Resumo O caminho para o debate afro-indígena rompe com a análise reducionista da percepção da ideia de “afro” e “indígena” como miscigenação biológica. O objetivo é trazer como debate essa categoria presente em estudos acadêmicos (dissertações e teses) que se impõe na afirmativa de uma categoria não abstrata remetida às ancestralidades indígenas e de matriz africana acionadas como referência de práticas culturais que fluem presentes em produções acadêmicas nos seus usos, teias de significados, pontos de tensão e até da refutação a ela direcionada.

Abstract The path to the afro-indigenous debate breaks with the reductionist analysis of the perception of the idea of afro and indigenous as biological miscegenation. The objective is to bring as a debate the category present in academic studies (dissertations and theses) and imposes in the affirmation of a non-abstract category referred to black from the African Diaspora and indigenous ancestry, activated as a reference of cultural practices in academic productions in the uses of a lot of meaning, points of tension and even the refutation.

Resumen Objetivo: describir el comportamiento clínico y quirúrgico de los pacientes con pancreatitis aguda manejados en un centro hospitalario de cuarto nivel. Método: se realizó un estudio descriptivo retrospectivo analítico de los pacientes con diagnóstico de pancreatitis aguda que ingresaron al Hospital Universitario de Neiva en el período comprendido entre el 1 de enero del 2015 al 31 de julio del 2017. Resultados: se identificaron 138 pacientes que ingresaron con impresión diagnóstica de pancreatitis aguda, de los cuales se confirmó el diagnóstico en 130 pacientes y se excluyeron 21 pacientes por no cumplir con los criterios de inclusión. Según la clasificación de Atlanta 2012, 73 (67 %) pacientes cursaban con una pancreatitis leve, 17 (16 %) con pancreatitis moderadamente severa y 19 (17 %) con pancreatitis severa. La principal causa de pancreatitis encontrada fue la biliar. La prueba de chi cuadrado (χ2) mostró una significancia estadística para la edad como factor de riesgo para pancreatitis severa (p = 0,04). De la totalidad de pacientes, en 8 pacientes se documentó necrosis pancreática, de los cuales 5 fueron manejados quirúrgicamente, con un abordaje por laparotomía en 3 pacientes y 2 por laparoscopia, con una mortalidad del 37,5 % en los pacientes con necrosis pancreática manejados quirúrgicamente. De los 109 pacientes incluidos en el estudio, 100 pacientes (91,74 %) resolvieron su cuadro de pancreatitis y egresaron vivos de la institución, para una mortalidad reportada en 9 pacientes (8,25 %), quienes cursaron con pancreatitis aguda severa. Conclusión: el estudio presentado es de tipo descriptivo estableciendo las características demográficas y el curso de la enfermedad de los pacientes con pancreatitis aguda incluidos las complicaciones y el manejo de estas. Con este estudio no se pretende estandarizar causalidad ni manejo de la patología descrita, solo se describe la experiencia realizada en un hospital de cuarto nivel tratando de contribuir con el desarrollo de estudios de cohortes y ensayos clínicos que permitan establecer guías de manejo con el fin de mejorar los desenlaces de los pacientes con pancreatitis aguda.

Abstract Objective: Our objective was to describe the clinical and surgical behavior of patients with acute pancreatitis managed at a fourth level hospital center. Method: This is a descriptive, retrospective and analytical study of patients diagnosed with acute pancreatitis who entered the University Hospital of Neiva in the period from January 1, 2015 to July 31, 2017. Results: We identified 138 patients who had been admitted with a diagnosis of acute pancreatitis. Of these, the diagnosis was confirmed for 130 patients, but 21 patients were excluded because they did not meet the inclusion criteria. According to the 2012 Atlanta classification, 73 (67%) patients had mild pancreatitis, 17 (16%) had moderately severe pancreatitis, and 19 (17%) had severe pancreatitis. The main cause of pancreatitis was biliary. The chi-square test showed statistical significance for age as a risk factor for severe pancreatitis (p = 0.04). Pancreatic necrosis was documented in 8 patients, five of whom were managed surgically. This included three laparotomies and two laparoscopic operations. The mortality rate for patients with surgically managed pancreatic necrosis was 37.5%. Of the 109 patients included in the study, the resolved their pancreatitis of 100 patients (91.74%) was resolved and they left the institution alive. Nine patients (8.25%), all of whom had severe acute pancreatitis, died. Conclusion: This descriptive study established the demographic characteristics and clinical course of patients with acute pancreatitis including complications and management of complications. This study is not intended to standardize causality or management of acute pancreatitis, but rather only describes the experience of a fourth level hospital in order to contribute to the development of cohort studies and clinical trials that will allow establishment of management guidelines to improve the outcomes of patients with acute pancreatitis.

ABSTRACT This study surveyed species of the family Araceae in Grumari restinga, located in the metropolitan region of the city of Rio de Janeiro, Brazil. We aimed to: i) evaluate the contribution of a single locality (Grumari restinga) to regional conservation (Rio de Janeiro State) of Araceae; and ii) compare the distribution of species of Araceae among restingas of the state. We calculated the extent of occurrence and the area of occupancy in the entire state for eight species of Araceae found in Grumari,and performed a similarity analysis among restingas. Our data demonstrate that the extent of occurrences for Anthurium augustinum, A. coriaceum and A. maricense are influenced by Grumari because this area is the boundary of their known distribution in the state. Grumari did not have an influence on the distribution of the other studied species. We found Anthurium coriaceum, A. luschnathianum and Philodendron crassinervium to exhibit unusual habits as terrestrial plants in sandy soil. The similarity analysis identified six groups of Araceae, four of which are related to the distance from adjacent forests. We demonstrated that this small conservation unit represents a key locality in the preservation of natural populations of species of Araceae in Rio de Janeiro State.

Resumo: De início, situamos a emergência dos conceitos Blackness, Black Experience e de interseccionalidades no marco da história do pensamento feminista negro, marcadamente nos Estados Unidos. Depois, por considerar que bell hooks e Patricia Collins elaboraram reflexões teóricas sobre homens e masculinidades negras a partir de uma perspectiva interseccional, damos destaque aos textos por elas elaborados, ao buscarmos pontuar, com outros autores e autoras, dentro ou fora do Brasil, de que modo estes mobilizaram ideias e perspectivas de análise que estejam ou não em conexão vinculativa com os posicionamentos teóricos dessas autoras. E, finalmente, o nosso interesse é de tornar ainda mais elucidativa a necessidade da discussão de estereótipos que possam contribuir na construção de outros sentidos, outras narrativas, outras versões acerca do debate proposto.

Abstract: For this article, at first, we situate the emergence of concepts Blackness, Black Experience and intersectionalities in the context of the history of black feminist thought in the United States. Then, considering that bell hooks and Patricia Collins elaborated analyzes and theoretical reflections on black men and masculinities from an intersectional perspective, we seek score with other authors in Brazil and abroad, how mobilized ideas and perspectives of analyzes that are binding or not in connection with the theoretical positions of both authors. Finally, our interest is to become evident in need of discussion of stereotypes that can contribute to the construction of other senses, other narratives, other versions on the chosen debate.

Introducción: Las anormalidades cromosómicas son una causa frecuente de morbilidad y mortalidad en la población humana. Objetivo: Describir el número y tipo de las alteraciones cromosómicas numéricas y estructurales detectadas en estudios citogenéticos realizados prenatalmente y en recién nacidos en el Instituto Nacional de Perinatología (INPer) durante el periodo comprendido de enero a diciembre del 2003. Metodología: Realizar un estudio descriptivo de tipo retrolectivo de los pacientes revisados por el Departamento de Genética con defectos congénitos que presentaron anormalidades cromosómicas. Resultados: Durante el año 2003, 3.26% (189/5795) de los pacientes nacidos en el INPer presentaron defectos al nacimiento, de los cuales veintisiete pacientes mostraron un cariotipo anormal de los cuales 21 (77.7%) presentaron alteraciones cromosómicas numéricas; además, en seis (22.2%) se encontró una alteración cromosómica estructural, lo que representa 0.46% de los pacientes nacidos en el INPer. En seis casos el diagnóstico se realizó en etapa prenatal y se corroboró al nacimiento. Conclusiones: La mayoría de alteraciones cromosómicas se presentan con múltiples defectos al nacimiento y con alteración en el crecimiento y desarrollo mental. Es importante que ante la presencia de pacientes con múltiples defectos mayores estructurales se sospechen este tipo de alteraciones y se realicen los estudios necesarios a la familia para poder brindar un adecuado asesoramiento genético.

Introduction: Chromosomal anomalies are a frequent cause of human disease. Objective: Describe the numerical and structural chromosomal anomalies detected by cytogenetic studies done prenatally and in newborns found in the Instituto Nacional de Perinatología during the period between January and December 2003. Methods: Descriptive study of the patients with congenital defects seen by the Genetics Department who presented chromosomal anomalies. Results: During the year 2003, the 3.46% (189/5795) of the babies born at the INPer had structural anomalies. Twenty patients had a chromosomal anomaly of which 21 (77.7%) had a chromosomal numeric alteration and six (22.2%) a chromosomal structural anomaly which represented 0.46% of the newborns. In six cases the diagnosis was done prenatally and confirmed at birth. Conclusions: Most of the chromosomal anomalies present themselves with multiple congenital anomalies and retarded growth and development. It is very important to implement this type of studies in patients with congenital anomalies, complete the familiar study and provide an accurate genetic counseling to the parents.