Revistas UDEA (Universidad de Antioquia)
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Usability of a website to promote treatment adherence for adults with HIV
No full textObjective. To evaluate a website-type care-educational technology aimed at promoting adherence to antiretroviral treatment in adults living with HIV.
Methods. This study was based on a Knowledge Translation into Action project developed in two stages: in the first stage, a free-access website was created through collaboration among different research groups; in the second stage, a cross-sectional study was conducted with focus groups and individual interviews with eight participants, using the Assistive Technology Assessment Instrument to evaluate the website’s attributes.
Results. The website was established as a digital care-educational technology, providing information supported by scientific evidence on self-efficacy, social support, and quality of life. The proposed issues addressed different situations in the lives of people living with HIV, with the objective of fostering treatment adherence. In the overall assessment conducted by the target audience, the website obtained a mean score of 1.88 (minimum 1.1 and maximum 2.0), being classified as adequate. Suggestions received were incorporated through adjustments in design and content structure.
Conclusion. The website can be used by adults living with HIV and by nursing professionals to promote treatment adherence, contributing to self-care and health education
Silent Harm: How Ambient Air Pollution Threatens Prenatal and Neonatal Health. A Systematic Review
No full textObjective. To examine the link between ambient air pollution and poor pregnancy and neonatal outcomes.
Methods. This systematic study searched numerous databases, including PubMed, Scopus, Web of Science, and Cochrane Library, revealed 26 papers that met established criteria. This research looked at how pollutants such as Particulate matter smaller than 2.5 microns, Particulate Matter ≤10 micrometers, Nitrogen Dioxide, Sulfur Dioxide, Ozone, and black carbon affected maternal and new-born health, including miscarriage, preeclampsia, preterm delivery, low birth weight, and neonatal respiratory and neurological abnormalities.
Results. Findings repeatedly revealed that enhanced the danger of gestational problems & poor neonatal consequences, with pollutants including Particulate matter smaller than 2.5 microns and Nitrogen Dioxide substantially related to hypertensive disorders, before the expected time of delivery, low birth weight, and reduced new-born immune and respiratory function. The paper also discusses how pollution impacts health via biological processes such as oxidative stress and epigenetic alterations. Variability in research designs, exposure assessment methodologies, and regional pollution levels were observed.
Conclusion. This review underscores the link between ambient air pollution, particularly Particulate matter smaller than 2.5 microns and Nitrogen Dioxide, and poor pregnancy and neonatal outcomes. Recognizing these risks is crucial for nursing care, allowing nurses to educate, identify early risks, and advocate for policies that protect mothers and newborns. Strengthening interventions will improve health outcomes for both
Effect of a mobile-based, family-centered self-care education program on Health Literacy and Self-Care in Patients with Heart Failure: A Randomized Controlled Trial
No full textObjective. To evaluate the effect of family-centered self-care education via tele-nursing on health literacy and the self-care status of patients with heart failure.
Methods. This study is a randomized, controlled clinical trial. Sixty heart failure patients were randomly allocated into two groups: intervention (n=30) y control (n=30). The researcher conducted six 20-minute sessions on how to take care of yourself in heart failure for active family members of patients in the intervention group via mobile phone on Eitaa APP messenger. Before the intervention and one month after it, patients completed the Heart Failure Health Literacy Questionnaire and the Self-Care Assessment Questionnaire.
Results. Inter-group comparisons using the Mann-Whitney test showed that before the intervention, there was no statistically significant difference between the intervention and control groups in terms of mean health literacy scores and self-care behaviors(p<0.05). However, after the intervention, a significant difference emerged, with the intervention group exhibiting higher mean scores than the control group in both questionnaires (p<0.001). Intra-group comparisons further revealed that the intervention group’s mean scores for health literacy and self-care behaviors increased significantly after the intervention compared to before (p<0.001).
Conclusion. Family-centered education via mobile phone on Eitaa APP messenger improved both health literacy and self-care status among heart failure patients. Thus, employing tele-nursing to engage the family members of heart failure patients can be an effective strategy for delivering educational interventions as part of the treatment program
Cuando el arte vive en rojo
No full textEn el tejido de Medellín, los circos, una vez estandartes de la cultura popular, enfrentan un futuro incierto. La decadencia de estos emblemáticos espectáculos ha suscitado una preocupación acerca de los desafíos que enfrenta esta tradición arraigada a la cultura mundial. En un escenario marcado por la evolución acelerada del entretenimiento y el cambio cultural, los circos luchan por mantener su relevancia y atractivo para las audiencias contemporáneas, no solo en la ciudad de Medellín, también en el mundo.En el tejido de Medellín, los circos, una vez estandartes de la cultura popular, enfrentan un futuro incierto. La decadencia de estos emblemáticos espectáculos ha suscitado una preocupación acerca de los desafíos que enfrenta esta tradición arraigada a la cultura mundial. En un escenario marcado por la evolución acelerada del entretenimiento y el cambio cultural, los circos luchan por mantener su relevancia y atractivo para las audiencias contemporáneas, no solo en la ciudad de Medellín, también en el mundo
Máscaras Kogi na Compreensão da Organização Social Indígena: Aportes do Arquivo da União de Leigos Missionários
No full textThe relationship between masks and the Kogi social order has been an underexplored aspect since the ethnographic studies of the Sierra Nevada de Santa Marta, despite the diversity of research spanning over two centuries of evangelizing missions, the twentieth-century tradition of ethnology, and more recent studies of the region. Through the presentation of previously unpublished and until now unknown archival material, this article highlights the unusual experiences of the lay missionaries of Unión de Seglares Misioneros, emphasizing their significant legacy for the studies of the peoples of the Sierra, especially the importance of masks for the reproduction of social order. Their photographs and field notes from 1973 to 1981 constitute some of the best sources available to understand the ritual use of masks and the relationships woven by the Tani-Cansamaría dance among the societies of the Sierra.La relación entre las máscaras y la organización social kogui ha sido un aspecto poco explorado en los estudios etnográficos de la Sierra Nevada de Santa Marta, a pesar de la diversidad de investigaciones que abarcan más de dos siglos de misiones evangelizadoras, la tradición etnológica del siglo XX y los estudios más recientes sobre la región. A través de la presentación de material de archivo inédito y desconocido hasta el momento, este artículo resalta la inusual experiencia de las misioneras laicas de la Unión de Seglares Misioneros, con énfasis en su importante legado para el estudio de las sociedades indígenas de la Sierra, en especial, la importancia de las máscaras en la reproducción del orden social. Las fotografías y diarios de campo de 1973 y 1981 constituyen las mejores fuentes disponibles para comprender el uso ritual de las máscaras y las relaciones tejidas por la danza Tani-Cansamaría entre las sociedades de la Sierra.A relação entre as máscaras e a organização social kogui tem sido um aspecto pouco explorado nos estudos etnográficos da Sierra Nevada de Santa Marta, embora existam diversas pesquisas que abrangem mais de dois séculos de missões evangelizadoras, a tradição etnológica do século XX e os estudos mais recentes sobre a região. Por meio da apresentação de material de arquivo inédito, e até então desconhecido, este artigo destaca a experiência pouco comum das missionárias leigas da União de Leigos Missionários, com ênfase em seu importante legado para o estudo das sociedades indígenas da Serra, em especial, a importância das máscaras na reprodução da ordem social. As fotografias e diários de campo de 1973 e 1981 constituem as melhores fontes disponíveis para compreender o uso ritual das máscaras e as relações tecidas pela dança Tani-Cansamaría entre as sociedades da Sierra
Tiempo y eternidad en Tomás de Aquino. Reconstrucción y aproximación crítica
No full textThis article reconstructs Thomistic ontology centered on the actus essendi and asks whether Thomas Aquinas applied this approach in his philosophy of time. Our hypothesis is that, when he understands time from the perspective of eternity in the Summa Theologiae, he employs an ousiology of lesser explanatory capacity in relation to the existential ontology of De ente et essentia, thus leaving the most promising elements of his philosophy of time in a state of mere potentiality. Following, though with certain reservations, Heidegger’s critique of Aquinas’s account of time, we seek to understand the reasons for this imbalance or disjunction between two such relevant themes. Finally, we propose three approaches by which it is possible to reconsider time from a Thomistic perspective more closely aligned with his existential ontology.Este artículo reconstruye la ontología tomista centrada en el actus essendi y se pregunta si Tomás aplicó este planteamiento en su filosofía del tiempo. Nuestra hipótesis es que, cuando la Summa Theologiae entiende el tiempo desde la eternidad, hace uso de una ousiología de menor capacidad explicativa respecto a la ontología existencial de De ente et essentia, dejando de esta manera los elementos más prometedores de su filosofía del tiempo en un estado de mera potencialidad. Siguiendo, con ciertas reservas, la crítica heideggeriana al tiempo en Tomás, intentamos comprender las razones de esta descompensación o desarticulación entre dos temas tan relevantes. Finalmente, proponemos tres aproximaciones mediante las cuales es posible reconsiderar el tiempo en una clave tomista más próxima a su ontología existencial
El papel de Sócrates como portero: controles migratorios y temporales en el Filebo de Platón
No full textToward the end of the Philebus, while discussing the value of different kinds of knowledge, Socrates compares himself to a gatekeeper who, overwhelmed by a crowd of “impure forms of knowledge,” decides to open the gates and let them in. This paper situates Socrates’ image within a literary tradition that uses the figure of the gatekeeper to explore the control of thresholds and the questions of who should cross them, when, and how. By examining the meanings and functions of Socrates’ simile, the analysis reveals the decisive role it plays in advancing the dialogue’s ethical aim: the shaping of the good life.Hacia el final de Filebo, discutiendo el valor de distintos tipos de conocimiento, Sócrates se compara con un portero que, vencido por una multitud de “saberes impuros”, decide abrir las puertas y permitir el ingreso de estos visitantes. En el presente trabajo, nos ocupamos de situar esa imagen en una tradición literaria que explora, mediante la figura de los porteros, el control de los umbrales y la cuestión de quién debe cruzarlos, cuándo y cómo. Asimismo, examinando los sentidos y funciones del símil socrático, nos proponemos identificar el papel decisivo que desempeña en el cumplimiento del objetivo ético del diálogo: la conformación de la vida buena
Chlamydia suis e Chlamydia abortus em suínos do México: primeiro relato
No full textBackground: The genus Chlamydia comprises obligate intracellular Gram-negative bacteria responsible for various diseases in animals and humans. In pigs, the species C. suis is transmitted via aerogenic, genital, and oral routes, with its pathogenicity associated with conjunctival tissue, the respiratory system, the gastrointestinal tract, and the reproductive system. In addition to C. suis, other Chlamydia species have been identified in pigs. In Mexico, chlamydiosis was considered an exotic disease until 2016, the year it was recognized as endemic in birds and ruminants; however, there are no reports of this disease in pigs. Objective: This study aimed to detect the presence of Chlamydia suis and Chlamydia abortus in sows that had experienced abortion and conjunctivitis. Methods: This study examined the presence of Chlamydia suis and Chlamydia abortus in pigs from four farms in central Mexico between 2016 and 2022, focusing on animals exhibiting reproductive issues, conjunctivitis, or diarrhoea. A total of 141 samples, including vaginal exudates (122), conjunctival exudates (17), and faeces (2), were analysed using real-time PCR (qPCR) to detect Chlamydiaceae and specific Chlamydia species. Results: The results revealed that 40.42% of samples tested positive for Chlamydiaceae. Among these, 43.85% were positive for C. abortus and 24.56% for C. suis, with 13 samples showing co-infection. Neither C. pecorum nor C. psittaci were detected. Furthermore, 54.4% of positive samples could not be identified at the species level, highlighting the necessity for further genomic analysis. Conclusions: These results align with global reports on Chlamydia prevalence in pigs and underscored the significance of co-infections, which were observed in vaginal exudates, faeces, and conjunctival samples. This study constituted the first report of porcine chlamydiosis in Mexico, raising concerns about potential health risks for pig farms and zoonotic implications for humans. The study emphasized the need for improved surveillance of Chlamydia species across production stages and advocates further research into the genetic diversity and prevalence of Chlamydia in Mexico.Antecedentes: Chlamydia es un género de bacterias Gram negativas, intracelulares obligadas, que causan diversas enfermedades en animales y humanos. En cerdos, C. suis se transmite por vías aerógena, genital y oral, afectando el tejido conjuntival, el sistema respiratorio, el tracto gastrointestinal y el sistema reproductivo. Además de C. suis, se han identificado otras especies de Chlamydia en cerdos. En México, la clamidiosis fue considerada exótica hasta 2016, cuando se reconoció como endémica en aves y rumiantes; sin embargo, no hay reportes en cerdos. Objetivo: Detectar la presencia de Chlamydia suis y Chlamydia abortus en cerdas con antecedentes de aborto y conjuntivitis. Métodos: Se investigó la presencia de C. suis y C. abortus en cerdos de cuatro granjas del centro de México entre 2016 y 2022, priorizando animales con problemas reproductivos, conjuntivitis o diarrea. Se analizaron 141 muestras: exudados vaginales (122), conjuntivales (17) y heces (2), mediante PCR en tiempo real (qPCR) para detectar Chlamydiaceae y especies específicas de Chlamydia. Resultados: El 40.42% de las muestras fueron positivas para Chlamydiaceae. De estas, el 43.85% correspondieron a C. abortus y el 24.56% a C. suis, con 13 casos de coinfección. No se detectaron C. pecorum ni C. psittaci. Además, el 54.4% de las muestras positivas no pudieron identificarse a nivel de especie, lo que resalta la necesidad de análisis genómicos adicionales. Conclusiones: Estos hallazgos coinciden con informes globales sobre la prevalencia de Chlamydia en cerdos y resaltan la importancia de las coinfecciones. Este estudio representa el primer informe de clamidiosis porcina en México, lo que plantea preocupaciones sobre su impacto en granjas y su potencial zoonótico. Se destaca la necesidad de mejorar la vigilancia de Chlamydia en la producción porcina y de ampliar la investigación sobre su diversidad genética y prevalencia en México.Contexto: O gênero Chlamydia compreende bactérias Gram-negativas intracelulares obrigatórias, responsáveis por diversas doenças em animais e humanos. Em suínos, a espécie C. suis é transmitida por vias aerogênica, genital e oral, estando sua patogenicidade associada aos tecidos conjuntivais, ao sistema respiratório, ao trato gastrointestinal e ao sistema reprodutivo. Além de C. suis, outras espécies de Chlamydia foram identificadas em suínos. No México, a clamidiose foi considerada uma doença exótica até 2016, ano em que foi reconhecida como endêmica em aves e ruminantes; no entanto, não há registros dessa doença em suínos. Objetivo: Este estudo teve como objetivo detectar a presença de Chlamydia suis e Chlamydia abortus em porcas que apresentaram aborto e conjuntivite. Métodos: Investigou-se a presença de Chlamydia suis e Chlamydia abortus em suínos de quatro granjas no centro do México entre 2016 e 2022, com foco em animais que apresentavam problemas reprodutivos, conjuntivite ou diarreia. Um total de 141 amostras, incluindo exsudatos vaginais (122), exsudatos conjuntivais (17) e fezes (2), foram analisadas por PCR em tempo real (qPCR) para detectar Chlamydiaceae e espécies específicas de Chlamydia. Resultados: Os resultados revelaram que 40,42% das amostras testaram positivo para Chlamydiaceae. Dentre estas, 43,85% foram positivas para C. abortus e 24,56% para C. suis, com 13 amostras apresentando coinfecção. Nem C. pecorum nem C. psittaci foram detectadas. Além disso, 54,4% das amostras positivas não puderam ser identificadas ao nível de espécie, destacando a necessidade de análises genômicas adicionais. Conclusões: Esses resultados estão em conformidade com relatos globais sobre a prevalência de Chlamydia em suínos e ressaltam a importância das coinfecções, observadas em exsudatos vaginais, fezes e amostras conjuntivais. Este estudo constitui o primeiro relato de clamidiose suína no México, levantando preocupações sobre potenciais riscos sanitários para granjas de suínos e implicações zoonóticas para humanos. O estudo enfatiza a necessidade de melhorar a vigilância das espécies de Chlamydia em todas as fases da produção e defende mais pesquisas sobre a diversidade genética e a prevalência de Chlamydia no México
A Internacional Situacionista e o urbanismo utópico de Constant Anton
No full textIn the following essay an analysis is developed around the artistic status of the Situationist International and the relationship it had with closely related phenomena, not only to art or the historical avant-gardes, but also to a revolutionary / activist thought, that is, with their ways and means of observing, representing or criticize some dynamics of society to think and constitute other ways of Being within inhabiting. In this direction, the artist Constant Anton and his work New Babylon is a main reference, which deserves a deep analysis, within the Situationist reflection for a new urbanism that would allow the elimination of the habit of havingpredetermined routes -with starting point and arrival-, thus posing a continuous dérive in a futuristic world where man is exempt from work.En el siguiente ensayo se desarrolla un análisis en torno al estatuto artístico de la Internacional Situacionista y la conexión que tuvo con fenómenos estrechamente relacionados no solo con el arte o las vanguardias históricas, sino también con un pensamiento revolucionario activista, esto es, con sus formas y medios de observar, representar o criticar unas dinámicas de sociedad para pensar y constituir otros modos de ser dentro del habitar. En esta dirección, el artista Constant Anton y su obra Nueva Babilonia es un referente principal, que amerita un profundo análisis, dentro de la reflexión situacionista por un nuevo urbanismo que permitiesela eliminación del hábito de tener recorridos predeterminados —con punto de salida y de llegada—, planteando así una deriva continua en un mundo futurista donde el hombre está exento del trabajo.O ensaio a seguir desenvolve uma análise sobre o estatuto artístico da Internacional Situacionista e a sua conexão com fenômenos intimamente relacionados não apenas com a arte ou as vanguardas históricas, mas também com um pensamento revolucionário ativista, ou seja, com as suas formas e meios de observar, representar ou criticar as dinâmicas da sociedade para pensar e constituir outros modos de ser dentro do habitar. Nesse sentido, o artista Constant Anton e a sua obra Nova Babilónia são uma referência importante, que merece uma análise profunda, dentro da reflexão situacionista por um novo urbanismo que permita a eliminação do hábito de ter percursos predeterminados — com ponto de partida e de chegada —, propondo assim uma deriva contínua num mundo futurista onde o homem está isento do trabalho
Paleografia sobre um bordado: o livro de amostras de Elizabeth Parker (1830)
No full textThis paper explores a piece of needlework—specifically a sampler—created by Elizabeth Parker, examining it not only as a practical exercise in the art of embroidery, but also as a moral artifact shaped by Christian values between the Gregorian and Victorian periods. The stitched text is transcribed to facilitate comprehension and is subsequently analyzed both in its material form and narrative content. Through this dual lens, the work is approached as a valuable historical source, particularly for understanding aspects of women´´s private lives, while also considering its aesthetic dimensions.Este escrito presenta un trabajo producto de las labores de aguja, el dechado, y en particular el de Elizabeth Parker, al que se recurría no solo como experiencia práctica para el aprendizaje del tejido, sino también como obra edificante de la moral cristiana entre la época gregoriana y la victoriana. El texto del tejido es transcrito para un mejor entendimiento y, luego, es analizado, en su soporte y contenido, como una fuente posible de la historia y, en particular, de la vida privada de las mujeres, y en su carácter estético.Este artigo apresenta um trabalho resultante do bordado, o dechado, e em particular o de Elizabeth Parker, que era utilizado não só como experiência prática para a aprendizagem do bordado, mas também como obra edificante da moral cristã entre a época gregoriana e a vitoriana. O texto do tecido é transcrito para uma melhor compreensão e, em seguida, é analisado, no seu suporte e conteúdo, como uma possível fonte da história e, em particular, da vida privada das mulheres, e no seu caráter estético