Reimplantes de punta de dedo. Fundación Santafé de Bogotá 2003 – 2011. Serie de Casos

Introducción: El objetivo de este trabajo es caracterizar los pacientes con amputaciones de punta de dedo en zonas I & II de Ishikawa & Tamai y describir los casos exitosos y de fallas en estos niveles tan distales de reimplantación. Materiales y Métodos: serie de casos retrospectiva de reimplantes de punta de dedo. Se registraron variables pre, intra y postoperatorias y de seguimiento. Resultados preliminares: 8 casos fueron reimplantes en las zonas I y II. Tiempo promedio de isquemia: 5,1 hs, promedio de edad 39,5. Se reimplantaron: 2 pulgares, 2 índices, 2 medios y 2 anulares, 6 dedos del lado derecho y 2 dedos del lado izquierdo. 5 reimplantes en zona II y 3 en zona I. El mecanismo de trauma más frecuente fue avulsión, seguido de aplastamiento. En todos los casos se logro hacer una anastomosis arterial. En cinco pacientes no se logro hacer una anastomosis venosa. No se observó estandarización el esquema antitrombótico ni en la estrategia para manejar la congestión venosa. Cinco reimplantes fueron exitosos. Todos los pacientes durante el primer año fueron tratados con fisioterapia. A pesar de que los pacientes reportan perdida de la movilidad comparativa con el dedo contralateral, ninguno reportó molestias a causa de este déficit o alteraciones en la sensibilidad que impactaran negativamente su calidad de vida. Discusión: se requieren estudios prospectivos para evaluar los resultados objetivamente y estandarizar el protocolo de reimplantes en la FSFB.

The Right to Water in the Case-Law of the Inter-American Court of Human Rights

The human right to water is nowadays more broadly recognised, mainly due to the essential societal function that this resource plays; likewise, because of the present water scarcity is generating conflicts between its different uses. Thus, this right aims at protecting human beings by guaranteeing access to clean water that is essential to satisfy vital human needs. Similarly, access to clean water is an important element to guarantee other rights including the right to life and health. The recognition of the right to water is mainly achieved in two ways: as a new and independent right and as a subordinate or derivative right. Concerning the latter, the right to water can emanate from civil and political rights, such as the right to life; or can be derived from economic, social and cultural rights, including the right to health, the right to an adequate standard of living, and the right to housing. This contribution explores the position of the Inter-American Court of Human Rights regarding the right to water, and analyses whether the Court has recognised the right to water and, if so, in which manner.

The international economic crisis and the colombian economy

The purpose of this research is to provide an approximation to the likely effects of the crisis on the Colombian economy and to the effectiveness of policy response. For this, the most relevant transmission channels and policy measures are simulated in the setting of a static computable general equilibrium model (CGE). The results obtained are interesting in their own right and are in line with what could be expected given the information available on the behavior of the Colombian economy. Furthermore, they call into question the effectiveness of governmental intervention as judged by its intended countercyclical effects.