Psychotherapy focusing on dialogical and narrative perspectives: a systematic review from qualitative and mixed-methods studies.

Introduction: This systematic review identified qualitative and mixed-methods empirical studies on psychotherapy from dialogical and narrative approaches, aiming to address the following questions: (1) How are subjectivity and intersubjectivity qualitatively understood in dialogical and/or narrative psychotherapies studied using dialogical and narrative approaches? (2) How do therapeutic changes occur, including their facilitators and barriers? (3) What psychotherapeutic resources are available for psychotherapists in these types of studies? Method: The articles were selected according to the Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the eligibility criteria proposed by the PICOS strategy (participants, interventions, comparators, outcomes, and study design) from 163 records identified in the Web of Science Core Collection databases. Results: The systematic review process allowed the selection of 16 articles. The results provided insights into the understanding of subjectivity, intersubjectivity, change in psychotherapy, its facilitators, and barriers from these perspectives. It also offered some therapeutic interventions that can be implemented in psychotherapies, integrating dialogical and/or narrative aspects. Discussion: The centrality of dialogical exploration of patient/client resources, therapists as interlocutors fostering client agency, polyphony serving as scaffolding for change, and interconnection with the sociocultural environment are discussed. The integration of this latter topic has been a challenge for these types of studies, considering the active construction of shared meanings. The dialogical and narrative approaches focus psychotherapy on transforming meanings through dialogue and re-authoring stories, evolving within cultural and historical contexts. Thus, this study highlights the relevance of these perspectives in contemporary psychotherapy, emphasizing dialogue in co-creation within an intersubjective framework.

Cantharidin: A Multiporpuse Beetlejuice.

Cantharidin is produced by beetles of two families, Meloidae (true blister beetles) and Oedemeridae (false blister beetles). Nevertheless, it is mainly members of the meloid family that have been widely studied in the traditional medicines and pharmacology of different cultures and countries. The meloids cantharidin's role is going to be reviewed in this paper, including the cantharidin discovery, its adaptative function, and worldwide uses. Finally, we recovered information on the implementation of this compound in South American civilizations in different therapeutic treatments as well as sexual stimulants and aphrodisiacs.

Del Chamanismo al Galenismo: un acercamiento a la curaduría de la nueva sala permanente del museo de la Academia Nacional de Medicina / From Shamanism to Galenism: an approach to the curatorship of the new permanent room of the museum of the National Academy of Medicine

La nueva sala 'Del Chamanismo Al Galenismo' del Museo Ricardo Rueda González inaugurada en noviembre del año 2022, da inicio al museo con el fin de narrar una historia de la medicina desde el contexto local. Aquí se evidencia la experiencia humana compartida del sufrimiento y la esperanza entendidas como enfermedad y tratamiento que fue representada en el mundo prehispánico, durante la colonia y el en siglo XIX.

The new room 'From Shamanism to Galenism' of the Ricardo Rueda González Museum, inaugurated in November 2022, opens the museum with the aim of narrating a history of medicine from the local context. Here the shared human experience of suffering and hope understood as illness and treatment that was represented in the pre-Hispanic world, during the colony and in the 19th century is evidenced.

Water Flux Prediction in Direct Contact Membrane Distillation Subject to Inorganic Fouling.

Freshwater is a limited resource, which has driven the development of new purification and water-reuse technologies. One promising technology for water treatment is membrane distillation (MD). One of the main problems of MD, and of many desalination technologies, is membrane fouling, which reduces the performance of the membrane. This work presents a mathematical model that aims to predict distillate fluxes in direct-contact MD when fouling occurs as salts are deposited onto the membrane surface, forming an inorganic fouling layer. The mathematical model uses a heat- and mass-transfer formulation for prediction of the distillate flux under steady state conditions, and it is combined with the cake-filtration theory to represent the distillate fluxes after the onset of membrane fouling. Model results agree well with experimental observation of distillate fluxes, both before (~12-14 kg m-2 h-1) and after the onset of membrane fouling, with root-mean-square errors smaller than 1.4 kg m-2 h-1 in all the experiments. These results suggest that the cake-filtration theory can be used to represent water flux decline in MD membranes prone to inorganic fouling. From our experiments and from the modelling exercise, we found that the onset of membrane failure was relatively constant; the precipitation reaction constant is conditioned by the physicochemical interaction between the feed solution and the membrane; and the rate of flux decline after membrane fouling depends on flow conditions as well as on the precipitation compound. However, the proposed model has limitations that must be addressed in future investigations to validate it under a wider range of operating conditions, for membranes composed by other materials and with different feed solutions to address organic, biological, and/or colloidal fouling, which typically occur under real conditions.

On the Andean genus Leschenius (Coleoptera: Curculionidae: Entiminae): Updated phylogeny, with a new species from Ecuador, discovery of males, and larval description of the potato weevil Leschenius vulcanorum.

The weevil genus Leschenius del Río (Curculionidae: Entiminae: Naupactini) is distributed in the northern Andes, in Colombia and Ecuador. Among its species, L. vulcanorum stands out as an important pest of potatoes in its parthenogenetic form, which is known as "tiroteador de la papa". In this study, the adult male and the larval stage (first and mature larvae) of L. vulcanorun are described and illustrated for the first time. A description of the male of Leschenius bifurcatus is also provided. A new bisexual species was discovered, Leschenius ventrilingulatus sp. nov., and is described from Ecuador. An updated phylogenetic analysis was performed, including the new species, with results indicating a sister group relationship between L. ventrilingulatus and L. vulcanorum. They can be distinguished because the former is usually of smaller size and is covered by denser and thicker setae, has shorter antennae, a subcylindrical shape of the pronotum, shorter elytra (about 1.5×longer than wide at base), the female has ventrite 4 with a posterior rounded projection, and posterior margin of ventrite 5 subacute, not excavated. This paper also includes lectotype designations, a revised key to all known species of Leschenius, habitus photos of males and females, illustrations of genitalia, and a distribution map.

Graphene-Incorporated Natural Fiber Polymer Composites: A First Overview.

A novel class of graphene-based materials incorporated into natural lignocellulosic fiber (NLF) polymer composites is surging since 2011. The present overview is the first attempt to compile achievements regarding this novel class of composites both in terms of technical and scientific researches as well as development of innovative products. A brief description of the graphene nature and its recent isolation from graphite is initially presented together with the processing of its main derivatives. In particular, graphene-based materials, such as nanographene (NG), exfoliated graphene/graphite nanoplatelet (GNP), graphene oxide (GO) and reduced graphene oxide (rGO), as well as other carbon-based nanomaterials, such as carbon nanotube (CNT), are effectively being incorporated into NLF composites. Their disclosed superior mechanical, thermal, electrical, and ballistic properties are discussed in specific publications. Interfacial shear strength of 575 MPa and tensile strength of 379 MPa were attained in 1 wt % GO-jute fiber and 0.75 wt % jute fiber, respectively, epoxy composites. Moreover, a Young's modulus of 44.4 GPa was reported for 0.75 wt % GO-jute fiber composite. An important point of interest concerning this incorporation is the fact that the amphiphilic character of graphene allows a better way to enhance the interfacial adhesion between hydrophilic NLF and hydrophobic polymer matrix. As indicated in this overview, two basic incorporation strategies have so far been adopted. In the first, NG, GNP, GO, rGO and CNT are used as hybrid filler together with NLF to reinforce polymer composites. The second one starts with GO or rGO as a coating to functionalize molecular bonding with NLF, which is then added into a polymeric matrix. Both strategies are contributing to develop innovative products for energy storage, drug release, biosensor, functional electronic clothes, medical implants, and armor for ballistic protection. As such, this first overview intends to provide a critical assessment of a surging class of composite materials and unveil successful development associated with graphene incorporated NLF polymer composites.

A new enigmatic species of broad-nosed weevil endemic to Brazil and its phylogenetic placement within the tribe Naupactini (Coleoptera: Curculionidae: Entiminae)

A new species of Naupactini (Curculionidae: Entiminae) endemic to Brazil, Espírito Santo and Minas Gerais states, is herein described. It resembles the monotypic genus Hadropus Schoenherr in its general appearance, particularly in the shape of the elytra, and the color of the vestiture, but the results of a cladistics analysis herein conducted suggest that it belongs to the genus Stenocyphus Marshall. This genus ranges in São Paulo, Rio de Janeiro and Espírito Santo, mainly in the Atlantic forest of Brazil, and includes three other species. Stenocyphus costae sp. nov., distinguishes from the remaining species of Stenocyphus by the green iridescent scaly vestiture, having long stiff setae on the two pairs of elytral tubercles; the more slender rostrum; the shorter antennae; the convex disc of the pronotum; and the shorter and broader elytra. This paper includes a cladogram of the Naupactini genera showing the phylogenetic position of the new species, its complete description, photographs of male and female habitus, line drawings of genitalia of both sexes, and a key of the Stenocyphus species.

A new enigmatic species of broad-nosed weevil endemic to Brazil and its phylogenetic placement within the tribe Naupactini (Coleoptera: Curculionidae: Entiminae)

A new species of Naupactini (Curculionidae: Entiminae) endemic to Brazil, Espírito Santo and Minas Gerais states, is herein described. It resembles the monotypic genus Hadropus Schoenherr in its general appearance, particularly in the shape of the elytra, and the color of the vestiture, but the results of a cladistics analysis herein conducted suggest that it belongs to the genus Stenocyphus Marshall. This genus ranges in São Paulo, Rio de Janeiro and Espírito Santo, mainly in the Atlantic forest of Brazil, and includes three other species. Stenocyphus costae sp. nov., distinguishes from the remaining species of Stenocyphus by the green iridescent scaly vestiture, having long stiff setae on the two pairs of elytral tubercles; the more slender rostrum; the shorter antennae; the convex disc of the pronotum; and the shorter and broader elytra. This paper includes a cladogram of the Naupactini genera showing the phylogenetic position of the new species, its complete description, photographs of male and female habitus, line drawings of genitalia of both sexes, and a key of the Stenocyphus species.(AU)

Recognition of species groups of Naupactus Dejean (Coleoptera: Curculionidae) from Argentina and neighboring countries.

Naupactus Dejean is the most diverse genus of the tribe Naupactini (Curculionidae: Entiminae), with more than 200 species occurring in South America, of which about 40 range in Argentina and neighboring countries. The Argentinean species treated herein were classified into nine groups having different biogeographic patterns: (1) the groups of Naupactus xanthographus, N. delicatulus and N. auricinctus mainly occur in northeastern Argentina (Misiones province) and reach the highest species diversity in the Atlantic and Parana forests of Brazil; (2) the groups of N. hirtellus, N. cinereidorsum, N. rivulosus and N. tarsalis show the highest species diversity in the Chacoan biogeographic province and also occur in the Yungas, Espinal, Monte, Parana forest (Argentina) and Cerrado (Brazil); (3) the groups of N. leucoloma and N. purpureoviolaceus have the highest species diversity in the Pampean biogeographic province, being also present in adjoining areas, mainly Chaco, Espinal, Monte and Parana forest. We provide descriptions, a dichotomous key, habitus photographs and line drawings of genitalia for the identification of the nine species groups, and a list of the Argentinean species from each group, together with their abbreviated synonymies, updated geographic distributions (including six new country records and several state/province records) and host plant associations. We discuss the characters that allow the separation of the species groups in a geographic distribution context, and provide information on species reassigned to genera other than Naupactus; among these, we transferred N. cephalotes (Hustache) to the tribe Tanymecini, genus Eurymetopellus, establishing the new combination Eurymetopellus cephalotes.

The fate of endemic insects of the Andean region under the effect of global warming.

Three independent but complementary lines of research have provided evidence for the recognition of refugia: paleontology, phylogeography and species distributional modelling (SDM). SDM assesses the ecological requirements of a species based on its known occurrences and enables its distribution to be projected on past climatological reconstructions. One advantage over the other two approaches is that it provides an explicit link to environment and geography, thereby enabling the analysis of a large number of taxa in the search for more general refugia patterns. We propose a methodology for using SDM to recognize biogeographical patterns of endemic insects from Southern South America. We built species distributional models for 59 insect species using Maxent. The species analyzed in the study have narrow niche breadth and were classified into four assemblages according to the ecoregion they inhabit. Models were built for the Late Pleistocene, Mid-Holocene and Present. Through the procedure developed for this study we used the models to recognize: Late Pleistocene refugia; areas with high species richness during all three periods; climatically constant areas (in situ refugia); consistent patterns among in situ refugia, Pleistocene refugia and current distribution of endemic species. We recognized two adjacent Pleistocene refugia with distinct climates; four in situ refugia, some of which are undergoing a process of fragmentation and retraction or enlargement. Interestingly, we found a congruent pattern among in situ refugia, Pleistocene refugia and endemic species. Our results seem to be consistent with the idea that long-term climate stability is known to have a key role in promoting persistence of biodiversity in an area. Our Pleistocene and in situ refugia are consistent with refugia identified in studies focusing on different taxa and applying other methodologies, showing that the method developed can be used to identify such areas and prove their importance for conservation.

Enteroparasitoses and Toxocarosis Affecting Children from Mar del Plata City, Argentina.

This study evaluated the existence of enteroparasitoses and toxocarosis in children of peripheral (PC) and urban communities (UC) from Mar del Plata city (Argentina) and their associations with socio-environmental conditions. A Parasite Vulnerability Index (PVI) was elaborated using variables such as overcrowding, floor type, drinking water source, wastewater disposal, solid waste disposal, presence of animals and schooling level. The PC evidenced statistically significant higher frequencies of families with high (38.9%) and medium (55.5%) PVI, while in the UC low PVI (93%) was the most frequent. A statistically significant higher frequency of PC children was parasitized (30.2 vs. 14.5%; χ 2 Pearson = 5.21; P < 0.05), presented higher parasite frequencies, specific richness, parasitic loads, and they also evidenced polyparasitism. The Multiple Correspondence Analysis (MCA) showed associations between PC-parasitized children, overcrowding and contact with pets and farm animals. The ELISA test to the specified determination of Toxocara canis IgG was reactive in a statistically significant higher proportion of PC children than the UC (55 vs. 8.5%; χ 2 = 30.5; P < 0.01). The MCA associated PC reactive children, not adequate hand washing, moderate and hypereosinophilia and contact with pets and farm animals. Deficient socio-environmental conditions became children more vulnerable to get enteroparasitoses and toxocarosis in the PC than in the UC.

Salud mental en menores españoles. Variables socioeducativas / Mental health in Spanish minors. Socioeducational variables

ANTECEDENTES: La investigación de la salud mental en los menores de edad supone una necesidad actual como medida de detección, análisis y prevención de posibles trastornos mentales. OBJETIVO: Analizar la influencia de la clase social ocupacional de los padres y de la etapa educativa en la que se encuentran los menores, como factores de riesgo en la salud mental de los menores españoles. MÉTODO: Se utilizaron los resultados obtenidos en la Encuesta Nacional de Salud Española 2006, con una muestra de 5812 menores de cuatro a 15 años. Se estimaron las medidas de asociación con respecto a las variables independientes midiendo la salud mental mediante el Cuestionario de Capacidades y Dificultades (SDQ-versión padres). RESULTADOS: La relación entre la salud mental y la variable clase social ocupacional 1 (más privilegiadas) (OR 0.256) y la clase social 2 (clase media) (OR 0.523) aportaron valores significativos (p < 0.05) con respecto a la clase social 3, más desfavorecida. Sin embargo, la pertenencia de los menores a la E. Infantil (OR 1.138) o a la E. Primaria (OR 1.162) no aportó valores significativos (p > 0.05) con respecto a la E. Secundaria. DISCUSIÓN Y CONCLUSIÓN: Se puede concluir que las clases sociales ocupacionales elevadas y medias son factores protectores con respecto a la salud mental de los menores en comparación con la pertenencia a una clase social ocupacional baja. Sin embargo, la pertenencia a la E. Infantil o a la E. Primaria no supone un factor de riesgo de salud mental en comparación con la pertenencia a la E. Secundaria.

BACKGROUND: Research on minors' mental health is a current necessity as a way to detect, analyze and prevent possible mental disorders. OBJECTIVE: The goal of this study was to analyze the influence of minors' educational stage and their parents' occupational social class as risk factors for minors' mental health. METHOD: We used the results obtained in the National Spanish Health Survey 2006, with a sample of 5812 minors between 4 and 15 years of age. Measures associated with the independent variables were estimated through the measurement of mental health on the Strengths and Difficulties Questionnaire (SDQ-parents' version). RESULTS: The relation between mental health and the variables occupational social class 1 (more privileged) (O.R. 0.256) and social class 2 (middle class) (O.R. 0.523) was significant (p < 0.05) in comparison with social class 3 (more disadvantaged). However, whether the minors were in pre-school (O.R. 1.138) or primary school (O.R. 1.162) was nonsignificant (p > 0.05) in comparison with secondary school. DISCUSSION AND CONCLUSION: It is concluded that high and middle occupational social classes are protector factors for minors' mental health in comparison to belonging to a low occupational social class. However, being a student in pre-school or in primary school is not a risk factor for mental health in comparison to being a secondary school student.

Análisis de la Socialización sobre Perfiles de la dinámica bullying / Analysis of Socialization on Bullying Dynamics Profiles

Con esta investigación, mediante un análisis discriminante se pretende analizar cuáles variables de socialización presentan un mayor poder de discriminación o cuantifican mejor las diferencias entre los distintos niveles de agresión y victimización en el fenómeno bullying. La muestra está formada por 700 adolescentes estudiantes. Se utilizó el Cuestionario de Convivencia Escolar (Defensor del Pueblo, 2006) y el BAS-3 (Batería de Socialización, en formato de autoevaluación) de Silva y Martorell (1989). Nuestros resultados confirman que niveles altos de agresión en el acoso escolar estarían caracterizados por puntuaciones bajas en consideración hacia los demás y autocontrol en las relaciones sociales, mientras que niveles altos de victi-mización estarían caracterizados por puntuaciones altas en ansiedad social/ timidez y retraimiento social.

With this research, by discriminant analysis to analyze variables of socialization that have a higher discriminatory or better quantify the differences between the different levels of aggression and victimization in the bullying phenomenon. The sample consisted of 700 adolescent students. Questionnaire was used School Coexistence (Ombudsman, 2006) and the BAS-3 (Drums of socialization, self-assessment format) de Silva and Martorell (1989). Our results confirm that high levels of aggression in bullying would be characterized by low scores on consideration for others and self in social relations, while high levels of victimization, would be characterized by high scores on social anxiety / shyness and social withdrawal.

DNA microarray for detection of gastrointestinal viruses.

Gastroenteritis is a clinical illness of humans and other animals that is characterized by vomiting and diarrhea and caused by a variety of pathogens, including viruses. An increasing number of viral species have been associated with gastroenteritis or have been found in stool samples as new molecular tools have been developed. In this work, a DNA microarray capable in theory of parallel detection of more than 100 viral species was developed and tested. Initial validation was done with 10 different virus species, and an additional 5 species were validated using clinical samples. Detection limits of 1 × 10(3) virus particles of Human adenovirus C (HAdV), Human astrovirus (HAstV), and group A Rotavirus (RV-A) were established. Furthermore, when exogenous RNA was added, the limit for RV-A detection decreased by one log. In a small group of clinical samples from children with gastroenteritis (n = 76), the microarray detected at least one viral species in 92% of the samples. Single infection was identified in 63 samples (83%), and coinfection with more than one virus was identified in 7 samples (9%). The most abundant virus species were RV-A (58%), followed by Anellovirus (15.8%), HAstV (6.6%), HAdV (5.3%), Norwalk virus (6.6%), Human enterovirus (HEV) (9.2%), Human parechovirus (1.3%), Sapporo virus (1.3%), and Human bocavirus (1.3%). To further test the specificity and sensitivity of the microarray, the results were verified by reverse transcription-PCR (RT-PCR) detection of 5 gastrointestinal viruses. The RT-PCR assay detected a virus in 59 samples (78%). The microarray showed good performance for detection of RV-A, HAstV, and calicivirus, while the sensitivity for HAdV and HEV was low. Furthermore, some discrepancies in detection of mixed infections were observed and were addressed by reverse transcription-quantitative PCR (RT-qPCR) of the viruses involved. It was observed that differences in the amount of genetic material favored the detection of the most abundant virus. The microarray described in this work should help in understanding the etiology of gastroenteritis in humans and animals.

PhyloFlu, a DNA microarray for determining the phylogenetic origin of influenza A virus gene segments and the genomic fingerprint of viral strains.

Recent evidence suggests that most influenza A virus gene segments can contribute to the pathogenicity of the virus. In this regard, the hemagglutinin (HA) subtype of the circulating strains has been closely surveyed, but the reassortment of internal gene segments is usually not monitored as a potential source of an increased pathogenicity. In this work, an oligonucleotide DNA microarray (PhyloFlu) designed to determine the phylogenetic origins of the eight segments of the influenza virus genome was constructed and validated. Clades were defined for each segment and also for the 16 HA and 9 neuraminidase (NA) subtypes. Viral genetic material was amplified by reverse transcription-PCR (RT-PCR) with primers specific to the conserved 5' and 3' ends of the influenza A virus genes, followed by PCR amplification with random primers and Cy3 labeling. The microarray unambiguously determined the clades for all eight influenza virus genes in 74% (28/38) of the samples. The microarray was validated with reference strains from different animal origins, as well as from human, swine, and avian viruses from field or clinical samples. In most cases, the phylogenetic clade of each segment defined its animal host of origin. The genomic fingerprint deduced by the combined information of the individual clades allowed for the determination of the time and place that strains with the same genomic pattern were previously reported. PhyloFlu is useful for characterizing and surveying the genetic diversity and variation of animal viruses circulating in different environmental niches and for obtaining a more detailed surveillance and follow up of reassortant events that can potentially modify virus pathogenicity.

Characterization of an influenza A virus in Mexican swine that is related to the A/H1N1/2009 pandemic clade.

In the spring of 2009, swine-origin influenza H1N1pdm09 viruses caused the first influenza pandemic of this century. We characterized the influenza viruses that circulated early during the outbreak in Mexico, including one newly sequenced swine H1N1pdm09 virus and three newly sequenced human H1N1pdm09 viruses that circulated in the outbreak of respiratory disease in La Gloria, Veracruz. Phylogenetic analysis revealed that the swine isolate (A/swine/Mexico/4/2009) collected in April 2009 is positioned in a branch that is basal to the rest of the H1N1pdm09 clade in two (NP and PA) of the eight single-gene trees. In addition, the concatenated HA-NA and the complete whole-genome trees also showed a basal position for A/swine/Mexico/4/2009. Furthermore, this swine virus was found to share molecular traits with non-H1N1pdm09 H1N1 viral lineages. These results suggest that this isolate could potentially be the first one detected from a sister lineage closely related to the H1N1pdm09 viruses.

[Risk factors for preterm deliveries in a public hospital]. / Factores asociados con el parto prematuro entre 22 y 34 semanas en un hospital público de Santiago.

BACKGROUND: Preterm births are responsible for 75 to 80% of perinatal mortality. AIM: To determine the factors associated with preterm births, using maternal clinical data, laboratory results and pathological placental findings. PATIENTS AND METHODS: Retrospective study of 642 preterm single births at 22-34 weeks' gestation. Four hundred and seven cases with pathological placental studies were included. Births were subdivided into preterm births as a consequence of a medical indication and spontaneous births with or without premature rupture of membranes (PROM). Risk factors for preterm births were classified as maternal, fetal, placental, indeterminable and unclassifiable. RESULTS: The proportions of preterm births were spontaneous 69% (with PROM 27% and with intact membranes 42%) and medically indicated births 31%. A risk factor associated with prematurity was identified in 98 and 85% of medically indicated and spontaneous births, respectively. Ascending bacterial infection (ABI) was the most frequently associated factor with spontaneous preterm delivery in 51% of women (142/280, p < 0.01) and with preterm births of less than 30 weeks in 52% of women (82/157, p < 0.01). Vaginal or urinary infection with Group B Streptococcus, was the most common clinical condition associated with ABI related deliveries. Hypertension was present in 94 of 127 medically indicated preterm deliveries (preeclampsia in 62% and chronic hypertension in 12%), and in 29% (preeclampsia 24%) of preterm births of more than 30 weeks. Congenital anomalies were mainly associated with a maternal age over 35 years in 15% (14/92) of women. The frequency of placental diseases was higher in spontaneous preterm deliveries (14%) and in pregnancies of more than 30 weeks in (14%). CONCLUSIONS: ABI was the most common factor associated with spontaneous preterm births at 2234 weeks, while preeclampsia is the most common factor associated with medically indicated preterm births.

Factores asociados con el parto prematuro entre 22 y 34 semanas en un hospital público de Santiago / Risk factors for preterm deliveries in a public hospital

Background: Preterm births are responsible for 75 to 80% of perinatal mortality. Aim: To determine the factors associated with preterm births, using maternal clinical data, laboratory results and pathological placental findings. Patients and Methods: Retrospective study of 642 preterm single births at 22-34 weeks' gestation. Four hundred and seven cases with pathological placental studies were included. Births were subdivided into preterm births as a consequence of a medical indication and spontaneous births with or without premature rupture of membranes (PROM). Risk factors for preterm births were classified as maternal, fetal, placental, indeterminable and unclassifiable. Results: The proportions of preterm births were spontaneous 69% (with PROM 27% and with intact membranes 42%) and medically indicated births 31%. A risk factor associated with prematurity was identified in 98 and 85% of medically indicated and spontaneous births, respectively. Ascending bacterial infection (ABI) was the most frequently associated factor with spontaneous preterm delivery in 51% of women (142/280, p < 0.01) and with preterm births of less than 30 weeks in 52% of women (82/157, p < 0.01). Vaginal or urinary infection with Group B Streptococcus, was the most common clinical condition associated with ABI related deliveries. Hypertension was present in 94 of 127 medically indicated preterm deliveries (preeclampsia in 62% and chronic hypertension in 12%), and in 29% (preeclampsia 24%) of preterm births of more than 30 weeks. Congenital anomalies were mainly associated with a maternal age over 35 years in 15% (14/92) of women. The frequency of placental diseases was higher in spontaneous preterm deliveries (14%) and in pregnancies of more than 30 weeks in (14%). Conclusions: ABI was the most common factor associated with spontaneous preterm births at 2234 weeks, while preeclampsia is the most common factor associated with medically indicated preterm births.

Engrosamiento endometrial en la post menopausia / Endometrial thickening in postmenopausal

En los últimos años, dado el aumento de la obesidad, enfermedades crónicas como diabetes e hipertensión y el envejecimiento de la población, entre otras cosas, se ha observado una tendencia en el aumento de la patología endometrial maligna. Es por eso la preocupación en cuanto al diagnóstico y manejo oportunos de ésta...

Chilean children's essentialist reasoning about poverty.

Two studies are reported that examine the hypothesis that children construct representations of poverty based on a theory of causal essentialism. One hundred and twenty Chilean kindergartners, half from low socio-economic status (SES) schools and the other half from high-SES schools, participated in the study. The results showed children's tendency towards an essentialist reasoning about poverty. All children in the study privileged internal features over external ones when deciding who is poor, and also used wealth category as a preferred clue to make inferences about people's attributes. However, only high-SES children's answers were consistent with the belief that poverty is inherited and resistant to growth. Implications of these findings for theory and practice, as well as remaining questions, are addressed.