Reconstruyendo 50 años del Colegio Colombiano de Terapia Ocupacional / Reconstructing 50 years of the Colegio Colombiano de Terapia Ocupacional / Reconstruindo 50 anos do Colegio Colombiano de Terapia Ocupacional

A través de una línea del tiempo se exponen hechos significativos en la historia del Colegio Colombiano de Terapia Ocupacional. Esta se elaboró como parte de un trabajo de grado en la Universidad Nacional de Colombia, el cual tuvo como objetivo revisar y reportar hallazgos en el archivo histórico del Colegio y de dicha Universidad. Se rastrearon y clasificaron documentos de archivo histórico y se recurrió a la validación con actores clave. La línea del tiempo expone una breve muestra de lo encontrado en ese proceso. Como reflexión del grupo de estudiantes, la agremiación es una herramienta social para la construcción colectiva y dinámica desde procesos democráticos y críticos.

Significant events are exposed through a timeline in the history of the Colegio Colombiano de Terapia Ocupacional. This was prepared as part of an undergraduate degree at the Universidad Nacional de Colombia, whose objective was reviewing and reporting findings in the historical archive of the College and of the university. Historical archival documents were tracked and classified, and validation was performed with key stakeholders. The timeline exposes a brief sample of what was found in this process. The reflection of the group of students is that professional organizations are a social tool for collective and dynamic construction from democratic and critical processes.

Através de uma linha do tempo, são expostos eventos significativos na história do Colegio Colombiano de Terapia Ocupacional. Este foi elaborado como parte de um projeto de graduação da Universidad Nacional de Colombia, cujo objetivo foi revisar e relatar descobertas no arquivo histórico do Colégio e da referida universidade. Documentos históricos de arquivo foram rastreados, bem como classificados, e a validação foi feita com atores chaves. A linha do tempo expõe um resumo do que foi encontrado nesse processo. Conforme refletido pelo grupo de estudantes, as associações profissionais são uma ferramenta social de construção coletiva e dinâmica, a partir de processos democráticos e críticos.

Acogida y proximidad como posibilidades de interrelación en teleterapia ocupacional: experiencia de práctica con niños y niñas del Jardín Infantil de la Universidad Nacional de Colombia / Reception and proximity as possibilities of interrelation in occupational teletherapy: experience from the practice with children in the Universidad Nacional de Colombia's kindergarten / Acolhimento e proximidade como possibilidades de inter-relação em teleterapia ocupacional: experiência de uma prática com crianças do Jardim de Infância da Universidade Nacional da Colômbia

Este artículo propone una reflexión a partir de las experiencias de un grupo de estudiantes de Terapia Ocupacional durante su práctica en el área de educación, en diálogo con las apuestas de la perspectiva ética de Lévinas y la construcción de horizontes de sentido en el campo educativo, que interpelan comprensiones de la educación como instrumento para el mero aprendizaje de habilidades y conceptos que se instalan en los sujetos. La práctica se realizó con dos grupos de niños y niñas del Jardín Infantil de la Universidad Nacional de Colombia durante el primer semestre del 2021, en la modalidad de teleterapia ocupacional. Se enfatiza en el proceso de constitución de espacios de aprendizaje y reflexión sobre el actuar profesional en la escuela, en tiempos de distanciamiento social por la pandemia de COVID-19, y de otras formas para construir relaciones basadas en la proximidad y la acogida en teleterapia.

This article proposes a reflection based on the experiences of a group of Occupational Therapy students in their education area practice, in dialogue with the ethical perspective of Lévinas and the construction of horizons of meaning in the educational field, who ques- tion the understanding of education as a tool for the sole learning of skills and concepts installed in individuals. The practice was carried out with two groups of children in the Universidad Nacional de Colombia's kindergarten during the first semester of 2021 in the occupational teletherapy modality. Emphasis is placed on the process of creating spaces for learning and reflection on professional conducting at school, in times of social distan- cing due to the COVID-19 pandemic, and in other ways to build relationships based on proximity and embrace in teletherapy.

Este artigo propõe uma reflexão a partir das experiências de um grupo de estudantes de Terapia Ocupacional, durante sua prática na área da educação, em diálogo com a perspectiva ética de Lévinas e a construção de horizontes de sentido no campo educativo, que questionam as compreensões da educação como instrumento para a mera aprendizagem de habilidades e conceitos que se instalam nos sujeitos. A prática foi realizada com dois grupos de crianças do Jardim de Infância da Universidade Nacional da Colômbia, durante o primeiro semestre de 2021, na modalidade de teleterapia ocupacional. A ênfase é colocada no processo de constituição de espaços de aprendizagem e de reflexão sobre a atuação profissional na escola, em tempos de distanciamento social devido à pandemia de COVID-19, e de outras formas para construir relações baseadas na proximidade e no acolhimento em teleterapia.

[In-hospital complications of acute myocardial infarction. Incidence and timing of their occurrence]. / Complicaciones intrahospitalarias del infarto agudo de miocardio. Incidencia y momento de aparición.

Although ST-segment elevation myocardial infarction (STEMI) mortality decreased with the progress of reperfusion, the incidence of hospital complications has not changed. We aimed to describe the incidence of STEMI complications in the coronary unit, the timing of their occurrence and to identify their predisposing and protective factors. This is a prospective analysis of all consecutive patients with STEMI admitted to a coronary care unit of a third level reference hospital from September 2017 to March 2020. Of the 263 STEMI, 124 developed complications (47.2%), and the most frequent was heart failure. In the multivariate analysis, preadmission cardiac arrest (CA) (OR: 9.8; CI: 1.2-81.9; p = 0.03), left ventricular ejection fraction (Fey VI) < 40% (OR: 2.3 CI: 1.3-3.9; p = 0.004) and age > 68 years (OR: 2.2; CI: 1.2-4.0; p = 0.01) were predictors of complications. Successful reperfusion (OR: 0.2 CI: 0.005-0.7; p = 0.02) and the presentation of Killip and Kimball (KK) A (OR: 0.0002 CI: 0.00001-0.003; p = < 0.00001) were protective factors. Most complications occurred on the first day (88.7%) and in all but one patient within the first 48 hours. Acute complications of STEMI occurred very frequently and the most prevalent was heart failure. KKA and successful reperfusion are low risks predictors, while 6 out of 10 patients with Fey VI < 40%, Cardiac arrest before admission or age >68 years suffered an event. Almost all complications happened within the first 48 hours.

Aunque la mortalidad del infarto de miocardio con elevación del segmento ST (IAMCEST) ha disminuido con el progreso de la reperfusión, la incidencia de sus complicaciones no ha cambiado. El objetivo del estudio es conocer la incidencia de las complicaciones hospitalarias del IAMCEST, su cronología de aparición e identificar sus predictores. Se realizó un análisis prospectivo de todos los pacientes consecutivos con IAMCEST ingresados en una unidad coronaria de un Hospital público de la ciudad de Buenos Aires desde septiembre de 2017 a marzo de 2020. De 263 pacientes con IAMCEST, el 47.2% (124) presentó complicaciones siendo la insuficiencia cardíaca (IC) la más frecuente. El paro cardiaco previo al ingreso (PCR) (OR: 9.8; IC: 1.2-81.9; p = 0.03), la fracción de eyección del ventrículo izquierdo (Fey VI) < del 40% (OR: 2.3 IC: 1.3-3.9; p = 0.004) y la edad > de 68 años (OR: 2.2; IC: 1.2-4,0; p = 0.01) fueron sus predictores. La reperfusión exitosa (OR: 0.2 IC: 0.005-0.7; p = 0.02) y la presentación de Killip y Kimball (KK) A (OR: 0.0002 IC: 0.00001-0.003; p = < 0.00001) fueron factores protectores. El 88.7% (110) se complicó el primer día de internación y todos (con excepción de un solo paciente) dentro de las 48 horas. Las complicaciones post IAMCEST son muy frecuentes, suceden dentro de los primeros dos días de internación y la IC es la más prevalente. Detectamos un grupo con menor riesgo que podría tener una internación abreviada de solo 48 horas.

Complicaciones intrahospitalarias del infarto agudo de miocardio. Incidencia y momento de aparición / In-hospital complications of acute myocardial infarction. Incidence and timing of their occurrence

Resumen Aunque la mortalidad del infarto de miocardio con elevación del segmento ST (IAMCEST) ha disminuido con el progreso de la reperfusión, la incidencia de sus complicaciones no ha cambiado. El objetivo del estudio es conocer la incidencia de las complicaciones hospitalarias del IAMCEST, su cronología de aparición e identificar sus predictores. Se realizó un análisis prospectivo de todos los pacientes consecutivos con IAMCEST ingresados en una unidad coronaria de un Hospital público de la ciudad de Buenos Aires desde septiembre de 2017 a marzo de 2020. De 263 pacientes con IAMCEST, el 47.2% (124) presentó complicacio nes siendo la insuficiencia cardíaca (IC) la más frecuente. El paro cardiaco previo al ingreso (PCR) (OR: 9.8; IC: 1.2-81.9; p = 0.03), la fracción de eyección del ventrículo izquierdo (Fey VI) < del 40% (OR: 2.3 IC: 1.3-3.9; p = 0.004) y la edad > de 68 años (OR: 2.2; IC: 1.2-4,0; p = 0.01) fueron sus predictores. La reperfusión exitosa (OR: 0.2 IC: 0.005-0.7; p = 0.02) y la presentación de Killip y Kimball (KK) A (OR: 0.0002 IC: 0.00001-0.003; p = < 0.00001) fueron factores protectores. El 88.7% (110) se complicó el primer día de internación y todos (con excepción de un solo paciente) dentro de las 48 horas. Las complicaciones post IAMCEST son muy frecuentes, suceden dentro de los primeros dos días de internación y la IC es la más prevalente. Detectamos un grupo con menor riesgo que podría tener una internación abreviada de solo 48 horas.

Abstract Although ST-segment elevation myocardial infarction (STEMI) mortality decreased with the progress of reperfusion, the incidence of hospital complications has not changed. We aimed to describe the incidence of STEMI complications in the coronary unit, the timing of their occurrence and to identify their predis posing and protective factors. This is a prospective analysis of all consecutive patients with STEMI admitted to a coronary care unit of a third level reference hospital from September 2017 to March 2020. Of the 263 STEMI, 124 developed complications (47.2%), and the most frequent was heart failure. In the multivariate analysis, pre-admission cardiac arrest (CA) (OR: 9.8; CI: 1.2-81.9; p = 0.03), left ventricular ejection fraction (Fey VI) < 40% (OR: 2.3 CI: 1.3-3.9; p = 0.004) and age > 68 years (OR: 2.2; CI: 1.2-4.0; p = 0.01) were predictors of complica tions. Successful reperfusion (OR: 0.2 CI: 0.005-0.7; p = 0.02) and the presentation of Killip and Kimball (KK) A (OR: 0.0002 CI: 0.00001-0.003; p = < 0.00001) were protective factors. Most complications occurred on the first day (88.7%) and in all but one patient within the first 48 hours. Acute complications of STEMI occurred very frequently and the most prevalent was heart failure. KKA and successful reperfusion are low risks predictors, while 6 out of 10 patients with Fey VI < 40%, Cardiac arrest before admission or age >68 years suffered an event. Almost all complications happened within the first 48 hours.

[First report in Chile of a clinical isolate of Escherichia coli resistant to colistin harbouring the mcr-1 gene]. / Primera comunicación en Chile de la detección del gen mcr-1 en un aislado clínico de Escherichia coli resistente a colistín.

Recently it was described the plasmidial gene mcr-1 associated with colistin resistance. We screened by PCR and sequencing for gene mcr-1 in thirteen clinical isolates resistant to colistin. We observed amplification in one E. coli. To our knowledge, this is the first report of the presence of mcr-1 gene in Chile.

Primera comunicación en Chile de la detección del gen mcr-1 en un aislado clínico de Escherichia coli resistente a colistín / First report in Chile of a clinical isolate of Escherichia coli resistant to colistin harbouring the mcr-1 gene

Recently it was described the plasmidial gene mcr-1 associated with colistin resistance. We screened by PCR and sequencing for gene mcr-1 in thirteen clinical isolates resistant to colistin. We observed amplification in one E. coli. To our knowledge, this is the first report of the presence of mcr-1 gene in Chile.

"I have chosen to live life abundantly": perceptions of leisure by adults who use augmentative and alternative communication.

An online focus group was used to investigate perceptions of eight adults with cerebral palsy who used AAC systems about their recreation activities and leisure experiences. Six themes emerged from discussions on benefits of leisure and community recreation: improved physical health, enjoyment, improved mental health, increased independence, enhanced social connections, and education of society. Nine barriers to leisure participation were identified including: personal, social, communication, technology, financial, accessibility, safety, transportation, and personal care attendants. Despite numerous barriers to leisure, participants described six supports that helped them overcome these barriers: personal, social, family, personal care attendants, AAC devices, and other assistive technologies. Participants provided recommendations for other individuals who use AAC, their families, and service providers.