xie, Ting; Wu, Minjie; Ni, Pengwen; Lu, Shuliang

    2015-01-01

    Abstract Fournier gangrene is a rare but highly infectious disease characterized by fulminant necrotizing fasciitis involving the genital and perineal regions. Negative pressure wound therapy (NPWT; KCI USA Inc, San Antonio, TX) is a widely adopted technique in many clinical settings. Nevertheless, its application and effect in the treatment of Fournier gangrene are unclear. A 47-year-old male patient was admitted with an anal abscess followed by a spread of the infection to the scrotum, which was caused by Pseudomonas aeruginosa. NPWT was applied on the surface of the scrotal area and continued for 10 days. A split-thickness skin graft from the scalp was then grafted to the wound, after which, NPWT utilizing gauze sealed with an occlusive dressing and connected to a wall suction was employed for 7 days to secure the skin graft. At discharge, the percentage of the grafted skin alive on the scrotum was 98%. The wound beside the anus had decreased to 4 × 0.5 cm with a depth of 1 cm. Follow-up at the clinic 1 month later showed that both wounds had healed. The patient did not complain of any pain or bleeding, and was satisfied with the outcome. NPWT before and after split-thickness skin grafts is safe, well tolerated, and efficacious in the treatment of Fournier gangrene. PMID:25654376

  18. 2-octyl-cyanoacrylate glue for fixation of STSG in genitourinary tissue defects due to Fournier gangrene: a preliminary trial.

    Science.gov (United States)

    Sivrioğlu, Nazan; Irkören, Saime; Ceylan, Ender; Sonel, Ali Murat; Copçu, Eray

    2013-05-01

    In these reported cases, we observed the outcomes of skin take and wound healing using 2-octyl-cyanoacrylate glue, which was used as tissue glue in the reconstruction of complex genital skin loss due to fournier gangrene. Fifteen patients with Fournier's gangrene were treated in this study. After initial surgical debridement, all defects were repaired using STSG. In this method a thin layer of 2-octyl-cyanoacrylate was dripped on the recipient site immediately before graft application. All wounds were followed up postoperatively and observed for evidence of graft take, seroma or hematoma formation, drainage, and infection. Patient and physician satisfaction were also determined. Grafts were completely accepted in all fifteen patients. None of the patients had wound infection, seroma, hematoma, or other complications. Use of 2-octyl-cyanoacrylate glue (Glueseal) for STSG fixation in complex genital skin defects after Fournier gangrene may be an acceptable alternative to conventional surgical closure with a good cosmetic outcome. Further studies are needed to confirm our initial success with this approach.

  19. Situación actual y retos futuros en la investigación psicológica sobre predicción y prevención de la lesión deportiva: una perspectiva metodológica

    Directory of Open Access Journals (Sweden)

    Urban Johnson

    2014-01-01

    Full Text Available El propósito de esta revisión crítica es proponer una serie de progresos metodológicos en la investigación sobre predicción y prevención de lesiones. Para ello, se analizaron conjuntamente 24 estudios (cuantitativos, cualitativos y de intervención preventiva llevados a cabo desde el año 2006 en adelante relacionados con el “modelo de estrés-lesión”. Los estudios de predicción de lesiones utilizaron mayoritariamente diseños prospectivos, utilizando el análisis de regresión y estudiando el rasgo ansiedad y los eventos vitales. Los estudios cualitativos utilizaron principalmente el análisis temático. Los estudios de intervención mostraron resultados promisorios, aunque todavía no definitivos. En este trabajo proponemos cinco necesidades específicas para la investigación futura: (a centrarse en diferentes cohortes, (b variar los diseños de intervención preventiva, incluyendo protocolos experimentales, (c centrarse en las conductas relacionadas con las cogniciones, (d utilización de diseños de medidas repetidas, y (e utilización de estadísticos que puedan verificar las complejas interacciones y las diferencias individuales. El foco de la investigación futura también debe orientarse hacia la psicología de las lesiones por desgaste excesivo, las perspectivas biopsicosociales y las evaluaciones económicas del impacto en la salud. Si bien en los últimos 10-15 años se han conseguido importantes avances en la investigación sobre los antecedentes psicológicos de la lesión deportiva, la prevención y la intervención, algunas cuestiones metodológicas deben ser aún desarrolladas, tal y como se señala en este artículo.

  20. Tracing Actual Causes

    Science.gov (United States)

    2016-08-08

    was articu- lated by David Lewis in his work on causal ex- planations [Lewis, 1986a]. We address the prob- lem by defining the causal history of the...of actual causation involve coun- terfactuals. The counterfactual tradition goes back to Hume [ Hume , 1748] whose position was that an event c is a...work We present a new take on the old problem of tracing ac- tual causes articulated by David Lewis in his work on causal explanations [Lewis, 1986a]. We

  1. Perspectivas de una estrategia nacional de competitividad

    Directory of Open Access Journals (Sweden)

    Roberto Gutiérrez

    1997-06-01

    Full Text Available En los años cincuentas surgió una amplia perspectiva teórica llamada la teoría de la modernización, la cual ha tenido una gran difusión en las ciencias sociales desde entonces. La "modernización" era el camino hacia el desarrollo de un país. La pretendida modernidad incluía una economía liberalizada, un sistema político democrático y una cultura universal. Hoy, la receta para lograr el desarrollo consiste en ser competitivos en los mercados mundiales. Las promesas de la modernización y la competitividad no se han convertido ni se convertirán en realidad. En el presente ensayo hay un examen del devenir histórico de las teorías de la modernización y de las ideas sobre competitividad para resaltar sus similitudes, sus afirmaciones y aquello que está ausente en ambas, y analizar el resultado de sus promesas en relación con el desarrollo nacional. No conocer la historia del descrédito de las teorías sobre la modernización es condenarse a repetirla; mínimo, a reciclarla con unas ideas que son variaciones alrededor del mismo tema. Un análisis de los supuestos, postulados y prescripciones compartidos por las perspectivas que tratan sobre la modernización y la competitividad de nuestras sociedades permite apreciar el alcance de la actual estrategia nacional de competitividad en un país como Colombia.

  2. Marruecos antiguo: nuevas perspectivas

    Directory of Open Access Journals (Sweden)

    Miquel TARRADELL

    2009-11-01

    Full Text Available Cuando en cualquier campo en que se investigue los nuevos descubrimientos se suceden con rapidez, y a consecuencia die ello va cambiando, con nuevas directrices y rectificaciones, los conocimientos y opiniones previas, parece oportuno dedicar unos momentos, de vez en cuando, a establecer un balance y meditar sobre lo conseguido. Ello tiene la ventaja, además, de poder ofrecer a los interesados en el tema que no están en contacto directo con el campo concreto de la investigación aludida, un esbozo del estado actual de la cuestión quei puede serles útil mientras se preparan los estudios monográficos convenientes, los cuales no siempre pueden aparecer con rapidez.

  3. Vivienda ecoconfortable, tendencias actuales

    Directory of Open Access Journals (Sweden)

    Marcial Calero

    2016-06-01

    Conocer y manejar el comportamiento mecánico y el uso de componentes de la vivienda, como por ejemplo, materiaJes, agua y energía utilizados y disponibles, constituye el objetivo de investigación; sus resultados pueden revertir la situación actual, aJ obtener materiales y hacer posible la reutilización del agua a partir de la construcción de viviendas ecos confortables. Estas acciones contribuirán al desarrollo socio productivo del país en general y de la colectividad en particular.

  4. Estimations of actual availability

    International Nuclear Information System (INIS)

    Molan, M.; Molan, G.

    2001-01-01

    Adaptation of working environment (social, organizational, physical and physical) should assure higher level of workers' availability and consequently higher level of workers' performance. A special theoretical model for description of connections between environmental factors, human availability and performance was developed and validated. The central part of the model is evaluations of human actual availability in the real working situation or fitness for duties self-estimation. The model was tested in different working environments. On the numerous (2000) workers, standardized values and critical limits for an availability questionnaire were defined. Standardized method was used in identification of the most important impact of environmental factors. Identified problems were eliminated by investments in the organization in modification of selection and training procedures in humanization of working .environment. For workers with behavioural and health problems individual consultancy was offered. The described method is a tool for identification of impacts. In combination with behavioural analyses and mathematical analyses of connections, it offers possibilities to keep adequate level of human availability and fitness for duty in each real working situation. The model should be a tool for achieving adequate level of nuclear safety by keeping the adequate level of workers' availability and fitness for duty. For each individual worker possibility for estimation of level of actual fitness for duty is possible. Effects of prolonged work and additional tasks should be evaluated. Evaluations of health status effects and ageing are possible on the individual level. (author)

  5. Gangrena de Fournier: infección necrotizante de los genitales externos y del perine, a propósito de 5 casos

    OpenAIRE

    Haydee Wong Arocha; Alberto Elejalde Hernández; Armando Fleites Castro

    1995-01-01

    La gangrena de Fournier es una forma de gangrena sinergística y frecuente del revestimiento cutáneo de los órganos genitales externos y del periné. Esta afección descrita por Fournier en 1884 recibe varias denominaciones como: gangrena escrotal y fulminante. La incidencia de esta entidad es poco frecuente, no obstante, dentro de las urgencias urológicas de nuestro Servicio de Urología, hemos apreciado que en los últimos 6 meses se han detectado un total de 5 casos para el 18,5 %. En los casos...

  6. Analysis of Evapotranspiration and Modified Fournier Index in the municipality of Ahuacatlan, Nayarit, Mexico.

    Directory of Open Access Journals (Sweden)

    García-Ramírez, E.I.

    2016-01-01

    Full Text Available There is a global concern to know the trends on climate variables to prevent natural disasters and adapt measures in diverse productive activities. The objective of this work was to analyze the effect that potential evapotranspiration (ETo and modified Fournier index (MFi have on soil erosion, in the municipality of Ahuacatlan Nayarit during the period 1980-2009. Climatological records of precipitation and maximum and minimum temperatures were taken from the official website of the National Meteorological Service; a data cleaning and data quality control was performed using RClimdex software; data processing and variable calculation was carried by the Moclic software. Regarding the ETo variable, no significant changes were observed annually but a considered increasing trend in the months of july and august. A significant trend towards an increase was observed annually for the MFi. It was found that july, august, june and september were the months that most affect such trend. An increase in the ETo and MFi variables was found during july, which can cause higher damage on the soil.

  7. Localised necrosis of scrotum (Fournier's gangrene in a spinal cord injury patient – a case report

    Directory of Open Access Journals (Sweden)

    Singh Gurpreet

    2002-12-01

    Full Text Available Abstract Background Men with spinal cord injury (SCI appear to have a greater incidence of bacterial colonisation of genital skin as compared to neurologically normal controls. We report a male patient with paraplegia who developed rapidly progressive infection of scrotal skin, which resulted in localised necrosis of scrotum (Fournier's gangrene. Case presentation This male patient developed paraplegia at T-8 level 21 years ago at the age of fifteen years. He has been managing his bladder by wearing a penile sheath. He noticed redness and swelling on the right side of the scrotum, which rapidly progressed to become a black patch. A wound swab yielded growth of methicillin-resistant Staphylococcus aureus (MRSA. Necrotic tissue was excised. Culture of excised tissue grew MRSA. A follow-up wound swab yielded growth of MRSA and mixed anaerobes. The wound was treated with regular application of povidone-iodine spray. He made good progress, with the wound healing gradually. Conclusion It is likely that the presence of a condom catheter, increased skin moisture in the scrotum due to urine leakage, compromised personal hygiene, a neurogenic bowel and subtle dysfunction of the immune system contributed to colonisation, and then rapidly progressive infection in this patient. We believe that spinal cord injury patients and their carers should be made aware of possible increased susceptibility of SCI patients to opportunistic infections of the skin. Increased awareness will facilitate prompt recourse to medical advice, when early signs of infection are present.

  8. Favorable outcome of Fournier gangrene in two patients with diabetes mellitus on continuous peritoneal dialysis.

    Science.gov (United States)

    Vigil, Darlene; Regmi, Anil; Last, Reuben; Wiggins, Brenda; Sun, Yijuan; Servilla, Karen S; Fair, Joanna R; Massie, Larry; Tzamaloukas, Antonios H

    2014-01-01

    Fournier gangrene (FG), a form of necrotizing fasciitis of the perineum and genitals, with high morbidity and mortality in the general population, carries the additional risk of involvement of the peritoneal catheter tunnel and peritoneal cavity in patients on chronic peritoneal dialysis (PD). We describe two men with diabetes who developed FG in the course of PD. Computed tomography showed no extension of FG to the abdominal wall, and spent peritoneal dialysate was clear in both patients. Broad-spectrum antibiotic therapy with anaerobic coverage and early aggressive debridement followed by negative-pressure wound therapy and repeated debridement led to improvements in clinical status in both cases. Surgical closure and healing of the wound was achieved in one patient; the wound of the second patient is healing, but remains open. Both patients experienced prolonged hospitalization, with a serious decline in nutrition status. In patients on PD, FG can be treated successfully. However, additional measures are required to evaluate for potential involvement of the PD apparatus and the peritoneal cavity in the infectious process; and prolonged hospitalization, worsening nutrition, and multiple surgical interventions can result.

  9. Bilateral femoral posterior neurocutaneous perforater flap successfully treating Fournier gangrene: A case report.

    Science.gov (United States)

    Wang, Tao; Zhao, Gang; Rui, Yong-Jun; Mi, Jing-Yi

    2017-11-01

    Necrotizing fasciitis (NF), characterized by widespread fascial necrosis, is a rare disease in clinic. Fournier gangrene (FG) is a special type of NF involved of perineum and scrotum. To our knowledge, no article has reported on bilateral femoral posterior neurocutaneous perforater flap treating for FG. A 61-year-old Chinese male complained of perineal skin necrosis for 19 days. The patient received treatment in other hospital due to chronic bronchitis on April 15th and body temperature ranged from 38 to 39 °C. Then he received antiinfection therapy. Perianal cutaneous occurred mild necrosis on May 08th. And the necrosis generally deteriorated. He came to our hospital for treating necrosis in area of perineum and scrotum on May 28th. He was diagnosed with FG and chronic bronchitis. The patient underwent debridement on June 2nd and received bilateral femoral posterior neurocutaneous perforater flap on June 29th. Besides, the patient was treated with whole-body nutrition support and antibiotic treatment. One week after the 2nd operation, the flap showed normal color. The result shows good outcome and no recurrence of the clinical symptoms occur till now. FG is rare. Bilateral femoral posterior neurocutaneous perforater flap is an effective procedure to treat FG. The outcome of combined therapy is satisfactory.

  10. Is hemoglobin A1c level effective in predicting the prognosis of Fournier gangrene?

    Science.gov (United States)

    Sen, Haluk; Bayrak, Omer; Erturhan, Sakip; Borazan, Ersin; Koc, Mustafa Nihat

    2016-01-01

    To evaluate the effect of immune failure and/or diabetes mellitus (DM) association on the mortality and morbidity of the Fournier's Gangrene (FG), and interrelatedly, the usability of HbA1c level in the prediction of prognosis. The data of 38 patients with the diagnosis of FG were investigated retrospectively. The patients were divided into two groups as patients with DM (Group 1, n = 18) and non-diabetics (Group 2, n = 20). The patients in group 1 were also divided into two subgroups as patients with HbA1c value ≥7 (Group 1a) and HbA1c value 38°C) (n = 22, 57.8%), purulent discharge from genital or perineal areas (n = 13, 34.2%), skin bruises (n = 11, 28.9%) and general state disorder in five patients that were admitted from day care center (13.1%). DM, as the most often comorbid disease, was detected in 18 patients (47.3%). Six patients (15.7%) were deceased during the follow-up period. In the present study, the researchers determined that diabetic patients with HbA1c level of 7 or higher had worse prognosis, and increased mortality.

  11. Use of photodynamic inactivation for in vitro reduction of prevalent bacteria in Fournier's Gangrene

    Directory of Open Access Journals (Sweden)

    Nalisson Marques Pereira

    Full Text Available ABSTRACT Fournier's Gangrene (FG is an infectious disease caused by several synergic microbes, with high morbidity and mortality rates; therefore, the search for new less invasive and mutilating treatments, with faster recovery, has been proposed. Surgical intervention, the use of several systemic and topic antibiotics, and hyperbaric oxygen therapy are currently the best approach for the treatment of these patients. The use of Photodynamic Inactivation (PDI aims to lower morbidity and mortality, by reducing bacterial microbiota and speeding wound healing. In the present study, viable bacteria were separated in four groups: Group L-/F- (no irradiation with red laser and absence of methylene blue photosensitizer, Group L-/F+ (no irradiation with red laser and presence of methylene blue, Group L+/F- (irradiation with red laser and absence of methylene blue and L+/F+ (irradiation with red laser associated to methylene blue. In all groups, exposure time to treatment was 5, 10 and 15 minutes. The concentration of methylene blue photosensitizer was 0.1mg/L, and the dose of red laser (660nm wave length was 176.9mW/cm2. Following irradiation, the reduction of number of bacteria was evaluated, and the results were expressed in colony forming units (CFU and as exponential reduction. As the main results, in the L+/F+ group, there were no Clostridium perfringens and Staphylococcus aureus CFUs and there was a reduction of Escherichia coli that was not observed in the other groups.

  12. Manejo da gangrena de Fournier: experiência de um hospital universitário de Curitiba

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    Adriano Antonio Mehl

    Full Text Available OBJETIVO: Analisar os resultados obtidos no Serviço de Cirurgia Geral do Hospital Universitário Cajuru - PUCPR, com o tratamento da gangrena de Fournier. MÉTODOS: Foram revisados os prontuários de 40 pacientes com diagnóstico de Gangrena de Fournier internados no hospital universitário Cajuru de Novembro de 1999 a Abril de 2006, analisando-se as variáveis: sexo, idade, fatores predisponentes, etiologia, localização da lesão, exames laboratoriais, procedimentos cirúrgicos realizados, antibioticoterapia e utilização de câmara hiperbárica. RESULTADOS: A etiologia mais comum foi de origem anorretal. O agente etiológico mais prevalente foi a E. coli. O fator predisponente predominantes foi a diabetes mellitus, A maioria dos pacientes eram do sexo masculino. A localização e extensão da lesão mais freqüente foi a perineal. Todos foram submetidos à desbridamento cirúrgico, 17 à colostomia e dois à cistostomia. Todos os pacientes utilizaram antibiótico, sendo os mais usados: metronidazol e gentamicina. Vinte e seis pacientes submeteram-se à terapia hiperbárica. A mortalidade global foi de 20%. CONCLUSÃO: A Síndrome de Fournier, apesar de todos os avanços terapêuticos atuais, continua apresentando altos índices de mortalidade. O reconhecimento precoce da infecção associado a tratamento agressivo e invasivo são medidas essenciais para se tentar diminuir esses índices prognósticos.

  13. Comparison of different scoring systems for outcome prediction in patients with Fournier's gangrene: experience with 50 patients.

    Science.gov (United States)

    Tuncel, Altug; Keten, Tanju; Aslan, Yilmaz; Kayali, Mustafa; Erkan, Anil; Koseoglu, Ersin; Atan, Ali

    2014-08-01

    The aim of this study was to evaluate effective factors in the survival of patients with Fournier's gangrene (FG) and compare three different validated scoring systems for outcome prediction: Fournier's Gangrene Severity Index (FGSI), Uludag Fournier's Gangrene Severity Index (UFGSI) and age-adjusted Charlson Comorbidity Index (ACCI). Fifty men who underwent surgery for FG between July 2005 and August 2012 were included in the study. Data were collected on medical history, symptoms, physical examination findings, vital signs, admission and final laboratory tests, timing and extent of surgical debridement, and antibiotic treatment used. The FGSI, UFGSI and ACCI were evaluated stratified by survival. Admission and final parameters were measured using the Mann-Whitney test. The results were evaluated for two groups: survivors (n = 43) and non-survivors (n = 7). Survivors were younger than non-survivors (median age 58 vs 68.5 years, p = 0.017). The median extent of body surface area involved in the necrotizing process in patients who survived and did not survive was 2.3% and 4.8%, respectively (p = 0.04). No significant differences in laboratory parameters were found between survivors and non-survivors at the time of admission, except for haemoglobin, haematocrit, serum urea and albumin levels. Only UFGSI, but not FGSI or ACCI, had any meaning or predictive value in disease severity or patients' survival. Only the UFGSI score could predict the disease severity and the patients' survival. The findings did not support previous findings that an UFGSI threshold of 9 is a predictor of mortality during initial evaluation.

  14. Marijuana and actual driving performance

    Science.gov (United States)

    1993-11-01

    This report concerns the effects of marijuana smoking on actual driving performance. It presents the results of one pilot and three actual driving studies. The pilot study's major purpose was to establish the THC dose current marijuana users smoke to...

  15. Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer

    Directory of Open Access Journals (Sweden)

    Somorendro S Paonam

    2015-01-01

    Full Text Available Fournier gangrene (FG is polymicrobial necrotizing infection of subcutaneous tissues and deep fascia, commonly involving the perineum, external genitalia, anterior abdominal wall and medial aspect of thighs. Urethral pathology, although often the inciting factor for FG, extensive involvement with urethral necrosis is very rare. This is the first report in English literature, describing complete sloughing of the bulbar urethra with ischemic necrosis of the bladder mucosa from FG. Such extensive disease is associated with high mortality, despite higher antibiotics, through debridement and intensive care. Urethral involvement needs extensive debridement and temporary or permanent urinary diversion.

  16. Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer.

    Science.gov (United States)

    Paonam, Somorendro S; Bag, Sananda

    2015-01-01

    Fournier gangrene (FG) is polymicrobial necrotizing infection of subcutaneous tissues and deep fascia, commonly involving the perineum, external genitalia, anterior abdominal wall and medial aspect of thighs. Urethral pathology, although often the inciting factor for FG, extensive involvement with urethral necrosis is very rare. This is the first report in English literature, describing complete sloughing of the bulbar urethra with ischemic necrosis of the bladder mucosa from FG. Such extensive disease is associated with high mortality, despite higher antibiotics, through debridement and intensive care. Urethral involvement needs extensive debridement and temporary or permanent urinary diversion.

  17. FDG PET/CT images demonstrating Fournier gangrene with bilateral pelvic muscle extension in a patient with recurrent rectosigmoid cancer.

    Science.gov (United States)

    Hsu, Chia-Tien; Kao, Pan-Fu; Huang, Chi-Chou; Huang, Hsin-Hui; Lee, Jong-Kang

    2014-01-01

    A 71-year-old male patient with Parkinsonism was referred for an F-FDG PET/CT scan for suspicious recurrence of rectosigmoid adenocarcinoma. The FDG PET/CT scan revealed increased FDG uptakes in the lower pelvic region around the wall of the rectal stump, with extension to the bilateral pelvic sidewalls and the right gluteous minimus muscle. In addition, multiple small air bubbles were noted in the lesions on the attenuation CT images. Fournier gangrene was diagnosed. After treatment with intravenous antibiotics and debridement with sigmoidoscopic irrigation, the patient was discharged and remained uneventful during clinical follow-up for 50 days.

  18. Norbert Elias: legado y perspectivas

    OpenAIRE

    Vera Weiler

    2003-01-01

    Norbert Elias: Legado y perspectivas. Gustavo Leyva, Héctor Vera, Gina Zabludovsky (Coordinadores). Puebla y México: Universidad Iberoamericana Puebla - Universidad Nacional Autónoma de México - Universidad Autónoma Metropolitana-Iztapalapa, 2002, 311 páginas. Los autores comparten la idea que Elias sigue siendo de interés para las ciencias sociales y que, fuera de unos pocos países y de ciertas escuelas, su obra aún no es suficientemente conocida como para que se pueda producir su productiva...

  19. A contemporary analysis of Fournier gangrene using the National Surgical Quality Improvement Program.

    Science.gov (United States)

    Kim, Stanley Y; Dupree, James M; Le, Brian V; Kim, Dae Y; Zhao, Lee C; Kundu, Shilajit D

    2015-05-01

    To determine a nationwide contemporary description of surgical Fournier gangrene (FG) and necrotizing fasciitis of the genitalia (NFG) outcomes because historically reported mortality rates for FG and NFG are based on small single-institution studies from the 1980s and the 1990s. The National Surgical Quality Improvement Program is a risk-adjusted surgical database used by nearly 400 hospitals nationwide, which tracks preoperative, intraoperative, and 30-day postoperative clinical variables. Data are extracted from patient charts by an independent surgical clinical reviewer at each hospital. Using the National Surgical Quality Improvement Program data from 2005 to 2009, we calculated 30-day mortality rates and identified preoperative factors associated with increased mortality. A total of 650 patients were identified with surgery for FG or NFG. Fourteen patients with do not resuscitate orders placed preoperatively were excluded from analyses. For the remaining 636 patients, the overall 30-day mortality was 10.1% (64 of 636). Fifty-seven percent of patients (360 of 636) were men, 70% (446 of 636) were white, and 13% (81 of 636) were African American. Multivariate logistic regression indicated that increased age (odds ratio [OR], 1.041; P = .004), body mass index (OR, 1.045; P <.001), and preoperative white blood cell count (OR, 1.061; P = .001), and decreased platelet count (OR, 0.993; P <.001) were all associated with increased risk of death. We determined a surgical mortality rate for FG-NFG of 10.1%. This rate is about half of historically published estimates and similar to recent studies. The lower rate may indicate improvements in therapy. Increased age, body mass index, and white blood cell count, and decreased platelet count were all associated with an increased risk of 30-day mortality. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Tendencias actuales y futuras de la terapia de familias

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    Francisco Almagro Domínguez

    1996-06-01

    Full Text Available Se exponen brevemente la situación actual y las perspectivas de la terapia familiar a partir de la información obtenida en el Séptimo Congreso de IFTA (International Family Therapy Association, celebrado en Guadalajara, México, en Octubre de 1995. Los criterios actuales abarcan desde el ciclo vital y las técnicas nuevas, hasta el tratamiento familiar del SIDA y el cáncer. El futuro se considera, en general, promisorio para estas terapias. Se habla de relacionar diagnósticos, enseñanza integrada a planes de estudio y entrenamiento de personal comunitario; todo ello como perspectiva de la terapia de familiasThe present situation and the outlooks of family therapy based on the information obtained at the 7th Congress of the International Family Therapy Association, held in Guadalajara, Mexico, in October, 1995, are briefly explained. New criteria embrace from the vital cycle and the new techniques to the family treatment of AIDS and cancer. In general, the future is considered as promising for these therapies. It is talked about relating diagnoses, integrating teaching to curricula, and training community personal; all of it as a prospect of family therapy.

  1. Norbert Elias: legado y perspectivas

    Directory of Open Access Journals (Sweden)

    Vera Weiler

    2003-01-01

    Full Text Available Norbert Elias: Legado y perspectivas. Gustavo Leyva, Héctor Vera, Gina Zabludovsky (Coordinadores. Puebla y México: Universidad Iberoamericana Puebla - Universidad Nacional Autónoma de México - Universidad Autónoma Metropolitana-Iztapalapa, 2002, 311 páginas. Los autores comparten la idea que Elias sigue siendo de interés para las ciencias sociales y que, fuera de unos pocos países y de ciertas escuelas, su obra aún no es suficientemente conocida como para que se pueda producir su productiva incorporación al estudio de las sociedades contemporáneas. Más allá de esta apreciación general, los autores exhiben intereses y direcciones de exploración diversos y también maneras de pensar en parte divergentes. Esta diversidad de por sí resulta interesante.

  2. Disglucemia en el paciente crítico: evidencia actual y perspectivas futuras

    Directory of Open Access Journals (Sweden)

    Ignacio Aramendi

    Full Text Available RESUMEN La disglucemia en el paciente crítico (hiperglucemia, hipoglucemia, variabilidad de la glucemia y el tiempo en rango es un marcador de severidad de la enfermedad crítica asociada a mayor mortalidad. Sin embargo, dicho impacto parece atenuarse en los pacientes con diabetes mellitus, en particular en aquellos con mal control glucémico premórbido lo cual ha sido denominado "paradoja de la diabetes". Este fenómeno determina que en los nuevos protocolos de control de la glucemia deban ser contemplados los valores de hemoglobina glucosilada (HbA1c al ingreso a unidad de cuidados intensivos, siendo necesarios nuevos rangos de glucemia objetivos según los valores de la HbA1c. En tal sentido, la HbA1c surge como una herramienta sencilla que permite obtener información de utilidad terapéutica y valor pronóstico en la unidad de cuidados intensivos.

  3. El aprendizaje de la lectoescritura. Aspectos de su problemática y algunas perspectivas actuales

    Directory of Open Access Journals (Sweden)

    María CLEMENTE LINUESA

    2009-11-01

    Full Text Available El dominio de la lectoescritura como instrumento de conocimiento es reconocido tanto social como individualmente hasta el punto que llega a afirmarse que se trata de una conducta que forma parte de la psicología del hombre adulto y constituye uno de sus puntos esenciales (Dehant, 1976; según el autor es también un signo de civilización. Desde el punto de vista individual supone una adquisición clave para realizar otros aprendizajes, fundamentalmente da la posibilidad de permitir una comunicación incluso intemporal, para recibir opiniones, asimilar culturas, examinar la ciencia, etc.

  4. Biomass: Current Status Immediate Perspective. Vol. V; Biomasa: estado actual y perspectiva inmediata. Vol. V

    Energy Technology Data Exchange (ETDEWEB)

    Linares, J. I. (ed.); Moratilla, B. Y. (ed.); Cledera, M. M. (ed.); Cantizano, A. (ed.); Francisco, R. (ed.); Chamochin, R. (ed.)

    2009-07-01

    Despite the intuitive association of biomass with developing countries, industrialized nations have experienced in the last years a huge increasing in the use and consideration of biomass as strategic energy source. To this new energy policy in developed countries has contributed the need of diversifying the sources of fuel supply, the need of fighting against the increment of greenhouse effect gas emissions to the atmosphere, and the growing price of fossil fuels.

  5. El debate sobre la conciencia en el pensamiento moderno y en la ciencia actual: Otras perspectivas

    OpenAIRE

    Clusella Mor, Santiago

    2017-01-01

    [spa] El estudio del fenómeno de la conciencia en las disciplinas científicas contemporáneas sigue realizándose desde el paradigma mecanicista-reduccionista iniciado en el siglo XVII, basado en una visión monista materialista centrada en los aspectos físicos, biológicos y funcionales de las manifestaciones de la materia. Existen diferentes propuestas para la explicación y comprensión de dicho fenómeno que van desde las concepciones fisicalistas, emergentistas y utilitaristas, hasta las que l...

  6. TELEMEDICINA. ESTADO ACTUAL Y PERSPECTIVAS FUTURAS EN AUDIOLOGÍA Y OTOLOGÍA

    Directory of Open Access Journals (Sweden)

    Dra. Marisela Cardier

    2016-11-01

    En el caso de la tele-audiología, se ha mostrado que los resultados obtenidos mediante pruebas remotas son equivalentes a los de las mismas pruebas presenciales. Aunque todavía se ha investigado poco en este campo, es un área de gran importancia debido a los problemas en el desarrollo y la calidad de vida que implica la pérdida de audición y a que la mayor parte de la población mundial no tiene fácil acceso a los servicios de salud auditiva. Se revisan las potenciales aplicaciones de la telemedicina, sus ventajas y sus inconvenientes.

  7. ENVEJECIMIENTO DE LA POBLACIÓN Y DEPENDENCIA: SITUACIÓN ACTUAL Y PERSPECTIVAS DE FUTURO

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    Juan Manuel López Zafra

    2009-02-01

    Full Text Available El envejecimiento de las sociedades económicamente avanzadas se plasma en un incremento significativo de la población mayor de 65 años, y entre las características de tales poblaciones destaca el hecho de su elevado grado de dependencia; podemos definir esta situación como la necesidad de ayuda o asistencia que requiere una persona para la realización de sus actividades más habituales o comunes. A lo largo de las próximas páginas se caracterizará en primer lugar tal envejecimiento, derivado del desarrollo económico de los países occidentales durante el último tercio del siglo pasado y acompañado de importantes mejoras sanitarias con el consiguiente incremento en la esperanza de vida, entre otras cuestiones. A continuación nos centraremos en la situación de dependencia, sus características socio-económicas y sus implicaciones en el Estado del Bienestar, para finalizar con una breve exposición de las posibles soluciones privadas a la situación planteada. Posteriormente se muestran las principales conclusiones. Aging of economically advanced societies is reflected in a significant increase in the population over 65, and between the characteristics of such populations highlights the fact its high degree of dependence, which is defined as the need for help or assistance that requires a person to perform its usual or common activities. Throughout the following pages aging will be characterized as derived from economic development in Western countries during the last third of the last century and accompanied by significant health improvements with a consequent increase in life expectancy, among other issues. Here we will focus on the situation of dependency, their socio-economic characteristics and their implications for the welfare state, ending with a brief discussion of possible private solutions to the situation set out. The main conclusions are finally shown.

  8. Neumología intervencionista: estado actual y perspectivas de futuro

    OpenAIRE

    Escribano Dueñas, Ana Milagrosa

    2011-01-01

    La neumología intervencionista es un campo de la medicina que suscita un interés creciente, esto se refleja en numerosas publicaciones de la literatura científica en los últimos años. La realización de estas técnicas en los centros especializados es una práctica cada vez más frecuente por su seguridad, sus resultados satisfactorios y sus beneficios en el tratamiento sintomático de la obstrucción de la vía aérea central. Realizamos un estudio de seguimiento prospectivo reclutando de 67 ...

  9. Perspectivas actuales de la filosofía y la pedagogía del deporte

    Directory of Open Access Journals (Sweden)

    Oscar Chiva Bartoll

    2016-04-01

    Full Text Available La filosofía del deporte, al igual que la pedagogía, la historia y otrosestudios humanísticos alrededor del fenómeno deportivo, ha permanecido tradicionalmente en un segundo plano en facultades e instituciones educativas, incluso en aquellas cuyo fin es, precisamente, comprender adecuadamente cómo y por qué jugamos del modo que lo hacemos y con qué finalidades (Kretchmar, 2005. En una reciente editorial de la revista Sport, Ethics and Philosophy, Michael McNamee (2015 hace un repaso de laactualidad, exponiendo cómo a pesar de que la disciplina no para de crecer y ganar protagonismo, sobre todo en el ámbito editorial, no acaba de hacerse el hueco pertinente en la academia.

  10. Fuentes convencionales y no convencionales de energía: estado actual y perspectivas

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    Paulo César Narváez Rincón

    2010-09-01

    Full Text Available Este artículo presenta un panorama mundial y nacional de las fuentes de energía y la distribución de su uso por tipo de combustible y los sectores a los que se destina. Describe algunas fuentes no convencionales de energía, haciendo énfasis en algunas cifras de aquellas que se clasifican como bioenergía y que se utilizan en mayor porcentaje en el transporte y en la generación de energía eléctrica. Introduce las políticas colombianas para el fomento del uso racional de la energía (URE y las fuentes de energía no convencionales (FENC y compara las metas colombianas con las que plantean la Comunidad Económica Europea y Estados Unidos.

  11. Profilaxis antimicrobiana previa a procedimientos dentales. Situación actual y nuevas perspectivas

    OpenAIRE

    Luis Fernando Rodríguez-Campos; Hilda Ceballos-Hernández; Alfredo Bobadilla-Aguirre

    2017-01-01

    La bacteremia secundaria a los procedimientos dentales puede dar origen a episodios de endocarditis infecciosa. La implementación de la profilaxis antimicrobiana tiene como finalidad aminorar la bacteremia transitoria reduciendo la posibilidad de desarrollar endocarditis infecciosa, por lo que es indispensable conocer qué antibióticos son de elección y en qué casos o situaciones administrarlos u omitirlos. Existen múltiples guías para aplicar profilaxis antimicrobiana, éstas difieren en sus r...

  12. Current perspectives of acute pain treatment Perspectivas actuales de tratamiento del paciente con dolor agudo

    Directory of Open Access Journals (Sweden)

    Tiberio Alvarez Echeverri

    1993-03-01

    Full Text Available

    In the last years opioids have become of great importance in the relief of postoperative and other forms of acute pain. Reasons for this trend have been the availability of agonist opioids like phentanyl. sulphentanyl and alphentanyl and the results of research on the physlology. The pharmacology and the chemistry of drug receptors and neurotransmitters. The studies on chemicals other than opioids that contribute to pain relief when administered through different ways. specially the spinal. Have also influenced such a trend.

    En los últimos años los opiáceos han adquirido gran importancia en el alivio del dolor agudo especialmente del tipo postoperatorio. Una de las razones ha sido la disponibilidad de morfínicos agonistas como el fentanil, el sufentanil y el alfentanil; otra es la investigación de la fisiología, la farmacología y la química de los receptores y los neurotransmisores como de sustancias diferentes a los opláceos, aplicadas por diferentes vías en especial la espinal, que coadyuvan al alivio del dolor.

  13. Profilaxis antimicrobiana previa a procedimientos dentales. Situación actual y nuevas perspectivas

    Directory of Open Access Journals (Sweden)

    Luis Fernando Rodríguez-Campos

    2017-08-01

    Full Text Available La bacteremia secundaria a los procedimientos dentales puede dar origen a episodios de endocarditis infecciosa. La implementación de la profilaxis antimicrobiana tiene como finalidad aminorar la bacteremia transitoria reduciendo la posibilidad de desarrollar endocarditis infecciosa, por lo que es indispensable conocer qué antibióticos son de elección y en qué casos o situaciones administrarlos u omitirlos. Existen múltiples guías para aplicar profilaxis antimicrobiana, éstas difieren en sus recomendaciones, a tal grado que pueden confundir al facultativo al momento de determinar si el paciente requiere antibiótico profiláctico y a elegir el antimicrobiano adecuado.   OBJETIVO: comparar las diferentes guías de profilaxis antimicrobiana y recomendaciones para converger en una recopilación única con las aportaciones destacadas de cada guía revisada; de la misma manera, exponer el régimen utilizado en nuestra institución por el servicio de estomatología.   CONCLUSIÓN: el estomatólogo se puede basar principalmente en las guías de la American Heart Association (AHA y el Centro Nacional de Excelencia Tecnológica en Salud (CENETEC para condiciones cardiacas que ameriten profilaxis antimicrobiana, y para pacientes con enfermedades sistémicas sobre la guía de la American Academy of Pediatric Dentistry (AAPD y las recomendaciones de nuestra institución. La administración de profilaxis antimicrobiana se da por razones científicas consolidadas y por carácter de tipo médico-legal, en un futuro se espera establecer criterios para aumentar los métodos no antibióticos preventivos de endocarditis infecciosa y aminorar el uso de antimicrobianos, reduciendo el uso de antibiótico profiláctico, sin exponer al paciente a infecciones diseminadas y con mínimos efectos secundarios posibles.

  14. AVANCES EN REGENERACIÓN AUDITIVA. ESTADO ACTUAL Y PERSPECTIVAS FUTURAS

    Directory of Open Access Journals (Sweden)

    Dr. Juan Cristóbal Maass, PhD

    2016-11-01

    Full Text Available La sordera es uno de los defectos congénitos más frecuentes en el mundo y puede llegar a alcanzar hasta un 50% en los adultos mayores de 70 años. La mayor parte de la pérdida de audición se produce por daño en las células ciliadas (CC, que son las encargadas de transformar las ondas acústicas mecánicas en señales electroquímicas que se dirigen al área auditiva de la corteza cerebral. Estas células ubicadas en el órgano de Corti (OC no tienen capacidad regenerativa, por lo que al verse severamente afectadas, se pueden dañar irreversiblemente, produciéndose sordera en el individuo. Sin embargo, durante una ventana de tiempo existe un potencial regenerativo donde células del OC aún jóvenes pueden ser reprogramadas con fines regenerativos. Teniendo esto en cuenta, se han intentado diversos métodos para regenerar las CC o las células de sostén (CS que las rodean. Terapias como la inyección de células madre (CM en el oído interno, manipulación de genes que participan en la salida del ciclo celular para inducción de proliferación y trans-diferenciación de las células mencionadas, han sido probadas en roedores jóvenes con diferentes grados de éxito. Por otro lado, se ha mostrado la posibilidad de inducir la producción de CC durante el desarrollo uterino, lo que parece un enfoque prometedor para el tratamiento de sordera en individuos jóvenes. A pesar de esto, son necesarias más investigaciones para probar con éxito cualquiera de estas terapias, en individuos humanos adultos y de esta manera, poder inducir la regeneración celular en el oído humano dañado extensamente.

  15. La revista "Materiales de Construcción": historia, situación actual y perspectivas

    OpenAIRE

    Puertas, F.; Alonso López, Mª del Mar; Vázquez, T.

    2008-01-01

    Comunicación presentada en las II Jornadas de Investigación en Construcción: "60 años de Informes de la Construcción", celebradas los pasados 22, 23 y 24 de mayo de 2008 en el Instituto "Eduardo Torroja" de Ciencias de la Construcción (IETCC-CSIC) de Madrid.

  16. Actualities

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    This paper is a summary of the Cedigaz annual report about the economic analysis of the worldwide natural gas statistical data for the year 1994. This report gives an up-to-date balance sheet of: the proved reserves, the production and consumption rates, the evolutions and tendencies of the international trade, the retail prices on the international market. (J.S.). 2 tabs

  17. Evaluation of LRINEC Scale Feasibility for Predicting Outcomes of Fournier Gangrene.

    Science.gov (United States)

    Kincius, Marius; Telksnys, Titas; Trumbeckas, Darius; Jievaltas, Mindaugas; Milonas, Daimantas

    2016-08-01

    Fournier gangrene (FG) is a fulminant necrotizing infection of the perineal, perianal, and periurethral tissues. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) scale is used for diagnosis of necrotizing fasciitis. However, data on its relevance and usefulness in FG are lacking. The aim of this study was to evaluate the utility of the LRINEC scale in predicting the outcome of FG. This retrospective case study included 41 patents with FG treated at our institution from 2000 to 2013. The patients were divided into survivors and non-survivors. The mortality rate was 22%. The median age (75 vs. 62.5 y; p = 0.013), rate of co-existing diabetes mellitus (66.7% vs. 3.1%; p < 0.001), and median affected skin surface (4% vs. 1%; p < 0.001) were greater in the non-survivors. Seven of nine patients (77.8%) who did not survive (compared with 37.5% who survived) had a polymicrobial infection (p = 0.032). Of all the causative pathogens isolated, Proteus mirabilis was more common in non-survivors (55.6% vs. 6.3%; p = 0.001). The median calculated LRINEC score for survivors was 5 compared with 10 for the non-survivors (p < 0.001). Regression analysis showed that all the aforementioned variables, except for polymicrobial culture, were significant risk factors for predicting death. The area under the receiver operating characteristic curve for the LRINEC score was the highest, 0.976 (95% confidence interval 0.872-0.999; p < 0.0001), and the cut-off value was ≥9 with 93.7% specificity and 100% susceptibility for the prediction of a lethal outcome. The LRINEC score could be used for prediction of disease severity and outcomes. A threshold of 9 could be a high-value predictor of death during the initial evaluation of patients with FG.

  18. Crisis y perspectivas de la industria automotriz argentina

    Directory of Open Access Journals (Sweden)

    Damián Andrés Bil

    2016-12-01

    Full Text Available Con la conformación del Mercosur, la automotriz argentina se expandió. Durante los últimos años alcanzó récords de producción, exportaciones y ventas; al punto que se la señala como ejemplo de una nueva etapa productiva. No obstante, desde finales de 2013 el complejo experimenta una crisis que provocó una considerable caída de los indicadores, con suspensiones e incluso despidos en las empresas de autopartes. En este artículo, proponemos revisar los indicadores de la actividad (escala y mercado, productividad, costo laboral, saldo comercial en perspectiva histórica y en el contexto de la competencia internacional. El objetivo es determinar si la situación actual corresponde a un inconveniente coyuntural, o si por el contrario expresa límites históricos que la automotriz argentina no ha superado; y sus perspectivas. *Palabras clave: Argentina, automotriz, crisis, competitividad, Mercosur

  19. Modified Fournier and rainfall concentration indices, as estimators of soil erosion factors, Sinaloa, Mexico; Indices de Fournier modificado y de concentracion de la precipitacion, como estimadores del factor de riesgo de la erosion, en Sinaloa, Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Velasco, I.; Costes, G.

    2009-07-01

    Some of the parameters which characterize the climatic zones, identified as Hydric Regime Indices are the rainfall concentration index ICP), and the Modified Fournier index (IFM), which allow to evaluate, in terms of the rainfall behavior, the risk of soil erosion. The conventional ICP rank of variation foes from uniforms to irregular (8 to 100%). The calculation of this index must be done for every year and then the average is the value to use. IFM considers the monthly rainfall of the most humid month of the year in relation to the other months. This index characterizes the rainfall aggressiveness, and their conventional values go from very low (0 to 60), until very high (more than 160), and mainly mean the vulnerability and risk to soil loss. (Author) 2 refs.

  20. La comprensión de los costos en las organizaciones desde la perspectiva cualitativa

    OpenAIRE

    Mesías, Jaime León

    2006-01-01

    103 p. La estructura temática de este proyecto pretende resaltar la comprensión de los costos por parte de las organizaciones desde la perspectiva cualitativa, lo cual permite revisar la concepción histórica que se ha tenido de este sistema de información a través del tiempo y el porqué del dominio cuantitativo actual. Por eso en el primer capítulo (Comprensión Actual de los Costos) se mencionan las diferentes corrientes económicas y filosóficas como el Capitalismo y el Utilitarismo, el Sa...

  1. Fournier gangrene: a rare case of necrotizing fasciitis of the entire right hemi-pelvis in a diabetic female.

    Science.gov (United States)

    Taylor, Gregory M; Hess, David V

    2018-02-01

    Fournier's gangrene, a rare polymicrobial infection that affects the genitals and perineum, can present as an insidious onset to a rapid and fulminant course. Early recognition, diagnosis, initiation of broad-spectrum antibiotics and prompt surgical treatment remain the foundation of management. If treatment is not initiated aggressively, the patient will likely rapidly deteriorate, leading to organ failure and death. We present the case of a 58-year-old diabetic female presenting febrile, hypoxic, with severe respiratory distress and evidence of septic shock, found to have necrotizing fasciitis of the entire right hemi-pelvis. Despite rapid recognition, IV antibiotics and operative management, the patient went to the intensive-care unit on multiple pressors and died 24 h later.

  2. O ATLETISMO NA PERSPECTIVA EDUCACIONAL

    Directory of Open Access Journals (Sweden)

    Leandro Araujo de Sousa

    2017-06-01

    Full Text Available A educação física escolar deve proporcionar experiências aos alunos para o seu desenvolvimento integral. As aulas muitas vezes são reduzidas ao ensino de esportes tradicionais, o que limita o repertório de movimentos dos alunos. Dessa forma o presente estudo de revisão objetiva problematizar o atletismo no ambiente escolar e propor possibilidades pedagógicas para seu ensino. Nesta pesquisa propomos tratar o ensino do atletismo na escola, caracterizando-o pelo seu repertório de movimentos que são naturais ao ser humano, como correr, saltar e lançar, o que possibilita maior praticidade em sua aplicação pedagógica, porém essas possibilidades não são consideradas no ambiente educacional. Diante dos dados encontrados, sugerimos que esse esporte seja abordado de forma multidimensional no ambiente escolar contextualizando-o à visão de algumas correntes teóricas. Nessa perspectiva do esporte educacional, o atletismo pode, assim como deve ser trabalhado nas aulas de educação física como instrumento pedagógico de ensino e auxiliar na formação do aluno de forma global.

  3. Robustez mental: uma perspectiva integradora

    Directory of Open Access Journals (Sweden)

    Ant\\u00F3nio Rosado

    2013-01-01

    Full Text Available La literatura en psicología del deporte se refiere a la fortaleza mental como una de las características psicológicas más importante en el rendimiento deportivo, sin embargo los investigadores hasta ahora le han dedicado poco tiempo al estudio de este construto. Esta revisión aborda las principales definiciones y conceptualizaciones sobre la fortaleza, relacionándola con otros construtos similares y concurrentes intentando integrar diversas perspectivas provenientes de diferentes ámbitos de investigación. Proponemos que la fortaleza mental del deportista sea concebida como un sistema ecológico y dinámico de gestión de recursos, en una concepción que amplía el concepto de fortaleza a una meta-competencia involucrando la integración dinámica de recursos psicológicos de los más variados, diferentes en función de las caraterísticas de los individuos, de la naturaleza de los problemas, de las situaciones y de los contextos, del modo de enfrentar los retos de la vida y las tareas de la existencia.

  4. Carioca: a perspectiva da enfermagem

    Directory of Open Access Journals (Sweden)

    Ana Elisa Fernandes Lima

    2015-01-01

    Full Text Available Objetivo: describir las acciones recomendadas por el Programa Cigüeña Carioca para atención a las parturientes y determinar si la aplicación de este Programa tuvo repercusiones en esta asistencia desde la perspectiva del equipo de enfermería. Métodos: estudio descriptivo, con abordaje cualitativo, realizado en una maternidad pública. Entrevistas semiestructuradas se realizaron con cuatro enfermeras obstétricas y siete auxiliares de enfermería que trabajan en el centro de obstetricia de la maternidad. Se utilizó la técnica de análisis de contenido temático. Resultados: las categorías del estudio fueron: Calificación de la atención obstétrica hospitalaria y Repercusiones asistenciales y profesionales del Programa Cigüeña Carioca. Conclusión: el personal de enfermería consideró que la aplicación del Programa ha traído mejoras en la atención al parto, favoreciendo la garantía de los derechos de la mujer y el cumplimiento de la enfermería obstétrica en la red de salud municipal.

  5. Sociedad civil: una perspectiva crítica

    Directory of Open Access Journals (Sweden)

    Domingo García Marzá

    2012-02-01

    Full Text Available El concepto de sociedad civil es uno de los conceptos clave de la reflexión política actual acerca del potencial de cambio y transformación social que encierran muestras sociedades actuales. Se trata de un concepto complejo que pretende dar razón de ámbitos de interacción donde las capacidades de los sujetos para actuar y autoorganizarse no depende directamente del Estado. En este sentido el interés actual por la sociedad civil supone replantear el sentido de muchos de nuestros acuerdos institucionales y, por tanto, de su posible legitimidad, incluido el concepto mismo de democracia. De ahí que su comprensión requiera un acceso multidisciplinar desde enfoques filosóficos, sociológicos, históricos, etc. El número de Recerca que ahora presentamos intenta recoger esta pluralidad de perspectivas.

  6. Gangrena de Fournier: infección necrotizante de los genitales externos y del perine, a propósito de 5 casos

    Directory of Open Access Journals (Sweden)

    Haydee Wong Arocha

    1995-12-01

    Full Text Available La gangrena de Fournier es una forma de gangrena sinergística y frecuente del revestimiento cutáneo de los órganos genitales externos y del periné. Esta afección descrita por Fournier en 1884 recibe varias denominaciones como: gangrena escrotal y fulminante. La incidencia de esta entidad es poco frecuente, no obstante, dentro de las urgencias urológicas de nuestro Servicio de Urología, hemos apreciado que en los últimos 6 meses se han detectado un total de 5 casos para el 18,5 %. En los casos reportados hemos conocido los factores locales desencadenantes de ésta, con una puerta de entrada bien definida. Se precisan los microorganismos más frecuentes que estuvieron presentes y que demandaron un tratamiento quirúrgico agresivo de inmediato para lograr una evolución satisfactoria

  7. Are neutrophil-lymphocyte ratio and platelet-lymphocyte ratio as effective as Fournier's gangrene severity index for predicting the number of debridements in Fourner's gangrene?

    Science.gov (United States)

    Kahramanca, Sahin; Kaya, Oskay; Özgehan, Gülay; Irem, Burak; Dural, Ibrahim; Küçükpınar, Tevfik; Kargıcı, Hülagü

    2014-03-01

    Fournier's gangrene (FG) is a rapidly progressive and necrotizing infection of the subcutaneous and fascial tissues with a high mortality rate. In the present study, we aimed to investigate prognostic factors and analyze the outcomes of 68 patients in a tertiary reference hospital. Patients admitted to the emergency department were investigated retrospectively between January 2006 and January 2013 and divided into two groups. The patients in Group I (G1) required one debridement, and Group II (G2) patients required more than one. Patient demographic and clinical characteristics were encoded. Fournier's Gangrene Severity Index (FGSI) scores, neutrophil-lymphocyte ratios (NLR), and platelet-lymphocyte ratios (PLR) were calculated. Prognostic factors were compared between the groups. There were no statistically significant differences between the groups in terms of mean age, female-male ratio, or duration of symptoms on admission; however, there were more infection sources, predisposal factors, and positive culture results in G2. Additionally, hospital stay, total cost, and mortality rate values were high in G2. We found statistically higher NLR and PLR ratios in G2, but there was no significant difference in FGSI scores between the groups. The FGSI scoring system was not found to be valuable in determining prognosis. However, NLR and PLR were valuable, and previous use of NLR and PLR for determining Fournier's gangrene prognosis could not be found in the English literature.

  8. Negative pressure wound therapy applied before and after split-thickness skin graft helps healing of Fournier gangrene: a case report (CARE-Compliant).

    Science.gov (United States)

    Ye, Junna; Xie, Ting; Wu, Minjie; Ni, Pengwen; Lu, Shuliang

    2015-02-01

    Fournier gangrene is a rare but highly infectious disease characterized by fulminant necrotizing fasciitis involving the genital and perineal regions. Negative pressure wound therapy (NPWT; KCI USA Inc, San Antonio, TX) is a widely adopted technique in many clinical settings. Nevertheless, its application and effect in the treatment of Fournier gangrene are unclear. A 47-year-old male patient was admitted with an anal abscess followed by a spread of the infection to the scrotum, which was caused by Pseudomonas aeruginosa. NPWT was applied on the surface of the scrotal area and continued for 10 days. A split-thickness skin graft from the scalp was then grafted to the wound, after which, NPWT utilizing gauze sealed with an occlusive dressing and connected to a wall suction was employed for 7 days to secure the skin graft. At discharge, the percentage of the grafted skin alive on the scrotum was 98%. The wound beside the anus had decreased to 4 × 0.5 cm with a depth of 1 cm. Follow-up at the clinic 1 month later showed that both wounds had healed. The patient did not complain of any pain or bleeding, and was satisfied with the outcome. NPWT before and after split-thickness skin grafts is safe, well tolerated, and efficacious in the treatment of Fournier gangrene.

  9. An analysis of actual evapotranspiration

    NARCIS (Netherlands)

    Rijtema, P.E.

    1965-01-01

    The main interacting factors determining the actual evapotranspiration from crops were analysed.

    The apparent diffusion resistance of the crop was introduced because of the geometry of the evaporative surface. Its relation to light intensity and to suction in the leaves had been estimated for

  10. Síndrome de Fournier secundária a adenocarcinoma de próstata avançado: relato de caso Fournier's syndrome secondary to advanced prostatic adenocarcinoma: case report

    Directory of Open Access Journals (Sweden)

    Rodrigo Rocha Batista

    2010-06-01

    Full Text Available A Síndrome de Fournier é uma fasciite necrotizante rapidamente progressiva que acomete a genitália e região perineal. Mesmo com os avanços na terapêutica, a morbidade e a mortalidade desta afecção permanecem elevadas. É relatado caso de paciente masculino, 70 anos, com diagnóstico de adenocarcinoma de próstata avançado. Há um dia com dor e aumento de volume escrotal associado a febre. Ao exame físico, paciente séptico com gangrena gasosa do pênis e escroto; ao toque retal, lesão ulcero-vegetante em parede anterior do reto estendendo-se de 3 a 7 cm da borda anal. Realizado desbridamento cirúrgico, com identificação de fístula reto-escrotal transtumoral. Estudo histo-patológico da lesão retal confirmou infiltração por adenocarcinoma de próstata. Recebeu alta hospitalar no vigésimo dia de internação, atualmente em acompanhamento oncológico ambulatorial.Fournier's syndrome is a rapidly progressive necrotizing fasciitis affecting the genitalia and perineal region. Even with the advances in therapy, morbidity and mortality of this disease remain high. We report the case of male patient, 70 years old, diagnosed with advanced adenocarcinoma of the prostate. A day with pain and swelling near scrotum associated with fever. The physical examination revealed septic patient with gas gangrene of the penis and scrotum; on digital rectal examination, a vegetative and ulcerated lesion on the anterior wall of the rectum extending from 3 to 7 cm from the anal edge. Performed surgical debridement, with identification of scrotal-rectal fistula transtumoral. Histo-pathological study of the lesion confirmed rectal infiltration by adenocarcinoma of prostate. Was discharged from the hospital on the twentieth day of hospitalization, outpatient cancer currently monitoring.

  11. ATHENA: an actual antihydrogen annihilation

    CERN Document Server

    2002-01-01

    This is an image of an actual matter-antimatter annihilation due to an atom of antihydrogen in the ATHENA experiment, located on the Antiproton Decelerator (AD) at CERN since 2001. The antiproton produces four charged pions (yellow) whose positions are given by silicon microstrips (pink) before depositing energy in CsI crystals (yellow cubes). The positron also annihilates to produce back-to-back gamma rays (red).

  12. LITERATURA INTERCULTURAL CHILENA: PROYECTOS ACTUALES

    Directory of Open Access Journals (Sweden)

    Iván Carrasco M.

    2005-04-01

    Full Text Available Este trabajo define y sistematiza distintos aspectos de la interculturalidad textual, sus actuales manifestaciones literarias en Chile -la poesía etnocultural, la literatura del exilio y la escritura de inmigrantes- y sugiere su importancia en la alteración del canon de la modernidadThis work defines and systematizes different aspects of textual interculture, its literary manifestations in Chile to-day -ethnocultural poetry, exile literature, and the immigrants’ writing- suggesting its special importance in the alteration of the modernity canon

  13. Tendencias actuales del constitucionalismo latinoamericano

    OpenAIRE

    Jorge Carpizo

    2009-01-01

    El artículo analiza los cambios constitucionales que ha habido en América Latina y que han tenido incidencia directa en el progreso de la democracia en la región; de esta manera, hace una amplia comparación de la creación de instituciones que persiguen este fin en los diferentes estados. Desde una definición amplia y actual de democracia, se revelan sus principales focos de peligro como la ilegitimidad del Estado de derecho o la percepción de corrupción predominante en la población. El escrit...

  14. Is intensive multimodality therapy the best treatment for fournier gangrene? Evaluation of clinical outcome and survival rate of 41 patients.

    Science.gov (United States)

    Wagner, Sigrid; Greco, Francesco; Hoda, M Raschid; Kawan, Felix; Heynemann, Hans; Fornara, Paolo

    2011-10-01

    To evaluate the effect of surgical wound debridement, antibiotics, and hyperbaric oxygen (HBO) in the treatment of Fournier gangrene (FG). Forty-one patients with a mean age of 54.3±14.6 years were referred to our department with a diagnosis of FG. To calculate a Fourier Gangrene Severity Index (FGSI), nine factors were assessed (temperature; heart rate; ventilatory rate; serum sodium, potassium, creatinine, and bicarbonate concentrations; hematocrit; and leukocyte count). After clinical stabilization, extensive debridement of the necrotic tissue was performed, and a surgical vacuum-assisted closure (V.A.C.®) device was applied. Hyperbaric oxygen was administered; medical therapy consisted of intravenous antibiotics, electrolyte replacement, and parenteral nutrition. Intraoperative cultures revealed Escherichia coli in 27 patients (66%), Pseudomonas aeruginosa in 28 (68%), gram-positive cocci in 24 (59%), and mixed flora (aerobic and anaerobic bacteria) in 39 (95%). One month after primary debridement, wound granulation was sufficient for plastic surgical reconstruction in all patients. Because of the rapid worsening of FG, early diagnosis and immediate, aggressive multi-modality therapy with surgical debridement and broad-spectrum empiric antibiotics is crucial. The utility of HBO remains unproved.

  15. Unusual foreign body in the sigmoid colon, chronic alcohol abuse, and Fournier gangrene: a case report

    Directory of Open Access Journals (Sweden)

    Schulz D

    2015-03-01

    Full Text Available Dietmar Schulz,1 Georgiana Simona Mohor,2 Caius Solovan2,3 1Sana Kliniken Leipziger Land, Klinik fur Urologie, Borna, Leipzig, Germany; 2University Clinic of Dermatology and Venereology, Timisoara, Romania; 3Department of Dermatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Abstract: Fournier gangrene (FG is an infectious condition with fulminant evolution and is sometimes life-threatening. Here, we present the case of an immunocompromised 59-year-old male with surgical history of a pancreatic pseudocyst stented endoscopically. After unrecognized stent migration in the sigmoid without colonic perforation, he developed severe necrosis of the scrotum and perineum, which spontaneously perforated, presenting a smell suggesting moist gangrene. FG that has spread to the male genital organs presents therapeutic challenges. The purpose of our study is to present this case, typical for FG, with an educational aim both for the internal and surgical specialties, and the goal of further multidisciplinary collaboration for the optimal management of the patient with personalized treatment. Keywords: pancreatic stent, wound debridement, vacuum-assisted closure, transplanted skin, necrotizing infection

  16. How People Actually Use Thermostats

    Energy Technology Data Exchange (ETDEWEB)

    Meier, Alan; Aragon, Cecilia; Hurwitz, Becky; Mujumdar, Dhawal; Peffer, Therese; Perry, Daniel; Pritoni, Marco

    2010-08-15

    Residential thermostats have been a key element in controlling heating and cooling systems for over sixty years. However, today's modern programmable thermostats (PTs) are complicated and difficult for users to understand, leading to errors in operation and wasted energy. Four separate tests of usability were conducted in preparation for a larger study. These tests included personal interviews, an on-line survey, photographing actual thermostat settings, and measurements of ability to accomplish four tasks related to effective use of a PT. The interviews revealed that many occupants used the PT as an on-off switch and most demonstrated little knowledge of how to operate it. The on-line survey found that 89% of the respondents rarely or never used the PT to set a weekday or weekend program. The photographic survey (in low income homes) found that only 30% of the PTs were actually programmed. In the usability test, we found that we could quantify the difference in usability of two PTs as measured in time to accomplish tasks. Users accomplished the tasks in consistently shorter times with the touchscreen unit than with buttons. None of these studies are representative of the entire population of users but, together, they illustrate the importance of improving user interfaces in PTs.

  17. Indisciplinas sociales, su análisis desde la perspectiva metodológica del Marketing Social

    Directory of Open Access Journals (Sweden)

    MsC. Fernando Martínez -Gascón

    2015-10-01

    Full Text Available En la sociedad cubana actual, el estudio de las indisciplinas sociales se ha hecho desde la psicología y la sociología, entre otros campos; sin embargo, no se han realizado investigaciones desde la perspectiva del marketing social, el cual persigue el cambio de conductas en sus públicos diana; al presentarlo, admite integrar un conjunto de factores con el objetivo de contrarrestar actitudes y conductas negativas que alteran la convivencia social.

  18. Los Retos del Mercado Actual

    Directory of Open Access Journals (Sweden)

    Juan Quirós Sáenz

    2013-01-01

    Full Text Available Probablemente la empresa que sobreviva en laeconomía actual, no será la que tenga el mejor productoo servicio, sino la que tenga la mayor eficienciaoperacional y ofrezca un servicio sorprendente paraobtener la lealtad de sus clientes. Pero también, la quetenga ejecutivos de mercadeo con el conocimiento,carácter y determinación, para enfrentar estos retos deuna manera creativa.   ABSTRACT Most probably the companies that will survive presentday’s economy will not be the ones with the better productor service but the ones with greater operational efficiencywho offers outstanding service to attain customer loyalty.But also the companies with marketing executives thatpossess the knowledge, temper and determination to facethese challenges in a creative way.

  19. Una perspectiva innovadora en la formacion de administradores: el desarrollo de las inteligencias intra e interpersonales

    OpenAIRE

    Gomez Diaz de Leon, C.

    2004-01-01

    El artículo propone una nueva perspectiva en la formación de los administradores a partir de la identificación de las competencias directivas y de la importancia que en éstas tienen las que derivan de la inteligencia emocional. Después de destacar la importancia de la educación y de la formación en administración en el contexto universitario actual, se definen las competencias requeridas para la administración y se proponen algunas estrategias para mejorar la competitividad de los administrad...

  20. La financiarización de las relaciones salariales. Una perspectiva internacional. Madrid, La Catarata, 2012

    OpenAIRE

    Requena i Mora, Marina

    2014-01-01

    Para comprender las dimensiones económicas, políticas, ecológicas y, sobre todo, sociales, de la actual 'gran transformación' neoliberal en el sentido que Karl Polanyi le dio a este término, es necesario dar cuenta del proceso de financiarización, así como de sus múltiples y perniciosas consecuencias. En esta dirección se orienta la obra que aquí reseñamos La financiarización de las relaciones salariales. una perspectiva internacional.

  1. Una perspectiva innovadora en la formacion de administradores: el desarrollo de las inteligencias intra e interpersonales

    Directory of Open Access Journals (Sweden)

    Gomez Diaz de Leon, C.

    2004-01-01

    Full Text Available El artículo propone una nueva perspectiva en la formación de los administradores a partir de la identificación de las competencias directivas y de la importancia que en éstas tienen las que derivan de la inteligencia emocional. Después de destacar la importancia de la educación y de la formación en administración en el contexto universitario actual, se definen las competencias requeridas para la administración y se proponen algunas estrategias para mejorar la competitividad de los administradores en las organizaciones.

  2. Direitos sexuais e reprodutivos: uma perspectiva feminista

    OpenAIRE

    Corrêa, Sonia; Petchesky, Rosalind

    1996-01-01

    Neste artigo as autoras problematizam o conceito de direitos sexuais e reprodutivos, de maneira a retirá-Io do campo do pensamento individualista. Propõem, então, a sua releitura segundo a perspectiva dos direitos sociais, anunciando uma abordagem feminista desta questão. The authors wish rethink the concept of sexual rights and reproductive rights, with the theoretical intention to think these concepts outside the individualist tradition. They want to read this subject under the concept o...

  3. Tendencias actuales del constitucionalismo latinoamericano

    Directory of Open Access Journals (Sweden)

    Jorge Carpizo

    2009-12-01

    Full Text Available El artículo analiza los cambios constitucionales que ha habido en América Latina y que han tenido incidencia directa en el progreso de la democracia en la región; de esta manera, hace una amplia comparación de la creación de instituciones que persiguen este fin en los diferentes estados. Desde una definición amplia y actual de democracia, se revelan sus principales focos de peligro como la ilegitimidad del Estado de derecho o la percepción de corrupción predominante en la población. El escrito hace un estudio de los atributos más importantes que pueden encontrarse actualmente en esta parte del continente, y no todos ellos parecen ser siempre optimistas; tal es el caso, por ejemplo, de los referendos cuando no son conducidos conforme a la ley o los no siempre exitosos gobiernos divididos y de coalición. Es claro que el avance en materia de democracia ha sido significativo en los últimos treinta años, pero aún existen factores de riesgo que no deben perderse de vista puesto que resulta imperativo seguir el camino sin retroceder.

  4. Tendencias Actuales del Constitucionalismo Latinoamericano

    Directory of Open Access Journals (Sweden)

    Jorge Carpizo

    2009-12-01

    Full Text Available El artículo analiza los cambios constitucionales que ha habido en América Latina y que han tenido incidencia directa en el progreso de la democracia en la región; de esta manera, hace una amplia comparación de la creación de instituciones que persiguen este fin en los diferentes estados. Desde una definición amplia y actual de democracia, se revelan sus principales focos de peligro como la ilegitimidad del Estado de derecho o la percepción de corrupción predominante en la población. El escrito hace un estudio de los atributos más importantes que pueden encontrarse actualmente en esta parte del continente, y no todos ellos parecen ser siempre optimistas; tal es el caso, por ejemplo, de los referendos cuando no son conducidos conforme a la ley o los no siempre exitosos gobiernos divididos y de coalición. Es claro que el avance en materia de democracia ha sido significativo en los últimos treinta años, pero aún existen factores de riesgo que no deben perderse de vista puesto que resulta imperativo seguir el camino sin retroceder.

  5. Perspectivas de la personalidad en negociaciones y resolución de conflictos

    Directory of Open Access Journals (Sweden)

    Marhilde Sánchez de Gallardo

    2002-09-01

    Full Text Available El presente artículo destaca los aportes de las teorías psicológicas psicoanalítica, del aprendizaje y fenomenológica del estudio de la personalidad, en el desarrollo de conocimientos y habilidades útiles en la actividad profesional, referentes a la autoevaluación del comportamiento en las negociaciones efectuadas. Se concibe la personalidad como un todo organizado, en funcionamiento conjunto, donde se interrelacionan pensamientos, sentimientos y conductas que generan coherencia a la vida del ser humano. En la perspectiva psicoanalítica, la teoría de Sigmund Freud, la estructura de la personalidad ello, yo y super yo, regidos por los principios del placer, la realidad y la moral respectivamente, se encuentran en interacción dinámica, en su propósito por conducir las actividades del hombre. La perspectiva del aprendizaje se orienta a los factores ambientales que dirigen la conducta. En el condicionamiento operante, se estudian las consecuencias, después de ocurrida una conducta, que aumentan y disminuyen la probabilidad de repetición de dicha conducta. Las teorías del aprendizaje social o cognitivo, conceden elevada importancia a los procesos mentales y a los aspectos sociales del aprendizaje. La perspectiva fenomenológica enfatiza al individuo como un ser activo, creativo, que responde en forma subjetiva a las percepciones, relaciones y encuentros actuales, con tendencias hacia la autorrealización. Cada una de las perspectivas genera una amplia comprensión de la incidencia del capital humanoen las negociaciones.

  6. Self-actualization and poststroke rehabilitation.

    Science.gov (United States)

    Couture, Mélanie; Desrosiers, Johanne; Leclerc, Gilbert

    2007-06-01

    Rehabilitation is influenced by the individual's abilities and resources and extent to which they are used. This study explored self-actualization (capacity to maximize use of one's abilities and resources) in 37 individuals attending in-patient rehabilitation following a stroke by (1) comparing the level of self-actualization of the participants to the level of self-actualization of 562 healthy community-dwelling individuals without stroke; (2) assessing changes in the level of self-actualization during rehabilitation (admission vs. discharge); and (3) exploring the relationships between self-actualization and changes in functional independence during rehabilitation, length of stay in the rehabilitation unit and change in living environment at discharge. Self-actualization was assessed with the measure of actualization of potential. The results showed that individuals with stroke had significantly lower self-actualization levels (PSelf-actualization levels remained stable during rehabilitation (P=0.07). No significant relationships were found between self-actualization and changes in functional independence (P=0.36), length of stay (P=0.82) or change in living environment (P=0.65). This study suggests that many individuals with stroke are poorly actualized and self-actualization levels do not improve during rehabilitation. Further studies are needed to explore the relationship between self-actualization and other outcome measures in poststroke rehabilitation such as depressive symptoms or social participation.

  7. Perspectivas atuais da Informática em Enfermagem Perspectivas actuales en Informática en Enfermeria Current perspectives in Nursing Informatics

    Directory of Open Access Journals (Sweden)

    Heimar de Fátima Marin

    2006-06-01

    Full Text Available A Informática em Enfermagem é a área de conhecimento que estuda a aplicação dos recursos tecnológicos no ensino, na prática, na assistência e no gerenciamento da assistência e do cuidado. Recursos como reconhecimento de voz, bancos de conhecimento, projeto genoma e mesmo a Internet, têm oferecido para a Enfermagem uma gama de possibilidades para melhoria do desempenho profissional e melhoria do atendimento ao cliente/paciente. Este texto relata e exemplifica como tais recursos estão causando impactos e oportunidades para o ensino, pesquisa e principalmente, para a assistência de enfermagem ao cliente/paciente, ainda alerta para a importância do cuidado humanizado num cenário de alta tecnologia.Informática en Enfermería es una area del conocimiento que estudia la aplicación de los recursos tecnológicos en la enseñanza, en la practica, en la atención y en la gerencia de la atención. Recursos como el reconocimiento de la voz, las bases del conocimiento, el proyecto genoma y mismo la Internet tienen ofrecido a la Enfermería una gama de posibilidades para mejorar el performance profesional asi como para la mejora de la calidad de atención al paciente. Este texto presenta y ejemplifica como estos recursos estan impactando y presentando nuevas oportunidades para la enseñanza, investigación y especialmente para la atención de enfermería, ainda resalta la importancia de la atención humanizada en un cenario de alta tecnología.Nursing Informatics is the area of knowledge that studies the application of technological resources in teaching, in practice, in care, and in the management of care. Resources such as voice recognition, knowledge base, genoma project and even Internet have offered to Nursing a gama of possibilities for a better professional performance and better nursing care to the patient/client. This text reports and exemplifies how these resources are impacting and presenting new oportunities for teaching, research and specially for nursing care, still warns for the importance of humanized care in a high-tech scenario.

  8. The actual goals of geoethics

    Science.gov (United States)

    Nemec, Vaclav

    2014-05-01

    The most actual goals of geoethics have been formulated as results of the International Conference on Geoethics (October 2013) held at the geoethics birth-place Pribram (Czech Republic): In the sphere of education and public enlightenment an appropriate needed minimum know how of Earth sciences should be intensively promoted together with cultivating ethical way of thinking and acting for the sustainable well-being of the society. The actual activities of the Intergovernmental Panel of Climate Changes are not sustainable with the existing knowledge of the Earth sciences (as presented in the results of the 33rd and 34th International Geological Congresses). This knowledge should be incorporated into any further work of the IPCC. In the sphere of legislation in a large international co-operation following steps are needed: - to re-formulate the term of a "false alarm" and its legal consequences, - to demand very consequently the needed evaluation of existing risks, - to solve problems of rights of individuals and minorities in cases of the optimum use of mineral resources and of the optimum protection of the local population against emergency dangers and disasters; common good (well-being) must be considered as the priority when solving ethical dilemmas. The precaution principle should be applied in any decision making process. Earth scientists presenting their expert opinions are not exempted from civil, administrative or even criminal liabilities. Details must be established by national law and jurisprudence. The well known case of the L'Aquila earthquake (2009) should serve as a serious warning because of the proven misuse of geoethics for protecting top Italian seismologists responsible and sentenced for their inadequate superficial behaviour causing lot of human victims. Another recent scandal with the Himalayan fossil fraud will be also documented. A support is needed for any effort to analyze and to disclose the problems of the deformation of the contemporary

  9. Tratamiento actual de la fibromialgia

    Directory of Open Access Journals (Sweden)

    Begoña Dúo Uriarte

    2012-09-01

    Full Text Available La fibromialgia (FM es una patología crónica de etiología desconocida que provoca dolor muscular generalizado, asociado a un mal descanso nocturno y fatiga, afectando a factores físicos, psíquicos y sociales del paciente. Dada su elevada prevalencia en la población general, que afecta al 2,4% de la población española mayor de 20 años y la complejidad de su tratamiento, exige consensos de actuación que sirvan de guía a los profesionales de la salud. En esta revisión queremos aunar los conocimientos actuales en la literatura médica, aunque hay que resaltar que diariamente multitud de estudios y referencias médicas abordan el tema con mayor o menor rigor científico. Explicaremos las diversas modalidades terapéuticas que se han descrito, basándonos en la mejor evidencia científica disponible sobre los hallazgos y recomendaciones más relevantes para el tratamiento y manejo de los pacientes con FM. No existe en la actualidad un criterio unánime para su tratamiento, ni ningún fármaco aprobado específicamente para la FM, por ello, en su tratamiento resulta fundamental el abordaje multidisciplinar basado en ejercicio físico moderado, tratamiento farmacológico y psicológico.

  10. [Use of a Posterior Thigh Flap with the Gluteus Maximus for Perineal Reconstruction - A Case of Fournier's Gangrene with Rectal Cancer].

    Science.gov (United States)

    Tanaka, Hironori; Suzuki, Nobuaki; Tomochika, Shinobu; Inoue, Yuka; Kuwahara, Taichi; Sakamoto, Kazuhiko; Takeda, Shigeru; Ueno, Tomio; Yamamoto, Shigeru; Okita, Tomoko; Yoshimoto, Sho; Yoshino, Shigefumi; Hazama, Shoichi; Mutou, Masahiko; Nagano, Hiroaki

    2016-11-01

    We present a case of Fournier's gangrene secondary to rectal cancer that was managed with perineal reconstruction using a posterior thigh flap after debridement and tumor resection. A 67-year-old man was admitted with disturbed consciousness as well as hip and right thigh pain. His perineal and gluteal skin was necrotic. CT revealed subcutaneous emphysema that had spread from the rectum to the gluteal region and right thigh. We diagnosed him with Fournier's gangrene, and then removed the necrotic tissue and constructed a sigmoidostomy. A diagnosis of rectal cancer was later confirmed. Fifty-nine days after the initial operation, a laparoscopic abdominoperineal resection was performed. The perineal defect was repaired using a posterior thigh flap with the gluteus maximus. There were no postoperative complications, and the patient was discharged ahead of schedule. We concluded that the use of a posterior thigh flap is a good choice for perineal reconstruction, because it is simple to perform, can cover a large area, and has a low risk of infection.

  11. Pleomorphic malignant fibrous histiocytoma/undifferentiated high-grade pleomorphic sarcoma of the scrotum in a patient presenting as fournier gangrene: a case report.

    Science.gov (United States)

    Guo, Juan; Zhou, Shengmei; Rao, Nagesh P; Pez, Gholam H

    2010-10-01

    Pleomorphic malignant fibrous histiocytoma (MFH), also known as undifferentiated high-grade pleomorphic sarcoma according to the latest World Health Organization classification, is a diagnosis of exclusion and extremely rare in adult scrotal/paratesticular region. Clinical presentation of scrotal/paratesticular pleomorphic MFH is usually a painless and gradual scrotal swelling. We report a case of scrotal MFH in a 63-year-old man who presented as Fournier gangrene after 10-month painful scrotal swelling and multiple procedures. The specimen of emergent debridement was submitted for pathologic and bacteriologic examination. Microscopically, the lesion had marked architectural and cytologic pleomorphism. The neoplastic cells were positive for vimentin, but negative for all lineage-specific markers. Fluorescence in-situ hybridization showed an aneuploid karyotype and negative results for lipomatous tumor abnormalities. Bacterial cultures of the specimen showed extensive growth of virulent polymicrobes. The diagnosis of scrotal/paratesticular pleomorphic MFH with concurrent Fournier gangrene was made. Thoracic computed tomography scan showed bilateral multiple pulmonary nodules. The patient died 1 month later.

  12. Campus virtuales: una perspectiva evolutiva y tendencias

    Directory of Open Access Journals (Sweden)

    Santos Urbina

    2014-01-01

    Full Text Available El presente artículo revisa diferentes tipologías de campus virtuales formuladas a lo largo de los últimos años e intenta trazar, a partir de diferentes informes, su evolución en las universidades españolas. Por otra parte, considerando los elementos constitutivos de un campus virtual, se ofrece una propuesta de modelo desde una perspectiva evolutiva. Finalmente, se analizan diferentes informes acerca de las tendencias en el uso educativo de las TIC que incidirían directamente en la docencia virtual.

  13. Educar para a literacia : perspectivas e desafios

    OpenAIRE

    Azevedo, Fernando José Fraga de

    2011-01-01

    Comunicação proferida na abertura do "VII Encontro de Educação : Numeracia e Literacia em Educação" Esta conferência aborda as principais perspectivas e desafios com que nos confrontamos quando abordamos o conceito de literacia. Assume-se que a aprendizagem da literacia é um direito da pessoa e que o conceito incorpora, no seu espectro semântico, processos de transformação social e política, muito para além da mera aprendizagem e domínio das técnicas de leitura e de escrita.

  14. Gesti?n Humana: Tendencias y Perspectivas

    OpenAIRE

    Saldarriaga Rios, Juan Guillermo

    2008-01-01

    En este art?culo se hace referencia a las tendencias y las perspectivas de gesti?n humana que se imponen en el mundo en la actualidad y que, a su manera, pretenden optimizar la administraci?n del personal de la organizaci?n y contribuir al desarrollo e incremento de la productividad y la competitividad. Mediante la realizaci?n de un Estado del Arte se logran determinar algunas de las tendencias m?s relevantes en la actualidad y se concluye que, cada vez con mayor fuerza, dichas tendencias ...

  15. Errancias: la perspectiva de los procesos subjetivos

    Directory of Open Access Journals (Sweden)

    David Maldavsky

    1999-04-01

    Full Text Available Desde la perspectiva de los procesos subjetivos, el nomadismo (con o sin metas conduce a prestar atención al nexo con lo diverso, a la apropiación identificatoria o el repudio de los orígenes somáticos, las cuestiones ligadas con el multilingüismo, con la transmisión intergeneracional de los traumas y de las migraciones simbólicas de elementos correspondientes a lenguajes del erotismo que arraigan en los receptores al evocar relaciones de similitud o de complementariedad.

  16. ERRANCIAS: LA PERSPECTIVA DE LOS PROCESOS SUBJETIVOS

    OpenAIRE

    David Maldavsky

    1999-01-01

    Desde la perspectiva de los procesos subjetivos, el nomadismo (con o sin metas) conduce a prestar atención al nexo con lo diverso, a la apropiación identificatoria o el repudio de los orígenes somáticos, las cuestiones ligadas con el multilingüismo, con la transmisión intergeneracional de los traumas y de las migraciones simbólicas de elementos correspondientes a lenguajes del erotismo que arraigan en los receptores al evocar relaciones de similitud o de complementariedad.

  17. ERRANCIAS: LA PERSPECTIVA DE LOS PROCESOS SUBJETIVOS

    Directory of Open Access Journals (Sweden)

    David Maldavsky

    1999-01-01

    Full Text Available Desde la perspectiva de los procesos subjetivos, el nomadismo (con o sin metas conduce a prestar atención al nexo con lo diverso, a la apropiación identificatoria o el repudio de los orígenes somáticos, las cuestiones ligadas con el multilingüismo, con la transmisión intergeneracional de los traumas y de las migraciones simbólicas de elementos correspondientes a lenguajes del erotismo que arraigan en los receptores al evocar relaciones de similitud o de complementariedad.

  18. Grupos vivenciais sob uma perspectiva junguiana

    Directory of Open Access Journals (Sweden)

    Laura Villares de Freitas

    2005-09-01

    Full Text Available Este artigo tece considerações quanto à possibilidade e ao alcance de grupos vivenciais, sob a perspectiva da Psicologia Analítica de Carl G. Jung, em nosso contexto socio-econômico atual. Há uma proposta prática de grupos de construção de máscaras e personagens, e a apresentação e comentários das contribuições de diferentes autores que trazem conceitos junguianos clássicos para a dimensão grupal, consideram de maneira criativa o ritual, do ponto de vista psicológico, e questionam a viabilidade de trabalhos grupais. Numa abordagem mitológica, são considerados Górgona, Dioniso, Ártemis, Eco e Narciso, com destaque à deusa grega Héstia, cujas características são relacionadas a aspectos necessariamente presentes nos grupos vivenciais e à possibilidade de ocorrer uma experiência psicológica. Os grupos vivenciais são considerados favorecedores da perspectiva de alteridade, na medida em que cada participante tem neles a oportunidade de se afirmar e de ser confirmado, isto é, de se expressar e de refletir, num campo interacional fértil.

  19. Compatibility of self-actualization and anxiety.

    Science.gov (United States)

    Dodez, O; Zelhart, P F; Markley, R P

    1982-10-01

    Dabrowski's (1972) theory of positive disintegration argues that anxiety appears to be the dynamic of self-actualization. A study to assess this hypothesis (Wilkins, Hjelle, & Thompson, 1977) reported that self-actualization was incompatible with chronic, debilitating or neurotic anxiety. The current study further examined the empirical and conceptual relation between anxiety and self-actualization. A measure of self-actualization (the POI) and two measures of anxiety were taken from Ss (N = 126). Thirty-three items from the POI were found to be measures of anxiety and were scored negatively for self-actualization. Removal of anxiety items and rescoring of the POI yielded self-actualization measures that were related positively to anxiety test scores. The results indicate that the POI theoretically is biased against anxiety, the conclusion of Wilkins et al. is not necessary, and Dabrowski's theory remains viable.

  20. Perspectivas en torno a la seguridad

    Directory of Open Access Journals (Sweden)

    Enrique Eduardo Fernández Ferreira

    2013-12-01

    Full Text Available Tomando en consideración la perspectiva evolutiva del concepto de seguridad, realizamos un breve y sucinto recorrido sobre las ideas que han propiciado un planteamiento global e integrador en la elaboración de las Estrategias de Seguridad adoptadas en nuestro entorno geopolítico. En todos los ámbitos se hace referencia a la necesidad de integrar los diferentes elementos y actores que forman parte de las estructuras de seguridad, pero se echa en falta una apuesta decidida en este sentido. El planteamiento objeto de este artículo pretende llamar la atención sobre la esfera local, la cual, a través de sus propias estructuras, juega un papel importante y de primer nivel, en todo lo concerniente a la seguridad. Integrar la perspectiva local en el tratamiento de la seguridad establecido desde las Estrategias adoptadas para hacer frente a los nuevos retos y amenazas, se justifica por sí mismo, tanto desde una perspectiva conceptual como estructural, teniendo en cuenta que es, precisamente en las ciudades, donde más se perciben las dinámicas asociadas a la seguridad. | Considering the evolutionary nature of security, this work presents a brief and succinct walk throughout the ideas that have led to a global and integrating approach in the build-up of the security strategies embraced by the geopolitical environment we live in. All areas of study stress the need for the integration of all the different elements and actors security structures consist of, but a firm commitment therein has yet to be made. The approach presented in this work aims at drawing attention to the local level, which, throughout its own structures, plays an instrumental role in all what has to do with security. Integrate the local outlook into the strategies adopted to face the new security challenges and threats seems evident, both from a conceptual standpoint as well as from a more structural angle, since it is precise in the cities, that the security dynamics are best

  1. El aprendizaje de la acción táctica en el deporte: Perspectivas y enfoques actuales

    OpenAIRE

    Ruiz Perez, Luis Miguel

    2014-01-01

    Existe un creciente interés por la enseñanza y desarrollo de las habilidades tácticas y decisionales de los más jóvenes. Los enfoques y modelos están en plena transición de postulados cognitivos a los postcognitivos. Esta circunstancia hace que en la actualidad nos encontremos con una amplia variedad de denominaciones y de propuestas, pero que se manifieste una carencia de definición clara de qué es la competencia táctica estando más a merced de la opinión y valoración de los diferentes a...

  2. Liderazgo de rango total y gestión del conocimiento: situación actual y perspectivas de desarrollo

    OpenAIRE

    Burbano Botero, Nathalia; Samaca, Hugo Alejandro

    2016-01-01

    El presente trabajo muestra los tipos de liderazgo de rango total y su relación con respecto a la gestión del conocimiento. Para ello, en primer lugar, se efectúa la investigación teórica del liderazgo transaccional y del liderazgo transformacional, ya que estos hacen parte del liderazgo de rango total, de igual forma se estudiará los aspectos primordiales de la gestión del conocimiento, dando cavidad al análisis de la relación entre dichos conceptos y cómo influyen en la perdurabilidad de la...

  3. Industrial property as competitiveness factor, current situation and prospects; Propiedad industrial como factor de competitividad situacion actual y perspectivas

    Energy Technology Data Exchange (ETDEWEB)

    Casado Cervino, A.

    2011-07-01

    Throughout this paper, we analyze what is the status of IP in national and international levels and the number and origin of IP applications. This analysis allows to state that our country needs a change in the current economic model in which IP rights must be central. Moreover, this is the purpose of PI Plan 2010-2012: Plan for the Promotion of Industrial Property in Spain, an initiative of the Ministry of Industry, Tourism and Trade approved by the Council of Ministers on March 9, 2010- designed to strengthen the IP in the Spanish economy. (Author) 35 refs.

  4. Wave Energy: State of the Art and future perspectives; Energia del oleaje: estado actual y perspectivas futuras

    Energy Technology Data Exchange (ETDEWEB)

    Ruiz Minguela, P.; Vilate Martinez, J. L.; Salcedo Fernandez, F.

    2008-07-01

    Among all the ways for harnessing ocean energy, wave energy is the most promising one due to its high power density and the number of existing projects under development. Although the first attempts to exploit wave energy go back to similar periods of other renewable energy sources, no particular technology has yet proved to be successful. This article introduces a classification of the various devices being developed at present. Also, there are reviewed the different international and national strategic actions set in place in order to promote technology development of wave energy extraction. Finally, the future perspectives of this kind of energy source are pointed out. Key words: wave energy converters, ocean energy, renewable energy sources. (Author)

  5. SOCIEDADES CIENTÍFICAS DE ESTUDIANTES DE MEDICINA EN EL PERÚ: SITUACIÓN ACTUAL Y PERSPECTIVAS FUTURAS

    OpenAIRE

    Álvaro Taype-Rondán; Juan Huaccho-Rojas; Lizeth Guzmán

    2011-01-01

    Objetivo: Describir las actividades que realizan y planean realizar las Sociedades Científicas de Estudiantes de Medicina (SOCEM) peruanas. Métodos: Se realizó un estudio observacional, descriptivo y transversal, mediante la aplicación de encuestas a los presidentes de las SOCEM peruanas. Se recogieron variables relacionadas al presidente encuestado (capacitación y producción científica), a las actividades de la SOCEM (las que fueron realizadas en el último año, y las que se planean realiza...

  6. SOCIEDADES CIENTÍFICAS DE ESTUDIANTES DE MEDICINA EN EL PERÚ: SITUACIÓN ACTUAL Y PERSPECTIVAS FUTURAS

    Directory of Open Access Journals (Sweden)

    Álvaro Taype-Rondán

    2011-01-01

    Full Text Available Objetivo: Describir las actividades que realizan y planean realizar las Sociedades Científicas de Estudiantes de Medicina (SOCEM peruanas. Métodos: Se realizó un estudio observacional, descriptivo y transversal, mediante la aplicación de encuestas a los presidentes de las SOCEM peruanas. Se recogieron variables relacionadas al presidente encuestado (capacitación y producción científica, a las actividades de la SOCEM (las que fueron realizadas en el último año, y las que se planean realizar en el próximo año, y la opinión de los presidentes sobre las actividades que debería realizar la Sociedad Científica Médico Estudiantil Peruana (SOCIMEP. Estos datos fueron tabulados en Microsoft Excel 2010, y presentados en forma descriptiva. Resultados: Se encuestó a 26 presidentes, de los cuales 25 han realizado o están realizando algún trabajo de Investigación, y solo cinco tienen alguna publicación. Los principales obstáculos de las SOCEM fueron el no contar con asesores científicos y los pocos incentivos que brindan las facultades para que los estudiantes realicen investigación. Las actividades realizadas con mayor frecuencia fueron los cursos de capacitación en investigación. En opinión de los presidentes, estos cursos deben seguir siendo realizados por las SOCEM y la SOCIMEP. Conclusión: Es necesario que las SOCEM y la SOCIMEP elaboren cursos de investigación, organicen un sistema de asesoría e inviertan tiempo en concientizar sobre la importancia de la investigación no solo a los estudiantes sino también a las autoridades de cada facultad de Medicina.

  7. Perspectivas actuales de la teoría crítica en México y Alemania

    OpenAIRE

    Stefan Gandle

    2012-01-01

    En este ensayo comparamos la teoría del reconocimiento de Axel Honneth con la teoría de las cuatro ethe históricos de la modernidad capitalista de Bolívar Echeverría. La teoría del reconocimiento se puede considerar, desde su introducción por G. W. F. Hegel, como clara expresión y a la vez descripción de aquel ethos que Echeverría denomina ¿ethos realista¿ (y ¿por lo menos en Hegel¿ también se encuentra en cierta relación con aquel que Echeverría llama ¿ethos clásico¿ y ¿ethos romántico¿). Es...

  8. Perspectivas actuales de la teoría crítica en México y Alemania

    Directory of Open Access Journals (Sweden)

    Stefan Gandle

    2012-01-01

    Full Text Available En este ensayo comparamos la teoría del reconocimiento de Axel Honneth con la teoría de las cuatro ethe históricos de la modernidad capitalista de Bolívar Echeverría. La teoría del reconocimiento se puede considerar, desde su introducción por G. W. F. Hegel, como clara expresión y a la vez descripción de aquel ethos que Echeverría denomina ¿ethos realista¿ (y ¿por lo menos en Hegel¿ también se encuentra en cierta relación con aquel que Echeverría llama ¿ethos clásico¿ y ¿ethos romántico¿. Esta teoría sufre la limitación de partir con cierta ingenuidad de la idea que dentro de la formación social actualmente existente, que es la burguesa/capitalista, fuera posible el reconocimiento de todos los miembros de la sociedad, incluyendo las minorías y aquellos grupos que son percibidos y tratados como minorías, aun si objetivamente no lo son. La teoría de los cuatro ethe históricos de la modernidad de Echeverría (que analiza, además de los mencionados, también el ethos barroco trata de superar esta limitación, al considerar formas de convivencia modernas, desarrolladas fuera de Europa y Estados Unidos.

  9. Estado actual y perspectivas de futuro de la potestad autonómica para crear impuestos propios

    Directory of Open Access Journals (Sweden)

    Irene Rovira Ferrer

    2016-10-01

    Full Text Available Despite their relevance as a source of funding and their chaotic proliferation in recent times, the revenue from the power of Autonomous Communities to create their own taxes is almost testimonial. The regulation of these taxes, scattered and confused, has become a source of multiple legal and political conflicts, which resulted in not always clear and consistent jurisprudence of the Constitutional Court. For that reason, and keeping in mind the limitations that are arriving from the European Union, it is necessary to develop an updated study of that power, and it is the main objective of this work. In particular, an overview of its current status in the different Autonomous Communities will be provided (with special reference to Catalonia. Moreover, the determination of the main problems encountered and a first approach about its future will be done.

  10. Psicología, subjetividad y cultura en el mundo Maya actual: una perspectiva crítica

    Directory of Open Access Journals (Sweden)

    Jorge Mario Flores Osorio

    2003-01-01

    Full Text Available En la presente comunicación, después de hacer la crítica al concepto neo-colonial de Mesoamérica, se intenta demostrar que la subjetividad como espacio que contiene el fundamento del comportamiento psíquico, se construye como síntesis históricocolectiva y que en consecuencia demanda una racionalidad especial para su comprensión. Esa racionalidad se estudia en relación con una matriz piramidal, la cual es analizada. Asimismo, se considera que la concepción argumentada con base en el Pop Wuj o Libro del Tiempo Maya, puede permitir la conformación de una interpretación psicosocial consecuente con el espacio social y cultural de los Mayas en la actualidad

  11. Materias para la industria cerámica española. Situación actual y perspectivas

    Directory of Open Access Journals (Sweden)

    Sánchez, E.

    2006-02-01

    Full Text Available The ceramics and glass industry in Spain has witnessed spectacular growth in recent years – particularly in the latter half of the 1990s – in products such as ceramic tiles, bricks and roofing tiles, driven by the building boom in Spain. However, at the start of the 21st century, growth has clearly flattened, owing to the emergence of production hubs in China, Brazil and Asian-Pacific countries. Raw materials have played a critical role in this new scenario, owing their impact on final product cost. With a view to analysing this role the present study first describes the principal raw materials used in ceramics and glass compositions, briefly indicating the functions of these raw materials. The study then reviews the evolution of raw materials consumption and prices in a strongly globalised business context, and seeks to identify the causes of certain mismatches between supply and demand. Finally, the challenges facing raw materials supply are discussed, particularly in regard to sustainable development of resources, threats and advantages of the global market, and research and development of new materials.

    Los datos de la industria cerámica y vidriera en España muestran un espectacular crecimiento que tuvo lugar principalmente en la segunda mitad de los 90, en particular en productos relacionados con la construcción, como baldosas cerámicas o ladrillos y tejas, impulsados por una frenética actividad en este sector industrial en España. Sin embargo, con el comienzo de siglo, el modelo cerámico español muestra claros síntomas de agotamiento, como consecuencia del gran aumento de la producción en China, Brasil y países de la zona Asia-Pacífico. Las materias primas, por su gran incidencia en el coste final del producto, han jugado y jugarán un decisivo papel en este nuevo escenario. Para analizar este rol, en el presente trabajo se ha comenzado por describir las principales materias primas que intervienen en la formulación de las diferentes composiciones cerámicas y de vidrio, con una breve mención a la función que desempeñan. Seguidamente se ha revisado la evolución en el consumo y en los precios, en un contexto de negocio fuertemente globalizado, tratando de encontrar las causas que han motivado en algunos casos el desajuste entre la oferta y la demanda. Finalmente, se hará una reflexión sobre los retos que el suministro de materias primas tiene ante sí, haciendo especial hincapié en el desarrollo sostenible de los recursos, en las amenazas y ventajas del mercado global y en la investigación y desarrollo de nuevos materiales.

  12. Situación actual y perspectivas de la persecución a reclutadores de menores: el caso colombiano

    Directory of Open Access Journals (Sweden)

    Ana María Caballero Acevedo

    2015-10-01

    Full Text Available Este artículo busca conocer las disposiciones que serían aplicables a los reclutadores de menores en el conflicto armado colombiano, teniendo en cuenta (i la dinámica de reclutamiento en el país, (ii la normatividad internacional, (iii la normatividad nacional y (iv las tendencias relevantes en materia. A partir de un ejercicio de revisión documental especializada, se encontró que la naturaleza del crimen de reclutamiento de menores, la creciente exigencia global en el castigo de este y la adopción de rígidas disposiciones en el ordenamiento nacional, abren la puerta para el juzgamiento de los perpetradores. Dos tendencias constituyen otros hallazgos destacados: (i tanto en el ámbito nacional como internacional, se tiende a considerar los 18 años (y no la disposición anterior de 15 años como la mayoría de edad para ser protegido contra el reclutamiento forzado como menor; y (ii las amnistías concedidas en procesos de justicia transicional excluyen cada vez con más vehemencia crímenes graves, incluido el reclutamiento de menores.

  13. Algoritmos Evolutivos y su empleo en el ajuste de controladores del tipo PID: Estado Actual y Perspectivas

    Directory of Open Access Journals (Sweden)

    Gilberto Reynoso-Meza

    2013-07-01

    Full Text Available Resumen: Los controladores PID continúan siendo una solución fiable, robusta, práctica y sencilla para el control de procesos. Actualmente constituyen la primera capa de control de la gran mayoría de las aplicaciones industriales. De ahí que un número importante de trabajos de investigación se han orientado a mejorar su rendimiento y prestaciones. Las líneas de investigación en este campo van desde nuevos métodos de ajuste, pasando por nuevos tipos de estructura hasta metodologías de diseño integrales. Particularizando en el ajuste de parámetros, una de las formas de obtener una solución novedosa consiste en plantear un problema de optimización, el cual puede llegar a ser no-lineal, no-convexo y con restricciones. Dado que los algoritmos evolutivos han mostrado un buen desempeño para solucionar problemas complejos de optimización, han sido utilizados en diversas propuestas relacionadas con el ajuste de controladores PID. Este trabajo muestra un revisión de estas propuestas y las prestaciones obtenidas en cada caso. Así mismo, se identifican algunas tendencias y posibles líneas de trabajo futuras. Abstract: PID controllers are a reliable, robust, practical and easy to implement control solution for industrial processes. They provide the first control layer for a vast majority of industrial applications. Owing to this, several researches invest time and resources to improve their performance. The research lines in this field scope with new tuning methods, new types of structures and integral design methods. For tuning methods, improvements could be fulfilled stating an optimization problem, which could be non-linear, non-convex and highly constrained. In such instances, evolutionary algorithms have shown a good performance and have been used in various proposals related with PID controllers tuning. This work shows a review of these proposals and the benefits obtained in each case. Some trends and possible future research lines are also identified. Palabras clave: Controlador PID, PID convencional, PID borroso, PID fraccionario, Algoritmos Evolutivos, Optimización, Keywords: PID controller, Conventional PID, Fuzzy PID, Fractional order PID, Evolutionary algorithms, Optimization.

  14. Actual overview on the wind energy and perspectives for Brazil; Panorama atual da energia eolica e perspectivas para o Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Westin, Fernanda Fortes; La Rovere, Emilio Lebre; Wilss, William [Universidade Federal do Rio de Janeiro (LIMA/COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia. Lab. Interdisciplinar de Meio Ambiente], Emails: fforteswestin@yahoo.com.br, emilio@ppe.ufrj.br, wwills@lima.coppe.ufrj.br; Goodward, Jenna [Universidade Federal do Rio de Janeiro (COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia

    2010-07-01

    This paper presents the present stage of energy in the world and its developpement although recent in Brazil. pointing out the main advantages and disadvantages face to other existent electric energy sources, considering the perspectives o sustainable development and their risks for the electric sector. The growing perspective of participation of that source in the Brazilian electric matrix, it complementary paper of that source in front of other sources, between other points are considered in this study.

  15. Perspectivas del cad en arquitectura e ingeniería

    Directory of Open Access Journals (Sweden)

    Recuero, A.

    1988-06-01

    Full Text Available SUMMARY In this paper, present and short term situations of CAD for buildings are analyzed. It is assumed that CAD must cover the design process in its entirety not only the synthesis aspects, but also those of analysis and evaluation. Research and Development efforts should be undertaken in the following: — Computer-user interfaces. — Data base structures. — Coordination of the various related professions, in order to define their needs, and the degree of integration to be achieved. — Establishment of methods and criteria to check for the adequacy of the solutions provided by these systems

    En este artículo se analizan, brevemente, la situación actual y las perspectivas, para un próximo futuro, de la aplicación de los sistemas de CAD en el campo de la construcción. Se considera que el CAD debe abordar, de modo integrado, el proceso completo de proyecto, incluyendo no sólo los aspectos de síntesis, sino también los de análisis y evaluación. Se señalan los puntos en los que es preciso concentrar los esfuerzos de investigación y desarrollo. Estos puntos son: — Comunicación usuario-computador. — Estructura de las bases de datos. — Coordinación de las distintas profesiones que intervienen en el techo constructivo, para definir las necesidades a cubrir y el grado de integración deseable. Se señala, asimismo, la necesidad de establecer métodos y criterios para verificarla corrección de las soluciones propuestas por estos programas.

  16. COMERCIO ELECTRÓNICO EN AMÉRICA LATINA. PERSPECTIVAS

    Directory of Open Access Journals (Sweden)

    Félix Fernández Peña

    2003-04-01

    Full Text Available

    Internet constituye una plataforma adecuada para la comunicación de información con alcance global. Las condiciones de la economía actual exigen la internacionalización de la economía de un país, a través, fundamentalmente, de las exportaciones / importaciones de sus empresas. Por su parte, el uso de la red de redes en el desarrollo empresarial ha estado caracterizado por el éxito rotundo de ideas creadoras y también por la bancarrota, de la noche a la mañana, de negocios aparentemente muy prósperos. Si bien el movimiento financiero a través de la red no es para nada despreciable, su dinámica es actualmente muy inestable. Las perspectivas del comercio electrónico para América Latina se ven muchas veces disipadas por la falta de infraestructura tecnológica, pero fundamentalmente por las dificultades para lograr la competitividad frente a las grandes empresas ya establecidas. Las posibilidades reales del fortalecimiento empresarial electrónico en Latinoamérica, para soportar los embates empresariales de una economía globalizada, radican en la gestión ágil y efectiva de las empresas, sus recursos, y su mercado, en una palabra, que logren adaptarse a la era de la información. Para lograrlo, al menos en una primera etapa será decisiva la unión de esfuerzos y recursos y el apoyo gubernamental.

  17. Epilepsia do lobo temporal: mecanismos e perspectivas

    Directory of Open Access Journals (Sweden)

    Maria José da Silva Fernandes

    2013-01-01

    Full Text Available O artigo apresenta uma breve revisão sobre os achados históricos, epidemiológicos, tratamento e perspectivas terapêuticas para as epilepsias, com enfoque na epilepsia do lobo temporal. Apresenta dados obtidos com estudos de proteômica empregando tecido epiléptico e destaca a importância da aplicação desse método na busca de novos alvos terapêuticos.The article presents a brief review of the historical findings, epidemiological, and therapeutic treatment for epilepsy, with a focus on temporal lobe epilepsy. Presents data from proteomic studies in epileptic brain tissue and highlights the importance of the application of this method in the search for new therapeutic targets for temporal lobe epilepsy.

  18. GESTIÓN HUMANA: TENDENCIAS Y PERSPECTIVAS

    Directory of Open Access Journals (Sweden)

    JUAN GUILLERMO SALDARRIAGA RÍOS

    2008-01-01

    Full Text Available En este artículo se hace referencia a las tendencias y las perspectivas de gestión humana que se imponen en el mundo en la actualidad y que, a su manera, pretenden optimizar la administración del personal de la organización y contribuir al desarrollo e incremento de la productividad y la competitividad. Mediante la realización de un Estado del Arte se logran determinar algunas de las tendencias más relevantes en la actualidad y se concluye que, cada vez con mayor fuerza, dichas tendencias se sustentan en discursos que pretenden "rescatar" al ser humano dentro de la organización, lo que no necesariamente se traduce en los procesos de gestión humana que se realizan en las organizaciones nacionales e internacionales.

  19. Subjective biological self and self-actualization.

    Science.gov (United States)

    Sumerlin, J R; Berretta, S A; Privette, G; Bundrick, C M

    1994-12-01

    Ginsburg, Rogers, and Maslow, humanistic theorists, have maintained that the self is an emergent characteristic of one's biological makeup. The relationship between physical self-efficacy as an appraisal of subjective biology and self-actualization was examined in a sample of 160 black and white participants. An r of .46 supports the association of subjective biology and self-actualization. Whereas there were no gender or racial differences in scores on self-actualization, men scored higher on physical self-efficacy and subscales of perceived physical ability and perceived self-presentation confidence.

  20. Nación, identidad y paradoja: una perspectiva relacional para el estudio del nacionalismo

    Directory of Open Access Journals (Sweden)

    JUAN GARCÍA GARCÍA

    1994-01-01

    Full Text Available El marco europeo de la década de los noventa nos asombra con dos tendencias aparentemente contradictorias: por una parte, una tendencia acelerada a la mundialización de los espacios, tanto en el sector económico como en el de las telecomunicaciones o el propiamente político ; por otra, una inesperada reanimación del nacionalismo (de estado y / o separatista. Aprovecho en este artículo la perplejidad que en la comunidad de científicos produce la actual situación para sugerir una aproximación al tema desde una perspectiva relacional de las identidades colectivas. Tanto ciertas teorías psicosociológicas acerca de las relaciones intergrupales --p. ej., la teoría de la identidad social de H. Tajfel (1981-- como recientes aportaciones al estudio histórico de "naciones" y "nacionalismos" --P. Sahlins (1989, I. Colley (1992 o C. Ford (1993-- legitiman una aproximación de esta naturaleza, a la vez que ilustran --a lo largo del artículo-- las posibilidades que semejante perspectiva podría tener a la hora de arrojar luz sobre la situación presente.

  1. Tolerance for ambiguity and self-actualization.

    Science.gov (United States)

    Foxman, P

    1976-02-01

    This study was designed to test the hypothesis, implicit in several areas of previous research, that high tolerance for ambiguity is a cognitive style which reflects high levels of underlying psychological health. Using Self-Actualization scores on the Tennessee Self Concept Scale, 36 adult subjects were defined as relatively high or low in self-actualization with equal numbers of males and females in each group. All subjects then performed individually on the Rorschach test and the Rorschach protocols were rated reliably for degree of tolerance for ambiguity. It was found that regardless of sex the high self-actualization group exhibited a significantly higher level of tolerance for ambiguity than the low self-actualization group. The finding was interpreted as confirmation of the study's hypothesis.

  2. Marijuana, alcohol and actual driving performance

    Science.gov (United States)

    1999-07-01

    The purpose of this study was to empirically determine the separate and combined effects of Delta-9-tetrahydrocannabinol (THC) and alcohol on actual driving performance. This was the first study ever in which the drugs' combined effects were measured...

  3. Self-Actualization, Liberalism, and Humanistic Education.

    Science.gov (United States)

    Porter, Charles Mack

    1979-01-01

    The relationship between personality factors and political orientation has long been of interest to psychologists. This study tests the hypothesis that there is no significant relationship between self-actualization and liberalism-conservatism. The hypothesis is supported. (Author)

  4. Las neurosis actuales y las psicosis ordinarias

    OpenAIRE

    Aguirre, Javier

    2013-01-01

    El trabajo tiene por finalidad poner en tensión las categorías de psicosis ordinaria y neurosis actuales. En primer lugar, se procede a examinar ambas categorías para luego establecer sus puntos de coincidencia y disidencia. Se concluye que la categoría de neurosis actual propuesta por Freud, es una posible expresión de lo que en la actualidad se llama psicosis ordinaria.

  5. Los servicios profesionales en América del Norte. Un análisis de sus resultados y perspectivas a partir del Tratado de Libre Comercio

    OpenAIRE

    María Yira Figueroa Olvera

    2008-01-01

    Este trabajo presenta las características actuales del mercado laboral en América del Norte, para ello se toma como marco de referencia el Tratado de Libre Comercio de América del Norte (TLCAN). Asimismo, se analizan los resultados actuales y las perspectivas futuras de la prestación de servicios profesionales entre Canadá, Estados Unidos y México; los servicios profesionales más demandados; los requisitos para su prestación; así como las oportunidades de acceso y restricciones para los profe...

  6. El efecto de la crisis y el desempleo desde una perspectiva de género

    Directory of Open Access Journals (Sweden)

    Javier Eloy Martínez Guirao

    2016-06-01

    Full Text Available Presentamos una investigación antropológica realizada desde la perspectiva de género sobre los efectos que la actual crisis económica ha tenido en hombres y mujeres del sur de la provincia de Alicante. Como hemos comprobado, esta situación ha traído consecuencias tales como: el aumento de la economía sumergida, problemas psicológicos y de salud, el incremento de los conflictos familiares, las dobles y triples jornadas, la vuelta de las mujeres sin empleo al hogar y la crisis de la identidad masculina tradicional. Estos aspectos están condicionados por las representaciones ideológicas hegemónicas existentes sobre el trabajo y el género, las cuales, a su vez, conforman la identidad de las personas, sus ideas y sus prácticas sociales.

  7. Motivaciones y expectativas profesionales. Análisis desde la perspectiva de género.

    OpenAIRE

    Candela Agulló, Carlos

    2007-01-01

    RESUMEN Este trabajo se plantea como objetivo principal la comprensión de los motivos que llevan a hombres y mujeres a elegir y desempeñar profesiones diferentes. La aproximación al estudio de esta cuestión se realiza desde dos perspectivas fundamentales, la psicología del género y la psicología de la motivación. En primer lugar, se realiza una revisión de la situación de la mujer en la sociedad actual, especialmente en los ámbitos educativo y laboral. La segregación horizontal de géner...

  8. Hacia una perspectiva humanística del cambio climático global

    OpenAIRE

    Vega García, Heidy

    2016-01-01

    El artículo pretende brindar un panorama general sobre la realidad global y las principales dinámicas relacionadas con el tema del cambio climático, desde un proceso de reflexión humanística, crítica y holística sobre los retos y desafíos actuales que plantea este tema, con el fin de desarrollar una mejor comprensión y un mayor compromiso en la búsqueda de soluciones globales y locales. Además de los aspectos técnicos, la gestión del cambio climático requiere de una perspectiva humanística, c...

  9. Productividad, trabajo y salud: la perspectiva psicosocial

    Directory of Open Access Journals (Sweden)

    York Iván Puerto Barrios

    2007-07-01

    Full Text Available Con la opción de analizar las condiciones de trabajo en oficina, el texto realiza una sucinta pero precisa revisión de la conceptualización sobre productividad y consumo. Se documenta la relación contradictoria entre bienestar y rendimiento en el trabajo al identificar el riesgo de llevar al límite de sus capacidades la participación del trabajador como factor de productividad, ignorando que éste tiene además el rol de consumidor activo de bienes y servicios para que la producción tenga sentido. Se plantea que exigir al trabajador hasta su agotamiento puede mermar sustancialmente su doble condición de productor y consumidor. Específicamente, se presenta la perspectiva del trabajo en oficinas innovadas conceptual y tecnológicamente, con procesos laborales y patrones de desgaste y morbilidad de"nidos. El tiempo, el ritmo, la parcelación, el control del trabajo y la reestructuración en las organizaciones son, entre otros, factores que convergen para potenciar fenómenos de sobrecarga o subcarga mental con la consecuente aparición de estrés excedente y sus patologías asociadas.

  10. en perspectiva de género

    Directory of Open Access Journals (Sweden)

    Elena Hernández Corrochano

    2008-01-01

    Full Text Available Los estudios sobre la familia, desde las diferentes perspectivas que aquí trato, nos muestran no sólo la importancia del parentesco en las relaciones sociales y en la construcción de la identidad de los sujetos, sino que nos indica cómo en sociedades definidas como modernizadas –donde los Estado sólo tienen interés en alcanzar un cambio económico y el acceso a las nuevas tecnologías, olvidándose de las cuestiones sociales, políticas o filosóficas que caracterizan a la modernidad– a mayor individualismo en las acciones de los varones, mayor sujeción de las mujeres al grupo. En estas sociedades la “autorización” que la comunidad da a los hombres para actuar en relación con sus intereses personales, “endurece” la posición de las mujeres que deben, con relación a su bienestar, mantener un orden social comunitario simbolizado por la buena familia y custodiado por una opinión pública que limita su capacidad de actuar como individuos.

  11. Perspectiva masculina acerca do aborto provocado

    Directory of Open Access Journals (Sweden)

    Graciana Alves Duarte

    2002-06-01

    Full Text Available OBJETIVO: Analisar a perspectiva de homens de uma comunidade universitária que viviam em união legal ou consensual acerca do aborto provocado. MÉTODOS: Estudo descritivo de corte transversal em que se analisaram informações de 361 entrevistados, pertencentes a diferentes categorias de uma universidade. Utilizou-se o teste de qui-quadrado para avaliar a associação das variáveis dependentes com as independentes. RESULTADOS: Dos entrevistados, 53% afirmaram que as mulheres têm direito a interromper a gestação; as situações de maior aceitação foram: risco de vida da gestante (85%, gravidez resultante de estupro (80% e anomalia fetal (75%. As variáveis associadas à opinião masculina favorável ao aborto foram: maior escolaridade dos homens e das parceiras e o grupo (docente/aluno a que pertencia o entrevistado. CONCLUSÕES: Os entrevistados tenderam a ser mais favoráveis ao aborto nas situações já legitimadas legal e/ou socialmente. O maior grau de escolaridade, tanto deles quanto das parceiras, apareceu como relevante para determinar a postura em relação ao aborto.

  12. Perspectiva masculina acerca do aborto provocado

    Directory of Open Access Journals (Sweden)

    Duarte Graciana Alves

    2002-01-01

    Full Text Available OBJETIVO: Analisar a perspectiva de homens de uma comunidade universitária que viviam em união legal ou consensual acerca do aborto provocado. MÉTODOS: Estudo descritivo de corte transversal em que se analisaram informações de 361 entrevistados, pertencentes a diferentes categorias de uma universidade. Utilizou-se o teste de qui-quadrado para avaliar a associação das variáveis dependentes com as independentes. RESULTADOS: Dos entrevistados, 53% afirmaram que as mulheres têm direito a interromper a gestação; as situações de maior aceitação foram: risco de vida da gestante (85%, gravidez resultante de estupro (80% e anomalia fetal (75%. As variáveis associadas à opinião masculina favorável ao aborto foram: maior escolaridade dos homens e das parceiras e o grupo (docente/aluno a que pertencia o entrevistado. CONCLUSÕES: Os entrevistados tenderam a ser mais favoráveis ao aborto nas situações já legitimadas legal e/ou socialmente. O maior grau de escolaridade, tanto deles quanto das parceiras, apareceu como relevante para determinar a postura em relação ao aborto.

  13. Brexit na perspectiva do Path Dependency

    Directory of Open Access Journals (Sweden)

    Giorgio Romano Schutte

    2018-02-01

    Full Text Available Esta pesquisa analisou o Brexit em uma perspectiva histórica, focando a conturbada relação entre a Europa continental e o Reino Unido ao longo do século XX, com ênfase no período pós Segunda Guerra Mundial. Foi utilizado o conceito de path dependency para argumentar sobre o papel de fatores históricos e decisões do passado, embora tomados em outras circunstâncias, ainda com força para influenciar o presente, para entender o Brexit. A premissa básica que será apresentada no ensaio é que o Reino Unido nunca participou de fato da ideia da Europa e sempre se viu como um país diferente por sua história e seu papel no mundo. Quando entrou, foi com uma perna só, a outra sempre ficou atrás, inclusive devido às especificidades de sua estrutura econômica herdada do passado, em particular no que diz respeito à agricultura. Desta forma, defende-se que, embora longe de ter sido inevitável, se tratou de um fenômeno limitado ao Reino Unido que tinha pouquíssima probabilidade de se repetir em outros países da União Europeia.

  14. Os conflitos conjugais na perspectiva dos filhos

    Directory of Open Access Journals (Sweden)

    Viviane Ribeiro Goulart

    2013-01-01

    Full Text Available Se investigó sobre la perspectiva de los hijos en los conflictos conyugales. Participaron 17 estudiantes de una escuela pública de Porto Alegre (RS, de ambos sexos, reunidos en dos grupos focales: uno con 8 niños (8-9 años, y otro con 9 jóvenes (12-13 años, que vivían con sus padres. Cada grupo ha tenido sólo una cita en la escuela. Las informaciones fueron grabadas, transcritas y el contenido analizado a partir de los temas emergentes. De acuerdo con los niños, los conflictos conyugales van desde una discusión hasta la agresión física, son recurrientes, versan sobre cualquier tema, y su expresión es predominantemente negativa. Los niños reconocen la existencia del conflicto pero ni siempre entienden sus causas y todavía sufren sus consecuencias. Los niños adoptan distintas estrategias para lidiar con los conflictos, desde ignorarlos hasta las actitudes autodestructivas. Se concluye que los sujetos son conscientes de los conflictos conyugales de sus padres y reconocen sus repercusiones.

  15. The actual technological progress of NPPs

    International Nuclear Information System (INIS)

    Florescu, Gheorghe; Popa, Adrian; Panaitescu, Valeriu

    2010-01-01

    The actual nuclear R and D issues require new technologies and continuous progress in order to find adequate and effective solutions in sustained and increasing energy demand. The current tendency in energy consumption and occurring of large consumers, especially from Asian countries, imposes finding new means for energy clean, large scale and sustained production. NPPs reliability and availability were permanently monitored and improved; in the mean time the safety of the nuclear energy production was under surveillance. Corresponding development of the new technologies and discovery of improved materials and adequate technological processes offers the possibilities for appropriate implementation and use of them in the NPPs systems configuration and functioning/operation. The modern technologies and scientific discoveries, also the international cooperation, offer the opportunities to brake the actual barriers in order to cumulate and use advanced energy production processes in finding new energy sources and to build improved, reliable and safety power plants. The monitoring systems, intelligent sensors and intelligent SSCs, nanotechnologies and and modern and intelligent materials constitute the main reasons in improvement of the NPPs systems configuration and processes. The paper presents: - The state of the art in the level of actual and useful technologies for nuclear power systems development; - The actual technological limits that need to be over passed for NPPs systems improvements; - The main systems that need improvement and reconfiguration for actual NPPs development and increase in efficient operation, appropriate availability and total safety; - The actual energy production issues; - The key arguments in sustaining the R and D new NPPs systems development; - Future trends in NPPs development; - The limitations in industrial processes knowledge and use. Appropriate R and D in the field of NPPs systems has a specific characteristic that is highlighted in

  16. BIOCOMBUSTIBLES EN SURAMÉRICA: REFERENTES NORMATIVOS Y LEGISLACIÓN ACTUAL

    Directory of Open Access Journals (Sweden)

    Andrea Carolina Pérez Forero

    2010-01-01

    Full Text Available El acercamiento que se ofrece en el presente estudio muestra un panorama global acerca de la situación normativa precedente y actual en materia de biocombustibles de cinco países suramericanos: Brasil, Colombia, Argentina, Chile y Venezuela, por ser estos los que en la actualidad tienen una representación más significativa frente al tema. Dicho estudio se realiza desde una perspectiva jurídica, dado que es del marco legal de cada país que esta nueva alternativa energética tiene cabida y aplicación. Para ello se acude a algunos referentes normativos que sirven de sustento a la normativa vigente con la que se concluye.

  17. O banco do futuro: perspectivas e desafios

    Directory of Open Access Journals (Sweden)

    André Accorsi

    2014-03-01

    Full Text Available Neste artigo, apresentam-se as perspectivas e os desafios dos bancos no futuro. Com o referencial teórico sobre o tema, construiu-se um questionário para identificar o grau de importância atribuído a 20 diferentes questões. Na pesquisa de campo, abarcaram-se 93 bancários dos níveis gerencial e operacional dos principais bancos brasileiros e 9 professores universitários especialistas em mercado financeiro. Os dados coletados foram analisados estatisticamente usando-se o software Statistical Package for the Social Sciences, versão 13.0. Observando-se as principais conclusões da amostra, não há diferença estatística entre os funcionários dos bancos pesquisados, mas o mesmo não ocorreu entre bancários e professores. Algumas variáveis apresentaram maior relevância: combate às fraudes, business intelligence, bancarização e atendimento rápido. A partir da análise fatorial, identificaram-se seis fatores: sustentabilidade e papel do Brasil; mobilidade e segurança; regulação e novas tecnologias; globalização, inserção e privacidade; atendimento inteligente e bancarização. Pela análise discriminante, classificaram-se corretamente 79,3 e 66,7% dos funcionários do Bradesco e do Banco do Brasil, respectivamente, e 78,8% dos gerentes.

  18. El bienestar subjetivo: Actualidad y perspectivas

    Directory of Open Access Journals (Sweden)

    Guillermo Díaz Llanes

    2001-12-01

    Full Text Available Se realizó una revisión de los trabajos sobre bienestar subjetivo publicados en el mundo en los últimos años y se analizaron críticamente los resultados obtenidos tomando en consideración algunos de los fundamentos epistemológicos que les sirvieron de sustento. La enorme vigencia de los estudios sobre bienestar subjetivo en la actualidad pone de manifiesto la creciente conciencia de los investigadores acerca de la importancia del estudio de los factores que tributan a la salud desde una perspectiva positiva. La comprensión de la compleja madeja de interacciones que determinan el bienestar subjetivo en los niveles macrosocial, microsocial e individual, resulta requisito indispensable para la instrumentación de intervenciones en el nivel primario de atención y así elevar dicho indicador, tan ligado a la salud.A review of the papers on subjective well-being published in the world during the last years was made. The results obtained were critically analyzed taking into account the epistemological foundations that served as a sustenance. The fact that the studies about subjective well-being are still in force shows the increasing awareness of the investigators about the importance of studying those factors influencing positively on health. The understanding of the complex skein of interactions determining the subjective well-being at the macrosocial, microsocial and individual levels is an indispensable requirement for the implementation of interventions at the primary health care level and for elevating this indicator so closely related to health.

  19. The actual universe of valuation standards

    Directory of Open Access Journals (Sweden)

    Ion Anghel

    2013-08-01

    Full Text Available In the actual context (with issues like as viability of the global markets, cross-border transactions, transparency in financial reporting etc. it is a common interest for professional valuers, investors, universities, researchers etc. to consider a convergent set of global professional valuation standards. It is also in their best interest to work towards enhancement and refinement of valuation methodologies and applications to be prepared to address valuation issues that are bound to arise in the future. The paper is a view of actual universe of valuation standards and options for national valuation standard enforcements starting from the operating system named International Valuation Standards (IVS.

  20. Towards Designing Android Faces after Actual Humans

    DEFF Research Database (Denmark)

    Vlachos, Evgenios; Schärfe, Henrik

    2015-01-01

    human) and its’ Original (the actual human). The emotional judgments were achieved through an online survey with video-stimuli and questionnaires, following a forced-choice design. Analysis of the results indicated that the emotional judgments for the Geminoid-DK highly depend on the emotional judgments...... initially made for the Original, suggesting that androids inherit the same style of facial expression as their originals. Our findings support the case of designing android faces after specific actual persons who portray facial features that are familiar to the users, and also relevant to the notion...

  1. Uso de retalho inguinal para reconstrução do escroto após síndrome de Fournier: relato de caso

    Directory of Open Access Journals (Sweden)

    Bruno Castro Fernandes

    2015-10-01

    Full Text Available A Síndrome de Fournier decorre de um processo polimicrobianoque determina uma fasceíte necrotisante acometendo as regiões genitais,perineal e anal. Ocorre principalmente em pacientes do sexo masculino comdiabetes mellitus, alcoolismo e imunossupressão. Apresentamos um relato decaso de um paciente submetido à reconstrução do escroto após fasceítenecrotisante com retalho dermocutâneo inguinal. Materais e métodos: Relatode caso de um paciente de 36 anos, sexo masculino, sem comorbidades,internado por trinta dias no Conjunto Hospitalar de Sorocaba. Apresentavalesão importante em região anterior de coxa esquerda, fossa ilíaca esquerdae região perineal com exposiçao dos testículos. Realizado desbridamento eenxertia de pele parcial em coxa e fossa ilíaca esquerda e reconstrução deescroto com retalho dermocutâneo inguinal a direita, ambos pela equipe dacirurgia plástica. Resultado: A cirurgia realizada promoveu bom resultadoestético e restabelecimento do volume do escroto e qualidade devida.Discussão: A fasceíte necrosante na região perineal está entre as maisgraves infecções, com aparecimento súbito e rápida evolução, podendodeterminar importantes sequelas e até a óbito. Antibioticoterapia,desbridamento radical e proteção testicular fazem parte do tratamento daSíndrome de Fournier. A reconstrução do escroto deve ser meticulosamenteprogramada, visando o restabelecimento do volume e o retorno dos testículosà sua posição. Conclusão: A técnica empregada não é a mais utilizadahabitualmente, porém mostrou-se uma interessante alternativa para o caso. Opaciente mostrou-se satisfeito com o resultado obtido, garantindo melhora daautoestima e da qualidade de vida.

  2. Developing Human Resources through Actualizing Human Potential

    Science.gov (United States)

    Clarken, Rodney H.

    2012-01-01

    The key to human resource development is in actualizing individual and collective thinking, feeling and choosing potentials related to our minds, hearts and wills respectively. These capacities and faculties must be balanced and regulated according to the standards of truth, love and justice for individual, community and institutional development,…

  3. Self-Actualizing: Myth or Reality?

    Science.gov (United States)

    Butler, Robert R.

    1977-01-01

    The Personal Orientation Inventory (POI) was used to assess the impact of a semester-long encounter-group, personal-growth experience on students seeking degrees in counseling. Both the experimental and control groups showed gains in self-actualization. (Author)

  4. What is Process Tracing actually tracing?

    DEFF Research Database (Denmark)

    Beach, Derek; Pedersen, Rasmus Brun

    and when we use PT case studies. First, there are differences in what we are actually tracing in the three variants, resulting in different methodological prescriptions for each variant. Second, the types of inferences being made are also different; the variants therefore have different analytical uses...

  5. Humanistic Education and Self-Actualization Theory.

    Science.gov (United States)

    Farmer, Rod

    1984-01-01

    Stresses the need for theoretical justification for the development of humanistic education programs in today's schools. Explores Abraham Maslow's hierarchy of needs and theory of self-actualization. Argues that Maslow's theory may be the best available for educators concerned with educating the whole child. (JHZ)

  6. Actual global problems of radiation protection

    International Nuclear Information System (INIS)

    Ninkovic, M.

    1995-01-01

    Personal views on some actual problems in radiation protection are given in this paper. Among these problems are: evolution methodology used in radiation protection regulations; radiation protection, nuclear energy and safety, and new approaches to the process of the hazardous substances management. An interesting fact relating to the X-ray, radiation protection and Nikola Tesla are given also. (author)

  7. Whiteheadian Actual Entitities and String Theory

    Science.gov (United States)

    Bracken, Joseph A.

    2012-06-01

    In the philosophy of Alfred North Whitehead, the ultimate units of reality are actual entities, momentary self-constituting subjects of experience which are too small to be sensibly perceived. Their combination into "societies" with a "common element of form" produces the organisms and inanimate things of ordinary sense experience. According to the proponents of string theory, tiny vibrating strings are the ultimate constituents of physical reality which in harmonious combination yield perceptible entities at the macroscopic level of physical reality. Given that the number of Whiteheadian actual entities and of individual strings within string theory are beyond reckoning at any given moment, could they be two ways to describe the same non-verifiable foundational reality? For example, if one could establish that the "superject" or objective pattern of self- constitution of an actual entity vibrates at a specific frequency, its affinity with the individual strings of string theory would be striking. Likewise, if one were to claim that the size and complexity of Whiteheadian 'societies" require different space-time parameters for the dynamic interrelationship of constituent actual entities, would that at least partially account for the assumption of 10 or even 26 instead of just 3 dimensions within string theory? The overall conclusion of this article is that, if a suitably revised understanding of Whiteheadian metaphysics were seen as compatible with the philosophical implications of string theory, their combination into a single world view would strengthen the plausibility of both schemes taken separately. Key words: actual entities, subject/superjects, vibrating strings, structured fields of activity, multi-dimensional physical reality.

  8. Dancers' Perceived and Actual Knowledge of Anatomy.

    Science.gov (United States)

    Kotler, Dana H; Lynch, Meaghan; Cushman, Daniel; Hu, Jason; Garner, Jocelyn

    2017-06-15

    Dancers are highly susceptible to musculoskeletal injuries and frequently require interaction with medical professionals. While many dancers have a finely tuned awareness of their bodies, their knowledge of the fundamentals of human anatomy is not uniform. There is a paucity of literature on the benefits of human anatomy education in dancers, though it seems intuitive that there should be a relationship. The purpose of this study was to assess dancers' perceived and actual knowledge of basic musculoskeletal anatomy and its relationship to function. Adult dancers at the undergraduate, pre-professional, and professional levels were surveyed through an anonymous online questionnaire. Questions included demographic information, dance techniques studied, anatomy training, and injury history. Subjects rated their perceived knowledge of anatomy and were tested with 15 multiple-choice questions on basic musculoskeletal anatomy. Four hundred seventy-five surveys were completed. Ordinal regression showed a correlation of perceived to actual knowledge of anatomy (p < 0.001). Factors that correlated with increases in both perceived and actual knowledge of anatomy included having taken an anatomy course of any type (p < 0.001) and increased age (p ≤ 0.001). Years of dance training and professional dancer status both significantly correlated with increased knowledge of anatomy (p < 0.001) but not perceived knowledge. Chi-square analysis showed that dancers with training in either modern or jazz dance had a significantly higher perceived, but not actual, knowledge when compared to those without training in those styles of dance (p < 0.001 and p = 0.011, respectively). In conclusion, dancers generally scored well on questions pertaining to basic musculoskeletal anatomy, and their perception correlated with their actual knowledge of anatomy. Factors that contribute to dancers' knowledge of anatomy include age, years of experience, professional dancer status, and anatomy training.

  9. Mujeres inmigrantes : realidades, estereotipos y perspectivas educativas

    Directory of Open Access Journals (Sweden)

    María Dolores Pérez Grande

    2008-01-01

    Full Text Available La perspectiva de género resulta imprescindible en el análisis del fenómeno migratorio en el que las mujeres son cada vez una parte más activa y relevante. Las mujeres aparecen en sus propios discursos como un colectivo enormemente heterogéneo que no se corresponde con los estereotipos de mujer analfabeta, sumisa o victima pasiva de sus circunstancias a la que hay que ayudar a desenvolverse. Por el contrario aparecen en su mayoría como mujeres fuertes, con iniciativa y en muchas ocasiones con estudios superiores y un estatus por encima de la media en sus países de origen, aunque tienen que vivir frecuentemente en España situaciones duras y dolorosas. Las problemáticas y recursos de las mujeres son muy variados y los proyectos de formación o educación no pueden restringirse a la alfabetización, el idioma o la formación laboral en determinadas profesiones consideradas típica y estereotipadamente femeninas, sino que es preciso facilitar la integración en proyectos educativos normalizados, en conjunto con el resto de la población autóctona, impulsando un reconocimiento más eficaz de los conocimientos formales y no formales que traen de sus países de origen.The genre perspective turns out to be indispensable in the analysis of themigratory phenomenon in which women are gradually a more active and relevant part. The women appear in their own speeches as an enormously heterogeneous group that does not correspond with the stereotypes ofilliterate,submissive woman or passive victim oftheir own circumstances who need tobe helped in their development. On the contrary they appear mainly as strong women, with initiative and on many occasions with top studies and a status over the average in their native lands, though they have to live frequently in Spain through hard and painful situations. The problems and resources of these women are very varied and the projects of training or education cannot be restricted to the literacy, the language

  10. Biopolímeros: avances y perspectivas

    OpenAIRE

    VALERO-VALDIVIESO, MANUEL FERNANDO; ORTEGÓN, YAMILETH; USCATEGUI, YOMAIRA

    2013-01-01

    Los biopolímeros basados en recursos renovables y/o biodegradables están generando un creciente interés no solo en la industria de los plásticos sino en la sociedad en general. El objetivo de este trabajo es analizar el campo de los biopolímeros, su panorama actual y los últimos avances y desarrollos. Se analizaran biopolímeros importantes del mercado divididos en tres subgrupos: polímeros basados en recursos renovables (almidón y celulosa), polímeros biodegradables basados en monómeros biode...

  11. Oxitocina: nuevas perspectivas para una droga antigua

    OpenAIRE

    Steven L. CLARK; Kathleen Rice SIMPSON; G. Eric KNOX; Thomas J. GARITE

    2010-01-01

    La oxitocina es el medicamento más comúnmente asociada con la prevención de complicaciones perinatales y recientemente fue incluida por el Instituto para la Administración Medicamentosa Segura (Institute for Safe Medication Practices - ISMP) en una pequeña lista de medicamentos “con alto grado de riesgos”, lo que puede “necesitar salvaguardas especiales para reducir el riesgo de error”. Las recomendaciones actuales para administrar este medicamento son vagas en relación a la indicación, tiemp...

  12. Actuality and fake tense in conditionals

    Directory of Open Access Journals (Sweden)

    John Mackay

    2015-09-01

    Full Text Available Sabine Iatridou (2000 and Katrin Schulz (2014 defend accounts of the past tense in subjunctive conditionals according to which the past tense has a modal reading that excludes the world of utterance or some set of epistemically possible worlds. I argue here that these views give an unsatisfactory treatment of certain subjunctive conditionals that contain embedded indicative clauses pertaining to the actual world. http://dx.doi.org/10.3765/sp.8.12 BibTeX info

  13. Paradigmas de control en las organizaciones actuales

    OpenAIRE

    Basabe-Aldecoa, M. (Marisol)

    2003-01-01

    Los sistemas de control han adquirido en la última década rango de herramienta estratégica para la gestión. Apoyándose en este cometido y estudiando el entorno competitivo actual este artículo ofrece un esquema conceptual desde el que plantear el diseño más apropiado para los sistemas de control.

  14. ACTUAL PROBLEMS OF MEDICAL GAS OXYGEN PRODUCTION

    OpenAIRE

    Подгорный, И. П.

    2014-01-01

    Medical gas oxygen is one of the most popular medicines. Its production is the major branch of the pharmaceutical industry. Provision of its high quality in the process of obtaining is an actual problem for companies of cryogenic oxygen production. For this purpose a concrete enterprise necessary to implement a quality assurance system in the production of medicinal products (QAS). The main component of the QAS is good manufacturing practice (Good Manufacturing Practice, GMP). It is shown how...

  15. Temporary Relocation of the Testes in Anteromedial Thigh Pouches Facilitates Delayed Primary Scrotal Wound Closure in Fournier Gangrene With Extensive Loss of Scrotal Skin-Experience With 12 Cases.

    Science.gov (United States)

    Okwudili, Obi Anselm

    2016-03-01

    To share our experience on the use of temporary testicular thigh pouches to facilitate scrotal wound closure in Fournier gangrene with extensive loss of scrotal skin. Patients seen over a 10-year period who had extensive (>50%) loss of scrotal skin precluding delayed primary closure of the residual scrotal skin over the testes were documented. Patients had serial debridement as required with scrotal wound dressing until healthy granulation tissue was achieved. The testes were placed temporarily in anteromedial thigh pouches to allow for scrotal wound closure. In the postoperative period, the testes were gradually massaged back into the residual scrotal pouch, thus acting as natural tissue expanders. Mean patient age was 38.1 ± 10.0 years. Mean duration of admission was 24.4 ± 4.7 days. Identified predisposing factors were ischiorectal fossa abscess in 2 patients and urethral stricture in 1 patient. The rest were idiopathic. Mean Fournier gangrene severity index was 6.0 ± 1.3. Mean number of debridements was 2.3 ± 0.5. There was no mortality. The residual scrotal pouches expanded sufficiently over time (3-8 months) to accommodate the testes. Normal testicular volume was maintained in all patients. Mean testicular volume was 19.0 ± 3.2 cm. Follow-up was for 14.8 ± 9.7 months. Temporarily relocating the testes in anteromedial thigh pouches facilitates scrotal wound closure in Fournier gangrene with extensive loss of scrotal skin and obviates the need for specialized reconstructive surgery.

  16. Lingüística textual: retrospecto e perspectivas

    Directory of Open Access Journals (Sweden)

    Ingedore Grunfeld Villaça Koch

    2001-02-01

    Full Text Available

    O objetivo do presente trabalho é apresentar uma retrospectiva critica doque se fez no campo da Lingüística Textual nos últimos trinta anos, bem como apontaras perspectivas que se vêm abrindo na área para desenvolvimentos futuros.

  17. Espacio sagrado y Religiosidad Popular: perspectivas veterotestamentarias

    Directory of Open Access Journals (Sweden)

    Rodrigo García

    2003-01-01

    Full Text Available El artículo, en primer lugar, establece las parámetros de espacio sagrado desde la perspectiva de las ciencias de la religión, como mediación de la experiencia del Absoluto en medio de lo relativo de la experiencia cotidiana, que se funda en él. Enseguida, selecciona una definición de 'religiosidad popular' que resulte instrumentalmente útil para el análisis del fenómeno en el Antiguo Testamento: lo 'popular' se contrapone a lo 'oficial' por el hecho de no ser realizado por el estamento instituido para ello, de modo que pudiendo compartir creencias y ritos, no tiene la garantía oficial de la autenticidad. Por último, trata de presentar el desarrollo de la categoría de espacio sagrado desde el éxodo hasta el exilio. La hipótesis que se plantea sostiene que, ya que desde el éxodo la experiencia de la liberación precedió al culto en un lugar oficial, establecido. Consecuentemente, la crítica profética a las prácticas religiosas acentúan los contenidos de dignidad para la vida de las pobres. La autenticidad de la fe bíblica no viene dada por la relación con la institución, sino por la coherencia con la experiencia del éxodo. Por ello se puede decir que el analogado principal del lugar sagrado es la vida y, por ende, el cuerpo del prójimoThe article in the first place establishes the parameters of the notion of sacred space, from the perspective of the religious sciences, i.e. as a mediation of the experience of the Absolute, amid the ordinary experience. It then provides an instrumental definition of popular religiosity for the analysis of this phenomenon in the Old Testament, where what is popular is opposed to what is official. Even though both forms share beliefs and rites, the latter is not carried out by the duly established institution and therefore lacks the warrant of officially. Finally, the article presents the development of the sacred space from the exodus until the exile, on the hypothesis that from the exodus

  18. Formas de la convergencia de medios y contenidos multimedia: Una perspectiva rumana

    Directory of Open Access Journals (Sweden)

    Georgeta Drula

    2015-01-01

    Full Text Available Este artículo se centra en dos tipos de convergencia tecnológica de medios: la basada en tecnología móvil, y la convergencia basada en la unificación de las tecnologías de la información y la industria mediática. Estas formas están influidas por los aspectos multimedia del contenido. El interés de la investigación de este estudio se centra en el panorama mediático en Rumanía y en su estado actual. Aunque muchos académicos y profesionales evalúan la convergencia de medios por el contenido desde una perspectiva periodística, existen otros muchos aspectos y tendencias a tener en cuenta. Así, la convergencia de medios en términos de contenido puede ser interpretada junto al contenido del usuario y considera la unificación del contenido pagado, poseído, compartido y adquirido. Este artículo propone una perspectiva teórica y práctica para la relación entre convergencia y multimedia en cuanto a los productos mediáticos on-line. Esta perspectiva se refiere a los productores y a los consumidores de la información. El interés del artículo reside en tanto que identifica los retos de la industria mediática y establece enfoques acerca de la convergencia multimedia para los productos mediáticos. La metodología consiste en el análisis de contenido y en el agrupamiento jerárquico con el objetivo de descubrir diferentes formas de convergencia de medios on-line. La conclusión establece que, gracias a varias tecnologías y sus asociaciones, la convergencia puede dirigirse desde el usuario a la industria y viceversa.

  19. El Fondo Monetario Internacional ante la crisis financiera actual

    Directory of Open Access Journals (Sweden)

    Romualdo Bermejo y Rosana Garciandía

    2009-01-01

    Full Text Available La convulsión financiera iniciada en octubre de 2008 ha reavivado el debate político, social y doctrinal sobre las debilidades del sistema monetario y financiero internacional. Desde su consolidación institucional en la segunda post-guerra mundial, su legitimidad,eficiencia y justicia se han cuestionado constantemente. En estos últimos meses, su incapacidad para prever y evitar crisis como la actual se ha criticado especialmente. La crisis de la deuda de los años ochenta, el “tequilazo” mexicano de 1994 o la crisisasiática de finales de los años noventa ponen de manifiesto la existencia de elementos que dichas instituciones no han sido capaces de controlar. La cadena de infortunios financieros de los últimos meses lo corrobora y hace necesaria una profunda reflexión en términos económicos, jurídicos y también institucionales.El Fondo Monetario Internacional constituye, junto con el Banco Internacional de Reconstrucción y Fomento, el núcleo del sistema monetario y financiero internacional. Creado por los acuerdos de Bretton Woods en diciembre de 1945, el Fondo debía encargarse en su origen de favorecer la estabilidad financiera y el crecimiento económico de los Estados, poniendo a disposición de éstos sus recursos. Con el paso de los años, su cometido se ha ampliado abarcando cada vez más aspectos como la supervisión de las políticas económicas de los países miembros o la influencia en las políticas macroeconómicas nacionales. Esa extensión de sus facultades va unida, sin lugar a duda, a una creciente responsabilidad por el cumplimiento satisfactorio de su misión.Teniendo esto en cuenta, el actual debate sobre la necesidad de una nueva arquitectura financiera internacional debe ahondar en las fortalezas y debilidades del Fondo, por su papel fundamental en la misma. En este sentido, la reforma iniciada en 2005 bajo ladirección del español Rodrigo Rato se ha enfrentado a la evaluación más exigente: una crisis

  20. Biopolímeros: avances y perspectivas

    Directory of Open Access Journals (Sweden)

    Manuel Fernando Valero-Valdivieso

    2013-01-01

    Full Text Available Los biopolímeros basados en recursos renovables y/o biodegradables están generando un creciente interés no solo en la industria de los plásticos sino en la sociedad en general. El objetivo de este trabajo es analizar el campo de los biopolímeros, su panorama actual y los últimos avances y desarrollos. Se analizaran biopolímeros importantes del mercado divididos en tres subgrupos: polímeros basados en recursos renovables (almidón y celulosa, polímeros biodegradables basados en monómeros bioderivados (aceites vegetales y ácido láctico y biopolímeros sintetizados por microorganismos (polihidroxialcanoatos (PHA.

  1. Neoadjuvant Treatment in Rectal Cancer: Actual Status

    Science.gov (United States)

    Garajová, Ingrid; Di Girolamo, Stefania; de Rosa, Francesco; Corbelli, Jody; Agostini, Valentina; Biasco, Guido; Brandi, Giovanni

    2011-01-01

    Neoadjuvant (preoperative) concomitant chemoradiotherapy (CRT) has become a standard treatment of locally advanced rectal adenocarcinomas. The clinical stages II (cT3-4, N0, M0) and III (cT1-4, N+, M0) according to International Union Against Cancer (IUCC) are concerned. It can reduce tumor volume and subsequently lead to an increase in complete resections (R0 resections), shows less toxicity, and improves local control rate. The aim of this review is to summarize actual approaches, main problems, and discrepancies in the treatment of locally advanced rectal adenocarcinomas. PMID:22295206

  2. Actuality of the Einstein theory of gravitation

    International Nuclear Information System (INIS)

    Ivanenko, D.D.

    1982-01-01

    Problems of actuality of the Einstein theory of gravitation are lightened. The great Einstein theory of gravitation is shown to remain a reliable base of understanding of modern physical world pattern and its inevitable further inexhaustible precising. The main GRT difficulties are enumirated: determination of reference systems, presence of singularities in the theory, absence of consistent determination of the gravity energy, impossibility of accounting the relations between atomic, gravitational and cosmological characteristics. The attention is paid to gauge, twistor problems and to unified interaction theory. The great contribution of the soviet science in the theory of gravitation is stressed

  3. Imaginarios de vida en el paisaje actual de destrucción generalizada

    Directory of Open Access Journals (Sweden)

    María Noel Lapoujade

    2017-09-01

    Full Text Available El propósito de este artículo es mostrar el papel de la imaginación, las imágenes y los imaginarios a través de los medios electrónicos como posibles propuestas hacia la vida libre y digna en el marco de los tiempos que se viven de odios destructivos de absurda irracionalidad. El hilo conductor es la noción de devenir a lo largo de la historia desde hace 3 mil años, pasando por la modernidad, la posmodernidad, después de la posmodernidad, y los días actuales del 2017. Desde mi perspectiva de la Filosofía de la imaginación, las imágenes y los imaginarios, propongo un enfoque interdisciplinario que enhebra la filosofía con la física y el arte. Con base en todo lo cual introduzco la tesis del estado actual “gaseoso” de las culturas, las sociedades y la vida humana.

  4. La escritura intermedial en la escena actual

    Directory of Open Access Journals (Sweden)

    Luis Thenon

    2013-08-01

    Full Text Available Las escrituras artísticas actuales integran, en el marco determinado por las realidades intermediales de la escena tecnológica, el concepto de diseño como manipulación perceptiva del espacio, lo que constituye uno de los instrumentos determinantes en la puesta en marcha de un cuadro compositivo de resonancias transformacionales. Podríamos en este sentido hablar de una nueva ecología artística y en especial, teatral. En la renovación del pensamiento teatral actualizado, fuertemente influenciado por la estructura discursiva cinematográfica y por los universos sensoriales de la cultura tecnológica de la imagen y del sonido, está la base de la multiplicación diegética, de la superposición, de la fragmentación de los discursos y de la praxis inter-relacional en la que radica, en gran medida, la potencia intermedial de la escena actual.

  5. Periodicity and self-actualization in women.

    Science.gov (United States)

    Niesz, N L

    1977-10-01

    Studied the relationship between menstrual cycle phase and self-actualization as measured by the Personal Orientation Inventory (POI). In classroom testing sessions, 160 high school students completed the POI and personal data sheets, which gave information about their menstrual cycle phase. Premenstrual, menstrual, and midcycle groups of 20 Ss each were formed from those girls eligible for inclusion in each condition. Three one-by-three analyses of variance were run using the TC, I, and TC + I scores of the POI, which were selected as the best overall measures of self-actualization. A significant (p less than .05) difference on TC + I was found; subsequent t-tests revealed that the menstrual group's TC + I score was significantly (p less than .02) higher than that of the midcycle group. The difference between menstrual and premenstrual Ss on TC + I, though not significant, lay in the same direction and was of the same order of magnitude. Possible explanations for the results and implications for future testing that involves females are presented briefly.

  6. Desarrollo sustentable: fundamentos, perspectivas y limitaciones

    Directory of Open Access Journals (Sweden)

    Badii, M. H.

    2004-07-01

    Full Text Available Se explican la filosofía, las nociones y los conceptos fundamentales del desarrollo sustentable, y enfatizan los desastres socioeconómicos, políticos e ecológicos que amenazan seriamente a la humanidad entera. Contrastan las diferencias abismales entre los países desarrollados y los país pobres y en vía de desarrollo. Se mencionan los intentos fallidos del ser humano conciente desde 1972 (la Declaración de Estocolmo al tratar de buscar salidas a los problemas ambientales y enfatizan los intereses de los conglomerados superpoderosos como obstáculos al progreso del desarrollo sustentable. Se mencionan los indicadores de sustentabilidad y también los índices con énfasis sobre la estimación de los factores de educación, salud, pobreza, medioambiente e ecología. Se define el concepto de la biodiversidad y los modelos matemáticos de uso actual para su estimación.

  7. Self-Actualization Level as Predictor of Practicum Supervision Effectiveness.

    Science.gov (United States)

    Deming, Anne L.

    1980-01-01

    Counselor growth in self-actualization was not affected by the level of self-actualization of the supervisor. Counseling students gained in self-actualization whether or not they were enrolled in a practicum and regardless of the level of self-actualization of their supervisors. (Author)

  8. 7 CFR 1437.101 - Actual production history.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Actual production history. 1437.101 Section 1437.101... Determining Yield Coverage Using Actual Production History § 1437.101 Actual production history. Actual production history (APH) is the unit's record of crop yield by crop year for the APH base period. The APH...

  9. The analysis of actual versus perceived risks

    International Nuclear Information System (INIS)

    Covello, V.T.; Flamm, W.G.; Rodricks, J.V.; Tardiff, R.G.

    1983-01-01

    The major aims of the Society for Risk Analysis, as stated in its constitution, are to promote knowledge and understanding of risk analysis techniques and their applications; to promote communication and interaction among those engaged in risk analysis; and to disseminate risk analysis information and promote the advancement of all aspects of risk analysis. Members of the Society are drawn from a variety of disciplines, including the health sciences, engineering, the physical sciences, the humanities, and the behavioral and social sciences. An important function of the Society is the annual meeting, at which various aspects of risk analysis are discussed. The first annual meeting, represented by this volume, was the International Workshop on the Analysis of Actual vs. Perceived Risks, held from June 1-3, 1981, at the National Academy of Sciences in Washington, DC

  10. Actualizing scholarship in senior baccalaureate nursing students.

    Science.gov (United States)

    Sevean, Patricia A; Poole, Karen; Strickland, D Shane

    2005-10-01

    Nursing scholarship is difficult to define and often equated with either research and publication in academia or academic achievement of students, but the definition has recently been broadened to include clinical scholarship. This article emphasizes the connections between the theory of nursing scholarship and its application to advanced clinical practice for senior baccalaureate nursing students. Strategies used to enhance students' ability to operationalize scholarship include reflective journals, development of an abstract and professional paper, and presentation of a paper or poster at the student-led Nursing Scholarship Forum. The Forum is evaluated as a learning activity that helps students actualize scholarship. The results of the evaluation indicate this type of scholarly activity enhances nursing students' transition into the professional practice role.

  11. Aparecida: perspectiva teológico-cultural

    Directory of Open Access Journals (Sweden)

    Fernando Verdugo

    2008-01-01

    Full Text Available El artículo ofrece una aproximación teológico-cultural al Documento Conclusivo de Aparecida. En efecto, pone de relieve cómo lo cultural está presente en este discurso teológico y pastoral de los obispos latinoamericanos y caribeños. No se trata solamente de sistematizar lo que ellos dicen -desde el ángulo de la fe en Jesucristo- sobre la cultura y sus desafíos en la cambiante sociedad actual, o de ponerlos en contraste con otros discursos inscritos en la historia reciente de la región (Puebla, Santo Domingo; se pretende, también, explicitar la cultura compartida desde la cual los pastores interpretan la realidad, configurando mediante ella su propio discurso teológico y pastoral. Teología y cultura están, pues, indisociablemente ligadas.This article offers a theologico-cultural approach to the Conclusive Document of Aparecida. In effect, the author brings into relief how the cultural is present within this theological and pastoral discourse of the Latin American and Caribbean bishops. The author does not merely deal with systematizing what they said, from the perspective of faith in Jesús Christ, about culture and its challenges in the present, changing society, ñor to contrast them with other written discourses in the recent history of the región (Puebla, Santo Domingo. He attempts, rather, to make explicit the shared culture from which these pastors interpret reality, shaping through this culture their own theological and pastoral language. Theology and culture are, thus, inalienably linked.

  12. Oxitocina: nuevas perspectivas para una droga antigua

    Directory of Open Access Journals (Sweden)

    Steven L. CLARK

    2010-12-01

    Full Text Available La oxitocina es el medicamento más comúnmente asociada con la prevención de complicaciones perinatales y recientemente fue incluida por el Instituto para la Administración Medicamentosa Segura (Institute for Safe Medication Practices - ISMP en una pequeña lista de medicamentos “con alto grado de riesgos”, lo que puede “necesitar salvaguardas especiales para reducir el riesgo de error”. Las recomendaciones actuales para administrar este medicamento son vagas en relación a la indicación, tiempo de uso, dosis y el monitoreo de los efectos maternos y fetales. Una revisión de los datos clínicos y farmacológicos disponibles sugiere que las orientaciones específicas y basadas en evidencias para administrar oxitocina durante el parto puede derivarse de datos disponibles. Si implementadas, estas prácticas pueden reducir la probabilidad de daños al paciente. Esto sugiere el foco de las orientaciones para la administración electiva limitada de oxitocina, considerar estrategias que disminuyan la necesidad de usar oxitocina, confiar en terapéuticas de bajas dosis de oxitocina, la adhesión a definiciones semicuantitativas específicas sobre parto adecuado e inadecuado, y la aceptación de que, una vez que la actividad uterina adecuada sea alcanzada, es generalmente preferible esperar más tiempo que aumentar la infusión de oxitocina. El uso de protocolos conservadores y específicos para monitorear los efectos de la oxitocina en la madre y en el bebé tiende no sólo a aumentar los resultados, mas también a reducir los conflictos entre miembros del equipo obstétrico. Implementar estas orientaciones parece ser apropiada en una cultura cada vez más focalizada en la seguridad del paciente.

  13. La perspectiva de género en la cultura de la No-violencia. Pautas educativas

    Directory of Open Access Journals (Sweden)

    María José Mosquera González

    2010-01-01

    Full Text Available En el presente artículo partimos de que el deporte es una institución social y que como tal transmite una cultura deportiva (maneras de obrar, pensar y sentir desde la perspectiva de Durkheim, unos valores y normas, en los que se manifiestan los planteamientos y principios sobre la violencia y, dentro de ésta, sobre el género. En este sentido referimos las tendencias de la cultura deportiva de las sociedades actuales de postmodernidad (de decadencia y de resistencia y atendemos de manera especial a la postmodernidad de decadencia describiendo las consecuencias negativas que genera: conductas de violencia de diferente tipo y, en particular, discriminación por motivos de género. A continuación explicamos los valores deportivos de la "No-violencia", que son los vinculados con la postmodernidad de resistencia. Entre otros valores nos referimos a los valores de igualdad de oportunidades que nos permiten sintetizar las dos tendencias generales desde la perspectiva de género e incidir en las consecuencias negativas que aparecen cuando se considera la igualdad de oportunidades partiendo de la total igualdad, sin considerar las diferencias biológicas y de género. Finalmente, "El Código de la Noviolencia" se plantea como un recurso para educar dado que entendemos que resume, a través de 60 frases, las maneras de obrar, pensar y sentir, es decir, la cultura de la postmodernidad de resistencia.

  14. UNA PERSPECTIVA NEUROCIENTÍFICA SOBRE LA HISTERIA

    Directory of Open Access Journals (Sweden)

    Lucía Amoruso

    2010-01-01

    Full Text Available En la última década, el desarrollo y la puesta en marcha delas modernas técnicas de neuroimagen en el campo de laneurociencia cognitiva han proporcionado una nueva vía deacercamiento al estudio experimental de algunos trastornosmentales. Dentro de esta perspectiva, denominada por algunosautores “neuropsiquiatría cognitiva”, la histeria (o trastornode conversión, de acuerdo con la clasificación psiquiátricaactual ha cobrado un amplio protagonismo. De acuerdo conlo anterior, el objetivo del presente trabajo consiste en introducirestudios pioneros basados en una perspectiva neurocientíficade la histeria. Conviene destacar que, si bien estosaportan evidencia significativa sobre algunas de las áreascerebrales y las disfunciones cognitivas comprometidas enel mencionado trastorno, los resultados obtenidos a la fechadistan aún de ser concluyentes.

  15. El Compromiso de paisaje en las ciudades: Desafíos y Estrategias para la resistencia y la sostenibilidad para garantizar la perspectiva de los derechos

    Directory of Open Access Journals (Sweden)

    Gabriela Fauth

    2016-06-01

    Full Text Available Con el tema “El compromiso con el paisaje en las ciudades: desafíos y estrategias de la resiliencia y de la sustentabilidad en la perspectiva de la garantía de derechos”, este trabajo pretende realizar un debate, según una lectura interdisciplinar, en torno a algunos paradigmas de la ciudad contemporánea, en el contexto del proceso de globalización y de los desafíos con la tutela urbano-ambiental, percibidas especialmente en el paisaje urbano. Siguiendo a la temática del evento “Participación, Democracia y Ciudadanía en la perspectiva del Derecho Iberoamericano”, el dialogo interdisciplinar sobre los conceptos interdisciplinares de la resiliencia y de la sustentabilidad y las estrategias metodológicas para el proyecto y el planeamiento urbano, buscamos subsidios para que las políticas públicas busquen un mejor desempeño socioambiental de las ciudades en la perspectiva de la garantía de derechos, corroborando con la democracia y ampliando el concepto de ciudadanía inherente a las luchas sociales actuales, teniendo como ejemplo el contexto brasileño y latinoamericano .

  16. Caustic-Side Solvent Extraction: Prediction of Cesium Extraction from Actual Wastes and Actual Waste Simulants

    International Nuclear Information System (INIS)

    Delmau, L.H.; Haverlock, T.J.; Sloop, F.V. Jr.; Moyer, B.A.

    2003-01-01

    This report presents the work that followed the CSSX model development completed in FY2002. The developed cesium and potassium extraction model was based on extraction data obtained from simple aqueous media. It was tested to ensure the validity of the prediction for the cesium extraction from actual waste. Compositions of the actual tank waste were obtained from the Savannah River Site personnel and were used to prepare defined simulants and to predict cesium distribution ratios using the model. It was therefore possible to compare the cesium distribution ratios obtained from the actual waste, the simulant, and the predicted values. It was determined that the predicted values agree with the measured values for the simulants. Predicted values also agreed, with three exceptions, with measured values for the tank wastes. Discrepancies were attributed in part to the uncertainty in the cation/anion balance in the actual waste composition, but likely more so to the uncertainty in the potassium concentration in the waste, given the demonstrated large competing effect of this metal on cesium extraction. It was demonstrated that the upper limit for the potassium concentration in the feed ought to not exceed 0.05 M in order to maintain suitable cesium distribution ratios

  17. La estructura resistente en la arquitectura actual

    Directory of Open Access Journals (Sweden)

    Manterola Armisén, J.

    1998-10-01

    Full Text Available A significant portion in nowadays architecture uses the resistant structures as a fundamental element conveying expression to a building. Resistant structures usually designed, calculated and built by engineers are in some occasions -those that draw our attention now- designed by architects who stress the plastic dimension. Sometimes architects have just tried to soften the elementality of the resistance per se. To abandon the quantitative element to get centered in the qualitative and expressive is a leitmotiv in the architectural proceedings that has been brilliantly fruitful in many an occasion -notice Frei Otto's work among others- but that, in other cases, damages the understanding of the resistant aspect by excessively priorizing the structure appearance upon the structure itself. This article makes a critical account of a series of structures in recent buildings, classified by resistance typologies, flat or spatial trusses, frames, domes, hanging and distensible roofs, tensigrity structures, etc., preceded by a retrospect on how resistance has been traditionally understood.

    Una parte de la arquitectura actual se caracteriza por utilizar la estructura resistente como el elemento expresivo fundamental del edificio. Las estructuras resistentes, diseñadas, calculadas y construidas hasta ahora por ingenieros, han pasado, en algunas ocasiones -las que aquí nos interesan-, a ser diseñadas por arquitectos que acentúan su dimensión plástica. En otras ocasiones los arquitectos se han reducido a dulcificar la elementalidad de lo resistente en cuanto tal. El abandono de lo cuantitativo, para centrarse en lo cualitativo y expresivo, es el "leit motiv" de ese proceder arquitectónico que ha dado frutos muy brillantes en bastantes ocasiones, no hay sino que ver el trabajo de Frei Otto y otros, pero que, en otros casos, perjudican el entendimiento de lo resistente al primar, excesivamente, la apariencia de estructura sobre lo que es la

  18. Radiation safety actuality in Republic of Moldova

    International Nuclear Information System (INIS)

    Kuharuk, E.S.

    2011-01-01

    Radioecological monitoring issues and radiation safety are actual in the Republic of Moldova. Japan events show us the possibility of natural disasters. Republic of Moldova is surrounded by 8 NPPs, the closest being at the distance of 160 km. Moldovas territory is in seismic zone where underground earthquake shocks reaches 7 points or more. Thatis why radiation safety and radioecological monitoring is actual in our republic. Traces of Chernobyl were left in Moldovas soils. The fallouts of radio nuclides formed on the soil surfaces in the Republic of Moldova following the Chernobyl Nuclear Power Station Accident have been continuously affected by attacks of both natural and technicaly generated agents since the time of fallout. During the past decade a shift in emphasis has taken place regarding the need for more complete and accurate information on reservoir sedimentation. Classical sedimentation surveys involve repeated field measurement and, therefore, this is probably the most costly and time consuming method. The application of radio nuclides, particularly Cs 137, for water erosion and sedimentation studies in Republic of Moldova has not been attempted so far. This paper presents the results obtained on reservoir sedimentation rates in an area subjected to wide range in land degradation dy sheet-rill erosion. The profil characteristics support the assumption that in most undisturbed sites there is a sharp decline in Cs 137 activity with increasing dept. Such an asymmetrical distribution of the Cs 137 would suggest a standard pattern in the form of a cantilever. If the validity of this assamption is accepted it is possible to define two major types of Cs 137 cantilever distribution: shallow and deep buried cantilever. The main criterion in classifying these pattents lies generally in the shape of Cs 137 depth profile and particularly in burial magnitude of Cs 137 peak derived from Chernobyl. Hills area has been impacted by greatest sendimentation. This regional

  19. Nanomaterials environmental risks and recycling: Actual issues

    Directory of Open Access Journals (Sweden)

    Živković Dragana

    2014-01-01

    Full Text Available Nanotechnologies are being spoken of as the driving force behind a new industrial revolution. Nanoscience has matured significantly during the last decade as it has transitioned from bench top science to applied technology. Presently, nanomaterials are used in a wide variety of commercial products such as electronic components, sports equipment, sun creams and biomedical applications. The size of nanoparticles allows them to interact strongly with biological structures, so they present potential human and environmental health risk. Nanometer size presents also a problem for separation, recovery, and reuse of the particulate matter. Therefore, industrial-scale manufacturing and use of nanomaterials could have strong impact on human health and the environment or the problematic of nanomaterials recycling. The catch-all term ''nanotechnology' is not sufficiently precise for risk governance and risk management purposes. The estimation of possible risks depends on a consideration of the life cycle of the material being produced, which involves understanding the processes and materials used in manufacture, the likely interactions between the product and individuals or the environment during its manufacture and useful life, and the methods used in its eventual disposal. From a risk-control point of view it will be necessary to systematically identify those critical issues, which should be looked at in more detail. Brief review of actual trends in nanomaterials environmental risks and recycling is given in this paper.

  20. The Actual Problems of Modern Spain

    Directory of Open Access Journals (Sweden)

    Natalya E. Anikeeva

    2014-01-01

    Full Text Available The important aim of national and Spanish historiography and political science is to study history and foreign policy of modern Spain. The author studied articles and monographies of spanish politicians and researchers ( M. Rahoy, I. Aries, A. Rubalcaba, I. Molina for the preparation of this article during the scientific trip to Madrid (Complutense University, Faculty of Political Science and Sociology, which was held in the framework of cooperation between the Bank Santander and MGIMO (University. The paper analyzes the political and economic aspects of life in Spain, and its foreign policy of the period of government of Mariano Rajoy (from 2011 to the present time. The article is dedicated to actual problems of modern Spain: the economy and the priorities of the government of M.Rajoy, the problem of separatism and political system of the country. Modern Spain is still recovering economically from the euro debt crisis and continues to struggle with near-record unemployment. Domestic economic recovery of Spain and the country's foreign position are closely linked. The European integration process still remains the main strategic task of the spanish foreign policy. Spain increases its role in world politics and obtains a non-permanent UN's Security Council seat for the 2015-2016 term.

  1. SOBRE LOS CAMBIOS DE PERSPECTIVA EN EL CONOCIMIENTO

    Directory of Open Access Journals (Sweden)

    LUZ MARINA BARRETO

    2007-01-01

    Full Text Available El propósito de este artículo es explorar el significado y los alcances de los cambios de perspectiva que a veces ocurren cuando vemos las cosas desde el punto de vista teórico, al producirse un cambio de paradigma en el conocimiento, o, si las vemos desde el uso práctico de la razón, cuando se produce un cambio en la personalidad o una "conversión". La mera cuestión sobre la posibilidad de un cambio radical de perspectiva es filosófica en un sentido profundo: sugiere la existencia de un campo de conocimiento metafísico que sería "libre" respecto de las proyecciones categoriales específicas y determinaciones que descansan en el sujeto de conocimiento, de manera que sería posible ver las cosas desde un punto de vista radicalmente diferente, uno que no sería posible sino al interior de un paradigma. Mis intuiciones son, en primer lugar, que la pregunta por la naturaleza de los cambios de perspectiva, metafísica como es, es más importante para la epistemología de lo que se ha admitido en la filosofía analítica y, en segundo lugar, que esta pregunta puede ser encarada no necesariamente al interior del marco de referencia de la metafísica, sino desde un concepto amplio de razón. En este sentido, los cambios de perspectiva pueden ser entendidos como una posibilidad que sólo puede hacerse inteligible dentro de una noción unificada de la razón, una concepción que ha sido ignorada por concepciones epistemológicas que acentúan su lado instrumental y que podemos remontar a algunos conceptos de la ontología fenomenológica que han sido re-interpretados a través de la lente de la teoría de la experiencia kantiana. Finalmente, sugiero que si miramos los cambios de perspectiva desde el punto de vista de una concepción unificada de la razón, de ello resulta una teoría del conocimiento mucho más fluida y más ligada al uso práctico de la razón que lo que se admite en las epistemologías analíticas que fueron populares durante

  2. Hacia un sistema financiero alternativo con perspectiva de género

    Directory of Open Access Journals (Sweden)

    Thalia Kidder.

    1998-08-01

    Full Text Available El diseño del sistema financiero actual se basa en la teoría económica predominante, que no contempla dimensiones amplias del proceso de desarrollo económico y de la reducción de la pobreza. Para la autora de este artículo, estas dimensiones han sido planteadas por las teorías económicas alternativas y feministas, y deberían ser incorporadas en el diseño de las instituciones financieras, sobre todo de las no convencionales. Pero la inclusión de la perspectiva de género en los programas de micro-crédito, no debe traducirse solamente a la preocupación por ofrecer más crédito a más mujeres o en la evaluación del impacto que dichos programas tienen sobre las vidas de las mujeres, sino también en una concepción más amplia de lo que son las mismas instituciones financieras.

  3. Antropología del desarrollo: perspectivas latinoamericanas, de Pablo Quintero

    Directory of Open Access Journals (Sweden)

    Paz Concha Elizalde

    2016-09-01

    Full Text Available En el actual contexto político latinoamericano, de «crisis de los progresismos», supuestos «fines de ciclo», o como quiera llamarse a la debacle institucional, económica y política que viven la mayoría de nuestros países y sus gentes —y sin que el nombre de tal proceso sea una cuestión menor—, las reflexiones sobre los errores cometidos o la falta de profundidad en los cambios que pretendían traer dichos gobiernos progresistas, son aristas de un debate que recién comienza. Sin embargo, desde una perspectiva decolonial, hay un factor común que hemos visto persistir y remecer en contradicciones a tales gobiernos y sus modelos de país. Lo cierto es que ni el socialismo bolivariano del siglo XXI, ni la fuerza intercultural que ha convertido en plurinacional al Estado de Bolivia, han logrado desembarazarse del «desarrollo» y sus inevitables consecuencias.

  4. TENSIONES Y CONFLICTOS ARMADOS EN EL SISTEMA MUNDIAL: UNA PERSPECTIVA GEOPOLÍTICA

    Directory of Open Access Journals (Sweden)

    Ricardo Méndez Gutiérrez del Valle

    2011-01-01

    Full Text Available El nuevo orden geopolítico mundial posterior al final de la Guerra Fría y que se corresponde con el actual proceso de globalización ha transformado la morfología, localización, causas y tipos de impactos generados por los conflictos armados, así como los discursos que en ocasiones pretenden justificarlos. A las guerras interestatales, ahora casi inexistentes, les sucede una violencia más difusa y un sentimiento de inseguridad bastante generalizado. Pero tanto las características internas y los actores presentes en los diferentes territorios que los padecen, como su inserción en las redes de flujos que se tejen en la actualidad, siguen siendo dimensiones importantes para su comprensión. El artículo resume las principales aportaciones recientes sobre estas cuestiones y revisa de forma crítica algunas ideas difundidas en estas dos últimas décadas. También propone un enfoque multicausal y multiescalar de los conflictos armados, destacando las aportaciones que pueden hacerse desde una perspectiva geopolítica.

  5. Los recursos educativos electrónicos: perspectivas y herramientas de evaluación

    Directory of Open Access Journals (Sweden)

    Maria Pinto

    Full Text Available Los recursos electrónicos con fines educativos están cada vez más presentes en los procesos de enseñanza-aprendizaje actuales, y por tanto, en las colecciones digitales de las bibliotecas. Ante su proliferación y heterogeneidad cada vez mayor se ha planteado como una necesidad para la comunidad universitaria definirlos y establecer un conjunto de criterios claros y relevantes de evaluación que permitan determinar la calidad de los mismos. En este trabajo se analizan las principales definiciones sobre recursos educativos electrónicos de cara a su acotación, se revisan las diferentes perspectivas para la evaluación de su calidad a través de la literatura científica, y se revisan las principales herramientas utilizadas para valorarlos. Finalmente, se presenta EVALUAREED, un instrumento diseñado para analizar y medir la calidad de los mismos, enfocado para ser utilizado por la comunidad universitaria, incluidas las bibliotecas.

  6. Capitalismo actual y precios de monopolio

    Directory of Open Access Journals (Sweden)

    Alexander Tarassiouk

    2011-01-01

    Full Text Available El objetivo de este ensayo es redimensionar dos elementos de la herencia teórica de R. Hilferding que no se enfatizan mucho en la literatura, aunque son de gran valor teórico y metodológico para el estudio del capitalismo actual. Se trata del análisis de la naturaleza económica de los precios de los monopolios, realizado en "El capital financiero", y a la metodología que aplica el autor en su obra maestra para investigar una nueva etapa en la evolución del capitalismo. La importancia del primer tema es evidente porque vivimos en el mundo donde las grandes corporación transnacionales determinan los precios de sus productos en la medida mucho mayor que lo hacían los cárteles y los trusts del inicio del siglo XX. Y en lo que se refiere al segundo elemento, su actualidad esta dada por el hecho de que, al parecer, de nuevo vivimos en el período de grandes cambios del sistema económico del capitalismo que se manifiestan en: el creciente papel del capital ficticio en la reproducción del capital global; el paso en las políticas económicas de la lógica de Bretton Woods a la de neoconservadurismo y de Consenso de Washington; y, en las modificaciones de la forma y del mecanismo del ciclo económico.

  7. Interpersonal Compatibility and Self-Actualization in Sensitivity Training

    Science.gov (United States)

    Reddy, W. Brendan

    1972-01-01

    Significant positive changes in self actualization were attained in members of both intensive residential sensitivity training laboratories and nonintensive nonresidential sensitivity training laboratories. Affection compatibility was the prime interpersonal variable associated with self actualization gains. (Author)

  8. The Relationship of Counselor Self-Actualization to Counselor Facilitativeness.

    Science.gov (United States)

    Thames, Terri B.; Hill, Clara E.

    1980-01-01

    Correlational analyses indicate that counselor trainees who view themselves as more self-actualized are not perceived by clients or by themselves as being more encouraging. Some elements of self-actualization, however, are related to facilitative conditions. (Author)

  9. Self-actualization of youth in a summer camp.

    Science.gov (United States)

    Cartwright, G F; Tabatabai, D; Beaudoin, M C; Naidoo, L

    2000-12-01

    The self-actualization scores of 57 youths who attended a summer day camp for gifted students were assessed using the Reflections Of Self by Youth (ROSY). Significant sex differences were confirmed. Contrary to Lewis's significant difference (1996) in mean self-actualization between Grades 7 and 8, self-actualization scores in this study were uncorrelated with grade.

  10. Aspectos jurídicos y perspectivas políticas de una posible retirada de la Unión Europea por parte del Reino Unido

    Directory of Open Access Journals (Sweden)

    Werner Miguel Kühn Baca

    2016-08-01

    Full Text Available El artículo ofrece un análisis de la situación actual de las relaciones entre el Reino Unido y la Unión Europea. El enfoque se encuentra en los aspectos jurídicos y las perspectivas políticas de una posible retirada por parte de este Estado miembro del proceso de integración europeo. Se evalúan los posibles escenarios y consecuencias, tomando en cuenta tanto el marco jurídico cómo el entorno político actual. En base a dicho análisis, se proponen soluciones que podrían satisfacer los intereses del Reino Unido y la Unión Europea.

  11. Justicia y sistema tributario. Una mirada desde la perspectiva inglesa

    Directory of Open Access Journals (Sweden)

    Patricio Masbernat

    2014-01-01

    Full Text Available Este artículo expone que la doctrina chilena aborda la cuestión de la justicia tributaria desde una triple perspectiva, económica, filosófica y jurídica. Con todo, desconfía de las posibilidades de esta última, para desarrollar soluciones genuinas de los complejos problemas que enfrenta la justicia tributaria. A partir de dicha evidencia, el autor indaga el desarrollo de este asunto en el mundo anglosajón, especialmente de Inglaterra. El autor recorre el camino que filósofos, economistas y juristas efectúan acerca de los elementos más determinantes de la justicia tributaria. Para tales efectos, luego de plantear el problema y la perspectiva analítica del artículo, revisa la idea de justicia tributaria en las doctrinas liberales clásicas, la justificación de la imposición de tributos y los fines del Estado, el concepto de tributo, la justicia conmutativa y la justicia distributiva, las finalidades extra fiscales del tributo, el principio de igualdad como expresión normativa de la justicia en la tributación. El autor concluye que no obstante que el mundo anglosajón se aborda esta cuestión desde esta triple perspectiva, y de un modo muy diferente al del Derecho Continental, la doctrina jurídica ha sido capaz de discutir acerca de estos complejos problemas jurídicos con éxito.

  12. O trabalho da enfermagem: análise e perspectivas

    OpenAIRE

    Kirchhof,Ana Lúcia Cardoso

    2003-01-01

    Este texto, ao considerar a enfermagem enquanto trabalho, evidencia, de início, uma perspectiva para desenvolvê-lo, ou seja,a de que somos capazes de transformar, pelo menos, o mundo da saúde no qual trabalhamos. Para tanto, proponho-me conhecê-lo enquanto um mundo do trabalho e de práticas de saúde que vem sendo, conforme discuto, historicamente determinadas. Tais práticas, dadas sua evolução, configuram-se no capitalismo como um serviço, o que lhes imprime um caráter especial nesse processo...

  13. Deporte y dopaje desde la perspectiva de las ciencias sociales

    OpenAIRE

    Gil Moro, Miguel

    2013-01-01

    En este TFG vamos a tratar el tema de deporte y dopaje desde la perspectiva de las ciencias sociales, intentando analizarlo desde puntos de vista relacionados con los aspectos psicológicos y sociales que en la actualidad inducen a los deportistas al uso de sustancias y métodos ilegales.Queremos que el objetivo principal de este trabajo sea presentar una propuesta encaminada a entender qué factores tienen más peso sobre un deportista de élite a la hora de tomar una decisión sobr...

  14. Editorial Mercadotecnia Latinoamericana desde una perspectiva de México

    OpenAIRE

    Thel Augusto Monteiro; Emigdio Larios-Gómez

    2017-01-01

    La presente Edición Especial: Mercadotecnia Latinoamericana desde una perspectiva de México, es un esfuerzo de investigadores de diferentes universidades reconocidos por sus aportaciones científicas sobre Mercadotecnia en México. Las comunicaciones esta edición describen las Estrategias de Mercadotecnia y su Aplicación en México, está estructurada en ocho aportaciones científicas representan el quehacer académico y de investigación diario de la mercadotecnia, tratando temas de frontera relaci...

  15. Gestión humana: tendencias y perspectivas

    OpenAIRE

    Juan Guillermo Saldarriaga Ríos

    2008-01-01

    En este artículo se hace referencia a las tendencias y las perspectivas de gestión humana que se imponen en el mundo en la actualidad y que, a su manera, pretenden optimizar la administración del personal de la organización y contribuir al desarrollo e incremento de la productividad y la competitividad. Mediante la realización de un Estado del Arte se logran determinar algunas de las tendencias más relevantes en la actualidad y se concluye que, cada vez con mayor fuerza, dichas tendencias se ...

  16. Desigualdad laboral desde la perspectiva de género

    OpenAIRE

    Pablos Escobar, Laura de

    2001-01-01

    Se enuncian y se comentan algunas de las situaciones laborales sufridas por las mujeres, que más nos llaman la atención. Por ejemplo: tasas de paro, contratos temporales, trabajo no remunerado, desigualdad de ingresos, etc. Los datos que se ofrecen, siempre que sea posible, incluirán experiencia comparada. Se refiere a las políticas públicas aplicadas en la actualidad en nuestro país al objeto de solventar la desigualdad laboral desde la perspectiva de género. Nos referiremos tanto a las ayud...

  17. Liberalismo y democracia en la perspectiva de Norberto Bobbio

    OpenAIRE

    Luis Antonio Córdoba Gómez

    2008-01-01

    En el presente artículo se desarrolla un análisis, abordado desde la filosofía política, en torno a la concepción que el filósofo italiano Norberto Bobbio (1909-2004) planteara acerca de dos de las más importantes tradiciones políticas que ha producido la cultura occidental, y que son, sin duda alguna, pilares sobre los que se ha edificado la modernidad: la democracia y el liberalismo. Desde esta perspectiva se identifican aproximaciones y puntos de encuentro, lo mismo que las tensiones que d...

  18. Perspectiva masculina quanto a métodos contraceptivos

    OpenAIRE

    Duarte,Graciana Alves

    1998-01-01

    Ao longo dos anos, os programas de planejamento familiar preocuparam-se quase que exclusivamente em atingir apenas a população feminina. Mais recentemente essa atitude vem mudando, pois evidenciou-se que os homens têm forte influência sobre suas parceiras quanto ao uso de anticoncepcionais. Dentro deste contexto, a presente pesquisa teve como objetivo geral identificar a perspectiva e o papel masculino quanto à decisão de usar métodos contraceptivos. O tamanho amostral foi calculado em 776 ho...

  19. El reformismo Borbónico. Una perspectiva

    OpenAIRE

    Melero Bausela, Rubén

    2015-01-01

    Se trata de un estudio sobre la burocracia española desde la perspectiva reformista del siglo XVIII, desde los inicios de la monarquía borbónica en el trono español hasta el fin de la centuria. El peso de los colegiales y sus redes conforman una élite de poder que tiene en los manteístas su opuesto, entre ambos se disputan los puestos en la alta administración del Estado. Además analizamos la Universidad como paso necesario para el acceso a la carrera burocrática dentro del Estado y de la Igl...

  20. NUEVOS RETOS PARA LA ENSEÑANZA DEL INGLÉS EN LA UNIVERSIDAD ECUATORIANA ACTUAL

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    Adrian Abreus González

    2017-01-01

    Full Text Available El artículo presenta las consideraciones de los autores en torno a las perspectivas para la enseñanza de los idiomas extranjeros en Ecuador. En su núcleo se enfatiza en los retos que representan para las instituciones de idiomas la obtención del requisito de graduación para los estudiantes universitarios. Además, se analizan las políticas actuales que contiene el Reglamento de Régimen Académico de Ecuador sobre este particular y se fundamentan los criterios sobre la base de la enseñanza comunicativa de lenguas y los criterios de Brown (2001 y Richards (2006. Finalmente, se establecen los desafíos que en el orden de organización didáctica enfrentan las instituciones de idiomas en este contexto y bajo los preceptos actuales.PALABRAS CLAVE: enseñanza del inglés; instituciones de educación superior; universidad ecuatoriana.NEW CHALLENGES FOR THE TEACHING OF ENGLISH IN ECUADORIAN UNIVERSITIES ABSTRACTThe article presents the authors´ opinions in regards to the perspectives for the teaching of foreign languages in Ecuador. Its core explores the challenges that the graduation requisite for university students represent to language institutes. The current policies of the Ecuadorian Academic Rules around language teaching and learning are also analyzed, which main foundation is based on the ideas of Brown (2001 and Richards (2006. The article also presents the didactic challenges for languages institutions in this context and under the current rules.    KEYWORDS: English teaching; higher education institutions; ecuadorian university.

  1. Competencias tecnológicas y nuevos perfiles profesionales: desafíos del periodismo actual

    Directory of Open Access Journals (Sweden)

    2017-10-01

    Full Text Available Este trabajo pretende conocer cómo se producen las intersecciones de la tecnología con la práctica profe-sional en algunas de las corrientes periodísticas que más emplean las nuevas herramientas: el periodismo multimedia, el periodismo inmersivo y el periodismo de datos. El gran dilema del periodismo en la prepara-ción de los profesionales (especialmente jóvenes no pasa tanto por la incorporación de tecnologías y he-rramientas como por mejorar sus competencias y habilidades con un perfil que aproveche las oportunida-des del modelo computacional manteniendo la esencia periodística. El objetivo es doble: responder a las preguntas sobre qué herramientas emplean los profesionales para elaborar piezas periodísticas con estas técnicas y qué conocimientos y habilidades tecnológicas no eran precisas para el periodismo del siglo XX pero sí en el del siglo XXI. Partiendo de la revisión de informes de las organizaciones profesionales o insti-tutos de relevancia internacional se diseñó una investigación exploratoria sobre el trabajo de 25 periodistas europeos y americanos, y se eligieron tres casos de estudio que permiten concluir que la matriz tecnológica no solo no desaparecerá, sino que puede incrementarse porque el proceso de cambio y tecnologización no tiene marcha atrás y exige evolucionar y adaptarse a nuevas dinámicas de trabajo en equipos multidiscipli-nares donde el diálogo entre periodistas y tecnólogos debe ser fluido. Diferentes perspectivas alimentan la doble vía de las competencias y habilidades en los perfiles del actual periodista tecnólogo que los profe-sionales perciben que demanda el ecosistema actual.

  2. Cimentaciones actuales de los rascacielos de Chicago

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    López Ruiz, Álvaro

    1972-05-01

    Full Text Available The main characteristics of the land and the supporting rock are given, and the pattern of present performance of Chicago's deep foundations is briefly described. This city probably has some of the highest skyscrapers in the world with deep foundations resting on rock, and possibly as well, the highest building with foundations resting on soil. The construction of piles of large diameter, resting on rock and concreted dry, as prescribed by the City Code, is the weak point which sometimes makes it necessary to insert a permanent lining tube deep into the rock in order to obtain the required leaktightness, or to pump out significant quantities of water from the bottom of the excavations. The latter can cause the dragging away of earth from adjacent foundations resting on soil at a higher level, as with the drift of the phreatic level, with the consequent risk of producing appreciable subsidence, and even undermining. To overcome this problem we carried out for the first time in Chicago, a pre-sealing, by means of chemical injections, of the supporting rock of the periphery piles of some deep foundations, by drilling into the centre of each pile, which has also been useful as a means of examining the subsoil before proceeding to the perforation of each pile. This operation was carried out on the large diameter piles of the foundations of the Northern Trust Bank skyscraper, at present under construction, with very satisfactory results. The method of pre-sealing the rock used and the results obtained are described.Se presentan las características principales del terreno y de la roca de apoyo y se describe someramente la forma de ejecución actual de las cimentaciones profundas de Chicago. Esta ciudad tendrá (en breve varios de los rascacielos más altos del mundo apoyados en cimentaciones profundas sobre roca y, posiblemente, también el edificio más alto apoyado sobre suelo. La construcción de pilotes de gran diámetro apoyados sobre roca y

  3. La adopción, perspectiva jurídica y psicológica

    OpenAIRE

    Rey Martín, Ana María

    2015-01-01

    Este trabajo aborda una visión general de la adopción desde la perspectiva legal y desde la perspectiva psicológica. Se describe el proceso de adopción, remarcando en cada etapa la importancia de la intervención del psicológica.

  4. Como entender la formacion docente. Concepciones y perspectivas en Argentina

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    Marcelo Gastón Jorge Navarro

    2015-08-01

    Full Text Available El objetivo del artículo es comprender la formación docente bajo el enfoque de distintas concepciones que desde diversos supuestos y puntos de partida entretejen un complejo entramado de prácticas al interior de las aulas en Argentina. La idea de concepciones nos permite entender los procesos por los cuales se construye, reproduce, y/o se transforma la idea de ser docente. De acuerdo a la concepción de formación docente que se tenga, puede entenderse cuales son los mecanismos más adecuados para llevarla a cabo. Palabras clave: Formación docente, Práctica docente, Concepciones, Perspectivas. O objetivo do artigo é compreender a formação docente mediante o enfoque de diferentes concepções que filiadas aos mais diversos pressupostos e pontos de partida, tecem uma trama complexa de práticas em sala de aula na Argentina. A ideia de concepções nos permite entender os processos através dos quais se produz, reproduz e/ou se transforma a ideia de ser docente. De acordo com a concepção de formação docente que se tenha, pode-se entender quais são os mecanismos mais adequados para seguir adiante. Palavras-chave: Formação docente, Prática docente, Concepções, Perspectivas.

  5. Marketing de lugar: estado da arte e perspectivas futuras

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    Marco Antonio de Moraes Ocke

    2014-12-01

    Full Text Available O objetivo neste trabalho é contribuir com o repensar da natureza e do significado do marketing de lugar presente na literatura, descrevendo as três principais perspectivas influentes em seu desenvolvimento – promoção, planejamento e branding – e apresentar uma análise crítica de seu processo de evolução. No intuito de orientar o entendimento, evitar interpretações individuais e propor uma linguagem comum, a análise compreende a convergência das perspectivas em um conceito caracterizado como uma importante ferramenta de gerenciamento das trocas que ocorrem em âmbito territorial visando ao desenvolvimento socioeconômico da localidade. Como contribuição, sugere-se uma estruturação para investigações futuras identificando lacunas entre a teoria do marketing de lugar e a forma como é compreendido, assim como as dificuldades significativas para sua implementação.

  6. Conocimientos actuales y perspectivas de investigación de elementos traza en la nutrición infantil: parte I. Situación actual de la alimentación infantil

    OpenAIRE

    Navarro-Blasco, I. (Íñigo); Sola-Larrañaga, C. (Cristina); Alvarez, J.I. (José Ignacio); Villa-Elizaga, I. (Ignacio)

    2004-01-01

    La nutrición infantil ha experimentado una creciente evolución en función de los estudios de investigación desarrollados y los diferentes criterios adoptados para establecer unas recomendaciones que satisfagan plenamente las necesidades fisiológicas y demandas nutricionales del neonato. La normativa de composición de las fórmulas ha sido dictadas por la Sociedad Europea de Gastroenterología y Nutrición Pediátrica (ESPGAN) y la Academia Americana de Pediatría (AAP). Recientem...

  7. Sobre la naturaleza de la investigación lingüística: Antecedentes y perspectivas

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    Félix Quesada Castillo

    2011-05-01

    Full Text Available El presente artículo tiene por objeto propiciar una reflexión sobre las diferentes propuestas de explicación acerca de la naturaleza del lenguaje.Se hace un somero repaso sobre los antecedentes de la lingüística para concluir en una reflexión en torno a las perspectivas actuales.En vista de que la lengua constituye un sistema subyacente que genera las expresiones del comportamiento verbal, una teoría lingüística adecuada exige un enfoque internalista. Según esta perspectiva, el ser humano es capaz de hablar una lengua por cuanto está dotado de una facultad dellenguaje, o de un órgano de la mente/cerebro, y esta dotación genética explica el aprendizaje de una lengua y la capacidad de usar la lengua, debido a la conexión entre el módulo de la facultad del lenguaje (estado asumido al hablar una lengua cualquiera y los sistemas o módulos de la performance. Este avance alcanzado por el desarrollo de la teoría generativaactual ha conducido a proponer la biolingüística como ciencia del lenguaje, lo que conduce a integrar la lingüística con las demás ciencias del cerebro, debilitándose su vínculo con las ciencias sociales. Palabras claves: Enfoque internalista, facultad de lenguaje, mente/cerebro, biolingüística.

  8. Un estudio del juego de bolos en Boiro: aspectos históricos, estado actual de práctica y perspectivas de futuro

    OpenAIRE

    Rodríguez Fernández, José Eugenio

    2015-01-01

    En este estudio de investigación se recogen las particularidades de la práctica del juego de bolos en el Ayuntamiento de Boiro (A Coruña), único municipio de la provincia donde en la actualidad se mantiene vivo este juego popular y tradicional, un deporte antiquísimo, muy extendido en todas las culturas (Ruiz, 2000) y uno de los más practicados en todo el mundo en sus diferentes modalidades y variantes.

  9. Estrategias de aprovisionamiento en el sector español del automóvil: situación actual y perspectivas

    OpenAIRE

    José L. Alonso Mosquera; Jesús F. Lampón Caride; Xosé H. Vázquez

    2006-01-01

    La creciente especialización en el sector del automóvil ha convertido la política de compras y la logística en procesos clave para el mantenimiento de la posición competitiva en el mercado. En este artículo se describen las principales características del aprovisionamiento ajustado, se examina su nivel de implantación en España a partir de varios estudios de caso, y se analizan cuáles son sus principales retos en el medio plazo a la luz de ciertos factores clave que están modifica...

  10. María Acaso - Perspectivas: Situación Actual de la Educación en los Museos de Artes Visuales

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    Susana Gomes da Silva

    2014-06-01

    Full Text Available Este livro é simultaneamente um reflexo de e um contributo para o processo de mudança vivido nas últimas décadas no campo da educação nos museus de artes visuais em Espanha, assumindo-se não como um repositório de respostas e soluções, mas como um espaço compilador de problemáticas, desafios e perspetivas, um território questionador e frutífero para a reflexão sobre os efeitos e os rumos de um campo e uma profissão em profunda redefinição e transformação, um lugar para pensar, desenhar e dese...

  11. El declive del estado de resultados tradicional ante la irrupción actual del excedente limpio. Perspectiva histórica y conceptual

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    Francisco Sousa Fernández

    2010-01-01

    Full Text Available Con la adopción del resultado global (comprehensive income a partir de la década de los noventa del siglo XX por los organismos emisores de normas contables más relevantes en el concierto mundial, entre los que cabe destacar el International Accounting Standards Board (iasb y el Financial Accounting Standards Board (fasb, estamos asistiendo a un posicionamiento a favor del enfoque del excedente limpio. Como consecuencia el resultado empresarial queda más vinculado a las oscilaciones de los precios de los títulos y a los tipos de cambio, frente al enfoque del excedente sucio que nos lleva a la determinación del mismo desde una óptica más restrictiva y, por ello, mucho menos conectado con la realidad de los mercados. En este trabajo nos planteamos como primer objetivo el estudio desde una óptica histórica y conceptual del antiguo y controvertido debate del enfoque del excedente limpio versus el enfoque del excedente sucio, circunscrito esencialmente a los países del área de influencia anglosajona. Posteriormente, queremos constatar que con la revisión de la Norma Internacional de Contabilidad 1 (nic 1 del International Accounting Standards Board (iasb en el año 2007 cobra más fuerza el resultado global; con ello se confirman los planteamientos a favor del enfoque del excedente limpio, lo que origina la desaparición del estado de resultados tradicional del conjunto completo de estados financieros si las empresas, según dicha norma, optan por revelarlo en el estado de resultados globales; todo ello con el propósito de reportar más utilidad a los inversionistas, quienes son considerados usuarios primordiales en los modelos contables anglosajones a los que tendemos.

  12. El control de depredadores en España: análisis histórico, incidencia actual del uso de cebos envenenados y perspectivas de futuro

    OpenAIRE

    Márquez Cañas, Carolina

    2015-01-01

    A nivel mundial las poblaciones de depredadores han sufrido un drástico declive a lo largo del último siglo; siendo la persecución directa por parte del hombre una de las principales causas. Las causas del conflicto hombre –predador tienen su origen en dos motivos principales: el ataque directo de predadores a humanos y las pérdidas que supone para el hombre la depredación sobre presas con valor económico, como es el caso de especies cinegéticas y de la ganadería. En España hasta los años ...

  13. Sociedades Científicas de Estudiantes de Medicina del Perú: Situación actual y perspectivas futuras

    OpenAIRE

    Álvaro Taype-Rondán; Juan Huaccho-Rojas; Lizeth Guzmán

    2012-01-01

    Objetivo: Describir las actividades que realizan y planean realizar las Sociedades Científicas de Estudiantes de Medicina (SOCEM) peruanas. Metodología: Se realizó un estudio observacional, descriptivo y transversal, mediante la aplicación de encuestas a los presidentes de las SOCEM peruanas. Se recogieron variables relacionadas al presidente encuestado (capacitación y producción científica), a las actividades de la SOCEM (las que fueron realizadas en el último año, y las que se planean reali...

  14. Sociedades Científicas de Estudiantes de Medicina del Perú: Situación actual y perspectivas futuras

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    Álvaro Taype-Rondán

    2012-09-01

    Full Text Available Objetivo: Describir las actividades que realizan y planean realizar las Sociedades Científicas de Estudiantes de Medicina (SOCEM peruanas. Metodología: Se realizó un estudio observacional, descriptivo y transversal, mediante la aplicación de encuestas a los presidentes de las SOCEM peruanas. Se recogieron variables relacionadas al presidente encuestado (capacitación y producción científica, a las actividades de la SOCEM (las que fueron realizadas en el último año, y las que se planean realizar en el próximo año, y la opinión de los presidentes sobre las actividades que debería realizar la Sociedad Científica Médico Estudiantil Peruana (SOCIMEP. Estos datos fueron tabulados en Microsoft Excel 2010, y presentados en forma descriptiva. Resultados: Se encuestó a 26 presidentes, de los cuales 25 han realizado o están realizando algún trabajo de Investigación, y solo cinco tienen alguna publicación. Los principales obstáculos de las SOCEM fueron el no contar con asesores científicos y los pocos incentivos que brindan las facultades para que los estudiantes realicen investigación. Las actividades realizadas con mayor frecuencia fueron los cursos de capacitación en investigación. En opinión de los presidentes, estos cursos deben seguir siendo realizados por las SOCEM y la SOCIMEP. Conclusión: Es necesario que las SOCEM y la SOCIMEP elaboren cursos de investigación, organicen un sistema de asesoría e inviertan tiempo en concientizar sobre la importancia de la investigación no solo a los estudiantes sino también a las autoridades de cada facultad de Medicina.

  15. La sequía y la escasez de agua en México. Situación actual y perspectivas futuras

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    Miguel Esparza

    2014-05-01

    Full Text Available Las sequías son fenómenos ambientales a losque se les han adjuntado una serie de fenómenossociohistóricos de orden ideológico y operativoque han intensificado y producido la escasezde agua que actualmente viven las grandesciudades. El presente documento tiene la intenciónde mostrar qué es el fenómeno de la sequía,cómo se manifiesta una sequía, cuáles son losdaños que provoca, qué acciones implementael gobierno para combatirla, de qué manera sepodría resolver este problema en el futuro y dequé forma se representa este fenómeno enMéxico.

  16. Conversión del músculo en carne para la mejora del grado de terneza en bovinos: Perspectiva actual

    OpenAIRE

    Garau Gomila, Lluís A.

    2010-01-01

    La conversión del músculo en carne es un proceso complejo que lleva desde el animal vivo hasta su transformación en alimento. Este trabajo examina las consecuencias de este proceso debido a la problemática que presentan algunas carnes de la especie bovina en relación a la textura y las asocia con diferentes hipótesis susceptibles de este factor organoléptico. Se describen las principales analogías de los cambios postmortem que afectan a un conjunto de características diferentes...

  17. Estrategias de salud electrónica en la región de Las Américas: Situación actual y perspectivas

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    Marcelo D’ Agostino

    Full Text Available El objetivo principal de la Estrategia y Plan de Acción Sobre eSalud (2012-2017 es contribuir al desarrollo sostenible de los sistemas de salud de los estados miembros. Con su adopción se busca mejorar el acceso a los servicios de salud y su calidad a través de la utilización de las tecnologías de la información y de las comunicaciones (TIC, la implementación de programas de alfabetización digital y el acceso a información de calidad que permita avanzar hacia sociedades más informadas, equitativas, competitivas y democráticas. La OPS/OMS considera que sociedades con acceso libre y equitativo a la información sobre salud debe ser un derecho fundamental de las personas. El acceso a información, intercambio de conocimientos y uso de las tecnologías de la información y la comunicación en el sector de la salud sigue creciendo y está impulsando cambios significativos en la manera en que la población interactúa con los servicios de salud y entre sí misma en las redes sociales y mediante el uso de dispositivos móviles (mSalud. Esta sociedad hiperconectada, o sociedad de la información, nos trae nuevos desafíos y oportunidades relacionadas con el uso de datos masivos (Big data que nos obliga a repensar nuestra relaciones con la realidad y la forma tradicional de manejo de información en salud

  18. MÉXICO EN UN EVENTUAL ACUERDO DE LIBRE COMERCIO DE LAS AMÉRICAS: PERSPECTIVAS Y APROXIMACIÓN DESDE LA HISTORIA ACTUAL

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    Carlos Nahuel Oddone

    2006-01-01

    Full Text Available En el texto se analiza la posición del Gobierno de México respecto de una eventual conformación del Área de Libre Comercio de las Américas, más conocida como el ALCA. La aproximación del estudio se hace desde lo que se ha denominado “historia actual”; en este sentido el TLCAN se constituye en una herramienta metodológica importante al momento de realizar las prospecciones del tema en cuestión. Asimismo, son analizados los problemas que existen hoy en el TLCAN y que difícilmente se solucionarán con el ALCA.

  19. Un estudio del juego de bolos en Boiro: aspectos históricos, estado actual de práctica y perspectivas de futuro

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    José Eugenio Rodríguez Fernández

    2015-04-01

    Full Text Available En este estudio de investigación se recogen las particularidades de la práctica del juego de bolos en el Ayuntamiento de Boiro (A Coruña, único municipio de la provincia donde en la actualidad se mantiene vivo este juego popular y tradicional, un deporte antiquísimo, muy extendido en todas las culturas (Ruiz, 2000 y uno de los más practicados en todo el mundo en sus diferentes modalidades y variantes.

  20. La eliminación de la lepra de las Américas: situación actual y perspectivas

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    Clovis Lombardi

    1998-09-01

    Full Text Available La lepra, enfermedad que antes evocaba una imagen sombría e inspiraba terror, ahora se puede curar gracias al esquema politerapéutico a base de rifampicina, clofazimina y dapsona que se ha venido usando desde 1981. En 1991 la Asamblea Mundial de la Salud, alentada por la eficacia de este régimen, fijó la meta de eliminar la enfermedad como problema de salud pública mundial y nacional para el año 2000. Esta meta, que equivale a reducir la prevalencia a menos de un caso por 10 000 habitantes, no debe confundirse con la de erradicar la enfermedad, que implica interrumpir por completo su transmisión. La eliminación de la lepra es una meta asequible que dependerá del uso enérgico y a gran escala del régimen poliquimioterapéutico. El presente trabajo describe y examina las iniciativas que se han puesto en marcha en América Latina para lograr la meta y los resultados observados hasta el momento. También se exploran los factores que inciden en la factibilidad de erradicar la enfermedad.Leprosy, a disease that used to be shrouded in darkness and fear, can now be cured thanks to a multidrug treatment schedule with rifampicin, clofazimine, and dapsone which has been in use since 1981. In 1991 the World Health Assembly, enouraged by the efficacy of this treatment regimen, established the goal of eliminating the disease as a public health problem globally and nationally by the year 2000. This goal, which calls for reducing disease prevalence to less than one case per 10 000 inhabitants, should not be confused with the goal of eradicating the disease, which implies a complete interruption of its transmission. Eliminating leprosy is an attainable goal which will depend on the forceful and massive use of the multidrug treatment regimen. This paper describes and discusses the various initiatives that have been launched in Latin America for the purpose of achieving this goal and the results obtained so far. It also explores the factors that impact on the feasibility of eradicating the disease.

  1. Insectos descortezadores (coleoptera: curculionidae) y cambio clImático: problemática actual y perspectivas en los bosques templados

    OpenAIRE

    Ek del-Val; Cuauhtémoc Sáenz-Romero

    2017-01-01

    En los bosques templados están sucediendo modificaciones importantes debido al cambio climático; en latitudes polares va en aumento su área de distribución, mientras que en las tropicales se reduce por incremento en la temperatura y las sequías. Uno de los agentes bióticos reguladores de los bosques templados son los insectos descortezadores que ocasionan la mortalidad de ciertos árboles. Estos insectos han aumentado en número, favorecidos por el cambio climático y las consecuencias sobre los...

  2. Insectos descortezadores (coleoptera: curculionidae) y cambio clImático: problemática actual y perspectivas en los bosques templados

    OpenAIRE

    Ek del-Val; Cuauhtémoc Sáenz-Romero

    2017-01-01

    En los bosques templados están sucediendo modificaciones importantes debido al cambio climático; en latitudes polares va en aumento su área de distribución, mientras que en las tropicales se reduce por incremento en la temperatura y las sequías. Uno de los agentes bióticos reguladores de los bosques templados son los insectos descortezadores que ocasionan la mortalidad de ciertos árboles. Estos insectos han aumentado en número, favorecidos por el cambio climático y las consecuencias sobr...

  3. Adquisició de primeres i segones llengües: perspectiva històrica i qüestions actuals

    Directory of Open Access Journals (Sweden)

    Llorenç Comajoan Colomé

    2014-11-01

    Full Text Available This article discusses theoretical approaches to language acquisition and language teaching and focuses on recurring themes in these approaches and how they have developed over time. The first section provides a historical overview of the history of language acquisition. The second section reviews the development of three contemporary issues that originated in past philosophical and linguistic discussions: the differences between first and second language acquisition and the poverty of the stimulus argument, innatism versus empiricism, and the effect of language instruction in second language acquisition. The article concludes with an emphasis on the interdisciplinary nature of language acquisition study.

  4. MÉXICO EN UN EVENTUAL ACUERDO DE LIBRE COMERCIO DE LAS AMÉRICAS: PERSPECTIVAS Y APROXIMACIÓN DESDE LA HISTORIA ACTUAL

    OpenAIRE

    Carlos Nahuel Oddone; Leonardo Granato

    2006-01-01

    En el texto se analiza la posición del Gobierno de México respecto de una eventual conformación del Área de Libre Comercio de las Américas, más conocida como el ALCA. La aproximación del estudio se hace desde lo que se ha denominado “historia actual”; en este sentido el TLCAN se constituye en una herramienta metodológica importante al momento de realizar las prospecciones del tema en cuestión. Asimismo, son analizados los problemas que existen hoy en el TLCAN y que difícilmente se solucionar...

  5. O sistema de gestão da despesa pública em Portugal Génese. Situação actual e perspectivas.

    OpenAIRE

    Fonseca, João Carlos Nunes Reis Campos

    2009-01-01

    Mestrado em Administração e Políticas Públicas A arquitectura de um sistema de gestão da despesa pública influencia a disciplina orçamental,a eficiência alocativa e a eficiência técnica dos recursos geridos pela Administração Central. Assim, nos últimos 20 anos, vários países têm vindo a efectuar reformas orçamentais e a adoptar soluções semelhantes no desenho dos respectivos sistemas. No entanto, até à presente data, Portugal tem estado relativamente afastado deste movimento de refo...

  6. Conocimientos actuales y perspectivas de investigación de elementos traza en la nutrición infantil: Parte III

    OpenAIRE

    Navarro-Blasco, I. (Íñigo); Sola-Larrañaga, C. (Cristina); Alvarez, J.I. (José Ignacio); Villa-Elizaga, I. (Ignacio)

    2004-01-01

    La alimentación de los lactantes mediante las fórmulas lácteas no suplementadas, durante periodos de tiempo prolongados, presenta el riesgo del desarrollo de deficiencias nutricionales de diversos oligoelementos; en contraste, los lactantes alimentados con leche materna rara vez presentan alguna deficiencia mineral Puesto que la concentración de estos oligoelementos en la leche humana con frecuencia es más baja o igual que aquella de las fórmulas lácteas, incluso sin suplementa...

  7. Las negociaciones del Acuerdo de Asociación entre la Unión Europea y Centroamérica: Estado actual y perspectivas

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    Manuel Cienfuegos Mateo

    2009-01-01

    Full Text Available En este trabajo se estudia la evolución de las relaciones entre la Unión Europea y Centroamérica, y en especial, el progreso de las negociaciones del acuerdo de asociación birregional. Para ello, se analiza el presente y se exponen los desafíos que dichasnegociaciones plantean a corto y a largo plazo. Los principales obstáculos para la conclusión de las negociaciones se identifican en el pilar comercial, en el cual se evidencia una estrecha interconexión con los resultados de la Ronda de Doha. Finalmente, se formulan diversas recomendaciones para el avance y profundización de las relaciones eurocentroamericanas dirigidas a los actores claves del proceso.

  8. Nuevos productos alimenticios en el comercio mundial: situación y perspectivas actuales para el cultivo y exportación de quinua por parte del Ecuador

    OpenAIRE

    Valenzuela Chauca, Diana Pamela

    2016-01-01

    El presente trabajo de investigación plantea un estudio sobre la producción de quinua, enfocado en sus principales proveedores: Bolivia, Ecuador y Perú. El objetivo que guió esta investigación fue determinar las tendencias de la evolución de la producción y el comercio internacional de quinua en los países andinos, y en particular el Ecuador. Para ello se estudiaron las características, actores, tendencias del cultivo y comercio internacional de la quinua. En el capítulo uno, se presentan las...

  9. The feature of the self-actualization of infancy A longitudinal study about development of a self-actualization tendency

    OpenAIRE

    倉盛, 美穂子; 畠山, 美穂; 山崎, 晃

    2003-01-01

    This study examined the developmental feature of the self-actualization of infancy in a longitudinal study. One hundred one 6 years-old children were participated in this study. The preschool teachers accessed self-actualization tendency on each child twice a year and recorded their impressive episode. It was found that 70 percent of the children increased the score for self-actualization tendency. Although, as for the child whose self-actualization score was low at the 1st time raised the sc...

  10. Evolución y perspectivas del registro de medicamentos en Cuba

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    Celeste A Sánchez González

    2002-12-01

    Full Text Available Se realizó una evaluación de las autoridades sanitarias a cargo de la autorización para la comercialización de medicamentos en Cuba desde 1959 hasta el 2001 y de su nivel de subordinación. Se describió la evolución de los documentos normativos y legales que dan la base al Registro de Medicamentos en Cuba y a su evaluación, con lo que se caracterizó el enfoque nacional de los requerimientos y procedimientos exigidos para registrar un medicamento. Se identificaron etapas en la evolución de las autoridades y se enumeraron los aspectos que han marcado saltos de calidad en la espiral de desarrollo de la actividad. Se identificó la situación actual y perspectivas para garantizar la elevación del nivel normativo y legal del Sistema Regulador de Medicamentos.The health authorities in charge of authorizing the commercialization of drugs in Cuba from 1959 to 2001, as well as their subordination level were evaluated. The evolution of the normative and legal documents, which are the basis of the Drug Registry in Cuba and of its evaluation, was described in order to characterize the national approach of the requirements and procedures demanded to register a drug. Some stages in the evolution of the authorities were identified and those aspects considered as quality leaps in the development spiral of this activity were approached. Emphasis was made on the present situation and on the outlooks to guarantee the improvement of the normative and legal level of the Drug Control System.

  11. Planes de seguridad del agua. Fundamentos y perspectivas de implementación en Colombia

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    Andrea Pérez Vidal

    2009-09-01

    Full Text Available El agua para consumo humano debe estar libre de organismos patógenos, sustancias químicas, impurezas y cualquier contami- nante que cause problemas a la salud humana. América Latina y el Caribe (ALC presentan problemas de calidad por deficien- cias en la operación, mantenimiento y continuidad de los servicios, incorrecto funcionamiento de las plantas de tratamiento y precariedad de las redes de distribución e instalaciones domiciliarias. Las tendencias mundiales del sector agua potable están o- rientadas al desarrollo de metodologías para evaluación y gestión del riesgo en los sistemas de abastecimiento para proteger la salud pública. La aplicación de los Planes de Seguridad del Agua (PSA es una práctica orientada al suministro de agua de cali- dad, cuya estructura se basa en principios de barreras múltiples, análisis de peligros, puntos críticos de control (APPCC y hacer- camientos sistemáticos de gestión como la ISO 9001:2000. Experiencias internacionales han demostrado los beneficios de im- plementarlos como estrategia para garantizar la calidad del agua potable y la protección de la salud pública. En Colombia, la actual normatividad sobre agua potable exige la implementación de mapas de riesgos y evaluación de índices de calidad, lo que posibilitará que los PSA tengan gran perspectiva de implementación en el corto plazo.

  12. Perspectivas globales de utilización de grasas y aceites. Presente y futuro

    Directory of Open Access Journals (Sweden)

    Leysen, Ir. Rogar

    1996-10-01

    Full Text Available The paper shows current overview and the perspectives related to the production of oilseeds, fats and oils as well as the consumption of them. The study is based on the evolution of several variables such as changes in population, policies, incomes, prices, availability of natural resources (land for agriculture and environmental impact. With respect to technology, the work comments the possible influences of biotechnology transportation systems, milling, and some transformations for specific uses. Among the promising uses of vegetable oils the following are mentioned: utilization as biodiesel, adhesives, biodegradable plastics, printing inks, lubricating oils, hydraulic fluids or, even, new tendencies in the area of nutrition (foods with pharmacological effects.

    El trabajo comenta el estado actual y las perspectivas de futuro de la producción de semillas oleaginosas, aceites y grasas, así como el consumo de los mismos. Dicho estudio, se basa en la evolución de una serie de variables tales como los cambios de población, políticas, ventas, precios, disponibilidad de los recursos naturales (tierras para la producción agrícola y el impacto sobre el Medio Ambiente. En el aspecto tecnológico se hace especial mención sobre el impacto previsible de la biotecnología, transporte, molienda y posibles transformaciones para determinados usos. Entre las aplicaciones prometedoras de los aceites vegetales se mencionan el empleo como biodiesel, adhesivos, plásticos biodegradables, tintas de impresión, aceites lubricantes y líquidos hidráulicos e, incluso, nuevas tendencias en el campo de la alimentación (alimentos con algún papel de índole farmacológico.

  13. Perspectivas sobre la eficiencia del sistema portuario español

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    Medal Bartual, A.

    2011-01-01

    Full Text Available La Ley 33/2010, de 5 de agosto, señala explícitamente “la exigencia de adoptar en España medidas que mejoren la gestión de nuestros puertos y su eficiencia, impulsando su competitividad en una coyuntura de fuerte competencia internacional”. Con este objeto, el presente artículo analiza las perspectivas futuras sobre la eficiencia de los puertos que integran el actual Sistema Portuario Español, tanto a corto como a medio plazo. Con ello pretendemos dar respuesta a cuestiones cómo qué nivel de eficiencia van a tener los puertos españoles en el futuro, qué puertos van a liderar el panorama portuario español en los próximos años, o cuál será el ranking jerárquico de dichas entidades en función de su nivel de eficiencia. Las respuestas a las mismas permitirán a los gestores portuarios tomar las medidas oportunas para mejorar la gestión de los puertos en la línea propuesta por la citada Ley. Para el análisis de la eficiencia previsible del Sistema Portuario Español hemos aplicado la metodología DEA con tolerancias, partiendo de las previsiones realizadas por el Organismo Público Puertos del Estado y recogidas en el Plan Estratégico de Infraestructuras y Transportes del 2009.

  14. Rational Behavioral Training and Changes in Self-Actualization.

    Science.gov (United States)

    Johnson, Norbert; And Others

    1982-01-01

    Examined the effects on self-actualization of CETA supervisors who participated in a Rational Behavioral Training (RBT) group. The Personal Orientation Inventory (POI) was administered to experimental and control groups before and after the group. Results indicated the RBT experience enabled participants to move toward self-actualization. (RC)

  15. Counseling Practicum as a Facilitator of Self-Actualization.

    Science.gov (United States)

    Osborne, John W.; Steeves, Liliane

    1982-01-01

    Uses 12 subscale scores on the Personal Orientation Inventory to assess effects of a practicum experience upon self-actualization of 79 University of Alberta graduate students (counseling students with and without practicum, and noncounseling students). Results indicate a facilitative effect of practicum upon self-actualization. (AH)

  16. SELF-ACTUALIZATION AND THE UTILIZATION OF TALENT.

    Science.gov (United States)

    FRENCH, JOHN R.P.; MILLER, DANIEL R.

    THIS STUDY ATTEMPTED (1) TO DEVELOP A THEORY OF THE CAUSES AND CONSEQUENCES OF SELF-ACTUALIZATION AS RELATED TO THE UTILIZATION OF TALENT, (2) TO FIT THE THEORY TO EXISTING DATA, AND (3) TO PLAN ONE OR MORE RESEARCH PROJECTS TO TEST THE THEORY. TWO ARTICLES ON IDENTITY AND MOTIVATION AND SELF-ACTUALIZATION AND SELF-IDENTITY THEORY REPORTED THE…

  17. Self-Actualization of Elite Blind Athletes: An Exploratory Study.

    Science.gov (United States)

    Sherrill, C.; And Others

    1990-01-01

    This study used the Personal Orientation Inventory to compare self-actualization of 52 elite blind athletes with sighted athletes. Self-actualization profiles of blind athletes were lower for measures of existentiality and self-acceptance but otherwise identical to those of sighted athletes. Both sighted and blind athletes scored below test-manual…

  18. Garantia de emprego sob a perspectiva sistêmico-funcional

    OpenAIRE

    Lúcia Barbosa, Maria

    2010-01-01

    Esta dissertação apresenta uma análise da garantia de emprego prevista no artigo 4º da Convenção 158 da OIT sob a perspectiva sistêmica. A convenção 158 da OIT, em seu artigo 4º, estabelece a proibição de demissões imotivadas. Apenas por razões de ordem técnica e comportamental o empregador estaria autorizado a demitir o empregado. Procura-se destacar que a garantia de emprego decorre das irritações sistêmicas entre os sistemas político, jurídico e econômico. Para tanto, abordaremos a gara...

  19. Los problemas del aprendizaje en la escuela. Perspectiva social

    Directory of Open Access Journals (Sweden)

    Sindo FROUFE QUINTAS

    2009-11-01

    Full Text Available Pocos temas han tenido tanta importancia y repercusión en la escuela como el problema de los trastornos de aprendizaje desde una perspectiva social/sociológica. Distintos tipos de profesionales como psicólogos, neurólogos, ópticos, fisioterapeutas, pedíatras, pedagogos y maestros han manifestado/mostrado un gran interés por conocer/descifrar en profundidad su etiología. Quedan aún muchas lagunas/misterios por aclarar. La mente humana es duramente compleja. La cultura es un bien que todo el mundo desea conquistar. Por ella se entra en el mundo de la civilización tecnológica y en la interpretación correcta de los distintos sistemas de comunicación que abren nuevos horizontes al hombre de la técnica.

  20. Gestión humana: tendencias y perspectivas

    Directory of Open Access Journals (Sweden)

    Juan Guillermo Saldarriaga Ríos

    2008-04-01

    Full Text Available En este artículo se hace referencia a las tendencias y las perspectivas de gestión humana que se imponen en el mundo en la actualidad y que, a su manera, pretenden optimizar la administración del personal de la organización y contribuir al desarrollo e incremento de la productividad y la competitividad. Mediante la realización de un Estado del Arte se logran determinar algunas de las tendencias más relevantes en la actualidad y se concluye que, cada vez con mayor fuerza, dichas tendencias se sustentan en discursos que pretenden “rescatar” al ser humano dentro de la organización, lo que no necesariamente se traduce en los procesos de gestión humana que se realizan en las organizaciones nacionales e internacionales.

  1. Inmigración y Delincuencia: Perspectiva Penitenciaria

    OpenAIRE

    Giarrizzo García, Laura

    2014-01-01

    El presente trabajo intenta ser un análisis crítico de la situación de los inmigrantes en España deteniéndose más especialmente en la realidad penitenciaria. Contiene un breve estudio de los flujos migratorios y sus causas así como la diferenciación entre los términos “extranjero” e “inmigrante”. A continuación se desglosan algunas de las teorías criminológicas más importantes para entender el fenómeno de la delincuencia para a continuación, analizar más exhaustivamente la perspectiva peniten...

  2. La autonomía personal y la perspectiva comunitarista

    Directory of Open Access Journals (Sweden)

    Álvarez, Silvina

    1999-11-01

    Full Text Available Not available

    El presente artículo analiza el planteamiento que algunos autores comunitaristas han hecho de la noción de autonomía personal. En primer lugar centraré la atención en la formulación kantiana de la autonomía y en las posteriores reformulaciones que se han hecho de la propuesta original. En la segunda parte expondré algunos aspectos generales de la teoría comunitarista para luego desarrollar la propuesta de Charles Taylor, específicamente la ética de la autenticidad. En el análisis se destacan los problemas que surgen de entender la autonomía desde la perspectiva de una ética comprehensiva que concibe al sujeto como continuador de una tradición moral colectiva.

  3. EL DERECHO DE AUTOR EN COLOMBIA DESDE UNA PERSPECTIVA HUMANISTA

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    Ramiro Rodríguez López

    2012-01-01

    Full Text Available Se considera que el Pacto Internacional de Derechos Económicos, Sociales y Culturales, promulgado por las Naciones Unidas en 1966, determinó la necesidad de garantizar a las personas el derecho a beneficiarse tanto de los intereses morales como de los materiales sobre las creaciones del intelecto, denominadas propiedad intelectual. Al respecto, se considera posible plantear su estudio desde una perspectiva humanista, iniciando el análisis desde la precisión de derechos de autor. Para ello, se estudia su consagración normativa en las constituciones políticas de 1886 y 1991; la importancia de los instrumentos internacionales a los cuales ha adherido el Estado colombiano y su desarrollo en la jurisprudencia nacional, donde se ha hecho una clara referencia del derecho de autor como un derecho contenido en el artículo 27 de la Declaración Universal de los Derechos Humanos de 1948.

  4. Editorial Mercadotecnia Latinoamericana desde una perspectiva de México

    Directory of Open Access Journals (Sweden)

    Thel Augusto Monteiro

    2017-10-01

    Full Text Available La presente Edición Especial: Mercadotecnia Latinoamericana desde una perspectiva de México, es un esfuerzo de investigadores de diferentes universidades reconocidos por sus aportaciones científicas sobre Mercadotecnia en México. Las comunicaciones esta edición describen las Estrategias de Mercadotecnia y su Aplicación en México, está estructurada en ocho aportaciones científicas representan el quehacer académico y de investigación diario de la mercadotecnia, tratando temas de frontera relacionados con el Branding Laboral, el Emprendimiento Social, la Compra Compulsiva, la Inteligencia Emocional, la Mercadotecnia Musical, el Nuevo Perfil de Consumidor Mexicano, el Marketing de Lugares (Caso: Real de Catorce y el Marketing Gastronómico (Caso: Salsa Chimichurri.

  5. Adolescencia y suicidio: Entre la perspectiva neuropsicológica de Diamond y Psicoevolutiva de Dolto

    OpenAIRE

    Mónica Viviana Gómez; Diego Alejandro Calle; José Flórez Ocampo; Luisa Victoria Álvarez

    2015-01-01

    Este artículo presenta una reflexión sobre la problemática del suicidio en la adolescencia, tomando en consideración algunos aspectos comunes asociados al concepto de desarrollo entre la perspectiva neuropsicológica de Adele Diamond y la perspectiva psicoevolutiva de Françoise Dolto. Las dos perspectivas permiten un acercamiento a las nociones de temporalidad y vulnerabilidad, claves para la comprensión de dicha problemática, la cual está ligada a las condiciones socio históricas de la époc...

  6. El desarrollo local desde una perspectiva sociocultural de la competitividad

    Directory of Open Access Journals (Sweden)

    Rubén D. Echeverry Romero

    2013-06-01

    Full Text Available El presente artículo sintetiza una perspectiva sociocultural de la competitividad, como resultado del trabajo de investigación aplicada en ejercicios de asesoría a gobiernos municipales, específicamente en Palmira y Buenaventura que hizo el Grupo de Investigación en Negocios Internacionales y Comercio Exterior, en alianza con el Instituto de Prospectiva, Innovación y Gestión del Conocimiento de la Universidad del Valle. Esta perspectiva se materializa en un esquema metodológico que parte de la realización de un perfil competitivo regional, identifica núcleos temáticos que facilitan la profundización de las problemáticas y el tratamiento de las mismas y define un escenario óptimo para la construcción consensuada de estrategias de desarrollo. En su aplicación ha sido posible comprobar que tanto los núcleos temáticos como las categorías de los problemas identificados resultaron comunes en ambos municipios en sus componentes más genéricos. A pesar del carácter heterogéneo de las experiencias, ha sido posible formular un conjunto de estrategias indispensables en las agendas de desarrollo local para municipios similares en los países en desarrollo. Este artículo constituye un aporte fundamental al conjunto de experiencias de construcción de procesos de desarrollo regional con base en el reconocimiento de las particularidades de una localidad

  7. RESPONSABILIDADE SOCIAL CORPORATIVA: CONSTRUINDO UMA PERSPECTIVA PRÃ-GOVERNO

    Directory of Open Access Journals (Sweden)

    Ana Lucia Malheiros Guedes

    2008-09-01

    Full Text Available Ao fortalecer e disseminar em larga escala conceitos e discursos pró-mercado, a era da globalização fortaleceu as áreas de estratégia e marketing, em detrimento de conceitos e discursos pró-governo e da área de gestão pública. Esse quadro de assimetria contribuiu para a transformação de responsabilidade social corporativa (RSC em tópico de central importância para grandes empresas e para as áreas de marketing e de estratégia e também para a emergência de algumas críticas mais extremas. Este ensaio argumenta que esse processo de fortalecimento da literatura pró-mercado deve ser problematizado e que a área de gestão pública deve construir e disseminar uma perspectiva pró-governo em RSC. Apesar do desinteresse da área de gestão pública pelas áreas de estratégia e marketing, essa perspectiva pró-governo em RSC pode tanto revigorar a área de gestão pública no Brasil, quanto ajudar elevar a relevância das áreas de estratégia e marketing.

  8. Beneficial academic orientations and self-actualization of college students.

    Science.gov (United States)

    Davidson, William B; Bromfield, Jeffrey M; Beck, Hall P

    2007-04-01

    This study tested the prediction that individual differences in self-actualization would be associated with six academic orientations which influence college students' adjustment to their studies. Volunteer undergraduates, solicited from courses in the sciences and liberal arts and invited to complete internet measures of the academic orientations and self-actualization were 137 men and 311 women (M age=21.1, SD=4.8). Statistically significant bivariate correlations obtained between scores on self-actualization with all six orientations: creative expression, reading for pleasure, academic efficacy, and, inversely, structure dependence, academic apathy, and mistrust of instructors. Regression analysis showed that four orientations were independently related to self-actualization scores. The role of these four orientations in actualizing students' adjustment was discussed, and implications were drawn about the interpretation of scores on the four orientations.

  9. ACTUALIZATION OF METHODIC OF CALCULATION OF ACTUAL INDICATOR OF CIVIL AIRCRAFT DISPATCH RELIABILITY

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    A. R. Aleksanyan

    2017-01-01

    Full Text Available Dispatch reliability – is one of the key criteria of aircraft technical operation process efficiency which reflects economic efficiency of airline activity. The higher the operational reliability, the better the level of aircraft operation in airline, the higher maintenance quality and safety policy is more effective. Due to the lack of unified procedure of dispatch reliability control both for aircraft manufacturers and Russian Federation aircraft operators and based on international experience it was concluded that there is a need for dispatch reliability specification by introducing a number of parameters, definitions and development, thereby the unified updated methodic of calculation. In this work six basic and three auxiliary parameters are introduced, the following terms and definitions are established: dispatch reliability, operational reliability, ground operational interruptions, operational interruptions, in-flight  interruptions. A unified actualized methodic of dispatch reliability and operational reliability calculation is developed, which is reasonable and more accurate. Since the aircraft dispatch reliability includes the notion of Regularity and Punctuality, definitions and criteria calculation are given.  The detailed example of criteria calculation is shown: dispatch reliability, dispatch regularity, flight punctuality, operational reliability, flight delays for a hundred landings, aircraft changes for a hundred landings, flight cancellations for a hundred landings.

  10. Los movimientos de protesta del Pueblo Mapuche en Chile, 2000-2012: Balance y perspectivas

    Directory of Open Access Journals (Sweden)

    Rita Cancino

    2014-09-01

    Full Text Available Aunque el Pueblo Mapuche de Chile es numéricamente reducido, sus reivindicaciones históricas y luchas actuales tienen el mismo contenido que las de otros pueblos originarios de América Latina con mayor población. Durante cuatro siglos los Mapuches no dejaron de combatir el colonialismo español. Desde 1830, el Estado chileno ha ejercido una colonización interior que les expropió sus tierras ancestrales, desconoció su lengua, cultura e identidad subsumiéndolos en la identidad chilena. Los movimientos mapuches actuales expresan la continuidad de una lucha de resistencia frente al Estado Nacional que nunca ha cesado. En 1979 la dictadura militar promulgó el Decreto de Ley 2.568 cuyo objetivo fue la disolución de las comunidades mapuches. Las movilizaciones mapuches fueron iniciadas en los 80 y formaban parte de los movimientos de protesta contra los procesos de globalización y modernización que han generado enormes impactos ambientales. En este artículo se discutirán las perspectivas de la lucha mapuche en un país donde los pueblos originarios constituyen una minoría y las posibilidades eventuales de estos de entablar alianza con otros sectores oprimidos para poder alcanzar los objetivos de su lucha. English: Although the Mapuche people of Chile is numerically a small group, its historical and current struggles have the same content as that of other peoples of Latin America with larger population. For four centuries the Mapuche people never stopped fighting against the Spanish colonialism. Since 1830, the Chilean government has exerted inner colonization by expropriating their ancestral lands, ignoring their language, culture and identity forcing them into the Chilean identity. The current Mapuche movements express the continuity of a resistance struggle against the Federal Government which has never ceased. In 1979, the military dictatorship enacted the Decree Law 2.568 aimed at the liquidation of the Mapuche communities. The

  11. Culturas juveniles y estrategias de aprendizaje en educación superior, perspectiva intercultural

    Directory of Open Access Journals (Sweden)

    Adriana Rivera Lersundi

    2016-01-01

    Full Text Available En este artículo se plantea una reflexión acerca de la necesidad de mirar la formación profesional de Enfermería desde una nueva perspectiva de diversidad etárea. Habitualmente la iniciación formativa en estas instituciones se da a una edad cronológica y social donde sin ser ya adolescentes podríamos tener una mezcla de juventud y suficiente madurez, aún libre de la carga de responsabilidades; pero también hay una demanda de educación superior que actualmente significa el ingreso de otro tipo de juventud (30 y 40 años. Pretendemos reflexionar acerca de la necesaria resignificación del proceso de aprendizaje acorde a la población de estudiantes que ingresan a estas instituciones y también sobre la pertinencia en la formación para el desarrollo de competencias, que respondiendo a los imperativos del contexto actual, mantenga la premisa en donde la educación sigue siendo un mecanismo para lograr igualdad de oportunidades. Por tanto, es importante tensionar los procesos pedagógicos de estas instituciones referentes a estas exigencias actuales. Abstract This article presents a reflection on the need to look professional Nursing training in a new age perspective of diversity. Usually admission to these institutions is a time and age where we have social mix of teenagers and youth without being unloaded necessary maturity of liabilities, but currently the demand for higher education has meant the entry of other youth (30 to 40 years. We intend to reflect on the necessary redefinition of the learning process according to the population of students entering these institutions and also on the relevance in training for skills development that respond to the demands of the current context, keeping the premise where education remains a mechanism for achieving equal opportunities. It is therefore important to stress the teaching processes of these institutions regarding these current requirements.

  12. Las Relaciones Internacionales desde la perspectiva de Hardt y Negri en su obra Multitud

    Directory of Open Access Journals (Sweden)

    Rossella Petrolati

    2017-02-01

    Full Text Available Este trabajo quiere considerar el mecanismo de las RI desde la perspectiva de Hardt y Negri, así como planteada en la primera parte de la obra Multitud, que podemos considerar una reflexión sobre el capitalismo global. Los autores consideran que hoy no hay más un protagonismo del trabajo material sino de un trabajo inmaterial, plan de creación de lo común, que sería trasversal a los sectores sociales y geograficos. Esta fuerza creatiba sería la principal enemiga de los Estados de hoy, cuya politica, definida biopolitica, tiene como objetivo el mantenimiento del orden actual. La biopolitica se realizaría a traves de una componente destructiva, la guerra permanente, y de una creatiba: el fuerte control, por ejemplo policial, sobre la vida de los ciudadanos. Se afirma que hay una jerarquía internacional de Estados, con distintos niveles de poderes, y que estos participan a la guerra permanete para mantener-defender su posición en la jerarquía o para mejorarla. También se aclara que para entender el actual equilibrio mundial nuestros autores consideran necesario entender la excepcionalidad de los Estados Unidos, el Estado actualmente más poderoso. Finalmente se concluye que el mundo contemporaneo se puede definir como un Imperio, y que resultaría inapropriada tanto la visión unilateral que la multilateral, tanto el proamericanismo cuanto el antiamericanismo. El mundo de hoy sería el resultado de relaciones complejas, el sistema Internet bién representaría la imagen de la flexibilidad, de los cambios rápidos, de las posibilidades de extención y deformación de las situaciones. Entre los actores de las RI no habría que considerar solo los Estados, sino también las grandes Multinacionales, ONGs, las redes sociales, etc.

  13. El cuerpo de la vejez desde una perspectiva de género. Aproximaciones desde La vejez de Simone de Beauvoir

    Directory of Open Access Journals (Sweden)

    Dulce Suaya

    Full Text Available Resumen: El artículo sitúa la vejez en la sociedad contemporánea, etapa de la vida traspasada por múltiples significados asignados por el biocapitalismo (NEGRI, 2014, que la estigmatizó con denominaciones despectivas. Entre las dominantes encontramos aquellas que representan al "viejo/a" como un "problema" "una carga insoportable" para las familias que, cada vez con mayor frecuencia, delegan su cuidado a instituciones especializadas, encontrándose muchas veces el anciano/a en un estado de abandono y desamparo. Desde esta perspectiva afirmamos que de todas las franjas etarias es sin duda la más desfavorecida, situación que se agrava al considerarse la perspectiva de género. La sociedad actual valoriza la juventud y la fuerza de trabajo socialmente productiva y a pesar de los avances insoslayables en este terreno, todavía sigue organizándose bajo una perspectiva patriarcal. Cabe preguntarnos ¿Qué pasa con las mujeres ancianas? ¿Son acaso doblemente desfavorecidas? ¿Pueden ser identificarse como doblemente dominadas? ¿Cuáles son las consecuencias subjetivas de su posición social? ¿Cómo esto se expresa en su corporeidad? El presente trabajo pretende tratar estas cuestiones y proponer el dispositivo Historia Vital del Trabajo (HVT como una herramienta terapéutica que busca contribuir con la elaboración de un proyecto de vida en el que se recupere, en la subjetividad y en el cuerpo de la mujer anciana, una capacidad de trabajo creativo susceptible de ser valorizado socialmente. A tal efecto se reflexionará sobre la obra "la vejez" de Beauvoir (1970 en tanto se considera que la autora aborda la problemática con valor no solo teórico sino también testimonial.

  14. Comuna de Paris, interpretações e perspectiva de classe

    OpenAIRE

    Viana, Nildo

    2011-01-01

    v.16,n.2,p.177-203,jul./dez. 2011. O presente artigo analisa diferentes interpretações da Comuna de Paris, determinadas pelo enfoque da perspectiva de classe. Esta, após uma discussão teórica introdutória na abordagem materialista histórica, é seguida por breve explanação das perspectivas burguesa e proletária da Comuna de Paris; depois, focaliza-se a perspectiva burocrática, extraída da obra de Lênin. A conclusão geral é que as interpretações são perpassadas por perspectivas de classe e, ...

  15. PANORAMA ACTUAL DEL ESTUDIO DE LAS PLANTAS CON ACTIVIDAD ANTI-Helicobacter pylori

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    FRANCISCO PALACIOS-ESPINOSA

    2011-01-01

    Full Text Available La bacteria Helicobacter pylori es reconocida como el principal agente causal de la gastritis crónica activa, de la úlcera péptica, así como un factor de predisposición del carcinoma gástrico. Se estima que más del 50% de la población mundial está infectada por esta bacteria y, en el caso de México, se reporta una seroprevalencia del 66%. La terapia empleada para la erradicación de la bacteria falla en más del 20%, principalmente por la generación de resistencia a los antibióticos comerciales. De tal manera, es importante controlar estas enfermedades, buscando nuevos tratamientos y/o compuestos que sean más específicos, menos tóxicos y de fácil acceso a la población. Los productos naturales vegetales constituyen potenciales fuentes para el descubrimiento y esarrollo de nuevos agentes efectivos contra la infección de esta bacteria. En este trabajo se presenta la perspectiva actual a nivel mundial, acerca de las investigaciones que se están llevando a cabo en este campo. Se tratan temas como la evaluación preliminar de extractos de una cantidad considerable de plantas, el aislamiento de compuestos puros a partir de los extractos bioactivos, la elucidación del probable mecanismo de acción, estudios integrales que evalúan propiedades antiinflamatorias y gastroprotectoras y, por último, la modificación química de compuestos prototipo.

  16. Actualization rate and environment policies: a review on the debate

    International Nuclear Information System (INIS)

    2011-01-01

    The aim of this report is to present the theoretical basis which underlies the actualization of future values of gains and losses associated with the degradation of the environment on a long term, and even on a very long term. After having recalled some elements related to the actualization rate, the report discusses how to determine the actualization rate parameters through a descriptive or prescriptive approach, and outlines the multiplicity of choices and the sensitivity to parameters. It discusses the impact of relative prices and which hypothesis on these relative prices is to be retained. It finally discusses how risks are to be taken into account

  17. Fibrilación auricular: una mirada actual

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    Julián Aristizábal, MD

    2012-09-01

    Full Text Available La fibrilación auricular es la arritmia más frecuente en la práctica clínica y conlleva implicaciones significativas en la morbilidad y mortalidad cardiovascular de la población, así como en los costos para los sistemas de salud. No obstante, el conocimiento de la fisiopatología de la arritmia y el surgimiento de nuevas alternativas terapéuticas han cambiado la perspectiva en el manejo de esta enfermedad. Se realiza una revisión del desarrollo reciente en conceptos etiológicos y fisiológicos de la arritmia, así como en los esquemas de clasificación y evaluación del riesgo trombohemorrágico, además de los nuevos avances en terapias farmacológicas e intervencionistas.

  18. Perspectivas y políticas sobre la juventud en desventaja en España: un análisis desde el enfoque de capacidades

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    ANDRÉS HUESO

    2015-01-01

    Full Text Available Con la crisis en España, la juventud se enfrenta a una situación multidimensional de desventaja. En el artículo analizamos los puntos de vista de distintos actores sobre dicha situación, y cómo estas perspectivas se reflejan en el diseño e implementación de las políticas públicas. Realizamos un estudio cualitativo mediante una aproximación innovadora, el enfoque de capacidades, utilizando tanto revisión de fuentes secundarias como entrevistas en profundidad a 21 actores clave. Las evidencias muestran que las actuales políticas tienen una perspectiva limitada, centrada en la creación de empleo y que no considera las múltiples desventajas a las que se enfrentan los jóvenes hoy en día. Esto se agrava con la falta de participación en la definición e implementación de políticas, y con intereses partidistas y estrategias cortoplacistas.

  19. Estimating actual irrigation application by remotely sensed evapotranspiration observations

    NARCIS (Netherlands)

    Droogers, P.; Immerzeel, W.W.; Lorite, I.J.; SWAP, PEST

    2010-01-01

    Water managers and policy makers need accurate estimates of real (actual) irrigation applications for effective monitoring of irrigation and efficient irrigation management. However, this information is not readily available at field level for larger irrigation areas. An innovative inverse

  20. Criterion validity of a new measure of self-actualization.

    Science.gov (United States)

    Leclerc, G; Lefrançois, R; Dubé, M; Hébert, R; Gaulin, P

    1999-12-01

    Many authors have questioned the validity of the major existing measures of self-actualization (the Personal Orientation Inventory, the Personal Orientation Dimensions, and the Short Index of Self-actualization), given their serious theoretical and methodological limitations. A new inventory was developed, the Measure of Actualization of Potential, and various studies were conducted to assess its theoretical and empirical content as well as its construct validity, internal consistency, and temporal reliability. The present aim was to estimate the criterion validity of the new measure using humanistic clinical psychologists' assessments as the criterion. The results show that eight clinical psychologists' rankings of 73 individuals are positively and highly correlated with the scores obtained by the same individuals on the Measure of Actualization of Potential.

  1. Perspectivas sobre el desarrollo económico localizado

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    A. H. J. (Bert Helmsing

    2002-09-01

    Full Text Available La creciente movilidad de la producción y de los factores de producción puede haber generado una reversión de la polarización. Sin embargo, el desarrollo económico se localiza crecientemente en aglomeraciones económicas. La globalización es un fenómeno muy localizado. El propósito de este artículo es revisar tres perspectivas parcialmente sobrepuestas sobre el desarrollo económico local. Estas perspectivas corresponden en gran medida a tres factores que refuerzan la naturaleza localizada del desarrollo económico, es decir externalidades, aprendizaje colectivo y gobernabilidad. Las externalidades se refieren a fenómenos conocidos asociados con aglomeración. Más nuevo es el hecho de que constituyen una fuente de retornos crecientes. Se revisará esta nueva escuela de economía geográfica. Al mismo tiempo surgió una nueva geografía económica en base a agrupamientos y distritos industriales. Las externalidades se extienden y cambian de forma. La dinámica del desarrollo económico local puede ser vista desde la perspectiva de la economía evolucionaria. El aprendizaje en general y el aprendizaje colectivo en particular son conceptos centrales a nivel de las empresas y también a nivel de las instituciones territoriales. El aprendizaje aumenta y renueva las competencias locales para formular e implementar políticas económicas. La complejización de las relaciones entre empresas y entre empresas e instituciones territoriales es una fuente importante de sinergias y economías externas pero requiere nuevas formas de gobernabilidad, tanto a nivel industrial como territorialThe growing mobility of production and production factors could have contributed to a polarization reversal. However, it appears that economic development is increasingly localized in economic agglomerations. Globalization is a localized phenomenon. The purpose of this article is to review three partially overlapping perspectives on local economic development

  2. Actual Nursing Competency among Nurses in Hospital in Vietnam

    OpenAIRE

    Do Thi Ha; Khanitta Nuntaboot

    2016-01-01

    Background: Competency of nurses is vital to safe nursing practice as well as essential component to drive quality of nursing services. There exists little up to date information concerning actual competency among Vietnamese nurses. Purposes: The purpose of this study is to identify the actual nursing competency among nurses in clinical settings in Vietnam. Methods: A qualitative study, ethnographic method, comprised of the participant-observation, in-depth interview, and focus group discussi...

  3. « Optimal » vs actual hematocrit in obesity and overweight.

    Science.gov (United States)

    Brun, Jean-Frédéric; Varlet-Marie, Emmanuelle; Fédou, Christine; Raynaud de Mauverger, Eric

    2016-01-01

    Equations of blood viscosity provide a prediction of the 'optimal' hematocrit' (hct) as the hct resulting in the highest value of the bell-shaped curve of hematocrit/viscosity ratio h/η. We investigated if overweight and obesity have an influence on these parameters. We compared 32 normal weight subjects, 40 overweight (BMI 25-30) and 38 obese subjects. There was no difference in the theoretical curve of h/η. The actual h/η is the same in the 3 groups but is always higher than the theoretical h/η in all groups. The actual h/η is lower in overweight than controls (p = 0.011). Modeling yields the same value of theoretical optimal hct across BMI classes. The 3 groups have the same values of actual hct, but actual is significantly lower than optimal in all cases (p Hematocrit is lower than predicted due to a discrepancy between predicted and actual h/η which is due to the inter-subject variability of RBC rigidity ...   The discrepancy between optimal and actual h/η is negatively correlated to RBC rigidity indexes even if the model uses a fixed value of these indexes. Thus keeping in mind that the optimal hct should not be the same in the various parts of the vascular bed, its theoretical prediction with Quemada's equation appears to predict a value higher than actual hematocrit but well correlated to it, and the agreement between optimal and actual hct is dependent on RBC flexibility. This leads to think that the body sets hematocrit below its ideal value in sedentary subjects in order to cope with the need of increasing blood viscosity factors in case of exercise without impairing O2 supply to tissues.

  4. Tendencias actuales en los estudios del Antiguo Testamento: Desafíos y oportunidades

    Directory of Open Access Journals (Sweden)

    Ignacio Chuecas

    2012-01-01

    Full Text Available El presente artículo pretende hacer una presentación muy sucinta del estado actual de la investigación en el campo de los estudios del Antiguo Testamento. Al mismo tiempo, se intenta que esta introducción en la problemática actual sea accesible para un público que no necesariamente se ha especializado en la materia, pero que sí maneja algunas categorías teológicas fundamentales, en especial desde la perspectiva de la teología sistemática. La exposición comienza haciendo referencia al cambio más importante en cuanto a la forma de enfrentar el estudio de los textos del Antiguo Testamento, haciendo también especial referencia al tema histórico. Más tarde se procede a hacer una presentación según los ámbitos más característicos: Pentateuco, Obra Deuteronomista, Profetas y Escritos Sapienciales. Por último se concluye presentando algunos desafíos particulares en relación a la interacción de la teología veterotestamentaria y la sistemática.This article aims to briefly present the current state of research in the field of Old Testament studies. At the same time, the introduction to this issue is intended to be accessible to an audience who is not necessarily specialized in the field, but who is knowledgeable in some fundamental theological categories, particularly from the perspective of systematic theology. The presentation begins by referring to the most important change in terms of the ways to face the study of Old Testament texts, also making special reference to the historical aspect. Further, it proceeds to make a presentation according to the most characteristic areas: Pentateuch, Deuteronomistic work, Prophets and Wisdom Writings. Finally, it concludes presenting some particular challenges in relation to the interaction of the Old Testament theology and systematic theology.

  5. Seguridad y riesgo de toxicidad de los alimentos: un debate actual

    Directory of Open Access Journals (Sweden)

    Mariné Font, Abel

    2001-01-01

    Full Text Available Not available

    El progreso científico y tecnológico ha tenido muchas consecuencias beneficiosas para la humanidad pero también conlleva riesgos. Un ámbito en el que estos dos aspectos de la cuestión se manifiestan más claramente es el de la alimentación humana. Las posibilidades actuales de la industria alimentaria permiten la obtención de productos cada vez más adaptados a las necesidades y gustos del consumidor No obstante, existe una desconfianza frente a los alimentos transformados que se juzgan, injustamente, como menos seguros que los frescos o naturales. Ciertos escándalos de gran resonancia alimentan esta desconfianza, y no suele tenerse en cuenta que las vacas locas, los pollos con dioxinas o la carne con hormonas, por ejemplo, son problemas de las fases primarias de producción, agrícola y ganadera, y no de la industria alimentaria propiamente dicha. Bajo la perspectiva global de lo que son los alimentos y de lo que conocemos de su composición y funciones en el ser humano, y teniendo en cuenta de que el riesgo cero no existe para ninguna actividad, y por lo tanto tampoco en la alimentación, se puede afirmar que nuestros alimentos nunca han sido tan seguros como en la actualidad, aunque sigue habiendo problemas y en un tema como éste, de evidente implicación sanitaria, toda precaución es poca.
    En este artículo se discuten las relaciones entre alimentación y riesgo y la percepción social sobre estas relaciones, se describen someramente los componentes tóxicos naturales de los alimentos, la contaminación de los mismos, los problemas de alteración y deterioro, así como la adulteración y el fraude y sus consecuencias. También se aborda la significación de casos actuales que cuestionan la seguridad de los alimentos y el papel del control alimentario, por parte de productores y administraciones públicas, para garantizar la calidad y la seguridad de los alimentos.

  6. Galactooligossacarídeos: produção, benefícios à saúde, aplicação em alimentos e perspectivas

    Directory of Open Access Journals (Sweden)

    Ana Elizabeth Cavalcante Fai

    2015-01-01

    Full Text Available Sintetizados a partir de la transgalactosilación de la lactosa, los galactooligosacáridos son carbohidratos no digeribles, siendo clasificados como ingredientes prebióticos de alto valor añadido. Estudios recientes atribuyen a estos oligosacáridos una serie de potenciales beneficios para la salud y prevención de enfermedades. Esta revisión abo rda aspectos de la producción de estos compuestos y sus propiedades físicas y químicas, relacionándolos con su aplicación en la industria alimentaria. Más aún, se presentan los efectos fisiológicos y las perspectivas previstas para estos azúcares no conven cionales desde la situación actual .

  7. Propuesta metodológica a partir de la memoria para fortalecer la convivencia. Perspectiva de género y equidad.

    Directory of Open Access Journals (Sweden)

    Susy Bermúdez Q.

    2001-12-01

    Full Text Available Aspectos de la forma como construimos conocimiento en el Occidente letrado y la historia en ese contexto, es el primer punto que se aborda en el artículo, teniendo en cuenta que nuestra disciplina, como cualquier otra, es un producto cultural. Más tarde, se presentan contrastes a partir de escritos últimos realizados sobre la memoria y la historia, punto que considero se relaciona con el anterior, planteándose que la historia oficial no es sino una de las posibles manifestaciones de la memoria; como cierre del texto se retoman las ideas presentadas para revisarlas a la luz de problemas actuales como la con-vivencia, desde una perspectiva de género y de equidad.

  8. O trabalho da enfermagem: análise e perspectivas

    Directory of Open Access Journals (Sweden)

    Ana Lúcia Cardoso Kirchhof

    2003-12-01

    Full Text Available Este texto, ao considerar a enfermagem enquanto trabalho, evidencia, de início, uma perspectiva para desenvolvê-lo, ou seja,a de que somos capazes de transformar, pelo menos, o mundo da saúde no qual trabalhamos. Para tanto, proponho-me conhecê-lo enquanto um mundo do trabalho e de práticas de saúde que vem sendo, conforme discuto, historicamente determinadas. Tais práticas, dadas sua evolução, configuram-se no capitalismo como um serviço, o que lhes imprime um caráter especial nesse processo de produção. A enfermagem enquanto participante do trabalho coletivo da saúde desenvolve, contudo, um trabalho próprio, com o qual vem se definindo nesse contexto, a partir dos seus próprios processos de trabalho- de cuidar, de educar, de gerenciar; que, guardadas suas propriedades econômica, política e simbólica discutidas neste texto, poderão abrir as fissuras necessárias para a concretização cotidiana de um projeto que tome por referência o interesse do usuário do serviço de saúde, representado por suas necessidades de saúde.

  9. O CUIDADO COTIDIANO DA CRIANÇA NA PERSPECTIVA WINNICOTTIANA

    Directory of Open Access Journals (Sweden)

    Débora Falleiros de Mello

    2012-01-01

    Full Text Available El objetivo fue describir como la atención cotidiana a niños menores de dos años de edad es vista por madres, para proporcionar subsidios a las prácticas y conocimientos en salud del niño, en el contexto de la atención primaria de salud. Estudio descriptivo-exploratorio, con análisis cualitativo, en la perspectiva del abordaje de Winnicott, a partir de entrevistas grabadas con 17 madres. Los resultados están organizados en los temas: responsabilidad materna y atención al niño; atención al niño y su ambiente; confort e interacción familiar. Fue posible tomar significados de las experiencias cotidianas, discutidas a la luz de los conceptos Winnicottianos: madre suficientemente buena, holding, entorno facilitador y espacio transicional. Conocer la rutina cuanto al cuidado materno es importante para profesionales de salud en la búsqueda de soporte a las madres y familias, disminuir ansiedad, evaluar problemas en el entorno de atención al niño, con disponibilidad asistencia cualificada y humanizada.

  10. Perspectivas psicossociais para o estudo do cotidiano de trabalho

    Directory of Open Access Journals (Sweden)

    Fábio de Oliveira

    2014-04-01

    Full Text Available Este estudo teve por objetivo analisar o debate e o aprofundamento teórico e metodológico desenvolvido nos estudos sobre a vida cotidiana no trabalho. A investigação partiu do diálogo interdisciplinar entre a antropologia do trabalho, a ergologia e a psicologia social do trabalho e sistematizou as contribuições mútuas entre esses campos científicos, suas aproximações e seus afastamentos da tematização e da apropriação da atividade humana no trabalho sob a perspectiva do cotidiano. A análise comparativa destacou eixos que diferenciam as formas de aproximação ao objeto, que se referem às relações estabelecidas entre saberes práticos e técnico-científicos e aos modos de intervenção sobre as situações de trabalho. As abordagens comparativas compartilham o interesse em conhecer o trabalho real, o valor conferido aos conhecimentos dos trabalhadores e a sensibilidade às dimensões micropolíticas do cotidiano. Conclui-se que a localização em cada um desses eixos depende da maior ou menor filiação às tradições da antropologia ou da ergonomia.

  11. Modelagem de Defeitos em Circuitos Integrados na Perspectiva do Leiaute

    Directory of Open Access Journals (Sweden)

    Larissa de Melo Soares

    2016-12-01

    Full Text Available O aumento da densidade de transistores em circuitos integrados (CIs, em virtude dos avanços da tecnologia de fabricação, tornaram os procedimentos de testes de CIs mais complexos ao passo que quanto maior a densidade, menor é o espaçamento entre os componentes e suas conexões, aumentando a probabilidade de haver falhas entre os componentes na presença de defeitos físicos. Em virtude da redução no espaçamento, os modelos de falhas clássicos, que representam defeitos físicos em circuitos integrados, já não satisfazem os requisitos atuais para testes. Por isso, atualmente tem-se estudado modelos de falhas que sejam baseados no próprio leiaute do CI e não mais somente em seu diagrama em nível lógico ou em nível de transistores. Tais modelos visam analisar o leiaute como um todo e verificar os pontos mais prováveis de acontecer uma falha em consequência de um possível defeito físico. Neste trabalho é feito um estudo dos modelos de falhas clássicos e os modelos baseados na perspectiva do leiaute, e são explanados os conceitos de tipos de falhas, defeitos e elementos parasitas. 

  12. La muerte como proceso: una perspectiva antropológica

    Directory of Open Access Journals (Sweden)

    Bárbara Martínez

    2013-09-01

    Full Text Available Este artículo, desde una perspectiva antropológica, combina recientes aproximaciones que cuestionan la homología entre muerte y deceso biológico, con la tradición de estudios que revisan los rituales de muerte en el área geográfica andina. En particular, examina cómo se produce en El Cajón, Catamarca, noroeste argentino, la incorporación de un fallecido al esquema cosmológico, y cómo la muerte, que es un puntapié inicial para ello ocurra, no es meramente un evento biológico sino también un proceso social de gran dinamismo. A partir del trabajo de campo etnográfico, y tomando como herramientas metodológicas entrevistas abiertas de sesiones múltiples y observación participante, presenta una propuesta analítica que procura superar la homología entre muerte y deceso biológico, sugiriendo una noción que incluye la dimensión orgánica, pero también la social: el proceso de la muerte.

  13. Perspectivas da profissão contábil

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    Nivaldo João dos Santos

    2002-11-01

    Full Text Available As perspectivas profissionais na área contábil são muito promissoras. É natural que estudantes demonstrem apreensão acerca da carreira que advirá após a conclusão do curso de graduação em ciências contábeis, pois trata-se de investimento elevado - envolvendo muito tempo e dinheiro. De tempos em tempos leigos anunciam a extinção da atividade contábil, sem nenhum fundamento. A atividade contábil é das que mais evolui e sua essencialidade se revela com mais força quando são descobertas fraudes contábeis e novos artifícios ilícitos visando iludir acionistas e investidores. Apesar do grande contingente de pessoas que conclui cursos na área, muitas novas empresas são constituídas, outras formas de sociedades são desenvolvidas, todas necessitando de serviços de profissionais contabilistas. O grande desafio da classe contábil consiste no contínuo aperfeiçoamento e na consolidação do elevado nível intelectual que o mercado globalizado requisita.

  14. La Ha de la infancia en Italia. Problemas y perspectiva

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    Enzo CATARSI

    2010-03-01

    Full Text Available RESUMEN: La historiografía italiana de la infancia, como la de otros muchos países europeos, está hoy embarcada en una tarea de desarrollo y profundización que permitirá recuperar los retrasos que la han caracterizado. En efecto, también en Italia la historia de la infancia y su individuación como «objeto» historiografía constituyen una adquisición reciente, lograda con la ayuda de diversas influencias. La primera, estrechamente vinculada a la historia de las mentalidades, representada por la obra de Ph. Aries, «El niño y la vida familiar en el Antiguo Régimen», traducido al italiano en 1968. La segunda es la historia social, orientada al estudio de los diversos aspectos de la vida de una sociedad, y más atenta a sus acontecimientos. La tercera la representa el estructuralismo, especialmente el francés, y en concreto M. Foucault. La particular influencia que, también en el contexto italiano, han alcanzado los trabajos de Ph. Aries y L. DeMause, muy importantes por haber abierto una línea de investigación, aunque con las obligadas diferencias, ha conducido a privilegiar una perspectiva exclusiva de historia de las mentalidades que se muestra muy ambigua y claramente interpretativa en exceso.

  15. Una Perspectiva desde la psicología

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    Rosa María Raich

    2004-01-01

    Full Text Available En este trabajo se describen algunas definiciones y el concepto de imagen corporal y laspreocupaciones exageradas acerca de sí mismo que pueden llegar a constituir el trastorno dismórfico.Se analizan las características clínicas de este trastorno, así como las quejas que sobre la aparienciason más frecuentes. Se estudia la relación de este trastorno con nivel de autoestima, identidad degénero, ansiedad interpersonal y depresión. Se hace un repaso a diferentes técnicas de evaluación yde tratamiento de este trastorno. Finalmente se describen algunas perspectivas de futuro en relación al estudio de este trastorno. Tras analizar los resultados observados en diferentes estudios se llega ala conclusión de que la presión por la estética es muy superior en las mujeres que en los hombres yque presentan mayor insatisfacción al valorar su apariencia en todas las áreas.

  16. Lectura de la mente Una perspectiva neurofilosófica

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    Kathinka Evers

    2013-04-01

    Full Text Available Hasta ahora, el acceso a otras mentes presuponía las expresiones y narraciones de los individuos. En la actualidad, se han desarrollado varios métodos que pueden medir los estados cerebrales relevantes para valorar las facultades mentales sin que se manifieste en 1ª persona habla o comportamiento externo alguno. La resonancia magnética funcional y el condicionamiento de huella se emplean fuera del ámbito clínico para acceder a la conciencia subjetiva; se utilizan clínicamente para identificar patrones de actividad en el cerebro que sugieran la presencia de conciencia en personas que sufren trastornos graves de conciencia y métodos para comunicarse cerebralmente con pacientes con incapacidad motora para comunicarse. En este capítulo, examinamos las posibilidades y los límites del acceso a otras mentes mediante interfaces cerebro-máquina. Exponemos que estas técnicas auguran importantes avances médicos y abren nuevas perspectivas de comunicación y para entender la conciencia, sin embargo, también plantean preocupaciones éticas, en especial el uso incorrecto como consecuencia de las expectativas creadas y las malas interpretaciones.

  17. Envelhecimento e perspectivas de inclusão digital

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    Vitória Kachar

    2011-03-01

    Full Text Available O aumento significativo da população idosa no Brasil e no mundo demanda intervenção em diversos âmbitos da sociedade. Estudos sobre o envelhecimento são, portanto, oportunos para delinear estratégias a serem implementadas no sentido de uma melhor qualidade de vida na velhice. Neste artigo, a reflexão focaliza o envelhecimento saudável (senescência e as perspectivas de inclusão digital. Para análise, trabalhamos com alguns dados extraídos do CETIC - Centro de Estudos sobre as Tecnologias da Informação e Comunicação, obtidos em 2009, em domicílios brasileiros, na população urbana. Tomamos como foco duas faixas etárias de 45 a 59 anos e de 60 anos ou mais na relação com o computador, internet e o celular. A interpretação dos dados possibilitou identificar a necessidade da inclusão digital e a demanda por cursos e programas com estratégias específicas para esta população, favorecendo a atualização e a inserção social.

  18. PERSPECTIVAS DO SISTEMA DE TRANSPORTE URBANO DE LONDRINA - PARANÁ

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    Mirian Vizintim Fernandes Barros

    2014-03-01

    Full Text Available O artigo propõe indicar os problemas encontrados no atual sistema de transporte urbano na cidade de Londrina - Paraná, marcado pela predominância do uso do transporte individual e do coletivo ineficiente e de alto custo. Para tanto, utilizou-se ferramenta dos Sistemas de Informação Geográfica (SIG para, por meio da manipulação dos dados, confirmar a ideia da intrínseca e necessária integração entre o planejamento do uso e ocupação do solo (sobretudo da densidade demográfica e do transporte urbano, essencial para delinear diretrizes de melhorias no sistema coletivo de deslocamento. Identificado os principais problemas, propostas são traçadas e, algumas perspectivas são discutidas objetivando, além da melhoria no sistema de transporte urbano de Londrina, a reflexão sobre o ideal de uma cidade inclusiva, do ponto de vista dos transportes.

  19. Perspectivas da agricultura sustentável no Brasil

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    Rosângela Ap. de Medeiros Hespanhol

    2008-03-01

    -technological development as the only road capable to solve the derived problems of the shortage of foods and the exhaustion of the natural resources; and those that are opposed to this perspective. They propose more maintainable forms, which could be joined under the Alternative Agriculture denomination. It was also tried to discuss the challenges and the perspectives that come in terms of viability terms to discuss and of expansion of the maintainable production systems in environmental and social terms in the agriculture of small scale in Brazil, to example of the organic production.  O processo de incorporação tecnológica ocorrida na agricultura ao longo da história e, mais precisamente, a difusão do pacote da Revolução Verde após a Segunda Guerra Mundial produziu várias implicações sócio-ambientais. Com o agravamento desses problemas em escala mundial e, sobretudo em países como o Brasil, houve a incorporação, ainda limitada, de preocupações ambientais em relação à agricultura. Essa mudança fomentou a discussão e levou à formulação de perspectivas de análise e de intervenção antagônicas e conflitantes entre si, refletindo diferentes interesses e posicionamentos sobre os modelos de desenvolvimento dos países e sobre a própria sustentabilidade. Nesse sentido, procurou-se identificar duas destas perspectivas no Brasil: a que ainda concebe o desenvolvimento científico-tecnológico como a única via capaz de resolver os problemas derivados da escassez de alimentos e do esgotamento dos recursos naturais; e aquelas que se opõem a esta perspectiva e propõem formas mais sustentáveis, que poderiam ser agrupadas sob a denominação de Agricultura Alternativa. Procurou também discutir os desafios e as perspectivas que se apresentam em termos de viabilidade e de expansão dos sistemas de produção sustentáveis em termos ambientais e sociais na agricultura de pequena escala no Brasil, a exemplo da produção orgânica.

  20. Actual proliferating index in oral squamous cell carcinoma and leukoplakia.

    Science.gov (United States)

    Chandak, Abhay R; Gadbail, Amol Ramchandra; Chaudhary, Minal S; Chandak, Shweta A; Wadhwani, Ritesh

    2011-08-01

      To examine the possible association between epithelial proliferation and disease progression in the oral mucosa using the actual proliferation index.   The actual proliferation index was measured by the Ki-67 labeling index and argyrophilic nucleolar organizer region count per nucleus. Immunohistochemistry was carried out for Ki-67 by using the molecular immunology borstel-1 clone in 20 leukoplakias, 20 oral squamous cell carcinomas, and 10 normal oral mucosae.   The argyrophilic nucleolar organizer region count per nucleus, Ki-67 labeling index, and actual proliferation index were significantly higher in oral squamous cell carcinoma, followed by leukoplakia and normal oral mucosa. Leukoplakia with dysplasia showed a significantly higher Ki-67 labeling index and actual proliferation index, compared to leukoplakia without dysphasia. There was a significant correlation of Bryne's histological malignancy grading with the argyrophilic nucleolar organizer region count and the Ki-67 labeling index. There was a significant positive correlation between the argyrophilic nucleolar organizer region count and the Ki-67 labeling index among all groups.   Leukoplakia or suspected epithelial dysplasia should be stained for argyrophilic nucleolar organizer regions and Ki-67. The actual proliferation index is not only useful as a prognostic factor, but could also be a promising treatment determining modality for patients with premalignant and malignant lesions. © 2011 Blackwell Publishing Asia Pty Ltd.

  1. La percepció del servei de qualitat en estudis de postgrau: una perspectiva integrada en el programa IMBA

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    María Luisa Andreu Simó

    2011-06-01

    Full Text Available Aquest treball proposa un sistema d'avaluació integral de la qualitat del servei a l'International Master in Business Administration (iMBA de la Universitat de València (UV, Espanya. Partint del sistema actual per al mesurament de la qualitat de servei i considerant els estudiants com stakeholders a la universitat en el context de màrqueting relacional, la present proposta desenvolupa un procés per a l'avaluació de la qualitat de servei on l'estudiant és qui dissenya l’instrument de mesura des d'una perspectiva integral del servei que rep. Els resultats suggereixen que els estudiants perceben l'experiència del servei com a concepte multidimensional, abastant no només l'experiència acadèmica, sinó també la qualitat de les instal.lacions, organització i coordinació del programa.

  2. La tolerancia en la modernidad: de la utopía a la perspectiva liberal de Locke

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    Alicia Villar Ezcurra

    2016-10-01

    Full Text Available La tolerancia, una de las virtudes más apreciadas en las sociedades democráticas, también puede convertirse en defecto en su exceso. Por este motivo, conviene explicitar el significado que la tolerancia tuvo en algunos de los autores modernos, que se han convertido en clásicos sobre el tema. En este artículo, después de recordar algunos de los ideales de la Utopía de Tomás Moro y de Spinoza, se abordará la defensa de la tolerancia religiosa llevada a cabo por Locke, desde una perspectiva liberal. Locke utilizó múltiples argumentos a favor de la tolerancia, previendo los ataques que, desde diversos frentes, se le podrían contraponer. Como Spinoza, Locke defenderá la tolerancia en nombre de la racionalidad, pero también apelará a las exigencias de la propia religión cristiana y a la utilidad de una actitud tolerante, como medio para mantener una convivencia pacífica. Aunque los planteamientos de los filósofos modernos deben completarse, muchos de los argumentos empleados para defender el valor moral y prudencial de la tolerancia, siguen estando presentes en los debates actuales.

  3. Cambiar el arte para cambiar el mundo (Una perspectiva feminista Diálogo abierto con Suzanne Lacy

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    Elena García-Oliveros

    2016-03-01

    Full Text Available Este artículo ahonda en la perspectiva activista y transformadora de las artistas feministas que surgieron en la década de los años 70, indagando en su particular visión acerca de la capacidad del arte para crear nuevos modelos sociales integradores. A partir del caso de la artista norteamericana Suzanne Lacy, con quien las autoras han mantenido diversos encuentros de carácter público en el Centro de Arte Contemporáneo Matadero de Madrid, se pormenorizan las estrategias que el feminismo ha trabado en torno al arte público y se busca una redefinición de los ejes principales que sustentan el medio artístico actual: la autoría, la obra y su difusión y el valor final de la pieza. La investigación continúa con los estudios de caso de la artista ciberfeminista Shu Lea Cheang, la artista de origen paraguayo Faith Wilding y el colectivo madrileño Toxic Lesbian.

  4. SELF-ACTUALIZATION OF FUTURE SPECIALISTS ON INNOVATIVE TECHOLOGY

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    Viacheslav M. Oleksenko

    2011-02-01

    Full Text Available Urgency of the material presented in the article is stipulated by the pressing needs of the society to provide high quality of education and training of highly skilled specialists. The ways of forming future specialists’ self-actualization of engineer specialities by the studactive pedagogical technology are revealed. It is established that such process obtains a practically oriented character and it is realized with regard for correlation of inner intentions of a person and conditions in which he/she gets a speciality. The basic methods of a teacher to form a person’s self-actualization are exposed. The aspects of a technological process considered in the article define the directions of the further research of forming self-actualization of pupils and future specialists of any speciality.

  5. Experimental philosophy of actual and counterfactual free will intuitions.

    Science.gov (United States)

    Feltz, Adam

    2015-11-01

    Five experiments suggested that everyday free will and moral responsibility judgments about some hypothetical thought examples differed from free will and moral responsibility judgments about the actual world. Experiment 1 (N=106) showed that free will intuitions about the actual world measured by the FAD-Plus poorly predicted free will intuitions about a hypothetical person performing a determined action (r=.13). Experiments 2-5 replicated this result and found the relations between actual free will judgments and free will judgments about hypothetical determined or fated actions (rs=.22-.35) were much smaller than the differences between them (ηp(2)=.2-.55). These results put some pressure on theoretical accounts of everyday intuitions about freedom and moral responsibility. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Sex Differences in Jealousy in Response to Actual Infidelity

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    John E. Edlund

    2006-01-01

    Full Text Available The present studies address two criticisms of the theory of evolved sex differences in jealousy: (a that the sex difference in jealousy emerges only in response to hypothetical infidelity scenarios, and (b that the sex difference emerges only using forced-choice measures. In two separate studies, one a paper-and-pencil survey with a student sample and the other a web-based survey targeting a non-student sample, men and women showed significant sex differences in jealousy in response to actual infidelity experiences; men experienced more jealousy in response to the sexual aspects of an actual infidelity, whereas women experienced more jealousy in response to the emotional aspects of the infidelity. Sex differences emerged using both continuous measures of jealousy as well as the traditional forced-choice measure. Overall, our results demonstrate that sex differences in jealousy are not limited to responses to hypothetical infidelity scenarios; they also emerge in response to actual infidelity experiences.

  7. Meditation and college students' self-actualization and rated stress.

    Science.gov (United States)

    Janowiak, J J; Hackman, R

    1994-10-01

    This paper concerns the efficacy of meditation and relaxation in promoting self-actualization and changes in self-reported stress among 62 college students. Two groups were given mantra meditation and a yogic relaxation technique referred to as Shavasana. Pre- and posttest measures were taken on the Personal Orientation Inventory and the Behavioral Relaxation Scale. Both groups showed significant increases in scores on self-actualization; however, no differences were found between groups. Meditation training was associated with larger gains in scores on measures of systematic relaxed behavior than of the relaxation training.

  8. Cibersociedad y ciencias humanas: el caso de la Historia Actual

    OpenAIRE

    Molina Rabadán, David; Fernandez-Garcia, Jesus

    2006-01-01

    La intención del presente artículo es presentar cómo los avances en el nuevo patrón de producción y difusión de conocimientos de la sociedad presente, ejemplificado en Internet, pueden influir en la reconceptualización de las ciencias humanas y en especial de la Historia Actual. Se analizarán los puntos de convergencia y divergencia de la práctica de la Historia Actual con los nuevos paradigmas intelectuales de la “tercera cultura”, y la posibilidad de que desde la filosofía y organización...

  9. Associations among somatotype, temperament and self-actualization.

    Science.gov (United States)

    Catell, P; Metzner, R

    1993-06-01

    Based on a sample of 45 subjects, 28 men and 17 women, examination was made of the relationships among body type according to Sheldon's methodology, temperament as measured by Cortes and Gatti, and self-actualization as assessed by the Personal Orientation Inventory developed by Shostrom. No significant associations between somatotype and temperament but some significant results were found by examining the self-actualization scores and the body type/temperament match or mismatch. Significant findings were seen on the Spontaneity, Self-regard, Inner-directed, and Feeling Reactivity scales.

  10. Perspectivas epistemológicas "humanas" en la documentación

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    Fernández Molina, J. C.

    2002-09-01

    Full Text Available Even though the bulk of information science research has been of a practical nature, in recent years a substantial change has come about since research centred on theoretical problems has risen considerably. The vast majority of it has focused on the discussion about the most adequate paradigm: physical, positivist, cognitive, domain analysis, hermeneutic, etc., producing a deep conceptual and terminological confusion. This paper analyses the most important aspects of the three main epistemological perspectives (positivist, cognitive and sociological, while devotes special attention to the latter two due the fact that most current theoretical research is concerned with them. The analysis of their strengths and weaknesses allows us to conclude that the solution might be to build a broad and comprehensive framework which enables the accommodation and integration of different epistemological positions, each giving a partial view of the whole and supplementing the other.

    Aunque la investigación desarrollada en la Documentación ha sido mayoritaria o casi exclusivamente de carácter práctico y aplicado, en los últimos años se ha producido un cambio sustancial, ya que se ha incrementado significativamente la investigación centrada en problemas teóricos. La mayoría de ella se ha centrado en la discusión sobre cuál es el paradigma más adecuado para la Documentación: físico, positivista, cognitivo, de análisis de dominio, hermenéutico, etc., dando lugar a una enorme confusión conceptual y terminológica. En este trabajo se someten a examen los aspectos más significativos de las tres grandes perspectivas epistemológicas (positivista, cognitiva y sociológica, aunque dedicando especial atención a las dos últimas, ya que a ellas están dedicadas la mayoría de las investigaciones teóricas actuales. El análisis de sus debilidades y puntos fuertes permite concluir que la solución puede estar en construir un marco de trabajo amplio

  11. Formalidade e Informalidade: Questões e Perspectivas Formality and Informality: Questions and Perspectives

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    Manuela Ivone P. da Cunha

    2006-11-01

    Full Text Available Partindo de uma reflexão crítica sobre o percurso da noção de informalidade, sobre as coordenadas do seu campo semântico e sobre as conotações teóricas e políticas que ela tem assumido, este artigo explora as potencialidades e os limites de um tal conceito para a abordagem das sociedades contemporâneas e de algumas das linhas de força da evolução das mesmas. É também nesse sentido que se procura articular e colocar em perspectiva o conjunto de artigos deste dossier, conjunto esse que exprime, numa razoável extensão e a várias escalas, o espectro actual da informalidade e da dinâmica do par formalidade / informalidade. A conjugação destes artigos mostra também de que modo a utilização destas noções a partir de um ponto de vista antropológico pode contribuir para um estudo relativamente unificado de formas contemporâneas várias de aceder a recursos económicos ou políticos, formas essas que se jogam na confluência tensa entre, por um lado, a acção dos indivíduos e, por outro, a regulação de relações sociais por parte do Estado.Starting from a critical reflection on the trajectory of the notion of informality, on the coordinates of its semantic scope, and on its theoretical and political connotations, this paper explores both the potential and the limitations of such a concept for an approach of contemporary societies and of aspects of their evolution. It is also in this sense that it tries to articulate and to put in perspective the set of papers of this issue of Etnográfica. These contributions express, to a reasonable extent, the contemporary range of informality and the dynamics of the pair formality / informality. They also show how the use of such notions from an anthropological point of view can contribute to a relatively unified study of several contemporary forms of access to economic and political resources. These are forms that put forward in manifold ways the tension between the agency of concrete

  12. Perspectivas e principais alterações no DSM-5

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    Janaína Bandeira

    2017-04-01

    Full Text Available Introdução: com o avanço das pesquisas em neurobiologia e a necessidade de optimização dos critérios diagnósticos, a 5ª edição do Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM-5 realizou importantes mudanças no modo de classificar, catalogar e diagnosticar as doenças mentais. Material e métodos: empreendemos pesquisa de artigos na Pubmed com análises sob diferentes perspectivas com o propósito de obter uma ampla visão das limitações e conquistas com sua publicação. Desenvolvimento: a nova edição do manual efetuou inúmeras alterações em relação à anterior, como a mudança do sistema de classificação multiaxial para dimensional, a fim de melhor abordar os sintomas como um continuum de intensidade, e a elaboração de critérios com maior especificidade para reduzir os diagnósticos “sem outra especificação”. Por fim, citamos o projeto Research Domain Criteria Project (RDoC, ressaltando o contexto e os motivos de sua criação em torno do DSM-5. Conclusão: a atualização conseguiu apenas parcialmente seu objetivo de adotar amplamente o sistema dimensional e não obteve sucesso em incluir critérios genéticos ou neurobiológicos. Contudo, sua possibilidade de contínua revisão possibilita que seja renovada de acordo com as descobertas relevantes.

  13. Historiografía comparada: problemas y perspectivas

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    Chris Lorenz

    2005-12-01

    Full Text Available In this text contributions related are abridged - direct or indirectly - with the historiography of world war two. The comparative historiography is placed as a gender related to a typology that classified historiography theories over an extended sequence from the general and philosophical to the particular and empirical. Resides, it also places the recent debates on the “fragmentation " of the historiography in a comparative perspective. Due that historiography is the history of the written history -and therefore a reconstruction of reconstructions- we find the problem of comparison in historiography twice. The historiographer is not alone confronting with relative comparative judgments of the historic reconstructions themselves but also related to the historiography reconstructions of those historic reconstructions.//En este texto se compendian contribuciones relacionadas - directa o indirectamente - con la historiografía de la segunda guerra mundial. Se ubica a la historiografía comparada como un género en relación a una tipología que clasifica teorías de historiografía sobre una secuencia extendida de lo general y filosófico a lo particular y empírico. Además, coloca los recientes debates sobre la "fragmentación" de la historiografía en una perspectiva comparada. Debido a que la historiografía es la historia de la historia escrita - y por lo tanto una reconstrucción de reconstrucciones - encontramos el problema de la comparación en historiografía dos veces. El historiógrafo no sólo está confrontado con los juicios comparados relativos a las reconstrucciones históricas mismas, sino también relativas a las reconstrucciones historiográficas de aquellas reconstrucciones históricas.

  14. Desengajamento moral na perspectiva da teoria social cognitiva

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    Roberta Gurgel Azzi

    Full Text Available O ensaio aborda o desengajamento moral descrito pela perspectiva da teoria social cognitiva de Albert Bandura. Toma-se como interlocução central os artigos do autor sobre o tema, sistematizam-se suas ideias e apresentam-se estudos da literatura sobre desengajamento moral. O texto está estruturado em cinco partes, iniciando por uma breve contextualização do tópico no conjunto da produção de Bandura, seguida de exposição do desengajamento moral e da teoria social cognitiva. Posteriormente, apresenta os oito mecanismos de desengajamento moral desenvolvidos por Bandura: justificativa moral, comparação vantajosa, linguagem eufemística, minimização, ignorância ou distorção das consequências, desumanização, atribuição de culpa, deslocamento de responsabilidade e difusão de responsabilidade. Após a apresentação dos mecanismos, introduzem-se os dez trabalhos mais recentes do autor sobre o assunto, textos publicados entre 2000 e 2009, e que foram apresentados sob as seguintes categorias temáticas: questões teóricoempíricas, execução penal, terrorismo, ecologia e mundo coorporativo. Ao final, problematiza desafios, postos a partir da discussão desenvolvida no ensaio, que possam servir para a construção de uma sociedade mais humanizada.

  15. Las acciones punitivas físicas: una perspectiva intercultural

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    María del Mar BADIA MARTÍN

    2009-11-01

    Full Text Available RESUMEN: En este artículo se enmarca el término de castigo corporal diferenciándolo del de abuso físico, a la vez que se realiza un análisis sobre la perspectiva de diferentes países con relación a la aplicación de dicha forma de castigo. La investigación y la teoría analizada, muestran cómo ciertas sociedades todavía reclaman el uso del castigo corporal como una forma más para frenar los comportamientos molestos. Esto nos puede llevar a pensar que no se debe abandonar la tesis sobre el hecho de que esta estrategia es rechazada en la actualidad por todos los sectores de la sociedad, sino que debemos ser sensibles a la idea de que ciertos profesionales y familias lo consideran un instrumento más para la corrección de conductas consideradas como no correctas.ABSTRACT: In this article the term corporal punishment is differentiated from that of physical abuse, and at the same time an analysis is made of the perspective of different countries in relation to the application of this type of punishment. The research and theory analysed show how certain societies still call for the use of corporal punishment as one more way to stop troublesome behaviour. This can lead us to think that the thesis that this strategy is currently rejected by all sectors of society should not be abandoned, but we should be aware that certain professionals and families still consider it one more instrument for correcting behaviour considered as incorrect.

  16. Produtivismo acadêmico baseado em uma perspectiva habermasiana

    Directory of Open Access Journals (Sweden)

    Fábio Vizeu

    Full Text Available Resumo Este artigo argumenta que a questão da ética na prática acadêmica deve ser tratada com o mesmo cuidado adotado em outras práticas profissionais. Na verdade, uma dificuldade no debate sobre ética na prática acadêmica é desconsiderar que esta também consiste em uma prática social condicionada pelos mesmos problemas que a sociedade contemporânea enfrenta, especialmente em sua dimensão econômica. Nesse sentido, discute-se o utilitarismo na prática acadêmica com base no referencial da ética discursiva de Jürgen Habermas, explorando algumas inquietações sobre o produtivismo acadêmico brasileiro. Metodologicamente, usa-se o ensaio teórico como procedimento argumentativo, visando à construção de um texto menos formal e mais provocativo, instigando a reflexão e o debate, no meio, das questões pontuadas. Especificamente, observamos o problema da valorização quantitativa da produção sem a consideração da qualidade do trabalho acadêmico associado à tentativa de mensuração da atividade acadêmica, além da falta da devida reflexão sobre os valores ético-morais que circunscrevem a atividade científico-educacional no Brasil. Por último, para ilustrar a perspectiva apresentada, recorremos a situações hipotéticas da prática acadêmica e fazemos inferências sobre quatro correlações entre a orientação pragmática e questões éticas, considerando o constructo habermasiano da ação estratégica.

  17. La confianza interpersonal brasileña en perspectiva comparada

    Directory of Open Access Journals (Sweden)

    Timothy Joseph POWER

    2009-11-01

    Full Text Available RESUMEN: Uno de los aspectos menos estudiados de la cultura política del Brasil es su tasa extraordinariamente baja de confianza interpersonal. Después de revisar la literatura sobre confianza interpersonal, el presente artículo examina el nivel brasileño de confianza social en perspectiva regional y global. Analiza datos de sondeos recientes y demuestra que el mejor predictor de confianza es la educación, una área en que Brasil presenta un desarrollo inferior al de sus vecinos. El artículo también sugiere una agenda de investigación futura para estudiar este aspecto singular de la cultura política brasileña, dentro de la cual las variables de desigualdad social y de exposición a la televisión tendrían papeles importantes. Tal agenda de investigación es de gran consecuencia dado el papel importante de la confianza interpersonal, tanto para el desarrollo económico como para la consolidación democrática.ABSTRACT: One of the most understudied aspects of Brazilian political culture is the country’s extraordinarily low rates of interpersonal trust. After reviewing the literature on interpersonal trust, this paper provides regional and global perspective on Brazil’s level of social trust. It examines data from recent public opinion surveys in Brazil and demonstrates that the strongest predictor of trust is education, an area in which Brazil lags behind its neighbors. The paper also suggests a future research agenda for investigating this unique aspect of Brazilian political culture, in which the variables of inequality and television exposure would play important roles. Such a research agenda is critical given the important role played by trust in both economic development and democratic consolidation.

  18. Policonsumo desde una perspectiva neuropsicológica

    Directory of Open Access Journals (Sweden)

    Johan Acosta López

    2011-01-01

    Full Text Available Abstract This review paper describes extensively the problem of craving (intense desire of consumption of psychoactive substances in the patient detoxified addict during withdrawal symptoms and the complexity of the phenomenon of polydrug (indiscriminate use of various psychoactive substances with high potential abuse and dependence. Advances in ongoing research on changes in the process of decision making in polydrug adults has taken in account, also the high rate of population of these problems, the limited literature available on the subject from a neuropsychological perspective oriented to identify the influence of emotions in decision-making associated with use drug as a result of previous elections (Schwartz, 2000, and the crucial role of the dopaminergic system associated with reward. Resumen En el presente artículo de revisión se describe ampliamente el problema del craving (el deseo intenso de consumo de sustancias psicoactivas, que presenta el paciente farmacodependiente desintoxicado durante la abstinencia y la complejidad del fenómeno del policonsumo (consumo indiscriminado de varias sustancias psicoactivas con alto potencial de abuso y dependencia. Se han tenido en cuenta los avances de la investigación en curso sobre alteraciones en el proceso de toma de decisiones en adultos policonsumidores, el elevado índice poblacional que hace parte de estos problemas; además de la poca literatura existente al respecto desde una perspectiva neuropsicológica orientada a vislumbrar la influencia de las emociones en la toma de decisiones asociada al consumo, como consecuencia de elecciones anteriores (Schwartz, 2000, así como el papel trascendental del sistema dopaminérgico asociado a la recompensa.

  19. RETOS ACTUALES DE LA INVESTIGACIÓN EDUCATIVA

    Directory of Open Access Journals (Sweden)

    Flor Delgado de Colmenares

    2008-01-01

    Full Text Available El presente artículo constituye parte de los resultados de una investigación ya concluida, donde se realizó un estudio crítico del estado de la investigación educativa en general y su práctica tradicional en la escuela latinoamericana; se trató de una investigación de tipo analítica e interpretativa - crítica de la obra de autores seleccionados y de experiencias practicas llevadas a cabo. El artículo en cuestión tiene como propósito contribuir a la discusión y reflexión sobre este importante tema, en el marco de la crisis de paradigmas de las ciencias sociales y frente a la asunción de nuevas perspectivas teóricas que tienen entre sus premisas la reivindicación de lo humano y cualitativo en la búsqueda del conocimiento de lo social y educativo.

  20. Correlation of ultrasonographic estimated fetal weight with actual ...

    African Journals Online (AJOL)

    Abstract. Background: Sonographic fetal weight estimation is an important component of antenatal care. Aim: To sonographically estimate fetal weight at term and to compare estimated with actual birth weights to determine the validity of estimated fetal weights. Subjects and methods: In the prospective study, a convenience ...

  1. Actual Leisure Participation of Norwegian Adolescents with Down Syndrome

    Science.gov (United States)

    Dolva, Anne-Stine; Kleiven, Jo; Kollstad, Marit

    2014-01-01

    This article reports the actual participation in leisure activities by a sample of Norwegian adolescents with Down syndrome aged 14. Representing a first generation to grow up in a relatively inclusive context, they live with their families, attend mainstream schools, and are part of common community life. Leisure information was obtained in…

  2. Served versus actual nutrient intake of hospitalised patients with ...

    African Journals Online (AJOL)

    Objectives: To assess whether actual nutrient intake of hospitalised patients with tuberculosis differed from that served by the hospital and from that required according to current recommendations. Design: Descriptive, cross-sectional study. Setting: Brooklyn Chest Hospital in Brooklyn, Cape Town, Western Cape, South ...

  3. Actual and preferred personality characteristics of physical educators

    Directory of Open Access Journals (Sweden)

    Saša Cecić Erpič

    2002-12-01

    Full Text Available The Five-Factor Model of personality, which includes dimensions energy, agreeableness, conscientiousness, emotional stability, and openness, gained a growing acceptance by personality researchers. In the present study the actual personality characteristics of physical educators and the personality profile of an ideal (according to subjective evaluations of experts physical educator were investigated. The aim of the study was to examine differences between profiles of actual and preferred personality characteristics and to present differences in personality characteristics between male and female physical educators of different ages. The study included 76 (40 male, 36 female 24 to 58 year-old physical educators (mean age 39.7 years. 34 experts from the field of sport, physical education, and kinesiology evaluated the preferred personality structure of an ideal physical educator. The Big Five Observer (BFO was used to assess actual and preferred personality structures. These results show that the actual personality profile of physical educators is described with all five moderately high dimensions, which is relatively congruent with the social type from Holland's typology, characteristic of educators. In comparison with participants, an ideal physical educator should have equally expressed agreeableness, while other four dimensions should be highly expressed. Gender differences in energy and agreeableness (women have higher results in both dimensions were found significant. No significant age differences in the personality structure were obtained by a cross-sectional comparison.

  4. Probability: Actual Trials, Computer Simulations, and Mathematical Solutions.

    Science.gov (United States)

    Walton, Karen Doyle; Walton, J. Doyle

    The purpose of this teaching unit is to approach elementary probability problems in three ways. First, actual trials are performed and results are recorded. Second, a simple computer simulation of the problem provided on diskette and written for Apple IIe and IIc computers, is run several times. Finally, the mathematical solution of the problem is…

  5. A Taxometric Analysis of Actual Internet Sports Gambling Behavior

    Science.gov (United States)

    Braverman, Julia; LaBrie, Richard A.; Shaffer, Howard J.

    2011-01-01

    This article presents findings from the first taxometric study of actual gambling behavior to determine whether we can represent the characteristics of extreme gambling as qualitatively distinct (i.e., taxonic) or as a point along a dimension. We analyzed the bets made during a 24-month study period by the 4,595 most involved gamblers among a…

  6. Political Protest Songs and Actual Protest Values: Analysis of Fela's ...

    African Journals Online (AJOL)

    , Tears and Blood and Bob Marley's Stand up, Get up, using in-depth analysis of the songs' lyrics plus opinion survey of their listeners. Finding is that the actual protest values of the two songs are high in meditation upon protest problem and ...

  7. Sensitivity Training... and the Healthy Become Self-Actualized

    Science.gov (United States)

    Reddy, W. Brendan; Beers, Thomas

    1977-01-01

    Explores the dimensions of self-concept in response to sensitivity training, i.e., that psychologically healthy participants would make greater gains in self-actualization than would those participants who viewed themselves as less healthy. Results support the hypothesis. (Author/HMV)

  8. From nascent to actual entrepreneurship: the effect of entry barriers

    NARCIS (Netherlands)

    A.J. van Stel (André); D. Storey (David); A.R.M. Wennekers (Sander); A.R. Thurik (Roy)

    2005-01-01

    textabstractThis exploratory study focuses on the conversion from nascent to actual entrepreneurship and the role of entry barriers in this process. Using data for a sample of countries participating in the Global Entrepreneurship Monitor between 2002 and 2004, we estimate a twoequation model

  9. Actual development of the chenier coast of suriname (South America)

    NARCIS (Netherlands)

    Augustinus, P.G.E.F.

    The Holocene coastal plain of Suriname is a chenier plain. Its actual sedimentological development has been studied during three field-work periods (1966, 1967/1968, 1972). Clay is the predominant sediment in this low- to medium-energy environment. It accumulates in extensive shoreface-attached

  10. Managing Actual Problems of Peatsoils Associated with Soil Acidity

    Directory of Open Access Journals (Sweden)

    M Edi Armanto

    2016-12-01

    Full Text Available The research objective is to manage actual problems of peatsoils associated with soil acidity. The research has been conducted on peatsoils in river backswamps located in Subdistricts of East Pedamaran and Pedamaran, District of OKI South Sumatra. Soil sampling was taken in cultivated and uncultivated types of landuse; cultivated peatsoils consist of Site A (intercropping between oil palm and pineapple and Site B (oil palm, uncultivated peatsoils are divided into Site C (peat forest, Site D (swamp bush and Site E (swamp grass. The research resulted that actual problems of soil acidity is associated with base saturation, cations exchange capacity, soil organic matters and C/N ratio, balances of soil nutrients, and toxicity potency. The climatic condition and drought can accelerate the occurrence of actual problems of peatsoils associated with acidity peatsoils. Some ameliorant have been applied in order of importance in the fields, namely lime/dolomite, mineral soils, organic fertilizers, combustion ash, and volcanic ash. Application of ameliorant materials is capable to minimize the actual problems of peatsoils associated with soil acidity.

  11. Correlation of ultrasonographic estimated fetal weight with actual ...

    African Journals Online (AJOL)

    An experienced sonographer estimated fetal weights by measuring BPD, HC, AC and FL using a scanner with Hadlock 3 weight estimation model. Actual birth weights were measured with a Crown weighing scale by a midwife. Data was analyzed with SPSS software version 17.0 while descriptive and inferential statistics ...

  12. Perceived and Actual Learning Difficulties of Students in Secondary ...

    African Journals Online (AJOL)

    User

    Abstract. This study investigated students' perceived and actual learning difficulties in secondary school mathematics. A total of 120 secondary school students were involved in the study. This number was made up of 60 males and 60 females from four co-educational secondary schools in Etinan Local. Government Area of ...

  13. RE-ACTUALIZATION OF BALE BANJAR FUNCTION IN DENPASAR CITY

    Directory of Open Access Journals (Sweden)

    Suryawati P.

    2018-03-01

    Full Text Available The aim of this study was to know and understand the re-actualization of bale banjar function in Denpasar City. This study was conducted due to the imbalance between the assumptions and current reality. The data sources of this study were some bale banjar-s in Denpasar City, related informants, and previous research findings. All data were collected using observation, interviews, and literature studies techniques and were analyzed using sociocultural evolution, community rationalization, and commodification theories. The research findings showed that re-actualization of bale banjar function in Denpasar City happened due to the high demand of economic space of capitalist economy and the changes of local society’s way of thinking; re-actualization of bale banjar’s form in Denpasar City could be seen from the changes in style and appearance of the spaces that are now widely designed into two floors. The society used the upper floors as a gathering place and the lower floors are rented as a center of economic activity; re-actualization of bale banjar function in Denpasar City had the implications on the way of thinking, the conception of bale banjar form and function and material culture such as the weakening of social relations among krama banjar.

  14. Actual situation of radioactive waste management in Guatemala

    International Nuclear Information System (INIS)

    Gomez O, P.

    1996-01-01

    This paper focuses on the actual radioactive waste management situation in Guatemala, as well as on the sources and facilities that have obtained the license, and the way to disposal them, when they are considered as radioactive waste. The Direccion General de Energia Nuclear is the entity responsible for the proper and normal performance of the regulatory activity in the country. (author). 3 refs

  15. Lexical inferencing: perceptions and actual behaviours of Turkish ...

    African Journals Online (AJOL)

    The purpose of this study was to examine Turkish English as a Foreign Language Learners' (EFL) handling of unknown words while reading English texts. The study also examines the relationship between these learners' perceptions and actual practices in the employment of knowledge sources while trying to guess the ...

  16. Perceived and Actual Learning Difficulties of Students in Secondary ...

    African Journals Online (AJOL)

    This study investigated students' perceived and actual learning difficulties in secondary school mathematics. A total of 120 secondary school students were involved in the study. This number was made up of 60 males and 60 females from four co-educational secondary schools in Etinan Local Government Area of Akwa ...

  17. Specialized Middle Level Teacher Preparation: Moving from Advocacy to Actualization

    Science.gov (United States)

    Cook, Chris M.; Howell, Penny B.; Faulkner, Shawn A.

    2016-01-01

    Is specialized middle level teacher preparation necessary? This essay offers the authors' thoughts regarding middle level teaching and the necessity of specialized middle level teacher preparation. The reader is encouraged to further the discussion of middle level teacher preparation from advocacy to actualization.

  18. Progressive Digressions: Home Schooling for Self-Actualization.

    Science.gov (United States)

    Rivero, Lisa

    2002-01-01

    Maslow's (1971) theory of primary creativeness is used as the basis for a self-actualization model of education. Examples of how to use the model in creative homeschooling are provided. Key elements include digressive and immersion learning, self-directed learning, and the integration of work and play. Teaching suggestions are provided. (Contains…

  19. Field dependence and self-actualization in alcoholics.

    Science.gov (United States)

    McWilliams, J; Brown, C C; Minard, J C

    1975-03-01

    Field independence and self-actualization were significantly increased in alcoholic patients following a 6-week treatment program. There were no differences, however, between patients treated by drug-assisted individual therapy, individual therapy, or milieu therapy. Some causal factors are hypothesized, and implications for treatment are discussed.

  20. The body type/temperament mismatch and self-actualization.

    Science.gov (United States)

    Eisenman, R

    1993-12-01

    The Catell and Metzner (1993) finding of higher self-actualization among people with body type/temperament mismatch is important and could be viewed as support for a link of creativity with deviance. Also, there is an error in one of their statements, which is corrected here.