928 resultados para EPIDEMIOLOGIA PARTICIPATIVA


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Esta pesquisa estuda a existência e atuação de uma organização da sociedade civil em São Bernardo do Campo (SBC). A partir da utilização de ferramentas da participação cidadã, em especial a que constitui o Orçamento Participativo, ela analisa se e como esta organização se relaciona com os munícipes e com as esferas do poder executivo na busca por uma proposta de governo que atenda aos anseios daqueles a que representa, além das próprias aspirações. O estudo busca, através de um relato histórico, contextualizar o município pelos aspectos econômicos, políticos e sociais. A partir de levantamentos bibliográficos e acompanhamento, por meio de entrevistas, realizou-se um estudo de caso em uma entidade social não governamental que tem especial olhar sobre o jovem cidadão são-bernardense, a fim de verificar como esta entidade é planejada e gerida para atender às aspirações sociais destes. Espera-se, ao final, entender como uma organização da sociedade civil, em consonância com o que pretende para si mesma, reflete seus objetivos nas propostas e plenárias de Orçamento Participativo de SBC, realizadas em 2010 para o ano 2011.(AU)

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O mercado publicitário vive uma grande transformação e em pouco tempo vem tendo de aprender a lidar com uma audiência que age e interage com as marcas, e, mais do que formas de comunicação, busca formas de relacionamento. Torna-se de extrema importância refletir sobre as formas mais adequadas de publicidade que sejam relevantes a esse novo cenário. Este trabalho tem como objetivo compreender como a publicidade está se apropriando da cultura participativa no contexto sociotécnico da sociedade em rede. Para isso foi utilizado como método à pesquisa bibliográfica e estudo de caso da campanha realizada pela cerveja Stella Artois, denominada The King of Cannes. Percebeu-se que a referida campanha reforça a publicidade participativa, ao contrário da publicidade tradicional baseada na interrupção. Esse caso exemplifica as eventuais mudanças nas praticas da propaganda que deve caminhar ao lado da expansão tecnológica, da convergência das mídias e do relacionamento com público consumidor, levando em consideração as praticas de acesso mediadas por tecnologias da comunicação que viabilizam as relações de consumo e de trocas com as organizações no ambiente do ciberespaço.

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Dengue is an acute infectious disease, usually transmitted by Aedes aegypti mosquitoes. The etiologic agents belong to the family Flaviviridae, genus Flavivirus, and occur as four antigenically related but distinct serotypes designated DENV-1, 2, 3, and 4. In Brazil, the disease represents a national public health problem. The purpose of the present study was to describe epidemiological aspects of dengue in the State of Rio Grande do Norte, from 2013 to 2014. A total of 483 blood or serum samples, collected from January 2013 to December 2014, were studied by RT-PCR for viral detection and typing. The infection was confirmed in 36.44% (176/483) of the cases studied. This study detected the circulation of three serotypes of dengue virus in Rio Grande do Norte, DENV-1, 2, and 4. The predominant serotype in 2013-2014 was the DENV-4, representing 83.51% (81/97) and 68.35% (54/79) of the positive cases, respectively. Regarding the spatial distribution, most of the cases occurred in Natal and Caicó, with 9.28% (9/97) and 18.99% (15/79), respectively. The months with the biggest viral circulation in RN were March 2013 and May 2014. The female gender was the most affected, representing 69.07% (67/97) in 2013 and 54.43% (43/79) in 2014. The most affected age groups were 21-30 years (2013) and 11-20 years (2014) with 25.77% (25/97) and 20.25% (16/79) positive cases, respectively. Phylogenetic analysis indicated that genotype V (DENV-1) and genotype II (DENV-4) circulated in the State. Our results provide information about the dynamics of DENV in the Rio Grande do Norte, important for the development of disease control strategies.

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Introduction. Guillain-Barré syndrome (GBS) is an immune-mediated polyneuropathy and the principal cause of acute neuromuscular paralysis. The most prominent GBS subtypes are: acute inflammatory demyelinating polyneuropathy (AIDP), acute motor axonal neuropathy (AMAN), acute motor-sensory axonal neuropathy (AMSAN) and Fisher syndrome (FS). Differences in geographical distribution of variants have been reported. In Brazil, there are few studies describing the characteristics of GBS, but none on the frequency of GBS variants and their clinical manifestations. Infection-induced aberrant immune response resulting from molecular mimicry and formation of cross-reacting antibodies, contribute to complement activation. Functional biallelic polymorphism in immunoglobulin receptors that influence the affinity of IgG subclasses and the type of immune response have been described, suggesting genetic susceptibility to developing disease. It remains unclear whether individuals carrying different FCGR alleles have differential risk for GBS and⁄or disease severity. The goals of this study were: (1) To characterize GBS and describe the clinical findings in a cohort of patients with GBS from the state of Rio Grande do Norte, Brazil; (2) to determine whether polymorphism in FCGR were associated with development of GBS, and (3) to tease out whether the global gene expression studies could be a tool to identify pathways and transcriptional networks which could be regulated and decrease the time of disease. Methods. Clinical and laboratory data for 149 cases of GBS diagnosed from 1994 to 2013 were analyzed. Genomic DNA and total RNA were extracted from whole blood. Antigangliosides antibodies were determined in the sera. In addition, we also assessed whether FCGR polymorphism are present in GBS (n=141) and blood donors (n=364), and global gene expressions were determined for 12 participants with GBS. Blood samples were collected at the diagnosis and post-recovery. Results. AIDP was the most frequent variant (81.8%) of GBS, followed by AMAN (14.7%) and AMSAN (3.3%). The incidence of GBS was 0.3 ⁄ 100,000 people for the state of Rio Grande do Norte and cases occurred at a younger age. GBS was preceded by infections, with the axonal variant associated with episodes of diarrhea (P = 0.025). Proximal weakness was more frequent in AIDP, and distal weakness predominant in the axonal variant. Compared to 42.4% of cases with AIDP (P<0.0001), 84.6% of cases with the axonal variant had nadir in <10 days. Individuals with the axonal variant took longer to recover deambulation (P<0.0001). The mortality of GBS was 5.3%. A worse outcome was related to an axonal variant (OR17.063; P=0.03) and time required to improve one point in the Hughes functional scale (OR 1.028; P=0.03). The FCGR genotypes and allele frequencies did not differ significantly between the patients with GBS and the controls (FCGR2A p=0.367 and FCGR3A p=0.2430). Global gene expression using RNAseq showed variation in transcript coding for protein isoforms during acute phase of disease. Conclusions. The annual incidence of GBS was 0.3 per 100,00 and there was no seasonal pattern. A predominance of the AIDP variant was seen, and the incidence of the disease decreased with age. The distribution of weakness is a function of the clinical variants, and individuals with the axonal variant had a poorer prognosis. Early diagnosis and variant identification leads to proper intervention decreasing in long-term morbidity. FCGR polymorphisms do not seem to influence susceptibility to GBS in this population. This study found deregulated genes and signs of transcriptional network alterations during the acute and recovery phases in GBS. Identification of pathways altered during disease might be target for immune regulation and with potential to ameliorate symptoms.

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This master thesis aims to research the tension established between the judicial review and democratic theory which was always present in the constitutional doctrine of separation of powers. In this regard, the expansion of the Brazilian constitutional jurisdiction checked after the occurrence of the Federal Constitution of 1988 and the inertia of the Legislature in disciplinary relevant legal aspects of Brazilian society contributed to a hyperactivity of the Supreme Court. However, in a complex society of context, as is the Brazilian society, there are contained demands and political controversies that hardly would be well represented or resolved through the action of the Court of ministers at the expense of other government bodies. Among the supremacy of Parliament and the legitimacy deficit of these magistrates, is the constitutional text and the social fabric that makes this legal status of the political. Participatory democracy established by the guidelines of the Federal Constitution requires this perspective when the Supreme Court acting in place of concentrated constitutionality control. In a plural society, there is no reason to get rid of state decision moments popular participation. Lack the Supreme Court, this time, the democratizing perception that the institute brings to the interior of the Court, as state determination of space in which to come together and meet the aspirations of society and state claims. The dissertation investigates thus the possibility of amicus curiae Institute serve as a mediator of the democratic debate, to assist the Supreme Court in the preparation of the decision is, historically, that which is of greater legitimacy, from the perspective of a theory participatory democracy. Analyzes, likewise, the unfolding of abstract judicial review in the context of Brazilian law. Proposes, incidentally, a rereading of the separation of powers, with the call for the Judiciary be careful not to become the protagonist of national political decisions. It maintains, finally, that procedural opening the interpreters of the constitution, through the amicus curiae Institute, shows up as able to decrease the legitimacy deficit in the performance of the Brazilian Supreme Court.

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The public health dentistry is a way to bring oral health to Brazilian National Health System (SUS) and vice-versa. Thus, the epidemiology, in this context, it is one of the most important allies. In this article we intend to discuss the "shared walkway" between epidemiology and public health dentistry, through two views: first, we analyzed the efforts to establish methodological models for oral health sectional studies and the possibilities to construct a national data base. Second, we discussed how this knowledge has been transformed in a qualified scientific production presented in meetings and papers, which reflects, at the same time, about the contribution of this process in the consolidation of public health dentistry field. We concluded that this "shared walkway" was (and still is), influenced by political aspects, which, in different moments, leads to an improvement of public health dentistry. The oral health epidemiology has been established as a knowledge area, with regard to the scientific production in Brazil. At the same time, provide a tool that contributes to make oral health care models more appropriate to National Health System principles and, in other hand, make better the discussions about the social determinants of oral diseases.

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The public health dentistry is a way to bring oral health to Brazilian National Health System (SUS) and vice-versa. Thus, the epidemiology, in this context, it is one of the most important allies. In this article we intend to discuss the "shared walkway" between epidemiology and public health dentistry, through two views: first, we analyzed the efforts to establish methodological models for oral health sectional studies and the possibilities to construct a national data base. Second, we discussed how this knowledge has been transformed in a qualified scientific production presented in meetings and papers, which reflects, at the same time, about the contribution of this process in the consolidation of public health dentistry field. We concluded that this "shared walkway" was (and still is), influenced by political aspects, which, in different moments, leads to an improvement of public health dentistry. The oral health epidemiology has been established as a knowledge area, with regard to the scientific production in Brazil. At the same time, provide a tool that contributes to make oral health care models more appropriate to National Health System principles and, in other hand, make better the discussions about the social determinants of oral diseases.

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Introduction: The production of KPC (Klebsiella pneumoniae carbapenemase) has become an important mechanism of carbapenem-resistance among Enterobacteriaceae strains. In Brazil, KPC is already widespread and its incidence has increased significantly, reducing treatment options. The “perfect storm” combination of the absence of new drug developmentand the emergence of multidrug-resistant strains resulted in the need for the use of older drugs, with greater toxicity, such as polymyxins. Aims: To determine the occurrence of carbapenemase-producing strains in carbapenem-resistant Enterobacteriaceae isolated from patients with nosocomial infection/colonization during September/2014 to August/2015, to determine the risk factors associated with 30-day- mortality and the impact of inappropriate therapy. Materials and Methods: We performed a case control study to assess the risk factors (comorbidities, invasive procedures and inappropriate antimicrobial therapy) associated with 30-day-mortality, considering the first episode of infection in 111 patients. The resistance genes blaKPC, blaIMP, blaVIM and blaNDM-1 were detected by polymerase chain reaction technique. Molecular typing of the strains involved in the outbreak was performed by pulsed field gel electrophoresis technique. The polymyxin resistance was confirmed by the microdilution broth method. Results: 188 episodes of carbapenem-resistant Enterobacteriaceae infections/colonizations were detected; of these, 122 strains were recovered from the hospital laboratory. The presence of blaKPC gene were confirmed in the majority (74.59%) of these isolates. It was not found the presence of blaIMP , blaVIM and blaNDM-1 genes. K. pneumoniae was the most frequent microorganism (77,13%), primarily responsible for urinary tract infections (21,38%) and infections from patients of the Intensive Care Unit (ICU) (61,38%). Multivariate statistical analysis showed as predictors independently associated with mortality: dialysis and bloodstream infection. The Kaplan-Meier curve showed a lower probability of survival in the group of patients receiving antibiotic therapy inappropriately. Antimicrobial use in adult ICU varied during the study period, but positive correlation between increased incidence of strains and the consumption was not observed. In May and July 2015, the occurrence rates of carbapenem-resistant Enterobacteriaceae KPC-producing per 1000 patient-days were higher than the control limit established, confirming two outbreaks, the first caused by colistin-susceptible KPC-producing K. pneumoniae isolates, with a polyclonal profile and the second by a dominant clone of colistin-resistant (≥ 32 μg/mL) KPC-producing K. pneumoniae. The cross transmission between patients became clear by the temporal and spatial relationships observed in the second outbreak, since some patients occupied the same bed, showing problems in hand hygiene adherence among healthcare workers and inadequate terminal disinfection of environment. The outbreak was contained when the ICU was closed to new admissions. Conclusions: The study showed an endemicity of K. pneumoniae KPC-producing in adult ICU, progressing to an epidemic monoclonal expansion, resulted by a very high antibiotic consumption of carbapenems and polymyxins and facilitated by failures in control measures the unit.

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Advances in neonatology resulted in reducing the mortality rate and the consequent increase in survival of newborn pre terms (PTN). On the other hand, there was also a considerable increase in the risk of developing health care-related infection (HAI) in its most invasive, especially for bloodstream. This situation is worrying, and prevent the occurrence of it is a challenge and becomes one of the priorities in the Neonatal Intensive Care Unit (NICU). Sepsis is the main cause of death in critical neonates and affects more than one million newborns each year, representing 40% of all deaths in neonates. The incidence of late sepsis can reach 50% in NICUs. Currently the major responsible for the occurrence of sepsis in developed countries is the coagulase negative Staphylococcus (CoNS), followed by S. aureus. The cases of HAIs caused by resistant isolates for major classes of antimicrobial agents have been increasingly frequent in the NICU. Therefore, vancomycin has to be prescribed more frequently, and, today, the first option in the treatment of bloodstream infections by resistant Staphylococcus. The objectives of this study were to assess the impact on late sepsis in epidemiology III NICU after the change of the use of antimicrobials protocol; check the frequency of multiresistant microorganisms; assess the number of neonates who came to death. This study was conducted in NICU Level III HC-UFU. three study groups were formed based on the use of the proposed late sepsis treatment protocol, with 216 belonging to the period A, 207 B and 209 to the C. The work was divided into three stages: Period A: data collected from neonates admitted to the unit between September 2010 to August 2011. was using treatment of late sepsis: with oxacillin and gentamicin, oxacillin and amikacin, oxacillin and cefotaxime. Period B: data were collected from March 2012 to February 2013. Data collection was started six months after protocol change. Due to the higher prevalence of CoNS, the initial protocol was changed to vancomycin and cefotaxime. Period C: data were collected from newborns inteerne in the unit from September 2013 to August 2014. Data collection was started six months after the protocol change, which occurred in March 2013. From the 632 neonates included in this study, 511 (80,8%) came from the gynecology and obstetrics department of the HC-UFU. The mean gestational age was 33 weeks and the prevailing sex was male (55,7%). Seventy-nine percent of the studied neonates were hospitalized at the NICU HC-UFU III because of complications related to the respiratory system. Suspicion of sepsis took to hospitalization in the unit of 1,9% of newborns. In general, the infection rate was 34,5%, and the most frequent infectious sepsis syndrome 81,2%. There was a tendency to reduce the number of neonates who died between periods A 11 and C (p = 0,053). From the 176 cases of late sepsis, 73 were clinical sepsis and 103 had laboratory confirmation, with greater representation of Gram positive bacteria, which corresponded to 67.2% of the isolates and CoNS the most frequent micro-organism (91,5%). There was a statistically significant difference in the reduction of isolation of Gram positive microorganisms between periods A and C (p = 0,0365) as well as in reducing multidrug-resistant CoNS (A and B period p = 0,0462 and A and C period, p = 0,158). This study concluded that: the CoNS was the main microorganism responsible for the occurrence of late sepsis in neonates in the NICU of HC-UFU; the main risk factors for the occurrence of late sepsis were: birth weight <1500 g, use of PICC and CUV, need for mechanical ventilation and parenteral nutrition, SNAPPE> 24 and length of stay more than seven days; the new empirical treatment protocol late sepsis, based on the use of vancomycin associated cefepime, it was effective, since promoted a reduction in insulation CoNS blood cultures between the pre and post implementation of the Protocol (A and C, respectively); just as there was a reduction in the number of newborns who evolved to death between periods A and C.

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La investigación educativa en las carreras de formación de docentes en el área de la Educación Física. Desde la perspectiva de la Pedagogía social, en el horizonte formativo del profesor de Educación Física se reconocen varios propósitos: el posicionamiento activo del maestro como trabajador de la cultura; la construcción del maestro como productor colectivo del discurso pedagógico; el fortalecimiento de la identidad y la significación social del docente como partícipe en la transformación de la comunidad. Frente a la tradicional separación entre investigación educativa y los problemas prácticos escolares sostenemos que el docente es productor de saberes en su campo de trabajo, tanto en la construcción de discursos pedagógicos como en la producción de discursos culturales. Por lo tanto, debe promoverse el trabajo en investigación como una metodología básica para la recuperación de esos saberes y su uso en la formación de grado de los nuevos docentes. La Investigación Educativa, en estos momentos, no se plantea como un patrimonio único o exclusivo de las instituciones universitarias y de altos organismos oficiales; cada vez, con mayor fuerza se impone como una necesidad básica e ineludible, para la formación del profesorado en ejercicio y el desarrollo de los currícula de formación docente Calahorrano (2004) describe y analiza la situación de los institutos en general y del instituto No 47 en particular, destacando que: "Problematizar la enseñanza de la Educación Física implica dar cuenta de su complejidad y diversidad mediante programas de investigación en la práctica que posibilite constituir una teoría que de respuesta a los problemas de la práctica, y a la vez, abra nuevos interrogantes" (sic). Los nuevos modelos curriculares de formación docente de la provincia de Buenos Aires, producen un corrimiento de la mirada netamente escolar hacia prácticas educativas no escolarizadas. En primer lugar, abordaremos algunas cuestiones centrales respecto al conocimiento científico en el área, luego nos referiremos a las formas de apropiarse del mismo, y los modos de "hacer" investigación, planteando algunas características centrales de un enfoque investigativo participativo-crítico. Por último, haremos mención de algunos de las prácticas investigativas desarrolladas por los alumnos del profesorado desde esta perspectiva epistémico-metodológica

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El rugby es un deporte ampliamente estudiado en el área física y técnico-táctica con una tasa lesional elevada, que presenta una relación entre los datos antropométricos y el rol de juego.
En este deporte, la incidencia lesional varía en función del rol de juego, siendo mayor en la posición de delantero, además estas lesiones se caracterizan por ser, predominantemente musculares, siendo más comunes en el miembro inferior. Por consiguiente, los objetivos del trabajo han sido sintetizar toda la información acerca del deporte y su epidemiología lesional, para poder realizar una intervención tras Fractura-Luxación Maissoneuve -caso único-, en la que se procuró recuperar una lesión atípica.
Los resultados obtenidos mostraron una mejora de las variables medidas, tanto objetivas (recorrido articular, fuerza y perímetro), como subjetivas (escala de Borg) conforme avanzó la intervención, lo que verificó la importancia del seguimiento y cuantificación de la recuperación, para su reajuste y optimización.

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El rugby es un deporte ampliamente estudiado en el área física y técnico-táctica con una tasa lesional elevada, que presenta una relación entre los datos antropométricos y el rol de juego.
En este deporte, la incidencia lesional varía en función del rol de juego, siendo mayor en la posición de delantero, además estas lesiones se caracterizan por ser, predominantemente musculares, siendo más comunes en el miembro inferior. Por consiguiente, los objetivos del trabajo han sido sintetizar toda la información acerca del deporte y su epidemiología lesional, para poder realizar una intervención tras Fractura-Luxación Maissoneuve -caso único-, en la que se procuró recuperar una lesión atípica.
Los resultados obtenidos mostraron una mejora de las variables medidas, tanto objetivas (recorrido articular, fuerza y perímetro), como subjetivas (escala de Borg) conforme avanzó la intervención, lo que verificó la importancia del seguimiento y cuantificación de la recuperación, para su reajuste y optimización.

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La investigación educativa en las carreras de formación de docentes en el área de la Educación Física. Desde la perspectiva de la Pedagogía social, en el horizonte formativo del profesor de Educación Física se reconocen varios propósitos: el posicionamiento activo del maestro como trabajador de la cultura; la construcción del maestro como productor colectivo del discurso pedagógico; el fortalecimiento de la identidad y la significación social del docente como partícipe en la transformación de la comunidad. Frente a la tradicional separación entre investigación educativa y los problemas prácticos escolares sostenemos que el docente es productor de saberes en su campo de trabajo, tanto en la construcción de discursos pedagógicos como en la producción de discursos culturales. Por lo tanto, debe promoverse el trabajo en investigación como una metodología básica para la recuperación de esos saberes y su uso en la formación de grado de los nuevos docentes. La Investigación Educativa, en estos momentos, no se plantea como un patrimonio único o exclusivo de las instituciones universitarias y de altos organismos oficiales; cada vez, con mayor fuerza se impone como una necesidad básica e ineludible, para la formación del profesorado en ejercicio y el desarrollo de los currícula de formación docente Calahorrano (2004) describe y analiza la situación de los institutos en general y del instituto No 47 en particular, destacando que: "Problematizar la enseñanza de la Educación Física implica dar cuenta de su complejidad y diversidad mediante programas de investigación en la práctica que posibilite constituir una teoría que de respuesta a los problemas de la práctica, y a la vez, abra nuevos interrogantes" (sic). Los nuevos modelos curriculares de formación docente de la provincia de Buenos Aires, producen un corrimiento de la mirada netamente escolar hacia prácticas educativas no escolarizadas. En primer lugar, abordaremos algunas cuestiones centrales respecto al conocimiento científico en el área, luego nos referiremos a las formas de apropiarse del mismo, y los modos de "hacer" investigación, planteando algunas características centrales de un enfoque investigativo participativo-crítico. Por último, haremos mención de algunos de las prácticas investigativas desarrolladas por los alumnos del profesorado desde esta perspectiva epistémico-metodológica

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La investigación educativa en las carreras de formación de docentes en el área de la Educación Física. Desde la perspectiva de la Pedagogía social, en el horizonte formativo del profesor de Educación Física se reconocen varios propósitos: el posicionamiento activo del maestro como trabajador de la cultura; la construcción del maestro como productor colectivo del discurso pedagógico; el fortalecimiento de la identidad y la significación social del docente como partícipe en la transformación de la comunidad. Frente a la tradicional separación entre investigación educativa y los problemas prácticos escolares sostenemos que el docente es productor de saberes en su campo de trabajo, tanto en la construcción de discursos pedagógicos como en la producción de discursos culturales. Por lo tanto, debe promoverse el trabajo en investigación como una metodología básica para la recuperación de esos saberes y su uso en la formación de grado de los nuevos docentes. La Investigación Educativa, en estos momentos, no se plantea como un patrimonio único o exclusivo de las instituciones universitarias y de altos organismos oficiales; cada vez, con mayor fuerza se impone como una necesidad básica e ineludible, para la formación del profesorado en ejercicio y el desarrollo de los currícula de formación docente Calahorrano (2004) describe y analiza la situación de los institutos en general y del instituto No 47 en particular, destacando que: "Problematizar la enseñanza de la Educación Física implica dar cuenta de su complejidad y diversidad mediante programas de investigación en la práctica que posibilite constituir una teoría que de respuesta a los problemas de la práctica, y a la vez, abra nuevos interrogantes" (sic). Los nuevos modelos curriculares de formación docente de la provincia de Buenos Aires, producen un corrimiento de la mirada netamente escolar hacia prácticas educativas no escolarizadas. En primer lugar, abordaremos algunas cuestiones centrales respecto al conocimiento científico en el área, luego nos referiremos a las formas de apropiarse del mismo, y los modos de ?hacer? investigación, planteando algunas características centrales de un enfoque investigativo participativo-crítico. Por último, haremos mención de algunos de las prácticas investigativas desarrolladas por los alumnos del profesorado desde esta perspectiva epistémico-metodológica

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Este artículo tiene dos objetivos principales. En primer lugar, trazar un recorrido por las experiencias colaborativas a través de la fotografía y el video en Antropología, y en segundo lugar, contextualizar y mostrar los resultados de una investigación realizada recientemente sobre proyectos de fotografía participativa impulsados desde colectivos de fotógrafos documentales. Para estos objetivos me he centrado en trabajos pioneros y en autores que han puesto a prueba este tipo de metodologías con niños y adolescentes, escenario de mi trabajo de campo. Esta investigación, que está en sus comienzos, pretende buscar sinergias con otros profesionales y poder así establecer teorías y colaboraciones de cara a próximos proyectos de investigación aplicada a través del uso de los medios audiovisuales.