In this study a survey was developed to investigate students’ engagement during general chemistry laboratory sessions. Aspects of engagement surveyed included cognitive, behavioral, and emotional engagement, and the survey items were focused on activities during the pre-laboratory introduction, laboratory procedures, and data collection. Exploratory factor analysis of the results was conducted to determine the various underlying factors in the survey, and the scores of the general chemistry laboratory students along these underlying factors were compared. The findings supported the various dimensions of engagement reported in the literature.
En Argentina, la ocurrencia de diabetes y otras enfermedades crónicas en población indígena aún no ha sido suficientemente estudiada. Este trabajo es resultado de una exploración etnográfica de las determinaciones socioculturales y de género de los procesos de atención y prevención de diabetes en indígenas tapietes de la provincia de Salta. La investigación combinó observación participante con entrevistas a varones y mujeres de edad adulta y con diagnóstico de diabetes, y entrevistas a enfermeras y médicas de un centro de atención primaria de Misión Los Tapietes y de un hospital de Tartagal, entre los meses de agosto y septiembre de 2019. En la comunidad se ha observado la creciente presencia de diabetes, junto con la falta de articulación de las intervenciones sociosanitarias con las prácticas nativas de salud-enfermedad-atención; los problemas en la comunicación del diagnóstico y tratamiento; y las dificultades de acceso al sistema de salud. El artículo discute la complejidad de la transición epidemiológica, los sentidos de la enfermedad crónica para los varones y las mujeres, la emergencia traumática de la diabetes y las dificultades en el ejercicio del derecho a la salud de los pueblos originarios.
: Venous thromboembolism remains as one of the leading causes of maternal death. Prevention of venous thromboembolism in the obstetric population is challenging as recommendations for prophylaxis have low grade of evidence. Risk factors and prophylaxis guidelines have been highlighted by Royal College of Obstetricians and Gynaecologists. In 2014, we developed a written alert following this guidelines to guide thromboprophylaxis. The aim of this study is to assess recommendations compliance. This study was conducted at University-Hospital in Uruguay from January 2014 to December 2016. A total of 1035 women were enrolled and stratified in high, intermediate or low risk based on Royal College of Obstetricians and Gynaecologists guidelines. Thromboprophylaxis was recommended for women at intermediate and high risk. Women were followed up to assess symptomatic thromboembolism or haemorrhagic complications. A total of 309 were pregnant and 731 puerperal. Median age was 24 (19-29) years old. Of them, 3.0% (n = 31) were at high risk and 35.4% (n = 366) at intermediate risk. All high-risk women received prophylaxis with low-molecular-weight heparin. Of the 366 intermediate-risk women, 52.7% received prophylaxis. Venous thromboembolism was developed in only one woman of the intermediate group, who had received prophylaxis. Bleeding complications were not observed. Awareness of the thrombotic risk, as conferred by an easy and suitable risk assessment, has the potential to improve venous thromboembolism prophylaxis in pregnant and puerperal women. We have a good guidelines compliance with the written alert in the high-risk women group. However, we have to improve low-molecular-weight heparin indication in intermediate-risk group, especially in postcaesarean women.
La pandemia de la covid-19 irrumpió como un evento sin precedentes con especial impacto en las y los trabajadores de salud. El objetivo de este trabajo consistió en analizar en las narrativas de las y los trabajadores de salud pública de Mar del Plata y zonas rurales circundantes, las principales problemáticas y estrategias locales en la transición hacia la postpandemia. Con un diseño cualitativo, se realizaron entrevistas en profundidad entre marzo y diciembre de 2021. Los resultados revelaron el potencial de las y los trabajadores de salud pública como sujeto colectivo para la producción del cuidado en el marco de las tensiones que atraviesan el sistema sanitario. Se discute su capacidad instituyente para la salud colectiva desde la articulación del pensamiento crítico latinoamericano, la psicología social y el marxismo.
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