The Tatacoa Desert in central Colombia has been explored by scientists for about a century, but the role of its inhabitants in this endeavor has been limited. This is problematic because it prevents local inhabitants from benefiting from possible results associated with the process of scientific work. The development of the exhibit Fossil Territory, Living Stories is an ideal case study to understand the factors that may increase the chance of success of long-term outreach initiatives set in rural contexts where access to basic needs and to educational and cultural offers is limited. A process led by a local community from La Victoria, a small town in the Tatacoa region, brought together researchers and museum professionals to collaboratively develop an exhibit to improve local welfare and strengthen inhabitants' relationship with their territory.

PurposeLatin America is one of the regions with the highest incidence of gastric cancer. Even though, there are not reports about the patterns of pleuro-pulmonary metastases in patients with gastric adenocarcinoma treated with curative intent and the prognosis according to each dissemination pattern.Material and methodsWe conducted a retrospective analysis of patients with gastric adenocarcinoma treated with curative intent at the National Cancer Institute (INC) between 2010 and 2017. Demographic variables, variables associated with the primary disease and variables associated with the presence of pleuro-pulmonary opacities and metastases were collected. A univariate and multivariate logistic regression analysis was performed and survival curves were presented using the Kaplan Meier method and compared using the log-rank test. A Cox regression model was performed for multivariate analysis for overall survival.ResultsThe study included 450 patients, 51.3% were male and the median age was 63 years. Intestinal adenocarcinoma was the most frequent histological subtype, in 261 cases (58.0%). Gastric cancer initial pathological stage was stage I in 23.3% of the patients, stage II in 19.3% and stage III in 53.6%. During a median follow-up of 31.9 months, 37 (8.2%) patients developed pleuro-pulmonary opacities; among those, 14 (3.1%) met the criteria for pleuro-pulmonary metastases: 6 (1.3%) had lymphangitic metastasis, 4 (0.9%) had a mixed pattern of pleural and lung nodules, 3 (0.7%) had pleural metastasis, and only one (0.2%) had hematogenous metastasis. The median OS was 114.5 months for the entire cohort and 38.2 (95%CI, 19.2–57.2) months for patients with pleuro-pulmonary metastases. Patients with pleural metastasis and lymphangitic carcinomatosis had median survival of 24.3 (95%CI, 0.01–51.0) and 26.4 (95%CI, 18.2–34.7) months, respectively.Conclusionsincidence of pleuro-pulmonary metastases in patients with gastric adenocarcinoma treated with curative intention was low. In our series, lymphangitic carcinomatosis was the main pattern of dissemination; meanwhile, hematogenous metastasis was rare and patients with pleural carcinomatosis had the lowest median survival.

Las filtraciones de anastomosis colorrectales tienen una incidencia de 5 a 15% y su manejo depende de las manifestaciones clínicas, la distancia desde el margen anal y su ubicación intra o extra peritoneal. En algunos casos seleccionados el manejo endoscópico ha demostrado ser un tratamiento efectivo. En el presente reporte de caso se utilizó el sistema de drenaje rectal transanal asistido por vacío descrito por Weidenhagen et al., para el tratamiento de una fuga anastomótica pero se utilizó una espuma de polivinilo en vez la espuma tra con el fin de disminuir el número de cambios de la espuma y el tiempo de tratamiento.

SOAGROCOL S.A.S Empresa Palmera dedicada al cultivo y comercialización de palma africana ha sufrido en los últimos años una alta rotación de personal lo que ha perjudicado su producción y eficiencia, en el presente trabajo se realiza un diagnóstico de la situación actual de la compañía a la luz de los principios de Responsabilidad Social Empresarial Interna y a partir de los hallazgos encontrados como problemáticas de convivencia, falta de integración, rotación debida a la temporalidad de la operación y falta de compromiso y lealtad con la compañía, se postula un modelo de intervención basado en los principios de la Responsabilidad Social Empresarial Interna y la revisión bibliográfica de casos de éxito, compuesto por una serie de programas e iniciativas que promueven el compromiso, lealtad y crecimiento y bienestar tanto de la compañía como de los colaboradores. Palabras Clave: Responsabilidad Social Empresarial Interna, Modelo de Intervención, Rotación de Personal.