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PROCESO HISTóRICO-SOCIAL DE LA FORMACION DE ENFERMERíA EN VENEZUELA
Restrepo Laura Dorigma
Salud, Arte y Cuidado , 2012,
Abstract: This paper aims to present professional development Nursing in Venezuela from the perspective of social history as global approacha phenomenon based educational partners demographic changes? cos occurred in Venezuela. The study covers the period from primitive or aboriginal until 2010. this educational research was supported by the theoretical sociohistorical approach, it link which allowed the formation of nurses within the economic, social and political development and its relationship with advances in Health System materials and educational reforms in Venezuela. This allowed determine how they were taken into account the demands of Venezuelan society and the developed by managed care health delivery agencies in the country. to give Particular emphasis since its inception is based on the formation of a professional nursing with a solid content of care to the individual, family and community.
La novia oscura -fragmento-
Laura Restrepo
Revista de Estudios Sociales , 2000,
Abstract:
Thinking about Physicalism  [PDF]
Ricardo Restrepo
Open Journal of Philosophy (OJPP) , 2012, DOI: 10.4236/ojpp.2012.22012
Abstract: Physicalism, if it is to be a significant thesis, should differentiate itself from key metaphysical contenders which endorse the existence of platonic entities, emergent properties, Cartesian souls, angels, and God. Physicalism can never be true in worlds where things of these kinds exist. David Papineau, David Spurrett, and Barbara Montero have recently developed and defended two influential conceptions of physicalism. One is derived from a conception of the physical as the non-mentally-and-non-biologically identifiable. The other is derived from a conception of the physical as the non-sui-generis-mental. The paper looks at the resources available to those conceptions, but argues that each is insufficient to yield a conception of physicalism that differentiates it from key anti-physicalist positions. According to these conceptions, if we lived in a world full of things that clearly cannot be physical, we would still live in a physical world. Thus, such conceptions of physicalism are of little theoretical interest.
Two Myths of Psychophysical Reductionism  [PDF]
Ricardo Restrepo
Open Journal of Philosophy (OJPP) , 2012, DOI: 10.4236/ojpp.2012.22011
Abstract: This paper focuses on two prominent arguments claiming that physicalism entails reductionism. One is Kim’s causal exclusion argument (CEA), and the other is Papineau’s causal argument. The paper argues that Kim’s CEA is not logically valid and that it is driven by two implausible justifications. One is “Edward’s dictum”, which is alien to non-reductive physicalism and should be rejected. The other is by endorsement of Papineau’s conception of the physical, immanent in Papineau’s causal argument. This argument only arrives at the physical property-property identities by using a conception of the physical that licenses anything to be reductively physical, including putative core anti-physical entities; thus, leaving Papineau’s causal argument and Kim’s CEA without a reductive physicalist conclusion of philosophical interest.
Democratic Freedom of Expression  [PDF]
Ricardo Restrepo
Open Journal of Philosophy (OJPP) , 2013, DOI: 10.4236/ojpp.2013.33058
Abstract: This paper suggests the democratic direction in which the right of freedom of expression should be conceived and applied. In the first two sections it suggests some counter-examples to, and diagnoses of, the libertarian and liberal conceptions of freedom of expression, taking Scanlon (1972) and Scanlon (1979), respectively, to be their chief proponents. The paper suggests that these conceptions cannot take into account clear examples, like fraudulent propaganda, which should not be legal. The democratic conception takes it to heart that the pillars upon which the right of freedom of expression is founded are individual and collective autonomy, the right to know facts of public interest and information necessary for effective democratic control of government. The paper suggests that in a time when private powers seriously threaten these pillars, it is correct for the government to step in to provide the framework in which genuine discussion geared toward fulfilling the objectives of these pillars can take place.
Aspectos subjetivos implicados en la demanda de consulta médica frecuente
Echeverri Gallo,Catalina; álvarez Restrepo,Adriana; Londo?o Bernal,Laura Victoria;
Psicología desde el Caribe , 2012,
Abstract: this article contains the results of a study made with the purpose of getting close to the understanding of subjective aspects that underlay the frequent demand of medical appointments, by patients. the research design was qualitative, the methodology was case studies and the information recollection technique was the in depth semi-structured interview. nine samples were taken from frequent medical consultants of a health institution in medellin. the results suggest that there is a search for relief and control in the medical appointment made by the frequent consultants, motivated by the suffering they manifest and have. aspects like the tie with the doctor, patient demand and the social representations constituted are decisive for the perception of control and relief of this suffering and the beginning and maintenance of the frequent medical consultant.
Biooxidación de concentrados de arsenopirita por Acidithiobacillus ferrooxidans en erlenmeyer agitados
Ospina Juan David,Mejía Restrepo Erica,Osorno Bedoya Laura,Márquez Marco Antonio
Revista Colombiana de Biotecnología , 2012,
Abstract: Título en ingles: Biooxidation of arsenopyrite concentrates by Acidithiobacillus ferrooxidans in shake flasks Resumen Se evaluó el proceso de biooxidación de concentrados de arsenopirita por A. ferrooxidans ATCC 23270, previa adaptación de los microorganismos al mineral y dos tama os de partícula, pasante malla Tyler 200 (~75μm) y 325 (~45μm). También, se determinó el grado de concentración del mineral mediante DRX y MOLPP/LR, bajo norma ASTM D 2799 de 2009. Los microorganismos fueron adaptados mediante disminución gradual, en etapas sucesivas, de sulfato ferroso y posterior aumento en el contenido de arsenopirita. Finalmente, se llevó a cabo el proceso de biooxidación del mineral sin adición de Fe2+. Después de treinta días de proceso, la disolución de arsénico para la malla Tyler 200 fue de 7550 mgL-1 (18,7%) y para la malla Tyler 325 fue de 2850 mgL-1 (7,1%). Por otra parte, la curva de crecimiento bacteriano mostró que entre los días 6 y 21 de proceso la población bacteriana promedio fue de 1,70x108 cel.mL‐1 y de 8,00x107 cel.mL‐1 para las mallas Tyler 200 y 325, respectivamente. Por lo tanto, el tama o de partícula jugó un papel fundamental en la cinética de adaptación de los microorganismos, sugiriendo que a menor tama o del sustrato empleado mayor dificultad se le presenta al microorganismo para oxidar el mineral. Palabras clave: arsénico; lixiviación; quimiolitótrofos; ATP. Abstract Arsenopyrite biooxidation process was evaluated with A. ferrooxidans ATCC 23270. The microorganisms were previously adapted to mineral and two different Tyler mesh sizes, 200 (~75μm) and 325 (~45μm). Also, the mineral concentration was made by DRX and MOLPP/LR under ASTM D 2799. The microorganisms were adapted through gradual decreasing of ferrous sulphate in successive state and subsequent arsenopyrite concentration increase. Finally, biooxidation process was carried out without Fe2+. After thirty days of process, Arsenic bioleaching was 7550 mgL-1(18,7%) and 2850 mgL-1 (7,1%) for the 200 and 325 Tyler meshes, respectively. On the other hand, bacterial growth curve showed, between 6 and 21 days of process that the average bacterial population was 1,70x108 cel.mL‐1 y de 8,00x107 cel.mL‐1for 200 and 325 Tyler mesh respectively. For this reason, the particle size played an important role in the adaption kinetics of microorganism. The results showed that the microorganism oxide the larger particle size of the mineral easier. Keywords: arsenic; lixiviation; chemolithoautotrophic; ATP.
Uso de medicinas complementarias y alternativas en pacientes con trastorno afectivo bipolar en Colombia Use of Complementary and Alternative Medicine by Patients with Bipolar Disorder
María José Sarmiento Suárez,Sergio Strejilevich,Carlos Gómez-Restrepo,Laura Gil Lamus
Revista Colombiana de Psiquiatría , 2010,
Abstract: Introducción: La medicina complementaria y alternativa (MCA) está adquieriendo un papel importante en el contexto de la atención sanitaria en salud mental. Objetivo: Describir el uso de las MCA en pacientes con trastorno afectivo bipolar (TAB), realizando una aproximación al impacto que este tipo de medicinas puede generar en el diagnóstico temprano de la enfermedad y la adherencia al tratamiento. Método: Se recogió una muestra consecutiva de pacientes adultos con diagnóstico de TAB, quienes asistían a tratamiento psiquiátrico en las instituciones participantes entre mayo del 2008 y mayo del 2009. Se administró una encuesta anónima, estructurada y autoaplicada. Resultados: Se obtuvo información sobre 66 mujeres y 34 hombres; edad promedio, 45,5 a os (desviación estándar 14,9 a os). El 29,3% reportó que desde el inicio de los síntomas del TAB hasta el diagnóstico por un psiquiatra transcurrieron más de 5 a os; el 31,6% refería haber recurrido a MCA como primera atención sanitaria. Las consultas a sacerdotes y la asistencia a misas de sanación constituyeron las prácticas más utilizadas, junto con la medicina homeopática, la bioenergética, las esencias florales, la acupuntura y el yoga. Discusión y conclusiones: Aunque existen demoras en recibir un diagnóstico adecuado y un tratamiento oportuno, y a su vez insatisfacción con los servicios de la MC, este estudio permite un acercamiento al impacto de las MCA; sin embargo, se requiere más investigación orientada a conocer las expectativas y necesidades de los pacientes, que en lo posible integre los recursos terapéuticos disponibles para el tratamiento del TAB. Introduction: Complementary and alternative medicine (CAM) has acquired an important role in the context of mental health care. Objective: To describe the use of Complementary and Alternative Medicine in patients with bipolar affective disorder (BD), examining the impact this kind of medicine can have on the early diagnosis of the illness and on the adherence to treatment. Method: A structured, anonymous, and self-administered survey was conducted among 100 adult patients affected by Bipolar Disorder in Colombia, between May 2008 and May 2009. Results: We obtained data on 100 subjects, 66 women and 34 men, with a mean age of 45.5 years (SD 14.9 years). 29.3% reported that from the onset of symptoms until the diagnosis of BD by a psychiatrist more than 5 years had passed; 31.6% confirmed the use of CAM as primary health care. Consultations with priests and attending healing masses were the most commonly used practices, along with homeopathic medicine, b
Prevalencia del trastorno depresivo en pacientes que consultan un servicio de urgencias en Bogotá Prevalence of Depressive Disorder among Emergency Department Patients in Bogotá
Carlos Gómez-Restrepo,Laura Ospina,Sergio Castro-Díaz,Fabián Gil
Revista Colombiana de Psiquiatría , 2011,
Abstract: Introducción: Por su alta prevalencia, la depresión se considera un problema de salud mundial. Es importante conocer la prevalencia de este trastorno en los pacientes que acuden a servicios de urgencia en Bogotá. Objetivo: Calcular la prevalencia de síntomas depresivos en la última semana y determinar las características demográficas de personas entre los 18 y 65 a os de edad que acuden por patologías no psiquiátricas al servicio de urgencias de un hospital universitario en Bogotá. Método: Estudio de corte transversal de pacientes adultos que asisten al servicio de urgencias de un hospital universitario. La información recopilada incluye datos demográficos, motivo de consulta, diagnóstico y aplicación de la escala del centro de estudios epidemiológicos para depresión (CES-D). Resultados: Se obtuvo una muestra de 470 pacientes que acudieron al servicio de urgencias con una prevalencia de síntomas depresivos en la última semana, del 27,7%. La presencia de sintomatología depresiva se vio asociada con sexo femenino, bajo nivel educativo, acudir en horario de la tarde al servicio de urgencias y diagnóstico de alguna enfermedad del sistema nervioso central. Conclusiones: Se describe por primera vez en Bogotá la prevalencia de síntomas depresivos en la población que acude a los servicios de urgencias de un hospital general. Son necesarios más estudios para dilucidar factores de riesgo asociados a este trastorno en la población que acude a servicios de urgencias. Background: Depression is a public health problem worldwide due to its high prevalence. In emergency departments it is often underdetected and undertreated. It is important to be informed about the prevalence of this disorder in emergency departments in Bogotá. Objective: To determine the prevalence of clinically significant depressive symptoms in the last week among adult patients visiting the emergency department (ED) with non-psychiatric complaints, in a teaching hospital in Bogotá. Method: Cross-sectional study in adult patients who visit the ED. Data collected included sociodemographical data, chief complaint, diagnosis, and results of the Center for Epidemiologic Studies Depression Scale (CES-D). Results: Of the 470 patients visiting the ED, 27.7% had clinically significant depressive symptoms. The presence of depressive symptoms was associated with female sex, low education level, visits to the ED in the afternoon, and the diagnosis of a central nervous system disease. Conclusions: This study identified a high frequency of clinically significant depressive symptoms among ED patients in Bogotá. M
Aspectos subjetivos implicados en la demanda de consulta médica frecuente
Catalina Echeverri Gallo,Adriana álvarez Restrepo,Laura Victoria Londo?o Bernal
Psicología desde el Caribe , 2012,
Abstract: Este artículo contiene los resultados de una investigación realizada con el fin de acercarse a la comprensión de los aspectos subjetivos implicados en el pedido de consulta médica de consultantes frecuentes. Se utilizó un dise o cualitativo, la metodología fue el estudio de casos y la técnica de recolección de información fue la entrevista semiestructurada a profundidad. La muestra correspondió a nueve consultantes frecuentes de una institución de salud de Medellín. Los resultados sugieren que existe una búsqueda de alivio y control en la consulta médica por parte de los consultantes frecuentes, motivada por el sufrimiento que manifiestan y padecen. Aspectos como el vínculo con el médico, la demanda del paciente y las representaciones sociales que construyen son determinantes para la percepción de control y alivio de este sufrimiento y el inicio y mantenimiento de la consulta frecuente en salud.
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