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“Cuidado” es un término polisémico, con un potencial referencial para la salud colectiva. En el marco de la reflexión actual sobre el papel y el alcance del cuidado en ese campo, la atención constituye una etapa inicial, esencial, pero insuficiente del cuidado, siendo este un proceso más amplio en los ámbitos individual y colectivo. Si bien el reconocimiento del proceso salud-enfermedad-atención expande la perspectiva de la salud pública, la “desatención”, como tal y como contraparte dinámica de la atención, es invisibilizada, a pesar de su potencial analítico y operativo en el campo de la epidemiología y la salud colectiva. Ambos términos, integrados como procesos de atención-desatención, se analizan en este artículo desde las propuestas de la ética y la integralidad del cuidado, y desde una perspectiva decolonial e incluyente de la epidemiología. En el marco de la dinámica entre atención y desatención, se concreta y materializa la capacidad de prevenir o producir el daño evitable a la salud, en diversos niveles, alcances e itinerarios ilustrativos, específicos y evidenciables en la práctica.

In a public university in Tunja (Colombia), undergraduate language students mentioned that writing was important and yet, they kept at a distance from it due to its requirements. The aim of this pedagogical intervention was to find a strategy to encourage students to write and, more importantly, to feel an identity with their texts. For this pedagogical intervention, students were required to write narratives that allowed them to portray their experiences using the target language and to look for the most accurate words and descriptions. From a pedagogical perspective, writing the narratives provided the teacher with the possibility of knowing his students better and to feel an affiliation towards them.

Resumen: Paciente masculino de 61 de edad quien presenta palpitaciones y disnea. El estudio ecocardiográfico presenta datos sugestivos de tumor en aurícula derecha, por lo que ingresa de urgencia a quirófano. Se encuentra lipoma cardiaco gigante con extensión a mediastino que se reseca por completo sin complicaciones. Resultado histopatológico de lipoma de 1.300 g con posible origen en el mediastino e invasión a las cavidades cardiacas por su tejido más débil. Abstract: A 61-year-old male case is presented with a history of palpitations and dyspnoea. Echocardiographic study showed suggestive data of intracardiac tumour in the right atrium. On this basis he was admitted for urgent open-heart surgery, finding a giant cardiac lipoma with mediastinal extension, successfully resected. Histopathological result of lipoma of 1,300 g probably originating in the mediastinum with invasion to the cardiac cavities due to their weaker tissue.

Los desastres son eventos que pueden generar como resultado, pérdidas materiales, económicas y humanas y que demandan una adecuada gestión para su prevención, mitigación, reducción y control. Para el desarrollo del sistema de gestión de riesgos en Cáqueza, Cundinamarca, se presenta secuencialmente un diagnóstico geofísico, a partir de mapas de zonificación por amenazas, y una evaluación social de la población, que sirvieron como base para el diseño de estrategias orientadas a la mitigación del riesgo y a la preparación y respuesta de los habitantes en caso de la materialización de una emergencia.

In a public university in Tunja (Colombia), undergraduate language students mentioned that writing was important and yet, they kept at a distance from it due to its requirements. The aim of this pedagogical intervention was to find a strategy to encourage students to write and, more importantly, to feel an identity with their texts. For this pedagogical intervention, students were required to write narratives that allowed them to portray their experiences using the target language and to look for the most accurate words and descriptions. From a pedagogical perspective, writing the narratives provided the teacher with the possibility of knowing his students better and to feel an affiliation towards them.

The aim of this reflective article is to display the relationship between B.A. students learning experience and self-regulation metacognitive skills. It is a demanding task for a teacher to assess their apprentices in terms of their individual academic needs and capabilities. Self-regulation metacognitive skills can empower students with the tools to recognize themselves as learners with different expectations and aptitudes. The challenge for current classrooms is to work on making students aware and responsible for their own learning. Commitment and discipline are key aspects of becoming a self-regulated learner.

Identity hasmultiple definitions and is related to many fields and theoreticians. It iscommonly believed that each person possesses one single and personal identity, but several perspectives have proposed multiple dimensions for it. This article presents some dimensions about what the termidentity involves fromthe socio-political, sociological, humanistic, social and poststructuralist perspectives. Despite identity is displayed by people, is perceivable, transmittable, influenced by many factors, defining identity can get anywhere depending on the path to follow. The only certainty is that motivation, desires, preferences, ideology, words, tones, interjections, and clothing are issues related to identity.

Background: Diet can help preserve lung function in smokers, as well as aid individuals who avoid smoking. This study aimed to evaluate the effectiveness of a nutritional intervention, using the Social Networks 2.0 tool, to increase adherence to the Mediterranean diet (MD) and improve lung function in smokers without prior respiratory disease., Methods: A randomized controlled parallel design was used. The participants were assigned to either the intervention or control group. Data from representative smokers without respiratory disease ( n = 77) aged 18-70 years were analyzed. The participants completed a validated semi-quantitative food-frequency questionnaire, and their adherence to the diet was evaluated by using the questionnaire called the Mediterranean Diet Adherence Score (MEDAS, with 14 items), which considers ≥9 points to indicate high adherence. The lung function was assessed by spirometry. Associations among variables were determined by logistic regression., Results: A comparison of the variables at the end of the study between the control and intervention groups showed that the intervention significantly increased adherence to the MD based on the MEDAS questionnaire (0.69 (2.1) vs. 2.05 (2.03); p = 0.009). Specifically, the consumption of fruits was increased after two years in both groups; however, a more significant increase was detected in the intervention group (121 (178) vs. 12.7 (167) in the control group; p -value = 0.008). In the unadjusted analysis, the intervention only showed a statistical significant increase in the score of adherence to the MD (β: 1.36; 95% CI 0.35; 2.3; p = 0.009), and this increase was maintained after adjusting for age and sex (β: 1.15; 95% CI 0.05; 2.2; p = 0.040) and after adjusting for various sociodemographic, lifestyle and anthropometric variables (β: 1.17; 95% CI 0.02; 2.31; p = 0.046). The pulmonary function parameters improved more in the intervention group; however, no significant differences were observed between the two groups., Conclusions: A nutritional intervention based on a dietetic-nutritional education program resulted in a significant increase in adherence to the MD. However, some evidence suggests that an MD dietary intervention can improve lung function, but in our study, we were not able to demonstrate this. Further research is needed to obtain more robust data and confirm a possible benefit of the program before it can be extended to general practice.