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Resumen Introduccion y objetivos Los estudiantes universitarios se ven constantemente expuestos a situaciones estresantes como parte de las exigencias y demandas de la formacion universitaria. El objetivo del presente estudio fue analizar la relacion entre factores asociados al estres academico y variables conductuales, psiquicas y fisicas nocivas para el bienestar biopsicosocial en estudiantes universitarios de primer y cuarto ano academico de la carrera de fisioterapia. Material y metodos Se incluyeron 68 estudiantes de ambos generos (43 de primero y 25 de cuarto ano). Las manifestaciones fisicas, psiquicas y conductuales se determinaron mediante un cuestionario auto-informado y el estres academico se midio con el Cuestionario de Estres Academico-ECEA. Resultados La sobrecarga academica tuvo una asociacion significativa con manifestaciones psiquicas, conductuales y fisicas (p Conclusiones Este estudio aporto informacion sobre los factores estresores y sus potenciales implicaciones para la salud de los estudiantes, antecedentes que seran de utilidad para abordar el estres academico de manera sistemica, asi como para futuras investigaciones relacionadas con el bienestar biopsicosocial de la comunidad universitaria.

La presente investigación tiene como objetivo comprender los discursos que subyacen en la producción-constitución de subjetividad de un grupo de estudiantes indígenas de la Universidad del Quindío. Son tenidos en cuenta autores como Foucault, para el tema de discursos y prácticas de sí, Dussel para entender el proceso de colonización, Castro para referirse al tema de colonialidad y decolonialidad, Escobar sobre globalización. La categoría de subjetividad abordada desde la perspectiva de Castro, así como Maldonado para hablar de colonialidad del ser. Se usó un enfoque cualitativo con el método de la hermenéutica pluritópica, la cual entiende la diferencia de lo múltiple y hace um diálogo intercultural, usando técnicas como lo son la entrevista a profundidad y talleres de expresión gráfica. El análisis de la información arroja datos en cuanto a las secuelas de la globalización sobre las subjetividades, el papel de agencias socializadoras como la iglesia y la escuela para replicar le pensamiento occidental y la lucha y resistencia por el rescate de lo propio y la identidad pese a los processos del desarrollo y la modernidad.

Objective: Identify drug interactions of old antiepileptic drugs with antidepressants and antipsychotics and its impact on the patient with epilepsy at the Hospital de San Jose in outpatient appointment from June 1 st, 2015 to the april 30th, 2016.Material and methods: A descriptive study was conducted to identify drugs interactions in patients diagnosed with epilepsy. The study involved patients over 18 years old with a diagnosis of epilepsy according to the International League Against Epilepsy criteria in therapy with first line antiepileptic drugs associated with antipsychotic drugs or/and antidepressants, excluded pregnant women, patients with hepatic and renal impairment. The statistic analysis of qualitative variables was performed using absolute and relative frequencies. Quantitative variables were analysed using medians and interquartile ranges.Results: We included 26 patients with a median age of 49 years (IQR: 33-57), 14 were women (53.8%). The most relevant conditions on past medical history were perinatal hypoxia and brain trauma, both diagnosed on 5 patients (19.2%). The most frequently anticonvulsant monotherapy used was carbamazepine, which was prescribed on 8 patients (30.8%). Only two patients receiving carbamazepine presented leucopenia. None of the patients presented elevated liver enzymes. Anticonvulsant serum levels in most therapies were within the therapeutic range. Discussion and conclusions: We described multiple combinations of anticonvulsants with antipsychotics and/or antidepressants. No liver toxicity or serious hematologic abnormalities that could suggest a change on the therapy was documented. Furthermore, most anticonvulsants serum concentration remained within the therapeutic range.

This paper studies the effect of mesostructured materials in the stereo-selective hydrogenation of 3-hexyne at 298 K and 40 psig pressure of H 2 over Pd-supported catalysts at different substrate:palladium (S:Pd) molar ratios. The catalysts were prepared by impregnation using a toluene solution of Pd(acac) 2 to obtain a metal content close to 1 wt.% over SBA-15 with one-dimensional hexagonal structure, MCM-48 silica with cubic structure and three-dimensional pore system and MSU-γ alumina with a lathlike particle morphology. All the supports were characterised by nitrogen adsorption–desorption isotherms at 77 K, TEM, XRD and H 2 chemisorption and TEM measurements. The reactions were found to be zero order with respect to 3-hexyne concentration. The starting 3-hexyne produces primarily cis -3-hexene, which subsequently is either hydrogenated to hexane or isomerized to trans -3-hexene and 2-hexenes that are found in very small amounts depending on the nature of the support used. Palladium catalysts supported on SBA-15 was the most active and selective catalyst.

A one-day point prevalence study to investigate the patterns of antibiotic use was undertaken in 43 latin American (LA) intensive care units. Of 510 patients admitted, 231 received antibiotic treatment on the day of the study (45%); in 125 cases (54%) due to nosocomial-acquired infections. The most frequent infection reported was nosocomial pneumonia (43%). Only in 122 patients (53%) were cultures performed before starting antibiotic treatment. 33% of the isolated microorganisms were enterobacteriaceae (40% extended-spectrum beta-lactamase-producing), 23% methicillin-resistant Staphylococcus aureus and 17% carbapenems-resistant non-fermentative Gram-negatives. The antibiotics most frequently prescribed were carbapenems (99/231, 43%); alone (60/99, 60%) or in combination with vancomycin (39/99, 40%). "Restricted" antibiotics (carbapenems, vancomycin, piperacillin-tazobactam, broad-spectrum cephalosporins, tigecycline, polymixins and linezolid) were most frequently indicated in severely ill patients (APACHE II score at admission >15, p=0.0007 and, SOFA score at the beginning of the antibiotic treatment >3, p=0.0000). Only 36% of antibiotic treatments were cultured-directed.Our findings help explain the high rates of multidrug-resistant pathogens in LA settings (i.e. ESBL-producing Gram-negatives) and the severity of the registered patients illnesses.

In 2n infants with broad spectrum antimicrobial therapy i.Anipicillin IM. IV or per ost ne studied the possibility oi avoiding the modifications of normal fecal flora with administration of Lactobacillus. hi l.S patients who receibed lactobacillus we observed that the total number of bacteria per gram of stool either increased on was not modified. Ue did not see Candida overgrowth. We observed in the control group (without lactobacillusl an important supression of aerobic intestinal flora and cundida proliferation. One case developed diarrhea caused by Salmonella typhimurium infection. We cone lude that the administration of Lactobacillus acidophilus in addition to antibiotics therapy prevent nn wj it i cation of fecal flora in a large number of patients. Cadadia se obtienen may ores conoeimientos aeerea de los roles biologieos beneficiosos. que cumplen las diferentes bacterias que componen la flora intestinal comensal, por ejemplo: sintesis de vitamina K o protection de sobre infeccion por bacterios patogenos. En este ultimo aspecto se le ha asignado un papel importante a la presencia de lactobacilos, y es asi como desde antiguo se han observado los efectos positivos que se obtienen con la administracion de lactobacilos. tanto en la prevention de infecciones intestinales como en el restableeimiento de la flora comensal alterada'"». El mecanismo ultimo que explica estos efectos nti esta bien esclarecido y algunos autores lo atribuyen a la accion de la Lactocidina. Esta sustancia con propiedades antibacterianas selectivas, actuaria inhibiendo el desarrollo excesivo de algunas bacterias comensales, ejerciendo asi un eiecto regulador.* Es un fenomeno ampliamente ctmocido que la administracion de antibioticos de amplio espectro. provoca trastornos de la flora comensal intestinal con diversos grados de intensidad elmica, que se pueden traducir en diarrea, ya se a traves de la excesiva proliferation de algunos comensales o ].Iniduil de MiiTiiliitilugia. Oi-pto. Jc Saliul I'ubliea Kdmlta

Natural hazards can cause multiple and simultaneous releases of Hazardous materials over extended areas, damage or destroy safety barriers and systems, and down lifelines often needed for accident prevention and mitigation. These are also the ingredients for cascading disasters. For this reason, successfully controlling a Natech accident has often turned out to be a major challenge, if not impossible, where no prior preparedness planning had taken place.