e-revistas (Universidad de Los Andes)
Not a member yet
17192 research outputs found
Sort by
Extrêmes pendants : Ángel áspero d' Ernesto Román Orozco
Get PDFWe present an approach to the work Ángel áspero (2022) by the poet Ernesto Román Orozco, a book that won the Antonio Salvado International Poetry Prize, Castelo Branco, Portugal, 2021. A book of deep reflection, complex poems and enthusiasm for writing. A word where poetry opens the door and keeps it open until the last page, in order to, in this way, invite reading and tentative and fleeting inventions about what happens there.Presentamos un acercamiento a la obra Ángel áspero (2022) del poeta Ernesto Román Orozco, libro ganador del Premio Internacional de Poesía Antonio Salvado, Castelo Branco, Portugal, 2021. Un libro de asentada reflexión, poemas complejos y entusiasmo de escribir. Una palabra donde la poesía abre la puerta y la mantiene abierta hasta la última de las páginas, para, de esta manera, invitar a su lectura y a las invenciones tentativas y fugaces sobre lo que allí ocurre.Recibido 01-12-22 / Aceptado: 02-02-23Nous présentons une approche de l'oeuvre Ángel áspero (2022) du poète Ernesto Román Orozco, un livre qui a remporté le Prix international de poésie Antonio Salvado, Castelo Branco, Portugal, 2021. Un livre de réflexion profonde, de poèmes complexes et d'enthousiasme pour l'écriture. Un mot où la poésie ouvre la porte et la maintient ouverte jusqu'à la dernière page, pour inviter ainsi à la lecture et aux inventions provisoires et fugaces sur ce qui s'y passe.
Wanai. Kellys García, El Taller Blanco Ediciones, 2022, pp. 70.
No full textLa poesía de los pueblos indígenas venezolanos suele destacar por su sencillez y profundidad. Las imágenes puras y libres de retórica rebuscada logran producir un impacto en el lector que va más allá del goce estético, llevándolo al encuentro con un pasado que forma parte del mismo ser latinoamericano. Así, las fuerzas de los antepasados perviven en algunas páginas de la literatura venezolana, atreviéndose a registrar, en cierta medida, la inabarcable riqueza de la oralidad de estos pueblos y la particular visión de mundo que los caracteriza
Le Dante de Borges: apports et révélations de la critique littéraire Nord Américaine à la fin du vingtième siècle
No full textLiterary criticism from the United States has played an essential role in the study of the representations of Borges' Dante, since this academy has become an important center for the study of the Argentinean author and has collected, in a considerable corpus, the diverse perspectives on the topic. This paper systematizes and periodizes the most relevant critical contributions on Borges' Dante, published in the last decades of the 20th century in the United States. I review publications of the sixties and seventies, which constitute the first steps of criticism on the subject in the country. In the eighties, Thiem's proposal on using the concept of anxiety of influence to understand Borges's denial of Dante is the most important of this period. Finally, I argue that the nineties is the period with the highest number of publications and contributions, when three critical axes to understand Borges's Dante are consolidated: the origin of the Dantesque references in Borges's work; Borges's denial of Dante as a reference; and Borges's poiesis (creative process) in the texts he dedicates to Dante. Among the authors analyzed from this period are Menocal who explores the complex relationship between Borges, Petrarch and Dante, and Borges' poetics when he speaks of Dante; Subrizi who talks about the medieval origin of total vision; Ardavín who notes the delegitimization of traditional schemes; Almeida that talks about the modification of the past.La crítica literaria estadounidense ha tenido un papel esencial en el estudio de las representaciones del Dante de Borges, pues esta academia se ha convertido en un centro importante para el estudio del autor argentino y ha recogido, en un corpus considerable, perspectivas diversas. El presente trabajo sistematiza y periodiza las aportaciones críticas más relevantes sobre el Dante de Borges publicadas en las últimas décadas del siglo XX en Estados Unidos. Se revisan las publicaciones de los sesenta y setenta, que constituyen los primeros pasos de la crítica sobre el tema en el país. En los ochenta, aparece el artículo de Thiem, cuya propuesta sobre la ansiedad de influencia en la negación de Borges sobre Dante es la más importante del período. Finalmente, la década de los noventa es el periodo con mayor número de publicaciones y aportaciones; se consolidan tres ejes críticos para entender al Dante de Borges: el origen de los referentes dantescos en la obra de Borges; la negación de Dante como referente por parte de Borges; y la poiesis de Borges (proceso creativo) en sus textos dantescos. Entre los autores de este periodo, están Menocal que explora la relación compleja entre Borges, Petrarca y Dante, y su poética; Subrizi que habla sobre el origen medieval de la visión total; Ardavín que nota la deslegitimación de los esquemas tradicionales; Almeida que habla sobre la modificación del pasado.Recibido 02-09-23 / Aceptado:06-12-23La critique littéraire américaine a joué un rôle essentiel dans l'étude des représentations de Dante de Borges, car cette académie est devenue un centre important pour l'étude de l'auteur argentin et a rassemblé, dans un corpus considérable, diverses perspectives. Cet ouvrage systématise et périodise les contributions critiques les plus pertinentes sur le Dante de Borges publiées dans les dernières décennies du XXe siècle aux États-Unis. Les publications des années soixante et soixante-dix sont passées en revue, ce qui constitue les premiers pas de critique sur le sujet dans le pays. Dans les années quatre-vingt paraît l'article de Thiem, dont la proposition sur l'angoisse d'influence dans le déni de Dante par Borges est la plus importante de la période. Enfin, la décennie des années 90 est la période avec le plus grand nombre de publications et de contributions; Trois axes critiques sont consolidés pour comprendre le Dante de Borges: l'origine des références dantesques dans l'oeuvre de Borges ; le refus de Borges de considérer Dante comme référence; et la poiesis (processus créatif) de Borges dans ses textes dantesques. Parmi les auteurs de cette période figurent Menocal qui explore la relation complexe entre Borges, Pétrarque et Dante, et leur poétique; Subrizi qui parle de l'origine médiévale de la vision totale; Ardavín qui constate la délégitimation des schémas traditionnels ; Almeida qui parle de la modification du passé
O Corredor Atlântico e a coesão territorial da Andaluzia. Situação atual da questão
No full texthtpps://doi.org/10.53766/RGV/2024.64.2.14The main purpose of this paper is to examine the importance of the Atlantic Corridor for territorial cohesion in Andalusia, as well as its relationship with the problem of accessibility to the region's logistics and transport networks. Methodologically, it is a review article on the degree of compliance with the development of the Atlantic Corridor in the Andalusian Autonomous Community, considering the plans and public policies implemented for Andalusia at three levels of public administration: autonomous, state and EU-European. It is concluded that, although the Atlantic Corridor is currently of lesser importance compared to the Mediterranean Corridor (still in the process of development), it nevertheless constitutes a relevant action for the improvement of territorial cohesion in the region, by optimising the Atlantic flank of Andalusia from an economic, social, and logistical point of view.https://doi.org/10.53766/RGV/2024.64.2.14Este trabajo tiene como finalidad principal examinar la importancia que reviste el Corredor Atlántico para la cohesión territorial de Andalucía, así como su relación con el problema de la accesibilidad a las redes logísticas y de transportes de esta región. Metodológicamente, es un artículo de revisión sobre el grado de cumplimiento del desarrollo del Corredor Atlántico en la comunidad autónoma andaluza, teniendo en cuenta para ello los planes y las políticas públicas implementados para Andalucía en tres niveles de administraciones públicas: autonómico, estatal y comunitario-europeo. Se concluye que, si bien el Corredor Atlántico goza en la actualidad de menor relevancia en comparación con el Corredor Mediterráneo (aún en proceso de desarrollo), constituye no obstante una acción relevante para la mejora de la cohesión territorial de la región, al optimizar el flanco atlántico de Andalucía desde el punto de vista económico, social y logístico.Recibido: diciembre, 2022 / Aceptado: abril, 2023htpps://doi.org/10.53766/RGV/2024.64.2.14O principal objetivo deste trabalho é analisar a importância do Corredor Atlântico para a coesão territorial da Andaluzia, bem como sua relação com o problema de acessibilidade às redes de logística e transporte da região. Metodologicamente, trata-se de um artigo de revisão sobre o grau de cumprimento do desenvolvimento do Corredor Atlântico na Comunidade Autônoma da Andaluzia, considerando os planos e as políticas públicas implementadas para a Andaluzia em três níveis da administração pública: autônomo, estatal e comunitário-europeu. Conclui-se que, embora o Corredor Atlântico seja atualmente de menor importância em comparação com o Corredor Mediterrâneo (ainda em processo de desenvolvimento), constitui, no entanto, uma ação relevante para a melhoria da coesão territorial na região, otimizando o flanco atlântico da Andaluzia do ponto de vista econômico, social e logístico
Tecnologias convergentes para o monitoramento da poluição ambiental e sua abordagem legal para el desenvolvimento sustentável
Get PDFhttps://doi.org/10.53766/RGV/2024.65.1.04The objective of this review was to make visible cases in which Converent Technologies -CT- (such as technological platforms, real-time sensor images, Mahine Learning / Deep learning, Internet of Things (IoT)), are used to monitor and characterize pollution in air, soil, and water; as well as illustrating how from legal schemes, the development of technologies can be promoted with a fundamentally sustainable approach. The method used consisted of review of practical cases, scientific articles, related to the use of TC to monitor pollution in the environment (both in water, air and soil) in various countries; and legal documents (such as laws, judgments… at the international level, as well as in Colombia) that allow to understand the need to develop technologies for sustainable development. Among the main conclusions, the importance of TC to control pollutants in air, water and soil stands out, as well as to make visible legal tools that promote technological development to support sustainable development. https://doi.org/10.53766/RGV/2024.65.1.04El objetivo de esta revisión fue visibilizar casos en los que se utilizan Tecnologías Convergentes -TC- (como plataformas tecnológicas, imágenes de sensores en tiempo real, Aprendizaje Automático / Aprendizaje Profundo, Internet de las Cosas (IoT)) para monitorear y caracterizar la contaminación en el aire, suelo y agua; así como ilustrar cómo desde los esquemas legales se puede promover el desarrollo de tecnologías con un enfoque fundamentalmente sostenible. El método utilizado consistió en revisar casos prácticos, artículos científicos relacionados con el uso de TC para monitorear la contaminación en el medio ambiente (tanto en agua, aire como suelo) en varios países; y documentos legales (como leyes, fallos... a nivel internacional, así como en Colombia) que permiten comprender la necesidad de desarrollar tecnologías para el desarrollo sostenible. Entre las principales conclusiones, destaca la importancia de las TC para controlar los contaminantes en el aire, agua y suelo, así como para visibilizar herramientas legales que promuevan el desarrollo tecnológico en apoyo al desarrollo sostenible.https://doi.org/10.53766/RGV/2024.65.1.04O objetivo desta revisão foi destacar casos em que Tecnologias Convergentes (CTs) (como plataformas tecnológicas, imagens de sensores em tempo real, Aprendizado de Máquina/Aprendizado Profundo, Internet das Coisas (IoT)) são usadas para monitorar e caracterizar a poluição no ar, no solo e na água; e ilustrar como os esquemas legais podem promover o desenvolvimento de tecnologias com uma abordagem fundamentalmente sustentável. O método utilizado consistiu na revisão de estudos de caso, artigos científicos relacionados ao uso de CTs para monitorar a poluição no meio ambiente (tanto na água quanto no ar e no solo) em vários países; e documentos legais (como leis, decisões... em nível internacional, bem como na Colômbia) que permitem compreender a necessidade de desenvolver tecnologias para o desenvolvimento sustentável. Entre as principais conclusões, destaca-se a importância das TCs para o controle de poluentes no ar, na água e no solo, bem como para a visualização de ferramentas jurídicas que promovam o desenvolvimento tecnológico em prol do desenvolvimento sustentável
Impacto de una intervención educativa en el nivel de conocimiento sobre VIH y otras ITS en la población sexualmente activa de Santo Domingo, Mérida, Venezuela. 2023 Impact of an educational intervention on HIV and other STIS knowledge levels among the sexually active population in Santo Domingo, Mérida, Venezuela. 2023
Get PDFThe World Health Organization (2023) indicates that around 38 million sexually active people between 15 and 49 years old have an easily curable STD in the Americas region. Objective: determine the impact of an educational intervention on the level of knowledge about HIV and other STDs in the sexually active population, in Santo Domingo, Mérida, in August 2023. Methodology: quantitative approach, analytical type, cross-sectional design. A total of 28 participants were evaluated. The “ECI” questionnaire was used as a data collection instrument. Results: 89.3% of the sample was female and 10.7% male; ages between 15 to 60 years, with 42.9% belonging to the age group of young adults from 19 to 35 years. 41.7% did not use any contraceptive method during sexual practices. Only 12.5% reported using condoms as a contraceptive method. A significant change was observed with the intervention (p= 0.0001) in the percentages of knowledge among individuals before and after the approach. Conclusions: the level of knowledge about STDs was 66% and improved by 11% after the educational intervention. No significant relationship was found between sociodemographic variables and the level of knowledge in the population studied. Findings underscore the importance of awareness campaigns about condom use as the primary contraceptive method, as it is the only one that acts as a barrier and substantially reduces the risk of transmission of various STDs.DOI: https://doi.org/10.53766/GICOS/2024.09.02.11RESUMENLa Organización Mundial de la Salud (2023) indica que alrededor de 38 millones de personas sexualmente activas entre 15 y 49 años, tienen una ITS fácilmente curable en la región de las Américas. Objetivo: determinar el impacto de una intervención educativa en el nivel de conocimiento sobre VIH y otras ITS en la población sexualmente activa de Santo Domingo, Mérida, agosto 2023. Metodología: enfoque cuantitativo, tipo analítico, de corte transversal. Se evaluó un total de 28 participantes. Como instrumento de recolección de datos se empleó el cuestionario “ECI”. Resultados: 89,3% de la muestra estuvo constituida por mujeres y 10,7% por hombres; edades comprendidas entre 15 a 60 años, perteneciendo el 42,9% al grupo etario de adultos jóvenes de 19 a 35 años. 41,7% no utilizó ningún método anticonceptivo durante las prácticas sexuales. Solo el 12,5% refirió hacer uso del preservativo como método contraconceptivo. Se obtuvo un cambio significativo con el abordaje (p=0,0001), en los porcentajes de conocimientos entre los individuos antes y después del abordaje. Conclusiones: el nivel de conocimientos en ITS era del 66% y mejoró un 11% tras la intervención educativa. No se encontró una relación significativa entre las variables sociodemográficas con el nivel de conocimientos en la población estudiada. Los hallazgos revelan la importancia de hacer campañas de concientización sobre el uso del condón como principal método anticonceptivo, ya que es el único que funge de barrera y disminuye sustancialmente el riesgo de transmisión de las diversas ITS.ABSTRACT The World Health Organization (2023) indicates that around 38 million sexually active people between 15 and 49 years old have an easily curable STD in the Americas region. Objective: determine the impact of an educational intervention on the level of knowledge about HIV and other STDs in the sexually active population, in Santo Domingo, Mérida, in August 2023. Methodology: quantitative approach, analytical type, cross-sectional design. A total of 28 participants were evaluated. The “ECI” questionnaire was used as a data collection instrument. Results: 89.3% of the sample was female and 10.7% male; ages between 15 to 60 years, with 42.9% belonging to the age group of young adults from 19 to 35 years. 41.7% did not use any contraceptive method during sexual practices. Only 12.5% reported using condoms as a contraceptive method. A significant change was observed with the intervention (p= 0.0001) in the percentages of knowledge among individuals before and after the approach. Conclusions: the level of knowledge about STDs was 66% and improved by 11% after the educational intervention. No significant relationship was found between sociodemographic variables and the level of knowledge in the population studied. Findings underscore the importance of awareness campaigns about condom use as the primary contraceptive method, as it is the only one that acts as a barrier and substantially reduces the risk of transmission of various STDs.Recibido: 05-04-2024Aprobado: 07-05-2024Publicado: 25-05-202
Prevalencia de ehrlichiosis y anaplasmosis humana en pacientes atendidos en un centro diagnóstico de laboratorio. Mérida, 2017 – 2022 Prevalence of ehrlichiosis and human anaplasmosis in patients care at a laboratory diagnostic center. Merida, 2017 – 2022
Get PDFObjective: to analyze the prevalence of ehrlichiosis and human anaplasmosis in users who attend a laboratory diagnostic center, Mérida 2017-2022. Methodology: quantitative approach, documentary type, retrospective cross-sectional design. The sample was made up of 638 users who attended the diagnostic center during the study period. Results: female sex (54.9%), female age 40.44 ± 19.41 years, male age 35.71 ± 19.52 years, positive results 54.9% (n=350), in 2018 determined more cases (n=97) and in 2017 a higher percentage of positives was observed (66.9%), 53.4% of the laboratory tests processed were for patients from the Libertador municipality, followed by Campo Elías (12, 1%), the highest percentage of positives was female (56.6%), aged 31 to 35 years (11.1%), followed by the group of 46 to 50 years (10.0%). The ROC curve shows that there is good correspondence between the result of FCB and ehrlichia (Area=0.885; p-value<.001), anaplasma-rickettsia (Area=0.617; p-value<.001). The sensitivity of the test for ehrlichia (77.7%) and anaplasma-rickettsia (23.4%). Conclusions: more than half of the hematogenous tests were positive in the white layer smear, in addition four out of ten were cases of ehrlichia and one out of ten presented anaplasma-rickettsia. A sensitivity and probability of true positives for ehrlichia was evident in eight cases out of ten, while for anaplasma-rickettsia there were six out of ten true positives using the white layer smear technique.Objetivo: analizar la prevalencia de ehrlichiosis y anaplasmosis humana en los usuarios que asisten a un centro diagnóstico de laboratorio, Mérida 2017-2022. Metodología: enfoque cuantitativo, tipo documental, diseño retrospectivo transversal. La muestra estuvo compuesta por 638 usuarios que acudieron al centro diagnóstico durante el periodo de estudio. Resultados: sexo femenino (54,9%), edad 40,44 ± 19,41 años, edad del sexo masculino 35,71 ± 19,52 años, resultados positivos 54,9% (n=350), en 2018 se determinaron más casos (n=97) y en 2017 se observó un mayor porcentaje de positivos (66,9%), 53,4% de las pruebas de laboratorio procesadas fueron a pacientes provenientes del municipio Libertador, seguido de Campo Elías (12,1%), el mayor porcentaje de positivos fue de sexo femenino (56,6%), en edad de 31 a 35 años (11,1%), seguido del grupo de 46 a 50 años (10,0%). La curva ROC muestra que existe buena correspondencia entre el resultado de FCB y ehrlichia (Área=0,885; p-valor<,001), anaplasma-rickettsia (Área=0,617; p-valor<,001). La sensibilidad de la prueba de ehrlichia (77,7%) y anaplasma-rickettsia (23,4%). Conclusiones: más de la mitad de las pruebas de hematógenos fue positivo en el frotis de capa blanca, además cuatro de cada diez fueron casos de ehrlichia y uno de cada diez presentaron anaplasma-rickettsia. Se evidenció una sensibilidad y probabilidad de verdaderos positivos de ehrlichia de ocho casos de cada diez, mientras que al anaplasma-rickettsia hubo seis de cada diez verdaderos positivos por medio de la técnica de frotis de capa blanca.Objective: to analyze the prevalence of ehrlichiosis and human anaplasmosis in users who attend a laboratory diagnostic center, Mérida 2017-2022. Methodology: quantitative approach, documentary type, retrospective cross-sectional design. The sample was made up of 638 users who attended the diagnostic center during the study period. Results: female sex (54.9%), female age 40.44 ± 19.41 years, male age 35.71 ± 19.52 years, positive results 54.9% (n=350), in 2018 determined more cases (n=97) and in 2017 a higher percentage of positives was observed (66.9%), 53.4% of the laboratory tests processed were for patients from the Libertador municipality, followed by Campo Elías (12, 1%), the highest percentage of positives was female (56.6%), aged 31 to 35 years (11.1%), followed by the group of 46 to 50 years (10.0%). The ROC curve shows that there is good correspondence between the result of FCB and ehrlichia (Area=0.885; p-value<.001), anaplasma-rickettsia (Area=0.617; p-value<.001). The sensitivity of the test for ehrlichia (77.7%) and anaplasma-rickettsia (23.4%). Conclusions: more than half of the hematogenous tests were positive in the white layer smear, in addition four out of ten were cases of ehrlichia and one out of ten presented anaplasma-rickettsia. A sensitivity and probability of true positives for ehrlichia was evident in eight cases out of ten, while for anaplasma-rickettsia there were six out of ten true positives using the white layer smear technique.Recibido: 15-07-2024Aprobado: 08-09-2024Publicado: 01-11-202
Influencia de la diabetes mellitus 2 en la enfermedad de Alzheimer Diabetes mellitus 2 and its influence on Alzheimer’s disease
Get PDFType 2 diabetes mellitus is a multifactorial chronic disease, characterized by the presence of insulin resistance generated by beta cell dysfunction. Alzheimer's disease is considered the most frequent neurodegenerative disease of dementias, it is characterized by a progressive and persistent deterioration of global cognitive function. Through epidemiological investigations it is observed that type 2 diabetes mellitus is associated with an increased risk of cognitive deterioration and its progression towards dementia, more frequently to Alzheimer type dementia. The present bibliographical review is based on extracting updated information on the influence of type 2 diabetes mellitus on Alzheimer's dementia, from updated articles published in the last 5 years, in the BVS and PubMed databases. For the respective analysis, they chose 13 articles, research papers that explored the relationship between these two diseases through neurological tests, mitochondrial DNA analysis, and magnetic resonance imaging. The 13 scientific articles showed that type 2 diabetes mellitus has a significant influence on the development of Alzheimer's disease, due to the cognitive changes demonstrated.DOI: https://doi.org/10.53766/GICOS/2024.09.02.12RESUMENLa diabetes mellitus tipo 2 es una enfermedad crónica multifactorial, caracterizada por la presencia de una resistencia a la insulina generada por una disfunción de las células beta. La enfermedad de Alzheimer es considerada como la enfermedad neurodegenerativa más frecuente de las demencias, se caracteriza por un deterioro progresivo y persistente de la función cognitiva global. A través de investigaciones epidemiológicas se observa que la diabetes mellitus tipo 2 se asocia con un mayor riesgo de deterioro cognitivo y su progreso hacia la demencia, con mayor frecuencia a una demencia tipo Alzheimer. La revisión bibliográfica se basó en la utilización de la metodología PICO para extraer información actualizada sobre la influencia que ejerce la diabetes mellitus tipo 2 sobre la demencia tipo Alzheimer, de artículos actualizados publicados los últimos cinco años, en la base de datos BVS y PubMed. Para el respectivo análisis, se eligieron 13 artículos, trabajos investigativos que exploraron la relación de estas dos enfermedades por medio de test neurológicos, análisis del ADN mitocondrial y resonancia magnética. Los 13 artículos científicos evidenciaron, que la diabetes mellitus tipo 2 tiene una influencia significativa en el desarrollo de la enfermedad de Alzheimer, debido a los cambios cognitivos demostrados.ABSTRACT Type 2 diabetes mellitus is a multifactorial chronic disease, characterized by the presence of insulin resistance generated by beta cell dysfunction. Alzheimer's disease is considered the most frequent neurodegenerative disease of dementias, it is characterized by a progressive and persistent deterioration of global cognitive function. Through epidemiological investigations it is observed that type 2 diabetes mellitus is associated with an increased risk of cognitive deterioration and its progression towards dementia, more frequently to Alzheimer type dementia. The present bibliographical review is based on extracting updated information on the influence of type 2 diabetes mellitus on Alzheimer's dementia, from updated articles published in the last 5 years, in the BVS and PubMed databases. For the respective analysis, they chose 13 articles, research papers that explored the relationship between these two diseases through neurological tests, mitochondrial DNA analysis, and magnetic resonance imaging. The 13 scientific articles showed that type 2 diabetes mellitus has a significant influence on the development of Alzheimer's disease, due to the cognitive changes demonstrated.Recibido: 12-11-202Aprobado: 11-04-2024Publicado: 25-05-202
Uso del método canguro en la atención de neonatos prematuros Use of the kangaroo method in the care of premature neonates
Get PDFThe kangaroo mother method is a standardized system of neonatal care that consists of skin-to-skin contact between the mother and the preterm newborn, an action that provides multiple physiological and psychological benefits. Objective: To evaluate the level of knowledge and application of the method by the nursing staff in the neonatology service of the San Vicente de Paul Hospital in the city of Ibarra. Methodology: Non-experimental quantitative study of a descriptive cross-sectional type; as information collection tools a questionnaire consisting of fifteen questions was developed to assess the level of knowledge and a Check list consisting of ten essential actions in the application of the method; those instruments were endorsed by a group of experts prior to their application to the fifteen service professionals. Results: It was obtained that the level of knowledge of the staff is medium with a percentage of 66.6%. However, the level of application of the method is only 32.6%, evidencing that one of the main limitations of the application is the demand for patients in the service and, therefore, the workload faced by the nursing staff. Conclusion: The lack of application of the method is not due to the lack of knowledge of the staff, but to external factors to the care function of the nurse.DOI: https://doi.org/10.53766/GICOS/2024.09.02.05RESUMENEl método madre canguro es un sistema estandarizado de cuidados neonatales que consiste en el contacto piel a piel de la madre y el recién nacido pretérmino, acción que otorga múltiples beneficios fisiológicos y psicológicos. Objetivo: evaluar el nivel de conocimiento y aplicación del método por parte del personal de enfermería en el servicio de neonatología del Hospital San Vicente de Paúl en la ciudad de Ibarra. Metodología: estudio cuantitativo no experimental de tipo transversal descriptivo; como herramienta de recolección de información se desarrolló un cuestionario que consta de quince preguntas para evaluar el nivel de conocimiento y una lista de verificación que consta de diez accionares indispensables en la aplicación del método, dichos instrumentos fueron avalados por un grupo de expertos previo a su aplicación a los quince profesionales del servicio. Resultados: se obtuvo que el nivel de conocimiento del personal es medio con un porcentaje del 66,6%. Sin embargo, el nivel de aplicación del método es apenas del 32,6% evidenciando que una de las limitantes principales de la aplicación es la demanda de pacientes en el servicio, y por ende, la carga laboral que enfrenta el personal de enfermería. Conclusión: el déficit de aplicación del método no se debe al desconocimiento del personal, sino a factores externos a la función asistencial de la enfermera.ABSTRACTThe kangaroo mother method is a standardized system of neonatal care that consists of skin-to-skin contact between the mother and the preterm newborn, an action that provides multiple physiological and psychological benefits. Objective: To evaluate the level of knowledge and application of the method by the nursing staff in the neonatology service of the San Vicente de Paul Hospital in the city of Ibarra. Methodology: Non-experimental quantitative study of a descriptive cross-sectional type; as information collection tools a questionnaire consisting of fifteen questions was developed to assess the level of knowledge and a Check list consisting of ten essential actions in the application of the method; those instruments were endorsed by a group of experts prior to their application to the fifteen service professionals. Results: It was obtained that the level of knowledge of the staff is medium with a percentage of 66.6%. However, the level of application of the method is only 32.6%, evidencing that one of the main limitations of the application is the demand for patients in the service and, therefore, the workload faced by the nursing staff. Conclusion: The lack of application of the method is not due to the lack of knowledge of the staff, but to external factors to the care function of the nurse.Recibido: 07-03-2024 Aceptado: 14-04-2024Publicado: 25-05-202
Síndrome de distrés respiratorio agudo asociado a infección por babesia, reporte de un caso. Acute respiratory distress syndrome associated with babesia infection, a case report.
Get PDFIntroduction: Babesiosis is a zoonosis caused by parasites of the Babesia spp genus, where reports are scarce in Venezuela. In severe cases of the disease it can present as acute respiratory distress syndrome (ARDS), the prognosis of which will depend on the age of the patient. Clinical Case: 42-year-old male, veterinarian, entered the emergency area due to dyspnea associated with dry cough with evolution to acute respiratory distress syndrome requiring non-invasive mechanical ventilation. Fiberoptic bronchoscopy with bronchial brushing was performed, which reported a reaction result polymerase chain reaction (PCR) positive for Babesia spp, starting treatment with clindamycin and azithromycin, presenting satisfactory clinical evolution and discharged. Discussion: in the clinical case presented, it is a male patient with risk factors for contact with ticks of the Ixodes genus. It is usual for infections by this hemoparasite to be asymptomatic in immunocompetent patients, however, sometimes it can progress to a severe clinical picture in which severe respiratory symptoms stand out that the early and timely therapeutic approach evolves to satisfactory resolution. Conclusions: the diagnosis of babesiosis should be suspected in patients with typical clinical manifestations and laboratory characteristics, with the epidemiological history being essential, as in the present case, whose work aspect established a risk for contact with the tick. Recently, an increase in the number of cases has been observed in Venezuela, so this pathology should be suspected in patients who present with similar symptoms since the prognosis will depend on the early start of treatment.DOI: https://doi.org/10.53766/GICOS/2024.01.09.09RESUMENIntroducción: la babesiosis es una zoonosis causada por parásitos del género Babesia spp, en Venezuela son escasos los reportes. En casos graves de la enfermedad se puede presentar como síndrome de distrés respiratorio agudo (SDRA), cuyo pronóstico dependerá de la edad del paciente. Caso Clínico: masculino de 42 años de edad, veterinario, ingresa al área de emergencia por cuadro de disnea asociado a tos seca con evolución a síndrome de distrés respiratorio agudo ameritando ventilación mecánica no invasiva. Se realiza fibrobroncoscopia con cepillado bronquial que reporta resultado de reacción en cadena de polimerasa (PCR) positivo para Babesia spp, iniciando tratamiento con clindamicina y azitromicina presentando evolución clínica satisfactoria y egresa. Discusión: el caso clínico presentado trata de paciente masculino con factores de riesgo para el contacto con garrapatas del género Ixodes, lo habitual es que las infecciones por este hemoparásito sean de forma asintomática en pacientes inmunocompetentes, sin embargo, en ocasiones puede progresar a un cuadro clínico severo en el que destacan los cuadros respiratorios graves donde el abordaje terapéutico temprano y oportuno es fundamental para garantizar evolución satisfactoria. Conclusiones: el diagnóstico de babesiosis debe sospecharse en pacientes con manifestaciones clínicas y características de laboratorio típicas siendo fundamental los antecedentes epidemiológicos como en el caso presente cuyo aspecto laboral estableció riesgo para contacto con la garrapata. Recientemente se ha observado aumento de número de casos en Venezuela, por lo que se debe sospechar dicha patología en pacientes que acuden con clínica similar ya que el pronóstico dependerá del inicio temprano de tratamiento.ABSTRACTIntroduction: Babesiosis is a zoonosis caused by parasites of the Babesia spp genus, where reports are scarce in Venezuela. In severe cases of the disease it can present as acute respiratory distress syndrome (ARDS), the prognosis of which will depend on the age of the patient. Clinical Case: 42-year-old male, veterinarian, entered the emergency area due to dyspnea associated with dry cough with evolution to acute respiratory distress syndrome requiring non-invasive mechanical ventilation. Fiberoptic bronchoscopy with bronchial brushing was performed, which reported a reaction result polymerase chain reaction (PCR) positive for Babesia spp, starting treatment with clindamycin and azithromycin, presenting satisfactory clinical evolution and discharged. Discussion: in the clinical case presented, it is a male patient with risk factors for contact with ticks of the Ixodes genus. It is usual for infections by this hemoparasite to be asymptomatic in immunocompetent patients, however, sometimes it can progress to a severe clinical picture in which severe respiratory symptoms stand out that the early and timely therapeutic approach evolves to satisfactory resolution. Conclusions: the diagnosis of babesiosis should be suspected in patients with typical clinical manifestations and laboratory characteristics, with the epidemiological history being essential, as in the present case, whose work aspect established a risk for contact with the tick. Recently, an increase in the number of cases has been observed in Venezuela, so this pathology should be suspected in patients who present with similar symptoms since the prognosis will depend on the early start of treatment.Recibido: 14-12-2023. Aceptado: 18-01-2024. Publicado: 01-03-202