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La Antropología filosófica es el ámbito que enmarca el tema que convoca esta presentación. En el terreno filosófico el marco teórico se apoya, primeramente, en el pensamiento de Nietzsche teniendo en cuenta el estatuto que asigna al cuerpo. En segundo lugar, Rancière ofrece aportes en lo que se refiere a la relación polémica entre lo representable y lo irrepresentable. En tercer término, la guía es proporcionada por la crítica cultural de Walter Benjamin, quien procura revelar la influencia del cine en la masa que puede verse a sí misma en la pantalla. Desplazo el tratamiento del cine como recurso útil al plano educativo. Con este fin escojo escenas fílmicas donde intento aplicar las categorías y las determinaciones analizadas para ofrecerlas como herramienta de reflexión sobre la condición humana.

Background The technique used in the repair of a perineal injury resulting from childbirth could avoid discomfort and morbidity during the postpartum period. Recent studies show inconsistent results and support the need for new research with the inclusion of new health parameters not yet studied. Therefore, this study aims to evaluate if the suture technique (continuous or interrupted) has an effect on pain and other postpartum problems, incidence of incontinence (urinary and/or fecal), and the restart of sexual relations. Methods A single-blind randomized clinical trial was conducted in five hospitals in south-east Spain. The participants were primiparous women who had experienced a perineal injury during delivery (second-degree tear or episiotomy). Data was collected on sociodemographic variables, variables associated with pregnancy, labor and delivery, and the postpartum period, and outcomes during the 3 months after delivery: pain, incontinence, and restart of sexual relations. Odds ratios (OR) were calculated by binary logistic regression to assess the influence of the suture type on binary outcomes and t-test used for comparing continuous outcomes. Multivariate analyses (using logistic regression -adjusted (aOR)- and analysis of covariance) were carried out to adjust for unbalanced variables after randomization. Results A total of 70 women were included in the intervention group (continuous suture) and 64 in the reference group (interrupted sutures). A negative association was observed (aOR = 0.39; 95% CI = 0.18–0.86) between a continuous suture and the need for analgesia at 24 h postpartum. Pain experienced by the women at 24 h postpartum was assessed as 4.4 ± 0.3 compared with a score of 3.4 ± 0.3 in the group with continuous sutures (p = 0.011). At 15 days postpartum, women in the intervention group experienced less pain (aOR = 0.38; 95% CI = 0.18–0.80) (p = 0.019). Urinary sphincter incontinence was also evaluated at 15 days, with 4.3% (n = 3) of the women in the intervention group presenting with urinary incontinence compared with 18.8% (n = 12) in the control group (aOR = 0.11; 95% CI = 0.03–0.47) (P = 0.003). Conclusions The women who had a continuous suture repair showed lower levels of pain from delivery to 3 months after delivery and had a lower incidence of urinary incontinence at 15 days postpartum. Trial registration ClinicalTrials.gov NCT03825211 posted January 31, 2019 (retrospectively registered).

This study assessed the effect of maternal age on satisfaction at each stage of pregnancy, childbirth and puerperium, and globally. An observational study was carried out in five hospitals of the Andalusian public health system with older primiparous women, from May 2016 to May 2018. Using a pre-piloted questionnaire, information was collected on pregnancy, childbirth, puerperium, newborn variables and degree of satisfaction with the care received. Crude and adjusted mean differences and the standard error of the mean were calculated. A total of 373 women participated. In total, 43.0% of the sample were very satisfied with the care received during pregnancy, and 74.2% with the care received during childbirth. During the puerperium, the highest percentage (60.4%) was found among the women who reported being quite satisfied, although the results were not significant in any of these stages (p &gt, 0.05). No significant differences were established between women&rsquo, s different age strata and maternal satisfaction. However, the average given by women regarding their satisfaction with the process, on a scale from 0 to 4, was: 3.5 &plusmn, 0.5 in general, 3.2 &plusmn, 0.8 regarding pregnancy, 3.7 &plusmn, 0.5 in childbirth and 3.1 &plusmn, 0.6 in the postpartum period. The woman&rsquo, s satisfaction with the follow up and health care received during pregnancy, childbirth and puerperium is independent of the mother&rsquo, s age.

espanolLos procedimientos mecanicos para la maduracion de un cervix desfavorable se estan configurando como una alternativa eficaz frente a los farmacologicos, especialmente en los casos donde estos estan contraindicados. En la actualidad se despierta el interes sobre el uso de estos metodos por tratarse en general de dispositivos que generan bajo coste, son seguros, simples, comodos, reversibles, sin farmacos y, fundamentalmente, por sus pocos efectos adversos y repercusiones maternas y/o fetales. Con el objetivo de dar a conocer dicho metodo mecanico de induccion de parto, se realizo el seguimiento de una mujer gestante con patologia asmatica y con indicacion de finalizacion del embarazo mediante doble balon de Cook®; este concluye con un parto eutocico y sin incidencias. EnglishMechanical procedures for ripening an unfavourable cervix are positioning as an effective option vs. pharmacological methods, particularly in those cases where the latter are contraindicated. There is current interest about the use of these methods, as these are overall low-cost devices, simple, convenient, reversible, drug-free, and most of all, they cause few adverse effects and low impact on the mother and/or the foetus. With the objective to create awareness about said mechanical method for labour induction, follow-up was conducted for a pregnant woman with asthma and indication of end of pregnancy through Cook® double balloon, resulting in a normal delivery without incidences.

El escrito aborda el problema del silencio en un doble sentido. Por un lado, como depotenciador y destructor de la vida humana; por otro lado, se reflexiona sobre su incidencia en el crecimiento del poder de la vida. Se apela a los escritos testimoniales de Primo Levi sobre su encierro en los campos de concentración nazi, pues constituyen un soporte útil para pensar el problema que convoca este trabajo. Hay expresiones del silencio involuntarias, inconscientes, propias de la actividad que, si bien acaece en el cuerpo de cada quien, sin embargo, resulta extraña a la conciencia y decisión del afectado. La tópica establecida por Lacan, especialmente el registro de lo Real, guía el abordaje de este punto. La valoración del silencio como potenciador de la vida es tratada a partir de la obra de Nietzsche, en los textos que tocan el problema de la soledad.

Delaying maternity is becoming more common, resulting in questions regarding the influence age may have on obstetric results. Therefore, we proposed the objective to determine the association between maternal age and different health variables during pregnancy, childbirth and the puerperium. We conducted an observational study in Spain with primiparous women in which data was collected on sociodemographic, health and obstetric variables. Crude and adjusted mean differences were calculated with their corresponding 95% confidence intervals. The study included a final sample of 373 women. The mean age of women presenting with hypertension during pregnancy was 34.54 years (95% CI: 31.80&ndash, 37.27) compared with a mean of 30.11 (95% CI: 29.56&ndash, 30.66) in women that did not (p = 0.002). Women who had a eutocic delivery were also younger: 29.17 years (95% CI: 28.48&ndash, 29.86) compared with 31.90 years (95% CI: 31.05&ndash, 32.74, p &lt, 0.001) for those that had a dystocic delivery. The duration of dilatation was longer in those &ge, 35 years (p = 0.001). In conclusion, an advanced maternal age is associated with a higher incidence of pathology during pregnancy and dystocic labor.

Esta presentación versa sobre la crítica del lugar de la imitación en la educación. El propósito es reflexionar sobre el tipo de imitación que tiende a resignificar actividades humanas que aportan en el proceso de constitución de las identificaciones –en el concepto psicoanalítico de este término–. En este marco, se sostiene un enfoque educativo que confiere prioridad a la formación socio–cultural, a partir de la diferencia que Nietzsche formula entre cultura y civilización. Desde la perspectiva nietzscheana, se entiende por formación cultural el contacto vivencial o teórico con los rasgos destacados o diferentes de un pueblo, comunidad o sujeto particular. Corresponde al proceso civilizatorio, el trabajo de "cría" y "doma" que los grupos dominantes llevan a cabo sobre poblaciones para perpetuar determinadas condiciones de existencia. Sin desconocer el esfuerzo y la voluntad de muchos docentes en un sentido contrario, el trabajo que predomina en las instituciones educativas se encamina hacia el adiestramiento de niños y jóvenes quienes deben incorporar "conocimientos útiles" y adaptarse a la cultura institucional. Dado este conjunto de elementos procedentes del análisis freudiano y de la teoría nietzscheana, se trata de esbozar una visión educativa que puede trazar la línea divisoria entre la imitación contenida en un proyecto emancipatorio y el tipo de imitación que conserva la vigencia de las prácticas de domesticación propias de la empresa civilizatoria.

Este trabajo es un estudio, que presenta una óptica de la promulgación legislativa sobre violencia doméstica de un país Latinoamericano, Costa Rica, preocupado por tratar de dar contenido normativo de contención a uno de los males que más afectan a la humanidad: la agresión dentro del hogar. Se trata de una normativa, relativamente joven, que ha encontrado una serie de limitaciones para su buena y correcta aplicación, y encierra situaciones del diario vivir que trascienden los estrados judiciales. Por eso es importante un análisis de su estado actual, con una breve exposición de los antecedentes legislativos que la justificaron y algunas recomendaciones, que le darían mayor viabilidad para el cometido que le dio su creación.

Rationale and objectives The American Cancer Society (ACS) and the United States Preventive Services Task Force (USPSTF) recommend colorectal cancer (CRC) screening to begin at age 50 in individuals at average risk for CRC. To estimate rate at which women eligible for CRC screening at the time of screening mammography attendance later completed in CRC screening, we retrospectively evaluated CRC screening utilization in women who underwent screening mammography at our institution. Materials and methods We retrospectively identified 3357 women between the ages of 50 to 75 who received screening mammography in 1998 at a single academic medical center using the institution’s Radiology Information System (RIS). Additional information collected from the institution’s Health System Data Warehouse and the Radiology department’s mammography quality assurance data included mammography results, Breast Imaging Reporting and Database System (BI-RADS) classification of mammography findings, recommendation for screening mammography follow-up, insurance status, and CRC screening utilization after screening mammography. After excluding women who were current with CRC screening at the time of mammography, we determined the proportion of eligible women who completed CRC screening after mammography. Age, insurance type, BI-RADS code, and recommendation code were evaluated as potential predictors of CRC screening completion in eligible women. Results Of the 3357 women between the ages of 50 and 75 who received screening mammography in 1998, only 414 (12.3%) were current with CRC screening at the time of screening mammography. Of the remaining 2943 women who were eligible for CRC screening at the time of screening mammography, 142 (4.8%) subsequently completed CRC screening. Average time to completion of CRC screening after screening mammography is 35.4 months (range, 0.27–64.9). Managed care insurance was the only significant predictor of CRC screening completion after screening mammography in eligible women after adjusting for other variables (adjusted OR 1.73, 95% CI 1.21–2.47, P Conclusions Prevalence studies have demonstrated that women who were compliant with screening mammography were more compliant with CRC screening. Our data suggest that despite this increased compliance, overall incidence of CRC screening is low in the screening mammography population.

“¿Valoramos porque existen los valores o existen los valores porque valoramos?” En la búsqueda de respuesta para esta controversia, se aborda el problema axiológico sin descuidar el nexo entre el campo cognitivo y el desiderativo. Uno de los pensadores que guían la reflexión, Salazar Bondy, deja en claro que una cosa es el orden de lo deseado, cuestión que atañe al campo psicológico y otra es el orden de lo deseable correspondiente, éste sí, al ámbito de las valoraciones.