Cómo se muere en un servicio de medicina interna

Introducción: La muerte es un hecho biológico, con trascendencia social y cultural, que la hace particular. Conocer cómo se desarrolla es vital para entenderla y aceptarla. Objetivos: Determinar en pacientes fallecidos durante la internación las características de cómo se muere en un servicio de clínica médica: circunstancias, comorbilidad, causas de muerte, sensaciones de la familia y del equipo de salud.

Microangiopatía trombótica en paciente con síndrome antisintetasa : a propósito de un caso

Las microangiopatías trombóticas se caracterizan por presentar anemia hemolítica microangiopática asociada a plaquetopenia, fallo renal y lesión neurológica. El Síndrome anti-sintetasa es una entidad poco frecuente perteneciente al grupo de las miopatías inflamatorias idiopáticas. El objetivo de esta presentación es comunicar una paciente que desarrolló una púrpura trombocitopénica trombótica en el contexto de un Síndrome anti-sintetasa, asociación inusualmente reportada.

Virus de la Hepatitis E en Mendoza : presentación de 3 casos

La Hepatitis "E" es una enfermedad de distribución global, con morbilidad y mortalidad significativa, cuya incidencia ha aumentado en los últimos años. Con el propósito de potenciar la sospecha diagnostica de esta patología, se realiza una reactualización a partir de la presentación de 3 casos ocurridos en el Hospital Lagomaggiore de la Ciudad de Mendoza, Argentina.

Aborto inducido: ¿ignorancia o negación de una tragedia?

http://www.unla.edu.ar/saludcolectiva/revista29/v10n2a01.pdf

A global compolation of late Holocene planktonic foraminiferal d18O

We review the different sources of uncertainty affecting the oxygen isotopic composition of planktonic foraminifera and present a global planktonic foraminifera oxygen isotope data set that has been assembled within the MARGO project for the Late Holocene time slice. The data set consists of over 2100 data from recent sediment with thorough age control, that have been checked for internal consistency. We further examine how the oxygen isotopic composition of fossil foraminifera is related to hydrological conditions, based on published results on living foraminifera from plankton tows and cultures. Oxygen isotopic values (delta18O) of MARGO recent fossil foraminifera are 0.2-0.8 per mil higher than those of living foraminifera. Our results show that this discrepancy is related to the stratification of the upper water mass and generally increases at low latitudes. Therefore, as stratification of surface waters and seasonality depends on climatic conditions, the relationship between temperature and delta18O established on fossil foraminifera from recent sediment must be used with caution in paleoceanographic studies. Before models predicting seasonal flux, abundance and delta18O composition of a foraminiferal population in the sediment are available, we recommend studying relative changes in isotopic composition of fossil planktonic foraminifera. These changes primarily record variations in temperature and oxygen isotopic composition of sea water, although part of the changes might reflect modifications of planktonic foraminifera seasonality or depth habitat

Revised age models and foraminiferal records obtained for the Last Interglacial period in six marine sediment cores

The dataset contains the revised age models and foraminiferal records obtained for the Last Interglacial period in six marine sediment cores: - the Southern Ocean core MD02-2488 (age model, sea surface temperatures, benthic d18O and d13C for the period 136-108 ka), - the North Atlantic core MD95-2042 (age model, planktic d18O, benthic d18O and d13C for the period 135-110 ka), - the North Atlantic core ODP 980 (age model, planktic d18O, sea surface temperatures, seawater d18O, benthic d18O and d13C, ice-rafted detritus for the period 135-110 ka), - the North Atlantic core CH69-K09 (age model, planktic d18O, sea surface temperatures, seawater d18O, benthic d18O and d13C, ice-rafted detritus for the period 135-110 ka), - the Norwegian Sea core MD95-2010 (age model, percentage of Neogloboquadrina pachyderma sinistral, sea surface temperatures, benthic d18O, ice-rafted detritus for the period 134-110 ka), - the Labrador Sea core EW9302-JPC2 (age model, percentage of Neogloboquadrina pachyderma sinistral, sea surface temperatures, benthic d18O for the period 134-110 ka).

Age determination and Heinrich Events in sediment cores SU90-08 and KET80-03

The Mediterranean Sea hydrology at the time of the Heinrich formation in the North Atlantic Ocean was analyzed by comparing sea surface temperatures (SSTs) and oxygen isotope composition of seawater (dw) changes during the past 75 kyr in two marine cores. These were compared to the palynological variations derived in the Mediterranean Sea core. During the last glacial the two oceanic SST records show similar and synchronous patterns, with several long-term cooling periods, ending by abrupt SST increases. At the time of the Heinrich events, cold SSTs and low salinity prevailed in the Mediterranean Sea. The freshwater budget was similar to the modern one, permitting the presence of a mixed forest on the Mediterranean borderlands. The post-Heinrich periods are marked by a freshwater budget decrease, limiting oak and fir tree growth in the Mediterranean region. Increase of precipitation or reduction of evaporation is observed before the Heinrich episode, and is associated with a well-developed mixed Mediterranean forest.

Temperature and salinity reconstruction for the Last Interglacial Period in the North Atlantic Ocean

Eight deep-sea sediment cores from the North Atlantic Ocean ranging from 31° to 72°N are studied to reconstruct the meridional gradients in surface hydrographic conditions during the interval of minimum ice volume within the last interglacial period. Using benthic foraminiferal ?18O measurements and estimates of Sea Surface Temperature (SST) and Sea Surface Salinity (SSS), we show that summer SSTs and SSSs decreased gradually during the interval of minimum ice volume at high-latitude sites (52°-72°N) whereas they were stable or increased during the same time period at low-latitude sites (31°-41°N). This increase in meridional gradients of SSTs and SSSs may have been due to changes in the latitudinal distribution of summer and annual-average insolation and associated oceanic and atmospheric feedbacks. These trends documented for the Eemian ice volume minimum period are similar to corresponding changes observed during the Holocene and may have had a similar origin.

Radiocarbon ages, carbon and oxygen isotopes and Mg/Ca and Sr/Ca ratios of Globigerinoides in sediment core MD99-2203, Cape Hatteras

This study presents high-resolution foraminiferal-based sea surface temperature, sea surface salinity and upper water column stratification reconstructions off Cape Hatteras, a region sensitive to atmospheric and thermohaline circulation changes associated with the Gulf Stream. We focus on the last 10,000 years (10 ka) to study the surface hydrology changes under our current climate conditions and discuss the centennial to millennial time scale variability. We observed opposite evolutions between the conditions off Cape Hatteras and those south of Iceland, known today for the North Atlantic Oscillation pattern. We interpret the temperature and salinity changes in both regions as co-variation of activities of the subtropical and subpolar gyres. Around 8.3 ka and 5.2-3.5 ka, positive salinity anomalies are reconstructed off Cape Hatteras. We demonstrate, for the 5.2-3.5 ka period, that the salinity increase was caused by the cessation of the low salinity surface flow coming from the north. A northward displacement of the Gulf Stream, blocking the southbound low-salinity flow, concomitant to a reduced Meridional Overturning Circulation is the most likely scenario. Finally, wavelet transform analysis revealed a 1000-year period pacing the d18O signal over the early Holocene. This 1000-year frequency band is significantly coherent with the 1000-year frequency band of Total Solar Irradiance (TSI) between 9.5 ka and 7 ka and both signals are in phase over the rest of the studied period.

Violencia, Cuerpo y Memoria en la UNT (1976-1983)

El trabajo se refiere a una experiencia docente con los alumnos que cursan la materia «Antropología» en el primer año del profesorado de Educación Física de la UNT y, en especial, cuando se aborda el tema de la agresión/violencia. A partir del planteo desde la cátedra de qué se entiende por violencia -ilustrado con ejemplos de conductas agresivas colectivas e individuales en el ámbito de la vida cotidiana y el deporte-, los alumnos investigan y reconstruyen un caso concreto de violencia extrema: la ejercida por el Estado en la última dictadura cívico-militar argentina (1976-1983), partiendo del análisis de las marcas de memoria presentes en las instalaciones de la Facultad de Educación Física de la UNT. En el transcurso de la investigación los docentes constatamos la doble violencia que experimentan los jóvenes al tener que hablar sobre un tema que les parece muy lejano a su experiencia vital y, por otro, al tomar conciencia de su ignorancia sobre lo ocurrido en nuestro país debido al silencio, lo no dicho u ocultado, tanto en el ámbito familiar como en el educativo