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Maltreatment history and internalizing and externalizing symptoms in out-of-home care: a three-level meta-analysis
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Magalhães, Eunice

; Camilo, Cláudia

The European Journal of Psychology Applied to Legal Context

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dec 2023, Volume 15 N. 2 Pages 89 - 103

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Background/Aim: Young people in care may show significant mental health difficulties because of previous adverse experiences, such as maltreatment or violence. However, no meta-analyses have been conducted on this topic. We aim to identify the role of previous maltreatment in current symptoms of children and adolescents in out-of-home care. Method: A search in Academic Search Complete, PsycArticles, PsycInfo, Psychology and Behavioral Sciences Collection, ERIC, Medline, Web of Science and Scopus databases was conducted. Studies were included if they were empirical and quantitative, involved school-aged children and adolescents, assessed maltreatment before placement in care and current internalizing and externalizing symptoms. Multiple effect sizes were extracted from each primary study, and a three-level meta-analysis for each type of maltreatment associated with internalizing and externalizing symptoms was conducted. Results: The search yielded 122 effects sizes from 28 studies. Results indicated significant overall effects of general maltreatment (r = .260), abuse (emotional/physical) (r = .135) and sexual abuse (r = .247) on internalizing symptoms. In relation to externalizing symptoms, overall effects of abuse (emotional/physical) (r = .097) and sexual abuse (r = .187) were identified. The overall effect sizes of neglect were neither significant for internalizing or externalizing symptoms. A set of moderators was tested, and significant effects were found for the type of maltreatment measure on internalizing symptoms and for gender on externalizing symptoms. Conclusions: This study provides new insights beyond previous systematic reviews, as we were able to disentangle the associations between maltreatment and internalizing and externalizing symptoms in out-of-home care.

RESUMEN Antecedentes/Objetivos: Los niños y adolescentes de protección presentan problemas significativos en la salud mental debidos a experiencias previas adversas como el maltrato o la violencia. A pesar de ello no se han realizado meta-análisis sobre esto. Se diseñó una revisión meta-analítica con el objetivo de conocer el papel que desempeña el maltrato sufrido en los síntomas que experimentan los niños y adolescentes en acogida fuera del hogar. Método: Se llevó a cabo una búsqueda bibliográfica en las bases de datos Academic Search Complete, PsycArticles, PsycInfo, Psychology y Behavioral Sciences Collection, ERIC, Medline, Web of Science y Scopus. Se incluyeron los estudios que eran empíricos y cuantitativos, concernían a niños y adolescentes en edad escolar, evaluaban el maltrato antes de que fuesen dados en acogida y también los síntomas actuales internalizantes y externalizantes. De cada estudio primario se extrajeron varios tamaños del efecto y se ejecutaron meta-análisis de tres niveles para cada tipo de maltrato asociado con síntomas internalizantes y externalizantes. Resultados: La búsqueda arrojó 122 tamaños de efecto provenientes de 28 estudios. Los resultados mostraron efectos generales significativos del maltrato general (r = .260), el abuso (físico/emocional) (r = .135) y el abuso sexual (r = .247) en los síntomas internalizantes. En cuanto a los síntomas externalizantes se encontraron efectos globales del abuso (emocional/físico) (r = .097) y abuso sexual (r = .187). Los tamaños del efecto globales de la negligencia fueron no significativos tanto ni para los síntomas internalizantes como para los externalizantes. También se estudiaron los efectos de moderadores, hallándose efectos significativos del tipo de medida del maltrato en los síntomas internalizantes y del género en los síntomas externalizantes. Conclusiones: Esta revisión aporta conocimientos que van más allá de las revisiones sistemáticas anteriores, que permiten esclarecer las asociaciones entre maltrato y síntomas internalizantes y externalizantes en el acogimiento de niños y adolescentes fuera del hogar.

https://doi.org/10.5093/ejpalc2023a10

A Representation Based on Essence for the CRISP-DM Methodology
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Durango Vanegas, Claudia Elena

; Giraldo Mejía, Juan Camilo

; Vargas Agudelo, Fabio Alberto

; Soto Durán, Darío Enrique

Computación y Sistemas

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sep 2023, Volume 27 N. 3 Pages 675 - 689

Abstract: En | Text: En | PDF: En

Abstract: CRoss Industry Standard Process for Data Mining (CRISP-DM) is a data mining project development methodology that establishes tasks and levels of abstraction, hierarchically structured to facilitate its implementation through a set of actions that help in making decisions. Essence is a theory that helps identify best practices and essential, common, and universal elements to all endeavor in the software development cycle. In the literature, there are different models of representation of the CRISP-DM methodology, such as verbal model, conceptual model, process understanding model, and ontology. However, it considered that these representation models lack the incorporation of some elements, such as, activities, work products, and roles of the CRISP-DM methodology. In this paper we propose a representation based on Essence of the CRISP-DM methodology, incorporating the essential elements that we believe are missing from existing representations. With the representation in Essence that is proposed, the aim is to improve the understanding of best practices and the essential, common, and universal elements of the CRISP-DM methodology for future implementations in data mining projects. In addition, it seeks to validate that Essence can be used in different of data mining projects.

https://doi.org/10.13053/cys-27-3-3446

Valencia, Norman y Claudia Montilla, editores académicos y compiladores. El manglar de la memoria. Ensayos críticos sobre la obra de Tomás González. Ediciones Uniandes y Editorial EAFIT, 2021, 464 pp.
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HOYOS GÓMEZ, CAMILO

Perífrasis. Revista de Literatura, Teoría y Crítica

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apr 2023, Volume 14 N. 28 Pages 128 - 130

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.25025/perifrasis202314.28.09

Thermal comfort and photoperiod on the productive performance of sows and piglets
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Kuhl, Rodrigo

; Dias, Cláudia Helena Ferreira Zago

; Alberton, Geraldo Camilo

; Granzotto, Fernanda

; Vicentin, Jéssica Heinzen

; Santos, Alexandre Leseur dos

Ciência Rural

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2023, Volume 53 N. 5 elocation e20210894

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: Os suínos são animais que apresentam dificuldade em realizar trocas de calor, por esse motivo é importante considerar os fatores ambientais que impactam seu desempenho produtivo. O objetivo do presente trabalho foi avaliar o efeito do conforto térmico e do fotoperíodo, sobre o desempenho produtivo das porcas na gestação e leitões na maternidade. Os dados zootécnicos foram obtidos de uma granja comercial. O índice de temperatura e umidade (ITU) foi utilizado como parâmetro para o conforto ou o estresse térmico da matriz. Foram analisados os parâmetros das fêmeas no período gestacional e dos leitões na maternidade, considerando os critérios de conforto, estresse e quatro faixas de fotoperíodos. A correlação entre o fotoperíodo e ITU foi alta e positiva, demonstrando efeito associado dessas variáveis. Foram observados mais efeitos significativos em situações de conforto e faixas de menor fotoperíodo. Em conclusão, o conforto térmico e o fotoperíodo influenciaram os parâmetros avaliados na gestação e na maternidade e a alta associação ITU e fotoperíodo sugere que o controle ambiental pode favorecer parâmetros produtivos em granjas comerciais.

ABSTRACT: Pigs have difficulty in performing heat exchange and; therefore, it is important to consider the environmental factors that impact their productive performance. This study evaluated the effect of thermal comfort and photoperiod on the productive performance of sows during pregnancy and of nursery piglets. Zootechnical data were obtained from a commercial farm. The temperature-humidity index (THI) was used as the parameter to determine comfort or thermal stress of the sow. The parameters of the sows during pregnancy and nursery piglets were analyzed considering the criteria of comfort, stress, and four photoperiods. The correlation between photoperiod and THI was high and positive, which demonstrated the associated effect of these variables. More significant effects were observed under conditions of comfort and shorter photoperiods. In conclusion, thermal comfort and photoperiod influenced the parameters evaluated during pregnancy and in the nursery, and the strong association between THI and photoperiod suggested that environmental control favors productive parameters in commercial farms.

https://doi.org/10.1590/0103-8478cr20210894

Cuidado em território vulnerabilizado e a COVID-19: interseccionalidade e dinâmica êmica na ética do cuidado
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Camilo, Claudia

; Yagiu, Hailton

; Silva, Carlos Roberto de Castro e

Cadernos Pagu

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2023, N. 69 elocation e236911

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract The aim of this study is to understand care, before, during and after the COVID-19 pandemic, in a vulnerabilized territory, considering intersectionality, care ethics and the emic dynamics. The method was qualitative research. The subjects were community leaders, and health professionals of Primary Health Care at the Family Health Unit (USF) of the Brazilian Unified Health System (SUS). Challenges and Potentialities in care were identified. Care went within, against and beyond the State in a decolonial way. Politicization and public policies’ improvement of care are understood as coping with the pandemic.

Resumo O objetivo é compreender o cuidado antes, durante e depois da COVID-19 em território vulnerabilizado, considerando a interseccionalidade, a ética do cuidado e a dinâmica êmica. O método foi a pesquisa qualitativa com líderes comunitárias e profissionais de saúde da Atenção Primária na Unidade de Saúde da Família (USF) do Sistema Único de Saúde (SUS). Desafios e potencialidades foram identificados. O cuidado foi com, contra o e para além do Estado, de forma decolonial. A politização e a melhoria de políticas públicas do cuidado, na essência êmico-ético-política, são compreendidas como eficientes no enfrentamento à pandemia.

https://doi.org/10.1590/18094449202300690011

Is it the child's fault? Maternal attributions in child abuse and neglect
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Camilo, Cláudia

; Vaz-Garrido, Margarida

; Calheiros, Maria Manuela

Psicothema

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2023, Volume 35 N. 4 Pages 364 - 373

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen: Antecedentes: Entre las cogniciones parentales que explican la parentalidad desadaptativa, las atribuciones sobre el comportamiento del niño parecen importantes. Sin embargo, hay pocas investigaciones sobre los padres negligentes, y los patrones de atribuciones parentales que se asocian con el abuso y la negligencia siguen sin explicarse. Éste estudio examina las atribuciones parentales asociadas con el abuso y la negligencia infantil. Método: La muestra estaba compuesta por 218 madres que evaluaron viñetas que describían transgresiones infantiles, la mitad con información situacional. Abuso y negligencia se evaluaron a través de informes de madres y profesionales. Resultados: Los resultados indicaron que la edad del niño y el estatus socioeconómico estaban correlacionados con las atribuciones y con el abuso y negligencia, por lo que fueron controlados en los modelos. Los resultados de las regresiones jerárquicas indicaron que las atribuciones disposicionales se asociaron con el abuso (informes de madres), incluso en presencia de información situacional. Las atribuciones disposicionales se asociaron con la negligencia (informes de profesionales), pero no hay efecto en presencia de información situacional. Conclusiones: Estos hallazgos corroboran a los actuales enfoques sociocognitivos del maltrato infantil y proporcionan aportaciones relevantes para entender los diferentes mecanismos atribucionales que subyacen al abuso y la negligencia infantil.

Abstract: Background: Among the parental cognitions explaining maladaptive parenting, attributions about a child's misbehavior seem important. However, there is little research on neglectful parents, and the different patterns of parental attributions associated with child abuse and child neglect are still underexplained. The current study examines parental attributions associated with child abuse and child neglect. Method: Mothers (N = 218) were asked to evaluate vignettes describing child transgressions, half of which were followed by situational information. Child abuse and child neglect were evaluated through mothers' and professionals' reports. Results: Preliminary results indicated that the child's age and maternal socioeconomic status were significantly correlated with attributions and child abuse and neglect scores and thus were controlled in the models. The results from hierarchical regressions indicated that dispositional attributions were associated with higher abuse scores (reported by mothers), even in the presence of situational information. Likewise, dispositional attributions were associated with higher neglect scores (reported by professionals), but the effect was no longer significant in the presence of situational information. Conclusions: These findings contribute to the current socio-cognitive approaches to child maltreatment and provide relevant input for understanding the different attributional mechanisms underlying child abuse and neglect.

https://doi.org/10.7334/psicothema2022.399

Cáncer de pulmón, tendencias desde la perspectiva del cuidado
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Valencia Rico, Claudia Liliana

; Alzate Beltrán, María Camila

; Vargas Rosas, Cristian Eduardo

; Álvarez Ramírez, Leidy Carolina

; Montes Rivera, Adriana Katherin

; Arbeláez Gallego, Juan Camilo

; Botero Galindo, Mariana

Revista Uruguaya de Enfermería (En línea)

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dec 2022, Volume 17 N. 2 elocation e504

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen: Objetivo: identificar las tendencias de investigación sobre el cáncer de pulmón durante los últimos cinco años, desde la perspectiva del cuidado de enfermería. Método: revisión bibliométrica y exploratoria realizada a partir de la base de datos de Web of science. Se utilizaron los descriptores, lung neoplasm and nursing care con aplicación de filtros, obteniendo un total de 62 artículos publicados entre los años 2017-2021. El análisis bibliométrico fue realizado mediante bibliometrix con el total de los documentos obtenidos; para el análisis exploratorio se utilizaron 30 artículos que describen las principales tendencias temáticas identificadas en la estructura conceptual. Resultados: los indicadores bibliométricos muestran un promedio de publicación de 12 artículos por año, predominaron las publicaciones con enfoque cuantitativo (66,7 %) y de nivel de evidencia baja (56,7 %). El mayor número de artículos publicados por fuente y autor fue de 4.Los resultados exploratorios muestran cinco temáticas relevantes relacionadas con: el diagnóstico del cáncer de pulmón, síntomas, cuidado paliativo, calidad de vida y práctica avanzada de enfermería. Conclusión: se logra identificar publicaciones que enfatizan las temáticas mencionadas, con un nivel de evidencia bajo y con escasas intervenciones realizadas por parte de enfermería. Los estudios se enfocan en el control de síntomas y cuidados en el fin de vida.

Abstract: Objective: identify trends in lung cancer research over the past five years from a nursing care perspective. Method: bibliometric and exploratory review based on the web of science database. The descriptors, lung neoplasm and nursing care were used with application of filters, obtaining a total of 62 articles published between the years 2017-2021. The bibliometric analysis was performed using bibliometrix with the total number of documents obtained; 30 articles describing the main thematic trends identified in the conceptual structure were used for the exploratory analysis. Results: bibliometric indicators show an average publication rate of 12 articles per year, with a predominance of publications with a quantitative approach (66.7 %) and a low level of evidence (56.7 %). The highest number of articles published per source and author was 4. The exploratory results show five relevant topics related to: lung cancer diagnosis, symptoms, palliative care, quality of life and advanced nursing practice. Conclusion: it is possible to identify publications that emphasize the aforementioned topics, with a low level of evidence and with few interventions carried out by nurses. The studies focus on symptom control and end-of-life care.

Resumo: Objetivo: identificar tendências na investigação do cancro do pulmão ao longo dos últimos cinco anos, numa perspectiva de cuidados de enfermagem. Método: revisão bibliométrica e exploratória realizada utilizando a teia de dados científicos. Os descritores, neoplasma pulmonar e cuidados de enfermagem foram utilizados com a aplicação de filtros, obtendo um total de 62 artigos publicados entre 2017-2021. A análise bibliométrica foi realizada utilizando a bibliometria com o número total de documentos obtidos; 30 artigos descrevendo as principais tendências temáticas identificadas na estrutura conceptual foram utilizados para a análise exploratória. Resultados: os indicadores bibliométrico mostram uma taxa média de publicação de 12 artigos por ano, com uma predominância de publicações com uma abordagem quantitativa (66,7 %) e um baixo nível de evidência (56,7 %). O maior número de artigos publicados por fonte e autor foi de 4. Os resultados exploratórios mostram cinco tópicos relevantes relacionados com: diagnóstico do cancro do pulmão, sintomas, cuidados paliativos, qualidade de vida e prática avançada de enfermagem. Conclusão: conseguimos identificar publicações que enfatizam os tópicos acima mencionados, com um baixo nível de evidência e com poucas intervenções realizadas por enfermeiros. Os estudos centram-se no controlo dos sintomas e nos cuidados de fim de vida.

https://doi.org/10.33517/rue2022v17n2a6

Trabajo Emocional en grupos ocupacionales de Latinoamérica: Una revisión de alcance
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Ramírez-Sánchez, Juan Camilo

; Solarte-Tobar, María Camila

; Bastidas-Jurado, Claudia Fernanda

; Matabanchoy-Salazar, Johana Madelyn

Universidad y Salud

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aug 2022, Volume 24 N. 2 Pages 154 - 169

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Introducción: El Trabajo Emocional deteriora la salud mental de los colaboradores, quienes, en interacción con usuarios, regulan sus emociones para expresar las prescritas en la organización. Objetivo: Mapear sistemáticamente los hallazgos principales sobre el Trabajo Emocional en grupos ocupacionales de Latinoamérica a partir de la revisión de artículos científicos publicados entre 2009 y 2020, mediante una revisión de alcance. Materiales y métodos: A partir de la metodología PRISMA-ScR, se realizó la búsqueda en las bases de datos LILACS, Redalyc, Dialnet, DOAJ, BVS, Gale One File: Psychology y EBSCOhost; con las palabras clave “trabajo emocional” (español), “emotional labor”/“emotional work” (inglés) y “trabalho emocional” (portugués); y una matriz de registro documental como formulario de gráfico de datos. Resultados: De 186 artículos, se seleccionó 17, con las siguientes características: la mayoría fueron de Brasil; grupos de trabajadores en salud y docentes; con definición de trabajo emocional en 6 categorías; y se utilizaron 11 instrumentos de medición. Conclusiones: Existe amplia concepción sobre el trabajo emocional, sin embargo, la evidencia en Latinoamérica aún es limitada, por ello es necesario continuar investigación de su incidencia en diferentes escenarios laborales, para obtener una comprensión global del constructo.

Abstract Introduction: Emotional work deteriorates the mental health of employees who interact with the public and therefore must regulate their emotions in order to express those established by the organization. Objective: To systematically map the main findings of Emotional Work in occupational groups of Latin America based on the revision of scientific articles published between 2009 and 2020 through a scoping review. Materials and methods: A PRISMA-ScR methodology with the keywords “trabajo emocional” (Spanish), “emotional labor”/“emotional work” (English) and “trabalho emocional” (Portuguese) was used to search the following databases: LILACS, Redalyc, Dialnet, DOAJ, BVS, Gale One File: Psychology and EBSCOhost. A document record matrix was used as format for data graphic. Results: From 186 articles, 17 were selected with the following characteristics: majority were from Brazil; included health employees and professors; defined emotional work using 6 categories; used 11 measurement instruments. Conclusions: There is a wide understanding of the topic of emotional work, however the evidence in Latin America is limited, which is why it is necessary to continue investigating its incidence in different work environments in order to obtain a global understanding of the construct.

https://doi.org/10.22267/rus.222402.269 232 downloads

Recommendations for the diagnosis and management of persons with suspected vaccine-induced immune thrombotic thrombocytopenia (VITT)
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Yomayusa, Nancy

; Acevedo, Juan

; Virginia, Abello Polo

; Izaguirre, Raúl

; Ramírez, Carlos

; Solano, María Helena

; Ramírez, Sergio

; Rodríguez, Patricia

; Morón, Lina

; De la Hoz, Ilich

; Chacón, Kelly Rocio

; Gutiérrez, Paula

; Agudelo, Claudia

; Hernández, Sonia

; León, Guillermo

; Accini, José

; Ortíz, Guillermo

; Concha-Mejia, Alejandro

; Contreras, Rubén

; Escobar, Bibiana

; Espinosa, Tatiana

; González, Camilo

; Yama, Erica

; Aroca, Gustavo

; Guillermo, Cecilia

; Hamann, Otto

; Horlandy, Laura

; Moreno, Claudia

; Mejía, Natalia

; Mendoza, Fernán

; Castellanos, Jeffrey

; Rozo, Jose

; Montero, Camilo

; Navarro, José

; Oñate, José

; Pinto, Diego

; Restrepo, Natalia

; Saenz, Oscar

; Triana, Lina

; Correa, Liliana

; Sabbagh, Luis

; Castillo, Ana

; Torres, Rodolfo

; Lineros, Alberto

Infectio

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mar 2022, Volume 26 N. 1 Pages 3 - 10

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen En meses recientes se han reportado casos raros de trombocitopenia y trombosis en sitios inusuales, que ocurren dentro de una ventana de riesgo típica ( por ejemplo de 4 a 28 días) luego de recibir vacunas de SARS CoV 2. Los profesionales de la salud deben estar preparados para detectar estos casos a tiempo. Un panel de expertos y una red de transferencia de conocimiento realizó una búsqueda libre de literatura seleccionada. Con la información disponible y la experticia clínica del grupo de trabajo revisamos y dimos recomendaciones para la sospecha temprana, el diagnostico (definición de caso, el uso de pruebas de laboratorio especificas y de imágenes diagnósticas) para le manejo de estas condiciones tromboticas. Este documento es considerado un documento vivo que debe ser actualizado a medida que surja nueva evidencia y las recomendaciones vayan cambiando con el tiempo

Abstract In recent months, rare cases of thrombosis at unusual sites associated with thrombocytopenia, occurring within a typical risk window (i.e., 4-28 days) after receiving SARS CoV2 vaccines, have been reported. Healthcare professionals should be prepared to detect these cases on time. The Expert Panel of the Knowledge Management and Transfer Network conducted a free search of the related literature. With the available information and the clinical expertise of the working group, we formulated, reviewed, and endorsed recommendations for the timely suspicion, diagnosis (case definitions, the use of initial laboratory and imaging tests, specific tests), and management of these thrombotic conditions. This document is considered a living document that will be updated as new evidence emerges, and recommendations may change over time.

https://doi.org/10.22354/in.v26i1.987 68 downloads

10.

Uma proposta de situaÃ§Ã£o didática pautada pelos constructos teóricos da Didática da Matemática e apoiada pelo software GeoGebra
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Camilo, Aline Maria da Silva

; Alves, Francisco Régis Vieira

; Fontenele, Francisca Cláudia Fernandes

Revista Iberoamericana de Tecnología en Educación y Educación en Tecnología

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mar 2022, N. 31 Pages 40 - 45

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

This work aims to present a brief report on the main theories existing in the context of Didactics of Mathematics (DM), contextualizing them in the current educational scenario, by proposing a didactic situation, based on such aspects. It is, therefore, a set of theoretical foundations, derived from the bibliographical review, of previous scientific works that debated on the same theme, establishing, thus, a series of introductory concepts, of a future master's research. Having as a central aspect the interaction between teacher, student and mathematical knowledge, the proposal of the didactic situation will be given through a problem-situation (involving plane geometry), aided by the GeoGebra software resources, in the search to contribute to a better representation and modeling of the elements that involve the problem. The theories present in this article demarcate representative elements that contributed to the organization and construction of the DM study field. Thus, before the presentation of the didactic situation, the forthcoming topics will address the didactic transposition, didactic contract, epistemological and didactic obstacles, and, finally, didactic situation.

Este trabalho tem como objetivo apresentar um breve relato sobre as principais teorias, existentes no contexto da Didática da Matemática (DM), contextualizando-as no cenário atual educacional, mediante a proposta de uma situaÃ§Ã£o didática, pautada em tais vertentes. Trata-se, portanto, de um conjunto de embasamentos teóricos, oriundos da revisÃ£o bibliográfica, de trabalhos científicos anteriores, que debateram sobre o mesmo tema, instituindo, assim, uma série de conceitos introdutórios, de uma futura pesquisa de mestrado. Tendo como aspecto central a interaÃ§Ã£o entre professor, aluno e saber matemático, a proposta da situaÃ§Ã£o didática será dada por meio de uma situaÃ§Ã£o-problema (envolvendo a Geometria plana), auxiliada pelos recursos do software GeoGebra, na busca de contribuir para uma melhor representaÃ§Ã£o e modelizaÃ§Ã£o dos elementos que envolvem o problema. As teorias, presentes neste artigo, demarcam elementos representativos que contribuíram para a organizaÃ§Ã£o e construÃ§Ã£o do campo de estudo da DM. Deste modo, antes da apresentaÃ§Ã£o da situaÃ§Ã£o didática, os tópicos vindouros farÃ£o uma abordagem sobre a transposiÃ§Ã£o didática, contrato didático, obstáculos epistemológicos e didáticos, e, por fim, situaÃ§Ã£o didática.

35 downloads

11.

¿Los hijos de pacientes con trastorno bipolar tienen una peor percepción de la calidad de sueño?
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Estrada-Jaramillo, Santiago

; Quintero-Cadavid, Claudia Patricia

; Andrade-Carrillo, Rommel

; Gómez-Cano, Sujey

; Eraso-Osorio, Juan Jose

; Zapata-Ospina, Juan Pablo

; Aguirre-Acevedo, Daniel Camilo

; Valencia-Echeverry, Johanna

; López-Jaramillo, Carlos

; Palacio-Ortiz, Juan David

Revista Colombiana de Psiquiatría

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mar 2022, Volume 51 N. 1 Pages 25 - 34

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Introduction: The offspring of bipolar parents (BO) is a high-risk population for inheriting the bipolar disorder (BD) and other early clinical manifestations, such as sleep disturbances. Objective: To compare the presence of psychiatric disorders and sleep disturbances of BO versus offspring of control parents (OCP). Methods: A cross-sectional analytical study was conducted that compared BO versus OCP. The participants were assessed using valid tools to determine the presence of psychiatric symptoms or disorders. The "Sleep Evaluation Questionnaire" and "School Sleep Habits Survey" were used to determine sleep characteristics and associated factors. Sleep records (7-21 days) were also obtained by using an actigraphy watch. Results: A sample of 42 participants (18 BO and 24 OCP) was recruited. Differences were found in the presentation of the psychiatric disorder. The BO group showed a higher frequency of major depression disorder (MDD; P = .04) and Disruptive Mood Dysregulation Disorder (DMDD; P = .04). The OCP group showed a higher frequency of Attention Deficit and Hyperactivity Disorder (ADHD; P = .65), and Separation Anxiety Disorder (SAD; P = .46). Differences were also found in sleep by using subjective measurements. Compared to the OCP group, BO had a worse perception of quality of sleep (P = .02), a higher frequency of nightmares (P = .01), a shorter total sleep time, and a higher sleep latency. Nevertheless, no differences were found between groups in the actigraphy measurements. Conclusions: The BO group had a higher frequency of Mood Disorders, and at the same time a higher number of sleep disturbances in the subjective measurements. It is possible that there is an association between mood symptoms, sleep disturbances, and coffee intake. No differences were found in the sleep profile by using actigraphy. © 2020 Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. All rights reserved.

RESUMEN Introducción: los Hijos de Padres con Trastorno Bipolar (HPTB) constituyen una población de riesgo ya que pueden heredar el Trastorno Bipolar (TB) como también manifestaciones clínicas tempranas como seria las alteraciones en el sueño. Objetivo: comparar la presencia de trastornos psiquiátricos y las alteraciones en el sueño de los HPTB con los Hijos de Padres Control (HPC). Métodos: Se realizó un estudio analítico de corte transversal, que comparó HPTB versus HPC. Se entrevistaron con instrumentos validados para determinar la existencia de síntomas y trastornos psiquiátricos. Utilizamos las escalas: "Cuestionario de evaluación de sueño" y "Encuesta sobre hábitos de sueño en escolares" para determinarlas características del sueño y factores asociados con el mismo. Adicionalmente se obtuvo el registro de sueño (7-21 días) por medio de un reloj de actígrafia. Resultados: Se reunió una muestra con 42 sujetos (18 HPTB y 24 HPC). Se encontraron diferencias en la presentación de los trastornos psiquiátricos. El grupo de HPTB presento mayor frecuencia del trastorno depresivo mayor (TDM; p = 0,04) y el trastorno disruptivo de la regulación emocional (TDRE, p = 0,04). En el grupo de HPC por su parte se presentó una mayor frecuencia de Trastorno por Déficit de Atención e Hiperactividad (TDAH; p = 0,65) y de Trastorno de Ansiedad por Separación (TAS; p = 0,46). También se encontraron diferencias a nivel del sueño en las medidas subjetivas. En comparación con el HPC, el grupo de HPTB presento una peor percepción de la calidad de sueño (p = 0,02), una mayor presencia de pesadillas (p = 0,01), un menor tiempo total de sueño y una mayor latencia de sueño. Sin embargo, no se encontraron diferencias entre los dos grupos en las mediciones de actigrafías. Conclusiones: el grupo de HPTB presenta mayor frecuencia de trastornos del estado de ánimo, y a su vez una mayor presencia de alteraciones del sueño en las medidas subjetivas. Es posible que exista una asociación entre los síntomas afectivos, las alteraciones en el sueño y el consumo de café. No se encontraron diferencias en el perfil de sueño por actígrafía. © 2020 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España, S.L.U. Todos los derechos reservados. Children

181 downloads

12.

Teaching Rheumatology in the undergraduate: It is enough?
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Karam, Claudia Mora

; Beltrán, Adriana

; Restrepo, Jorge

; Sierra, Rita

; Guerrero, Yully Andrea

; Martinez, Diego Camilo

Revista Colombiana de Reumatología

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mar 2022, Volume 29 N. 1 Pages 38 - 43

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Introduction: Musculoskeletal disorders (MSD) are the second leading cause of disability worldwide. There are difficulties in the early diagnosis and therapeutic approach to these pathologies, with a negative impact on their outcomes. Access to rheumatology is limited, with a low supply in the face of growing demand, which makes the general practitioner the first contact for care. Objectives: Describe the perception and confidence that general practitioners have regarding the training in rheumatology received at undergraduate level. Materials and methods: Observational cross-sectional study, with a Likert-type survey tool being used. The study included general practitioners graduated from the Colombian Medicine program between 2009 and 2019. The variables studied were those related to the curriculum, acquired knowledge or skills, and proficiency in content in rheumatol ogy compared to practice. Subjects who attended a specialist or who had an employment relationship with a specialist rheumatology centre were excluded. Results and Conclusions: A total of 102 physicians were surveyed, and 86 completed ques tionnaires were included in the final analysis. Of these, 83.4% were graduates of private universities. Over two-thirds (37%9) had a formal subject in rheumatology, 16% received training with specific strategies, 54% expressed security when performing the MS physical examination, and 47% were sure in the diagnostic approach, and prescription of disease-modifying drugs. In order to strengthen the training in rheumatology required by the undergraduate, a joint effort is required with the medical schools in defining the competen cies and skills of the primary care physician, together with the health needs and available educational strategies.

RESUMEN Introducción: Las enfermedades musculoesqueléticas (ME) son la segunda causa de discapa cidad mundial. Se presentan dificultades en el enfoque diagnóstico y terapéutico temprano de estas enfermedades, lo cual tiene un impacto negativo en sus desenlaces. El acceso a Reumatología es limitado, con una baja oferta frente a la creciente demanda, lo que convierte al médico general en el primer contacto de atención. Objetivos: Describir la percepción y la confianza que tienen los médicos generales respecto a la formación en reumatología recibida en el pregrado. Materiales y métodos: Estudio observacional de corte transversal en el cual se indagó a médi cos generales, egresados de programas de medicina colombianos entre el 2009 y 2019, mediante un cuestionario con respuesta tipo Likert, sobre variables relacionadas con el planteamiento curricular, los conocimientos o habilidades adquiridas y la suficiencia en el contenido en reumatología con respecto a la práctica. Se excluyó a los sujetos que cur saran algún programa de especialización o que tuvieran relación laboral con un centro especializado de Reumatología. Resultados y conclusiones: Se encuestó a 102 médicos; 86 encuestas fueron incluidas en el análisis final. El 83,4% de ellos eran egresados de universidades privadas, el 37% contó con una asignatura formal de reumatología, el 16% recibió formación con estrategias específicas, el 54% manifestó seguridad al realizar el examen físico musculoesquelético, el 47% expresó sentirse seguro en el enfoque diagnóstico y la prescripción de medicamentos modificadores de la enfermedad. Es necesario fortalecer la formación en Reumatología en el pregrado; se requiere un trabajo conjunto con las facultades de medicina en la definición de competen cias del médico de Atención Primaria, alineado con las necesidades de salud y las estrategias educacionales disponibles.

https://doi.org/10.1016/j.rcreu.2020.11.006

13.

Clasificación de cesárea según el sistema de Robson en una IPS privada de Cali, 2017
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Mosquera Agudelo, José Luis

; Martínez Buitrago, Diana Milena

; Guevara Chaux, Claudia Lorena

; Navas Jojoa, María de los Ángeles

; Erazo Barahona, María Isabel

; Paz, Fernando Felipe

; Figueredo Satizábal, María Fernanda

; Gaviria Criollo, Camilo Andrés

Revista Peruana de Ginecología y Obstetricia

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jan 2022, Volume 68 N. 1 elocation 00005

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Objective : To characterize cesarean sections according to the Robson classification system in a private high complexity HPSI, in the period between January 1 December 31, 2017. Methods : Descriptive, retrospective, cross-sectional study conducted in a private HPSI in the city of Cali. The study included pregnant women admitted for delivery care in 2017. A database was constructed in Microsoft Excel 2010, with the variables defined in Robson's classification. The rate of cesarean sections, the relative size of each group and the relative contribution of each group to the overall rate of cesarean sections were calculated, as well as the causes of cesarean sections were analyzed. The results are presented in tables. Results : The overall cesarean section rate was 35.4 %. The groups with the highest contribution to the total percentage of cesarean sections were groups 2, 1 and 10 with 20.4 %, 3.9 % and 3.3 %, respectively. History of previous cesarean section was the main cause. Conclusions: Using Robson's classification, it can be concluded that it is possible to reduce the rate of cesarean section rate by 14 % by intervening in the history of previous cesarean section.

RESUMEN Objetivo: Caracterizar las cesáreas según el sistema de clasificación de Robson en una IPS privada de alta complejidad, en el periodo comprendido entre el 1 de enero y el 31 de diciembre de 2017. Métodos: Estudio descriptivo, retrospectivo y de corte transversal realizado en una IPS privada de la ciudad de Cali. Se incluyó en el estudio gestantes ingresadas para atención del parto en el 2017. Se construyó una base de datos en Microsoft Excel 2010, con las variables definidas en la clasificación de Robson y se calculó la tasa de cesáreas, el tamaño relativo de cada grupo y la contribución relativa de cada grupo a la tasa general de cesáreas, así como se analizó las causas de las cesáreas. Se presentan los resultados en tablas. Resultados : La tasa de cesáreas general fue del 35,4 %. Los grupos de mayor contribución al porcentaje total de cesáreas fueron los grupos 2, 1 y 10, con 20,4%, 3,9 % y 3,3 %, respectivamente. El antecedente de cesárea previa fue la causa principal. Conclusiones. Utilizando la clasificación de Robson se logra concluir que es posible reducir la tasa de cesáreas en un 14 % interviniendo el antecedente de cesárea previa.

https://doi.org/10.31403/rpgo.v68i2384

14.

Para além do colonialismo: a sinuosa confluência entre o Museu Goeldi e os Mebêngôkre
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SANJAD, NELSON

; LÓPEZ-GARCÉS, CLAUDIA LEONOR

; COELHO, MATHEUS CAMILO

; SANTOS, ROBERTO ARAÚJO

; ROBERT, PASCALE DE

Anais do Museu Paulista: História e Cultura Material

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2022, Volume 30 elocation d1e30

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO O artigo apresenta as transformações no relacionamento do Museu Goeldi com os povos indígenas, neste caso, os Mebêngôkre (mais conhecidos como Kayapó), em uma perspectiva de longa duração. A complexidade dessa relação não se resume à mera influência de um darwinismo social que teria acantonado os museus de história natural no papel de agentes do colonialismo e de ideólogos de um racismo estrutural. Três momentos-chave da construção dos vínculos entre o Museu Goeldi e os Mebêngôkre são analisados: a transição entre o século XIX e o XX, quando missões religiosas eram financiadas pelo Estado e intermediárias obrigatórias entre os indígenas e a sociedade nacional, no intuito de integrá-los à “civilização”; os anos 1930, em que novos movimentos migratórios para a região amazônica e os ditames de uma oligarquia que se fortalecia por meio do controle fundiário - sobretudo em áreas produtoras de castanha-do-pará - ameaçavam a integridade física e territorial desse povo; e, finalmente, os anos 1980-1990, quando surge uma oposição ao desenvolvimentismo do regime militar, cristalizando-se num modelo socioambiental que reconhece a importância do protagonismo dos indígenas e das populações tradicionais na Amazônia. Uma vez destacadas as transformações verificadas na relação entre museus e povos indígenas, conclui-se advogando a importância assumida no século XXI por pesquisas colaborativas e por uma museologia participativa - tanto para sua qualificação científica quanto para a valorização de um saber indígena com profundas repercussões políticas, sociais e ambientais.

ABSTRACT This paper discusses the transformations in the relationship between the Goeldi Museum and Indigenous peoples, specifically the Mebêngôkre, better known as Kayapo, in a long-term perspective. Their complexity is not merely influence of a social Darwinism that would have cornered natural history museums in the role of agents of colonialism and ideologues of structural racism. Three key moments in the construction of ties between the Goeldi Museum and the Mebêngôkre are analyzed: the transition from the 19th to the 20th century, when religious missions were financed by the State and compulsory intermediaries between the Indigenous people and national society to integrate them into ‘civilization’; the 1930s, when new migratory movements to the Amazon region and the dictates of an oligarchy that strengthened itself through land control - especially in Brazil nut production areas - threatened the physical and territorial integrity of this people; and, finally, the 1980s-1990s, when opposition to the developmentalism of the military regime emerged and crystallized into a socio-environmental model that recognizes the importance of the role of Indigenous peoples and traditional populations in the Amazon. After highlighting the transformations observed in the relationship between museums and Indigenous peoples, the article concludes by advocating the importance assumed, in the 21st century, by collaborative research and participatory museology, both for their scientific qualification and for the appreciation of Indigenous knowledge with profound political, social, and environmental repercussions.

https://doi.org/10.1590/1982-02672022v30d1e30

15.

Detection and genome characterisation of SARS-CoV-2 P.6 lineage in dogs and cats living with Uruguayan COVID-19 patients
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Panzera, Yanina

; Mirazo, Santiago

; Baz, Mariana

; Techera, Claudia

; Grecco, Sofía

; Cancela, Florencia

; Fuques, Eddie

; Condon, Emma

; Calleros, Lucía

; Camilo, Natalia

; Fregossi, Andrea

; Vaz, Inés

; Pessina, Paula

; Deshpande, Nikita

; Pérez, Ruben

; Benech, Alejandro

Memórias do Instituto Oswaldo Cruz

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2022, Volume 117 elocation e220177

Abstract: En | Text: En | PDF: En

BACKGROUND Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections in domestic animals have occurred from the beginning of the pandemic to the present time. Therefore, from the perspective of One Health, investigating this topic is of global scientific and public interest. OBJECTIVES The present study aimed to determine the presence of SARS-CoV-2 in domestic animals whose owners had coronavirus disease 2019 (COVID-19). METHODS Nasopharyngeal and faecal samples were collected in Uruguay. Using quantitative polymerase chain reaction (qPCR), we analysed the presence of the SARS-CoV-2 genome. Complete genomes were obtained using ARTIC enrichment and Illumina sequencing. Sera samples were used for virus neutralisation assays. FINDINGS SARS-CoV-2 was detected in an asymptomatic dog and a cat. Viral genomes were identical and belonged to the P.6 Uruguayan SARS-CoV-2 lineage. Only antiserum from the infected cat contained neutralising antibodies against the ancestral SARS-CoV-2 strain and showed cross-reactivity against the Delta but not against the B.A.1 Omicron variant. MAIN CONCLUSIONS Domestic animals and the human SARS-CoV-2 P.6 variant comparison evidence a close relationship and gene flow between them. Different SARS-CoV-2 lineages infect dogs and cats, and no specific variants are adapted to domestic animals. This first record of SARS-CoV-2 in domestic animals from Uruguay supports regular surveillance of animals close to human hosts.

https://doi.org/10.1590/0074-02760220177

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