LOS ALTISIMOS PDF

Hugo Correa's work now enjoys wide recognition, both national international, and is considered a milestone in the development of Chilean science fiction. In addition to his celebrated novel Los altisimos, his collection of short stories Los titeres has also attracted significant interest for the way in which it addresses the effects progress and industrialization on the era's subjectivity. The present work seeks to examine, on the one hand, how the classic motif of the double is revisited through the codes of science fiction and, on the other hand, the way in which puppets, lookalikes and doubles challenge alterity, revealing the confluence of literary techniques and the themes of psy-knowledge. This analysis will demonstrate that, while problematizing the relations of human beings with a technological future, the short stories of Los titeres like-wise exhibit the influence of psychological principles and psychopathological concepts through their plots and characters. Citas Totales. Instituciones Chile.

Author:Arashigis Kajiramar
Country:Japan
Language:English (Spanish)
Genre:Medical
Published (Last):7 May 2011
Pages:47
PDF File Size:19.37 Mb
ePub File Size:4.13 Mb
ISBN:271-1-82045-670-6
Downloads:10586
Price:Free* [*Free Regsitration Required]
Uploader:Grolabar



E-farmacos: Misoprostol cont. La droga debe venderse con receta, pero se consigue sin indicacion y a precios altisimos. Hay desconocimiento de los riesgos. El medicamento viene recubierto por una droga llamada misoprostol que es la que causa las contracciones y se vende bajo receta. Pero quienes pretenden darle ese uso inapropiado logran adquirirlo por unidad, aunque deben pagarlo mucho mas de lo que cuesta la caja. El uso ginecologico de esta droga no se conocia en la Argentina hasta hace unos tres o cuatro anhos, explicaron las doctoras Nilda Gamarra y Sandra Vazquez, cuando, ante un numero creciente de jovenes que llegaba al Argerich con metrorragias hemorragias uterinas el interrogatorio comenzo a revelar que habian usado esta sustancia para producir un aborto.

Pero no tenemos conocimiento sobre que pasa con las que no vemos. E ignoramos que consecuencias puede traer. Esto puede ocurrir porque quiza la hemorragia continua 15 dias o un mes y recien en ese momento la paciente viene a atenderse y resulta que sigue embarazada.

O, cuando llegan, el aborto esta incompleto y debe concluirse en el hospital por medio de un legrado evacuador comunmente llamado raspaje. Asi que otro objetivo de nuestro trabajo es determinar como las jovenes recibieron informacion acerca de su efecto.

Con esta droga ocurrio algo llamativo: se invirtio la circulacion del conocimiento, que habitualmente va desde el medico al paciente. Aqui, en cambio, se lo indico una amiga, una hermana o hasta la misma madre.

Este farmaco puede usarse como ovulo vaginal o tomarse por boca, pero un error habitual es la dosis utilizada, por falta de control medico. Esto no necesariamente redujo las complicaciones por abortos en los hospitales publicos, que aumentaron de La explicacion es que probablemente las jovenes regulan la fecundidad a traves del aborto.

Y esto preocupa mucho. Este incremento puede deberse al aumento de la pobreza y de las dificultades para hacer frente a la crianza de un nuevo hijo, pero tambien al hecho de que estos abortos se estarian realizando en condiciones mas riesgosas. La importante falta de informacion en las historias clinicas nos impide saber mas de estas mujeres para disenhar mejores politicas sobre el tema.

Muchas pacientes son mal miradas por el equipo de salud: para el medico no es facil enfrentarse con una mujer que pasa por esta situacion. Probablemente las mujeres acuden mas a los hospitales, cuando antes se usaban mas maniobras instrumentales o folkloricas. El doctor Enrique Berner, jefe del Servicio de Adolescencia del hospital Argerich, opina que el aumento de los egresos por aborto se explicaria por una mayor apertura y contencion del medico frente a estas pacientes.

Cedes , que recopila informacion entre ginecologos de 25 hospitales de Buenos Aires y el conurbano, el personal de salud tiene conciencia acerca del impacto del aborto como problema de salud publica, pero hay diferencias importantes respecto de la forma de encarar la anticoncepcion y el juicio de valor que merecen las mujeres que abortan.

Y no tenemos ninguna evidencia que nos permita conjeturar que este aumento se debe a un mejor registro de los egresos por esta causa. Para Sandra Vazquez, la ley puesta en marcha en la ciudad de Buenos Aires dio un gran respaldo a su tarea: "Ahora los medicos podemos indicar un metodo anticonceptivo a los adolescentes -explica-. Aca sabemos que retar y enojarse con los pacientes no sirve, porque se van y no vuelven mas".

Para Susana Checa, algo que los servicios deberian incluir a fin de disminuir las interrupciones de embarazos es la consejeria posaborto. Checa, que lleva muchos anhos investigando el tema, asegura que la mujer esta muy sola en su decision, pero que si al cabo de abortar no recibe suficiente informacion y contencion para aprender como evitarlo, el drama puede repetirse.

Y el fantasma de la muerte, cada vez que eso ocurra, estara al acecho. Esta questao do misoprostol esta sendo discutida aqui no municipio de Sao Paulo pela Secretaria Municipal de Saude. Este medicamento nao constava em nossa lista padronizada de medicamentos para o Municipio, entretanto, houve a solicitacao de um hospital municipal para inclusao do mesmo para casos de aborto retido.

Nos fizemos uma pesquisa para saber se os outros hospitais municipais que sao 15 tambem utilizavam misoprostol. Todos utilizam exceto os que nao tem maternidade: 2 hospitais , principalmente para aborto retido e inducao do parto. Cada hospital utiliza de uma determinada forma e dosagem. Desta forma fizemos um levantamento bibliografico sobre esta utilizacao.

Existem muitos trabalhos sobre este assunto, e por isso enviei e-mail para a rede a fim de saber se alguem teria mais informacoes a respeito. A Helena Lutescia que trabalhou um tempo com misoprostol aqui no Brasil, nao esta mais se dedicando a este assunto. Existe tambem o comprimido mcg via oral. Este medicamento esta sob controle de uma portaria da vigilancia sanitaria e so pode ser utilizado em hospitais.

Estamos organizando uma Oficina, em junho, com os hospitais municipais para discutir esta questao. METHODS: In a prospective controlled trial 90 nulliparous women who requested termination of pregnancy before 12 weeks' gestation were randomized to receive vaginally either misoprostol or gemeprost for cervical priming.

The force to dilate the cervix was measured by the use of a cervical tonometer connected to Hegar dilators from 3 to 10 mm. The main outcome measures were baseline cervical dilation; the peak force to dilate the cervix at 8, 9, and 10 mm; and the cumulative force to dilate the cervix to 10 mm. RESULTS: Baseline cervical dilation did not differ significantly between the women who received misoprostol and those who were treated with gemeprost.

Neither the peak force required to dilate the cervix at 8, 9, and 10 mm nor the cumulative force to dilate the cervix to 10 mm showed any significant difference between the two groups. OBJECTIVE: The purpose of this study was to evaluate the efficacy, side-effect profile, and follow-up rates in women who obtain a medical abortion in a nonresearch setting. Patients undergoing labor induction for intrauterine fetal demise or medically indicated pregnancy termination at weeks of gestation with a non-dilated cervix were evaluated.

Patients received microg misoprostol orally every 4 h. Women undelivered within 24 h were considered failures and were treated with high-dose oxytocin as previously described. For comparison, a group of women treated with high-dose oxytocin were evaluated. Additionally, a significantly greater percentage of women treated with misoprostol delivered within 24 h Adverse outcomes and side effects were not significantly different between the study groups.

Vaginal misoprostol for cervical ripening and induction of labour. It is inexpensive, easily stored at room temperature and has few systemic side effects. It is rapidly absorbed orally and vaginally. Although not registered for such use, misoprostol has been widely used for obstetric and gynaecological indications, such as induction of abortion and of labour.

This is one of a series of reviews of methods of cervical ripening and labour induction using standardised methodology. This involved a two-stage method of data extraction. The initial data extraction was done centrally, and incorporated into a series of primary reviews arranged by methods of induction of labour, following a standardised methodology. The data will be extracted from the primary reviews into a series of secondary reviews, arranged by category of woman.

To avoid duplication of data in the primary reviews, the labour induction methods have been listed in a specific order, from one to Each primary review includes comparisons between one of the methods from two to 25 with only those methods above it on the list.

Compared to placebo, misoprostol was associated with increased cervical ripening relative risk of unfavourable or unchanged cervix after 12 to 24 hours with misoprostol 0. It was also associated with reduced failure to achieve vaginal delivery within 24 hours relative risk RR 0. Uterine hyperstimulation, without fetal heart rate changes, was increased RR Compared with vaginal prostaglandin E2, intracervical prostaglandin E2 and oxytocin, vaginal misoprostol labour induction was associated with less epidural analgesia use, fewer failures to achieve vaginal delivery within 24 hours and more uterine hyperstimulation.

Compared with vaginal or intracervical prostaglandin E2, oxytocin augmentation was less common, with misoprostol and meconium-stained liquor more common. Compared with intracervical prostaglandin E2, unchanged or unfavourable cervix after 12 to 24 hours was less common with misoprostol. Lower doses of misoprostol compared to higher doses were associated with more need for oxytocin augmentation, less uterine hyperstimulation, with and without fetal heart rate changes, and a non-significant trend to fewer admissions to neonatal intensive care unit.

Use of a gel preparation of misoprostol versus tablet was associated with less hyperstimulation and more use of oxytocin and epidural analgesia. Information on women's views is conspicuously lacking. The apparent increase in uterine hyperstimulation is of concern.

Doses not exceeding 25 mcg four-hourly of concern. Doses not exceeding 25 mcg four-hourly appeared to have similar effectiveness and risk of uterine hyperstimulation to conventional labour inducing methods.

The studies reviewed were not large enough to exclude the possibility of rare but serious adverse events, particularly uterine rupture, which has been reported anecdotally following misoprostol use in women with and without previous caesarean section. The authors request information on cases of uterine rupture known to readers.

Further research is needed to establish the ideal route of administration and dosage, and safety. Professional and governmental bodies should agree guidelines for the use of misoprostol, based on the best available evidence and local circumstances.

Moda, Atifet s N. A variety of medical abortion methods have been introduced during the last decade in addition to existing surgical methods.

In this review we systematically searched for and combined all evidence from randomised controlled trials comparing surgical with medical abortion.

There were no language preferences in searching. Reference lists of retrieved papers were searched. Results are sometimes based on one trial only. Prostaglandins vs vacuum aspiration: the rate of abortions not completed with the intended method was statistically significant higher in the prostaglandin group 2.

Duration of bleeding was longer in the medical abortion groups compared to vacuum aspiration. There was only one major complication uterine perforation in one trial in the surgical group.

There was no difference between the groups for ongoing pregnancies at the time of follow-up or pelvic infections. No data on acceptability, side effects or women's satisfaction with the procedure were available for inclusion in the review.

Prostaglandins used alone seems to be less effective and more painful compared to surgical first-trimester abortion. However, there is inadequate evidence to comment on the acceptability and side effects of medical compared to surgical first-trimester abortions. There is a need for trials to address the efficacy of currently used methods and women's preferences more reliably. Bartley J, Baird DT. OBJECTIVE: To compare the effectiveness of gemeprost and misoprostol as prostaglandins used in combination with mifepristone for induction of mid-trimester termination.

METHODS: Each woman received mg mifepristone and hours later either 1 mg gemeprost vaginal pessary every 6 hours for 18 hours or 4 x microg misoprostol tablets vaginally followed by 2 x microg misoprostol tablets orally every 3 hours for 12 hours. Success was defined as the percentage of women aborted within 24 hours of the first administration of prostaglandin.

Bygdeman M, Danielsson KG. More recently, new medical methods have been developed which for many women are attractive alternatives to the surgical procedure. The compounds mainly used are prostaglandin analogues, methotrexate, and mifepristone in combination with a suitable prostaglandin analogue.

MARX PARA PRINCIPIANTES RIUS PDF

LOS ALTISIMOS HUGO CORREA PDF

E-farmacos: Misoprostol cont. La droga debe venderse con receta, pero se consigue sin indicacion y a precios altisimos. Hay desconocimiento de los riesgos. El medicamento viene recubierto por una droga llamada misoprostol que es la que causa las contracciones y se vende bajo receta. Pero quienes pretenden darle ese uso inapropiado logran adquirirlo por unidad, aunque deben pagarlo mucho mas de lo que cuesta la caja.

CONTRASTING MECHANISMS DEFENSE AGAINST BIOTROPHIC NECROTROPHIC PATHOGENS PDF

Literatura de Ciencia Ficción en Chile

Map view. Design nape buzz, side buzz design. Kid's Haircut under 12yrs old, booster needed. Chase The Truth 2.

ARABELLA GEORGETTE HEYER PDF

Los Altisimos

Los ojos del diablo. Donde acecha la serpiente. El que merodea en la lluvia. El nido de las furias, La corriente sumergida: novela. Alguien mora en el viento. L'An deux mille quatre cent quarante : tome premier.

DIAMELA ELTIT EL CUARTO MUNDO PDF

Los Altisimos

.

Related Articles