Maria Auxiliadora Research Articles

Aspergillus capibaribensis (Eurotiales, Trichocomaceae), a new species in section Cremei

In this study we describe a new species of Aspergillus in section Cremei deposited in the URM culture collection (Micoteca URM Profa. Maria Auxiliadora Cavalcanti) of the Departamento de Micologia, Universidade Federal de Pernambuco (Recife, Pernambuco, Brazil). Another strain was obtained from samples taken from pollen pots inside nests of Melipona scutellaris (stingless bee). Morphological and phylogenetic evidence based on sequencing of ITS rDNA, BenA, CaM and rpb2 markers supported the description of taxonomic novelty. Aspergillus capibaribensis sp. nov. is morphologically similar and phylogenetically close to A. flaschentraegeri - the distinctive features are uniseriate and hyaline conidiophores, short and smooth conidia and smaller vesicles compared to the micromorphological structures of A. flaschentraegeri. This record also expanded the knowledge of species in Aspergillus section Cremei in a tropical country such as Brazil.

External validation of the lactate dehydrogenase/albumin ratio as a clinical predictor of overall survival in Peruvians with diffuse large B cell lymphoma.

e19072 Background: The lactate dehydrogenase/albumin ratio (RLA), a potentially promising inflammatory biomarker derived from the division of serum lactate dehydrogenase and albumin values, has shown a strong correlation with overall survival (OS) in patients with diffuse large B-cell lymphoma (DLBCL). However, its validity in our specific population requires confirmation. We aimed to validate the RLA as an early predictor of OS in a cohort of Peruvian patients with DLBCL. Methods: We conducted a retrospective cohort study recruiting consecutive patients diagnosed between 2009 and 2017, with the last follow-up on July 1, 2022, at the National Hospital Edgardo Rebagliati Martins and the Maria Auxiliadora Hospital. The optimal cutoff point for RLA was estimated using ROC curve analysis, and survival curves were plotted and analyzed using Cox regression and Kaplan-Meier methods with the Log-Rank test. Results: A total of 283 patients with a median follow-up of 2.6 (range: 0.02-10.51) years were included. The optimal cutoff point for RLA was established at 23.6. Values below 23.6 were associated with poor OS when comparing survival curves (p<0.001). In the multivariate model, a prognostic association was found between RLA and OS (HR: 3.37, 95% CI: 1.78-6.39, p<0.001). Conclusions: The RLA is confirmed as a valid biomarker in our population for predicting OS in patients with diffuse large B-cell lymphoma (DLBCL), allowing for early evaluation. [Table: see text]

Unveiling narratives through paint, dress and embroidery: Exploring representations of Black people in the art of Maria Auxiliadora da Silva

Maria Auxiliadora da Silva, an Afro-Brazilian painter in the early twentieth century, was born into an artistic family. Her artwork, which reflects everyday life and Afro-Brazilian culture, includes personal memories and experiences. This article focuses on how Silva portrayed clothing and textiles in her paintings, particularly in terms of female representations and Black religiosity. Three of her works in the collection of the Museu de Arte de São Paulo Assis Chateaubriand (MASP) will serve as starting points for discussing the intersection of fashion studies, art history and decolonial interpretations.

EVALUACIÓN DE LOS PATRONES DE FARMACORRESISTENCIA DE MYCOBACTERIUM TUBERCULOSIS EN UN HOSPITAL PÚBLICO DE LIMA, PERÚ DURANTE 2022

Background. Tuberculosis is a public health problem considered to be the world's leading cause of death from an infectious disease among adults. Diagnosis is often challenging and is based on clinical, epidemiological, radiological, bacteriological, histological and biochemical findings. Timely diagnosis, identification of the susceptibility profile and follow-up compliance is important to enable more effective treatment and avoid severe forms of the disease. Aim. Describe the resistance patterns of Mycobacterium tuberculosis identified in the period of the year 2022 at Hospital María Auxiliadora. Material and Methods. This is an observational, cross-sectional study of patients diagnosed with tuberculosis throughout the year 2022 in the Tuberculosis Center of Excellence (TB COE), division of the respiratory medicine department at the Hospital Maria Auxiliadora, Lima, Peru. Data was collected from the medical records which was then included for the statistical analysis. The clinical and demographic characteristics were described by absolute frequencies and percentages. Chi-square test and Fisher's exact test were used to evaluate the association between the sensitivity profile of tuberculosis and the independent variables. A p-value < 0.05 was considered as statistically significant. Results. A total of 261 medical records were included in the present study. The most frequent age group was 17-59 years old, the majority were male (62.1%) and 15.7% were relapses, as established on national technical standard. Of the total, 89.7% were sensitive to first line drugs; 6.1% of the patients were multidrug-resistant (MDR), and 0.8% presented extensively drug-resistance (XDR); likewise, 0.8% and 2.7% presented resistance for rifampicin only and resistance for isoniazid only respectively. HIV infection was found at 14.2%. The most common form of tuberculosis was pulmonary (49%) followed by pleural tuberculosis (21.8%). Conclusion. Tuberculosis is a worldwide condition whose drug-resistance patterns continue evolving. However, in our hospital, a southern Peru reference Center, most TB patients are still sensitive to first line drugs. Only a small amount of MDR and XDR patients were found. Moreover, the most common clinical presentation was pulmonary followed by pleural tuberculosis.

Medicinal plants cultivated in urban home gardens in Heredia, Costa Rica

BackgroundUrban ethnobotanical research in Costa Rica is rather rare and home gardens are poorly studied so far. Investigating their biodiversity is crucial in gathering knowledge on the uses of this particular flora, especially related to the owners’ health. This study therefore explores the diversity and knowledge of medicinal plants of private garden owners from three different urban neighborhoods in Heredia, Costa Rica, an thus far understudied area.MethodsSemi-structured interviews (n = 61) were conducted with garden owners in three socioeconomically different urban neighborhoods (Central Heredia, Maria Auxiliadora and Bernardo Benavides). Information was collected about medicinal plants cultivated in the garden, treatments, plant part used and mode of administration. All species were identified and their geographical origin was determined. This information was then compared with the available regional and local (ethno)pharmacopoeias to detect possible newly documented uses.ResultsThe majority or 90% of garden owners who also held knowledge on medicinal plants species were women (n = 30) of all ages (between 26 and 85 years old). A list of 27 species of medicinal plants was obtained from the participants of three urban neighborhoods. In Central Heredia, 74% (n = 20) of the total species were present, in Maria Auxiliadora 33% (n = 9) and in Bernardo Benavides 56% (n = 15). Most plant species were used by the participants to treat respiratory problems (11 spp.), hair and skin problems (9 spp.) and digestive disorders (8 spp.). Some plants were used to treat multiple ailments (10 spp.). About a third of all species (n = 8) were used by the participants to treat disorders that were not indicated in the regional and local pharmacopoeias. More specifically, Aloe saponaria, Blechum pyramidatum, Costus scaber, Impatiens walleriana, Lippia alba, Tradescantia zebrina, Psidium friedrichsthalianum and Solenostemon scutellarioides used for medicinal purposes by the participants were not found in the above-mentioned resources.ConclusionsThe present study provides new information about the use of medicinal plants in a thus far understudied urban area in Costa Rica. We documented new medicinal uses for several plants listed in the regional and local pharmacopoeias as well as for plants not previously reported in an urban environment. In general, there is little information about the types of plants used for medicinal purposes in urban ecosystems in Costa Rica. Although the country has a high endemic diversity of plants, many exotic medicinal plant species were introduced by the Spaniards during the colonization and by Afro-Costa Rican descendants. The present results thus show how the diversity of the medicinal plants used by these garden owners' confirms a socioeconomic gradient and reflects both Costa Rica’s colonial history as well as the current epidemiological profile of the country. These findings underline the need for more ethnobotanical research in urban areas in Costa Rica.

Memory, alterity, and self-writings in Conceição Evaristo, Maria Auxiliadora, Carolina de Jesus, and Elza Soares: the art of “writexperience”

Resumo Neste artigo, apresenta-se uma reflexão sobre o conceito de escrevivência na perspectiva de literatura e outras artes, com base nas obras de Carolina Maria de Jesus, Elza Soares e Maria Auxiliadora da Silva, no arco escuta-experiência-escritura. Conceição Evaristo inaugura essa vertente, relacionando-a ao campo de pesquisa da expressão negra e feminina, por meio da escrita de vivências próprias e da escuta de experiências outras, resultando em um ato de resistência e de manifestação tanto estética quanto crítico-sociorracial.

COVID-19 Behaviors and Beliefs Toward Immunizations among College Students in Lima, Peru.

Introduction: Peru has experienced one of the highest rates of COVID-19 with only 27% of the population vaccinated. College students must make decisions on vaccination based on their belief and knowledge about immunizations. The purpose of this study was to describe COVID-19 behaviors and beliefs toward immunization among college students in Lima, Peru. Methods: Undergraduate students from Universidad Maria Auxiliadora (UMA) participated in this descriptive study. The CDC National 2009 H1N1 Flu Survey was adapted to measure behaviors and beliefs about immunizations of COVID-19. Results: 818 students participated in the study during the 2020 academic year. Significant differences were identified about taking vaccine when it was available by age (p = .02), gender (p < .001), marital status (p = .004), and income (p = .002). Significant associations were found between participants' ethnicity and location of last vaccination (p < .001) and race and reason to not receive the COVID-19 vaccine (p < .001). Conclusions: Peruvian students under the age of 32 are not eligible for the COVID-19 at this time. Findings can prepare academic institutions to promote education about the vaccine in this age group who have unique barriers in receiving health care and vaccinations.

QT effects of bedaquiline, delamanid, or both in patients with rifampicin-resistant tuberculosis: a phase 2, open-label, randomised, controlled trial

Bedaquiline and delamanid are the first drugs of new classes registered for tuberculosis treatment in 40 years. Each can prolong the QTc interval, with maximum effects occurring weeks after drug initiation. The cardiac safety and microbiological activity of these drugs when co-administered are not well-established. Our aim was to characterise the effects of bedaquiline, delamanid, or both on the QTc interval, longitudinally over 6 months of multidrug treatment, among patients with multidrug-resistant or rifampicin-resistant tuberculosis taking multidrug background therapy. ACTG A5343 is a phase 2, open-label, randomised, controlled trial in which adults with multidrug-resistant or rifampicin-resistant tuberculosis receiving multidrug background treatment were randomly assigned 1:1:1 by centrally, computer-generated randomisation, by means of permuted blocks to receive bedaquiline, delamanid, or both for 24 weeks. Participants were enrolled at TASK in Cape Town and the South African Tuberculosis Vaccine Initiative in Worcester, both in South Africa, and Hospital Maria Auxiliadora in Peru. Individuals with QTc greater than 450 ms were excluded. HIV-positive participants received dolutegravir-based antiretroviral therapy. Clofazimine was disallowed, and levofloxacin replaced moxifloxacin. ECG in triplicate and sputum cultures were done fortnightly. The primary endpoint was mean QTcF change from baseline (averaged over weeks 8-24); cumulative culture conversation at week 8-24 was an exploratory endpoint. Analyses included all participants who initiated study tuberculosis treatment (modified intention-to-treat population). This trial is registered with ClinicalTrials.gov, NCT02583048 and is ongoing. Between Aug 26, 2016 and July 13, 2018, of 174 screened, 84 participants (28 in each treatment group, and 31 in total with HIV) were enrolled. Two participants did not initiate study treatment (one in the delamanid group withdrew consent and one in the bedaquiline plus delamanid group) did not meet the eligibility criterion). Mean change in QTc from baseline was 12·3 ms (95% CI 7·8-16·7; bedaquiline), 8·6 ms (4·0-13·1; delamanid), and 20·7 ms (16·1-25·3) (bedaquiline plus delamanid). There were no grade 3 or 4 adverse QTc prolongation events and no deaths during study treatment. Cumulative culture conversion by week 8 was 21 (88%) of 24 (95% CI 71-97; bedaquiline), 20 (83%) of 24 (65-95; delamanid), and 19 (95%) of 20 (79-100; bedaquiline plus delamanid) and was 92% (77-99) for bedaquiline, 91% (76-99), for delamanid, and 95% (79-100) for bedaquiline plus delamanid at 24 weeks. Combining bedaquiline and delamanid has a modest, no more than additive, effect on the QTc interval, and initial microbiology data are encouraging. This study provides supportive evidence for use of these agents together in patients with multidrug-resistant or rifampicin-resistant tuberculosis with normal baseline QTc values. Division of AIDS, National Institutes of Health.

Prevalencia de erosión dental en estudiantes de 12 a 16 años utilizando Basic Erosive Wear Examination (BEWE) en una institución educativa pública peruana

Introducción: El objetivo de este estudio fue determinar la prevalencia y la distribución de erosión dental en estudiantes de 12 a 16 años de edad de la institución educativa pública María Auxiliadora del distrito de Chorrillos, Lima-Perú. Materiales y métodos: Se evaluaron 382 estudiantes de una institución educativa pública peruana con el índice de diagnóstico de erosión dental Basic Erosive Wear Examination (BEWE). Después de la evaluación clínica, se obtuvieron los puntajes por sextantes, y posteriormente fueron sumados para obtener en un puntaje acumulativo total. Los datos fueron analizados mediante estadística descriptiva y para relacionar la erosión con las variables género y edad Originalse aplicó la prueba de Chi cuadrado y Anova (una cola) (p&lt;0,05). Resultados: La prevalencia de erosión dental fue de 12.04%. En cuanto a su distribución, la edad más representativa fue el grupo de 16 años (28.26%), el género femenino fue el más frecuente (54.3%), y en cuanto a la localización por maxilar, el inferior resultó predominante (54.35%) en los dientes posteriores, (56.52%) y caras oclusales (65%). Conclusión: Del total de estudiantes evaluados, el 12.04% presentó erosión dental. Asimismo, se encontró mayor distribución de erosión dental en el género femenino y en los estudiantes de 16 años de edad, sin embargo no hubo significancia estadística.

DISEÑO DE UN SISTEMA DE GESTIÓN DE CALIDAD CON LA APLICACIÓN DE LA NORMA ISO 9001: 2015 EN LA UNIDAD EDUCATIVA MARÍA AUXILIADORA DE MANTA

El presente artículo tiene como objetivo exponer la construcción de un Sistema de gestión de la calidad con la aplicación de la norma ISO 9001:2015, en la Unidad educativa María Auxiliadora de Manta (UEMA). Las técnicas de recolección de datos utilizadas fueron encuestas y entrevistas dirigidas a los miembros de la comunidad educativa. La investigación parte desde análisis del contexto, teniendo como principales hallazgos que los padres de familia y estudiantes están conformes con los servicios de la institución, sin embargo, de acuerdo a los datos, la gestión de la calidad requiere perfeccionarse, se denota dificultades en comunicación e involucramiento de los clientes la toma de decisiones de la institución; por otro lado, el personal docente y administrativo que están en relación directa con estos procesos, comparte el criterio de implementar un sistema que garantice la calidad educativa. Así mismo, se evidenció debilidades en las fases del proceso administrativo como: planificación, organización y comunicación, lo que motivó a la puesta en marcha del diseño de un sistema de gestión con la Norma ISO 9001:2015 con el fin de mejorar la efectividad de los procesos, fortalecer el crecimiento institucional, la excelencia educativa y estar a la vanguardia de la educación del país. Palabras clave: Calidad educativa; Norma ISO 9001:2015; sistema de gestión.

Ruptura prematura de membranas y su asociación con neumonía neonatal en gestantes atendidas en un Hospital terciario de Lima, Perú

Objetivo: Determinar la asociación entre ruptura prematura de membranas y neumonía en recién nacidos en un hospital terciario de Lima, Perú. Materiales y métodos: Basado en un estudio de cohorte retrospectiva, la selección de la muestra fue probabilístico aleatorio simple sin reposición, se obtuvo la muestra calculada para plantear grupos comparables y equilibrados. El tamaño de la muestra resultó en 102 gestantes de 102 gestantes, 51 con ruptura de membranas y 51 sin esta patología, en el hospital María Auxiliadora entre los años 2016 y 2017, se determinó la asociación de RPM y neumonía neonatal. Se utilizó el programa SPSS v.17 para un análisis descriptivo y cuadros de frecuencia utilizando un riesgo relativo con sus respectivos intervalos de confianza al 95%. Resultados: En su totalidad, de las 102 gestantes de la muestra y sus respectivos productos, el 45% presentó neumonía y el 55 % no presentó neumonía. Según el análisis, la frecuencia de neumonía neonatal fue mayor en los productos de aquellas gestantes que tenían RPM (58.8%), con respecto a las que no tenían RPM (31.4%) (p&lt;0.00; RR: 2.340, IC95%: 1.528 – 10.759) demostraron asociación significativa a RPM. Los exámenes de laboratorio y radiológicos patológicos también demostraron una asociación significativa. Conclusiones: El RPM está asociado significativamente a neumonía neonatal, con riesgo de 3 veces mayor en productos de gestantes con RPM respecto a las que no presentaron RPM.&#x0D;

ESTÉTICA E FILOSOFIA DA ARTE AFRICANA: UMA BREVE ABORDAGEM SOBRE OS PADRÕES ESTÉTICOS QUE CONECTAM ÁFRICA E SUA DIÁSPORA

EnglishThis article seeks to investigate an African aesthetic based on artistic activities done by women or for women. The form of the Aesthetics presented here will be African or Brazilian African, which means that I will investigate the beauty from African and / or African African philosophical theories. In the Brazilian case, the investigation will focus on the works of art by Rosana Paulino and Maria Auxiliadora, enabling a brief investigation of their works from the perspective of the Yoruba itans of human creation and exemplifying the aesthetic standards that connect Africa to its diaspora. For this, it will be important to seek to understand the philosophy of the Yoruba itans, who, in addition to building a whole thought about the existence of things, also help to build a deep reflection on the human personality and the world, which will directly interfere in the construction of an ethics Social. portuguesEste artigo procura investigar uma estetica africana a partir de atividades artisticas feitas por mulheres ou para mulheres. A forma da Estetica apresentada aqui sera africana ou africana diasporica, o que significa dizer que investigarei o belo a partir de teorias filosoficas africanas e ou africanas diasporica. No caso brasileiro, a investigacao sera sobre as obras de arte de Rosana Paulino e Maria Auxiliadora, possibilitando uma breve investigacao de suas obras sob a perspectiva dos itans Yorubas de criacao da pessoa humana e exemplificando os padroes esteticos que conectam Africa a sua diaspora. Para isso sera importante buscar entender a filosofia dos itans Yorubas que, alem de construir todo um pensamento sobre a existencia das coisas, tambem ajudam a construir uma reflexao aprofundada sobre a personalidade humana e sobre o mundo, o que interferira diretamente na construcao de uma etica social.

Tecnologías del Aprendizaje y el Conocimiento como estrategias en la formación de los docentes de la Escuela Normal Superior de Cúcuta, Colombia

Objetivo: generar elementos teóricos que fundamenten las estrategias de las Tecnología del Aprendizaje y Conocimiento TAC en el proceso de formación de los docentes de la Escuela Normal Superior María Auxiliadora de Cúcuta Colombia. Metodología: se desarrolló bajo el enfoque cualitativo, sustentado en el paradigma interpretativo introspectivo vivencial, con el fin de develar las estrategias pedagógicas (TAC) donde se realiza la investigación, es decir, a partir de la realidad de los docentes, sus experiencias, percepciones, vivencias. En este estudio participaron 10 docentes formadores de formadores de la Escuela Normal Superior de Cúcuta, Colombia, seleccionados del Programas de Formación Complementaria de la Institución. Para la recolección de los datos se utilizó la entrevista focalizada con preguntas abiertas. Resultados: se generaron tres elementos teóricos que fundamentan las estrategias TAC: Formación por competencias para la consolidación de las TAC; Pensamiento crítico y aprendizaje basado en problemas mediante el uso de la estrategia TAC y La construcción del conocimiento en el proceso de enseñanza- prendizaje. Conclusiones: para consolidarse en el aula, las estrategias TAC deben construirse sobre elementos teóricos que permitan a los docentes redimensionar su actividad para ser gestores y mediadores en el uso y aplicación de estas tecnologías emergentes

Do Youtube à escola: transformações nas práticas docentes dos professores de história, provocadas pelo acesso de estudantes a conteúdos de história veiculados por youtubers

This article describes changes in the teaching practices of high school history teachers, when their students access history content through the digital social network Youtube. As a result of the results of a master’s research, it aims to identify and describe the strategies adopted by teachers in the face of the challenge of teaching to a hyperconnected generation. The research was structured as being of a qualitative nature and had as theoretical and methodological assumptions: Goodman (1961) for the research technique Snowball; Bardin (2004) for the analysis of the content of the interviews; in addition to the dialogue with the authors Bruno Latour (2012); André Lemos (2008); Martha K. Borges (2007); Pierre Lévy (2010); Lucia Santaella and Renata Lemos (2010); Maria Auxiliadora Schmidt and Marlene Cainelli (2004); and Maria Mizukami (1986). The evidence corroborates with the understanding that the teaching-learning process in the time of cyberculture and cyberspace demand new initiatives and approaches that go beyond the traditional teaching model, such as, for example, dedicating planning time in the observation and analysis of YouTube channels that disseminate distorted concepts.

MON-683 Assessment of Features Associated with Diabetic Foot Risk in General Hospital in Lima-Peru

Objectives: To determine the frequency of diabetic foot risk of ulceration and associated factors in patients with type 2 diabetes mellitus. Methods and materials: We used a cross-sectional descriptive design. Data collection was performed in the foot at risk office at Maria Auxiliadora hospital over a period of 3 years, dating from the october 2016 to september 2019.Foot risk assessment was based on the International Working Group of Diabetic Foot (IWGDF) system, which evaluates peripheral neuropathy (with monofilament or tuning fork), biomechanical deformity, peripheral arterial disease (altered pulse or ankle branchial index) or a history of foot ulcer1,2. Foot risk frequency was found according to epidemiological characteristics, and the prevalence ratios with 95% confidence interval were calculated to association analysis, we perform bivariate and multivariate analysis using a generalized linear model. This study has the approval of the María Auxiliadora HospitaĹs Ethics Committee. Results: a total of 402 subjects were included in this study, 63.3% were women, average age 62 yo and diabetes duration <10 years in 56%. 76.6% presented risk to develop ulcer, of which 54.7% presented biomechanical deformation, 37.3% Peripheral Neuropathy (NP), 35.4% Peripheral Arterial Disease (PAD), and 12.7% history of foot ulcer. Patients with foot at risk were associated with older age (RP 1,006, 95% CI 1,001-1.01), and with a score> 5 with respect to <5 in the Total Symptom Score (RP 1.26, 95% CI 1.05-1.51). Conclusions: 3 of 4 patients have a foot at risk of ulceration, predominantly due to biomechanical deformation and peripheral neuropathy, and this risk was associated with older age and greater pain symptomatology.

Elaboração e validação de um álbum seriado para prevenção do pé diabético

Introducción: A través de las tecnologías educativas, se proporcionan conocimientos de una manera más interactiva para promover la salud en la comunidad, lo que contribuye a la construcción de conocimiento entre sus usuarios. Sin embargo, estas tecnologías no se han orientado a las personas con diabetes mellitus. Objetivo: Desarrollar y validar el contenido y el diseño de una guía didáctica sobre la prevención del pie diabético para su uso por parte de los profesionales de la Atención Primaria de Salud. Materiales y métodos: Se llevó a cabo un estudio metodológico a través de la recolección de datos entre agosto y septiembre de 2018 mediante el envío de instrumentos de evaluación y validación por correo electrónico a especialistas seleccionados en la plataforma Lattes. Para el análisis de los datos se utilizó el Índice de Validez del Contenido (IVC) con un valor mínimo establecido de 0.78. Resultados: Se contó con la participación de siete especialistas con experiencia en educación sanitaria, tecnologías educativas y/o diabetes mellitus. En cuanto a los objetivos, la estructura, la presentación y la pertinencia, todos los temas presentaron un IVC global de 0.96. Conclusiones: Los expertos consideraron que la guía didáctica era válida, además de ser una herramienta que ayudaría al profesional de la salud durante el examen de pie en personas con diabetes mellitus.

Appendectomy surgical technique and surgical site infection. Hospital María Auxiliadora. October – December 2018

Objective: To determine the incidence and factors associated with surgical site infection in patients who underwent an appendectomy in the General Surgery Unit of the Hospital Maria Auxiliadora from October to December 2018. Materials and methods: A cross-sectional comparative-case study was conducted in a historical cohort of patients who underwent an appendectomy during the study period. Data was obtained from medical records of patients who underwent surgery using three surgical techniques (transverse, transumbilical and laparoscopic appendectomy). Surgical site infection, clinical demographic characteristics and factors associated with the development of this complication were determined. Results: Twenty percent (20 %) of the patients who underwent an appendectomy presented surgical site infection, mostly those operated with the transverse surgical technique (56 %) (p = 0.03) and those with complicated appendicitis (54 %) (p < 0.001), who required a longer hospital stay of 4 days (IQR: 2-6) (p < 0.01). A multiple regression analysis showed an association between surgical technique (transumbilical and transverse appendectomy) and surgical site infection [IRR: 3.72; 95 % CI (1.58-8.75) and 2.63 95 % CI (1.27-5.44)] and development of complicated appendicitis [IRR: 5.56 95 % CI (2.32-13.35). Conclusions: Surgical site infection is a frequent complication of appendectomy and is associated with the surgical technique and complicated appendicitis.

Evaluation of healing in partial skin graft donor sites using a xenograft compared to a synthetic cellulose skin substitute

Objective: To evaluate healing in partial skin graft donor sites using a skin substitute compared to a xenograft in patients with different diseases requiring partial skin grafting. Materials and methods: This paper presents a report of 20 patients between 19 and 65 years from the Plastic Surgery Unit of the Hospital Maria Auxiliadora in Lima Metropolitan Area, Peru, between December 2017 and June 2018, where healing was evaluated in partial skin graft donor sites. An interventional, analytical, prospective and longitudinal study was conducted using a double-blind design to control possible biases. For the statistical significance analysis, nonparametric tests with a 95 % confidence interval were used. Results: Using a skin substitute, a better healing quality of donor sites of epithelialization was seen compared with xenografting. Both techniques were evaluated with the Vancouver scale, which considers five aspects (healing, vascularity, pigmentation, flexibility and height), out of which healing showed significant results (p<0.05). Estimation of the risk in the healing process according to the Cox proportional hazards model showed that H = 0.60 (95 % CI 0.46- 0.78), which indicates that the shortest healing time was found in the skin substitute group. Conclusions: Skin substitutes are an important alternative that favors the good quality of healing in donor sites. skin substitutes proved to be more effective than conventional xenografting when evaluated and compared using the Vancouver healing scale.

Da lágrima à resistência: o clamor ético das vítimas e a potência política do rosto exposto como imagem

The present article results from an attempt to approach and reflect on some concepts of the thought of Levinas, Butler and Barthes for a political view of images, especially those that expose faces and bodies victimized by violence. To do so, we focus on an ethical perspective of portraiture, considering the political power that revisits the suffering of the victims of the Brazilian civil-military dictatorship may spur us on. The documentary film Retratos de identificacao provides us with two mugshots of the faces of Chael Charles Schreier and Maria Auxiliadora Lara Barcelos, the Dora, two young victims of that exceptional regime. In electing these two photographic records, we exposed them to the reflection developed by the said philosophers, so that we could understand the political and ethical dimensions of the images of these two violated but inescapable faces.

Impacto del Modelo Textual Discursivo en la redacción de ensayos en los estudiantes de educación secundaria

El objetivo de este trabajo fue determinar el impacto del Modelo Textual Discursivo en la redacción de ensayos de los estudiantes de quinto grado de la I.E.S. María Auxiliadora de la ciudad de Puno. Para ello se ha tomado en cuenta un grupo control (sección “G”) y otro grupo experimental (sección “D”). En el grupo experimental se aplicó el Modelo Textual Discursivo a través de nueve sesiones. Cada sesión comprendió dos horas de teoría y dos horas de taller. Para alcanzar el objetivo de la investigación se ha utilizado la técnica de Diferencia en Diferencias. Se ha llegado a la conclusión de que la aplicación del Modelo Textual Discursivo tiene un impacto positivo en la redacción de ensayos. Los estudiantes que participaron en los talleres de la aplicación del Modelo Textual Discursivo mejoraron la producción de ensayos en un promedio de 5 puntos a diferencia de los estudiantes del grupo control.