Satisfacción del neurólogo y de los pacientes con diagnóstico de epilepsia en una consulta de seguimiento a través de telemedicina sincrónica en el Hospital San José de Arjona (Bolívar), 2014-2015

La gran demanda de pacientes en servicios de consulta especializada de neurología y la poca oferta de profesionales entrenados y médicos especialistas, principalmente en zonas aisladas por circunstancias geográficas o políticas, nos obligan a buscar nuevos recursos como la telemedicina a fin de mejorar el tiempo de consulta. El objetivo de este trabajo es explorar el grado de satisfacción del neurólogo y de los pacientes con epilepsia en una consulta por telemedicina en el Hospital San José de Arjona con conexión al Hospital de San José en Bogotá.

Delay discounting in mild cognitive impairment

Introduction : Patients with mild cognitive impairme nt (MCI) may make suboptimal decisions particularly in complex situations, and thi s could be due to temporal discounting, the tendency to prefer immediate rewards over delayed but larger rewards. The present study proposes to evaluate intertemporal prefere nces in MCI patients as compared to healthy controls. Method : Fifty-five patients with MCI and 57 h ealthy controls underwent neuropsy- chological evaluation and a delay discounting questionnaire, which evaluates three para- meters: hyperbolic discounting ( k ), the percentage of choices for delayed and later rewards (%LL), and response consistency (Acc). Results : No significant differences were found in the delay discounting questionnaire between MC I patients and controls for the three reward sizes considered, small, medium, and large, using both k and %LL parameters. There were also no differences in the response consistency, Acc, between the two groups. Conclusions : Patients with MCI perform similarly to healthy controls in a delay discounting task. Memory deficits do not notably affect intertemporal preferences.

WOMEN'S RESISTANCE IN ANNE HÉBERT’S LES FOUS DE BASSAN

The aim of this paper is to analyze the relations of power and women’s resistance in Les fous Bassan (1982) by Quebecker writer Anne Hébert (1916-2000). To this end, we will resort to texts of Michel Foucault (1926-1984) where he discusses power and resistance. More precisely, we examine how the woman opposes herself to the situations that condemn her to obedience and silence, characteristics of a patriarchal society. We will emphasize the ways in which the hebertian woman expresses her discontent with the prevailing rules of patriarchy in Griffin Creek, a small fictional village in the province of Quebec where the narrative unfolds. We will show that in the novel in question, the woman does not accept, as some critics point out, submission and control applied to her body and spirit. She resists, from the place she occupies and without major clashes.