Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

The participation of Social Work in the area of Social Rehabilitation, is characterized by being based on the implementation of intervention models, which are conceived as methodological archetypes for the respective observation, monitoring and social intervention with users in this case are persons deprived of liberty called PPL, so the compensation of this research construct aims to: Determine the models of intervention that runs the Social Worker in the Social Rehabilitation Centers of the Province of Manabi developed in:  Center of Deprivation of Liberty for Female Adults Manabí N°1 called "Tomás Larrea", Center of Social Rehabilitation N°2 of Manabí called "Jipijapa", Center of Deprivation of Liberty for Male Adults Bahía de Caráquez of Manabí N°3 and the Center of Social Rehabilitation for Male Adults N°4 "El Rodeo". The present investigation was directed from the qualitative approach, where the technique of the in-depth interview directed to the Social Workers of the Penitentiary System of Manabí was used; from this study, therefore, it can be highlighted that the task of the Social Worker inside the Centers of Social Rehabilitation sustains its activity from the application of the diverse methods of social intervention. Keywords: Models of social intervention, Social Rehabilitation, Social Work, Penitentiary System.

Objective. Report a case of opsoclonus-myoclonus-ataxic syndrome or Kirnsbourne syndrome, due to its infrequent presentation, with an estimated incidence of around 1/5 000 000, 50 % or more of paraneoplastic etiology and a very limited number not described in the literature on idiopathic etiology, in addition to the fact that 70 to 80 % of patients suffering from said syndrome present subsequent neurological sequelae. Clinical case summary. We present the case of a 7-year-old girl with ataxia, myoclonus and opsoclonus of idiopathic origin, who received treatment with pulsed methylprednisolone and immunoglobulin, followed by the use of oral corticosteroids for the following months. Finally, she presented an almost complete recovery two months after starting the treatment. Conclusions. Opsoclono-myoclono-ataxic syndrome is a rare neurological disorder in pediatrics in which the presence of associated tumors must first be ruled out, among them the most important neuroblastoma and take into account that although it can be limited to only 4 months of time of disease, the mainstay of its treatment is the use of high doses of corticosteroids to prevent it from worsening as well as the appearance of possible neurological sequelae in the future.

Cholesteatoma is a soft-looking, compressible mass mainly associated with hypoacusis. Its diagnosis is made by otoscopy, but if the physical examination is not conclusive, radiological studies should be performed. Its presentation is infrequent; thus, the incidence of acquired cholesteatoma per year in Colombia is 3/100000 children and 9.2/100000 adults. It is important in the evaluations that each health personnel can recognize it and refer it, allowing early surgical intervention to avoid invasive clinical pictures that can increase the possibility of complications. Our objective was to describe the importance of cholesteatoma with its clinical implications in different patients with auditory pathology, which allows to understand the importance of timely diagnosis. A literature search was performed in PubMed and Scielo databases, oriented towards updated and relevant articles in English and Spanish, published in the last 5 years.  The relationship between hypoacusis  and cholesteatoma, its medical importance, implications and therapeutic approach were analyzed. Different studies show the presence of cholesteatoma and unilateral hypoacusis, in some cases the clinical presentation is associated to syndromic pathologies. In this pathology the treatment is surgical, with a previous evaluation that establishes the type of intervention, additionally, the post-surgical follow-up is mandatory in all patients. In conclusion, cholesteatoma is a cause of hypoacusis, especially in the pediatric population, which must be diagnosed in a timely manner in order to allow a specialized assessment that ffers a surgical treatment according to the anatomical compromise and individualization of the patient.

Objective. To determine the level of influence of creativity and resilience inthe polychronicity of nurses who work in emergency areas in public and private hospitals in Santo Domingo de los Colorados, Ecuador. Methods. The study was quantitative, of correlational scope and cross-sectional design. The study population consisted of health professionals in the nursing area of public hospitals and the sample consisted of 411 nurses. A survey with 15 questions was used for data collection and the statistical tests were developed through exploratory factor analysis (EFA), confrmatory factor analysis (CFA) and structuralequation modeling (SEM); developed through SPSS 21 and AMOS 24. Results. Statistical analyses identifed that creativity has a significant influence on the polychromicity of nurses, while resilience has a moderate influence. Conclusions. It is concluded that the ability to develop several activities at the same time or polychronicity, within the work activities in emergency areas, isconditioned by the level of creativity that these health professionals have. In turn, being continuously cared for by patients with severe disease or life-threatening illnesses has led nurses to become resilient in these situations; however, this does not condition their levels of creativity.

Objective: To determine the association between new attitudes and clinical behaviors about Covid-19 with the demographic characteristics of dentists in Lima. Material and Methods: An observational, analytical cross-sectional investigation was carried out with a sample of 206 dentists residing in Lima. The new attitudes and behaviors were evaluated using the instrument validated by DURUK et al. In addition, other variables such as gender, age, main institution and specialty were recorded. To determine the association of the qualitative variables, the Chi-Square test was used, proposing a level of significance of p<0.05. Results: Most of the dentists surveyed were from the age group between 30 to 59 years old, male and belonging to private clinics. A large group of respondents used at least some preventive measures in their patients and obtained information through websites of official entities. Statistically significant associations were found between dentists' new attitudes and behaviors and their demographic characteristics. A relationship was found between gender with the use of frequent ventilation in closed environments (p=0.015) and with changes in patient admission (p=0.001). Likewise, a relationship was established between the main labor institution with the evasion of procedures with aerosol exposure (p=0.044) and changes in the admission of patients (p=0.001). Conclusions: It was concluded that there is a statistically significant association between the new attitudes and behaviors with the demographic characteristics of dentists in Lima.

 Objective. To describe the frequency of BCR-ABL1, E2A-PBX1, MLL-AF4, andTEL-AML1 fusion genes in patients with B-cell acute lymphoblastic leukemia atthe Instituto Nacional de Salud del Niño of San Borja, Lima (Peru). Methods. We studied 375 samples from pediatric patients diagnosed with B-cell acutelymphoblastic leukemia, received at the Genetics Service, in which BCR-ABL1, E2A-PBX1, MLL-AF4, and TEL-AML1 fusion genes were detected in bone marrow or peripheral blood, using reverse transcriptase polymerase chain reaction (RTPCR). Results. Of the total samples, 58 were positive for BCR-ABL1, E2A-PBX1,MLL-AF4, and TEL-AML1 fusion genes, which had the following frequencies:2.13%, 4.53%, 0.53%, and 8.27%, respectively. Conclusions. The TEL-AML1 fusion gene is the most frequent in our pediatric population, which is associated with a favorable prognosis.

Introduction. Usher syndrome is a common genetic cause of visual and auditory disturbances, characterized by hearing loss, retinitis pigmentosa and vestibular arreflexia. Is observed in 50% in patients under 65 years of age. Its diagnostic suspicion is mainly clinical since neuroimaging does not show obvious manifestations and confirmation is made by studying a genetic panel. Early (neonatal) assessment is crucial allowing timely detection. Objetive. Describe the importance of Usher syndrome and its clinical implications in different patients with auditory and visual disorders, prioritizing diagnosis, approach and treatment. Methods. A search of the literature was carried out in the PubMed and Scielo databases oriented towards updated and relevant articles in English or Spanish published in the last 5 years. The relationship between Usher syndrome as a cause of visual and auditory alterations was evaluated, allowing to describe its importance, diagnosis and treatment. Results. Different studies show the direct relationship between Usher syndrome and visual and hearing loss associated with multiple genetic malformations. The treatment is focused on rehabilitation therapy allowing the individual to adapt to the environment and reduce other associated comorbidities. Genetic studies should continue allowing effective treatment of this pathology. Conclusions. Usher syndrome is an important cause of visual and auditory dysfunction, studies are currently continuing in search of an effective treatment, however it is important to make a timely diagnosis through suspicion, diagnosis and approach, allowing its progression to be reduced.

Es emergente orientar la práctica clínica hacia una nueva salud mental basada en la alimentación para la mejora de los tratamientos combinados, desterrando paradigmas pretéritos y viciados como la medicalización o la psicologización del padecimiento mental. La psiquiatría nutricional es una nueva visión de los trastornos mentales y la salud mental, que involucra a profesionales del área como psiquiatras, psicólogos clínicos, enfermeros psiquiátricos, nutriólogos de pacientes psiquiátricos, psiquiatría en atención primaria, internistas, entre otros.

Cerebral arteriovenous malformations are an infrequent pathology, of which fistulous malformations are the least common. Surgical clinical management is not fully defined, so analyzing the efficacy of embolization in these patients is an important scientific contribution to society. A 28-year-old male patient with headache of 10/10 on the visual analog pain scale. Imaging studies were performed and showed intraparenchymal hemorrhage; computed tomography angiography revealed a ruptured cerebral arteriovenous malformation in the temporo-occipital region dependent on the middle cerebral artery; complex endovascular embolization was performed, with favorable results in his evolution. In conclusion, embolization as a treatment for hemorrhagic temporo-occipital arteriovenous malformation is a viable alternative in patients with stage IV on the Spetzler scale.

El propósito de esta carta es reflexionar sobre la importancia de la prevención e identificación oportuna de signos y síntomas de la enfermedad viral: dengue, gran desafío y reto para la salud pública del Perú.  Se conoce que el dengue es una enfermedad febril que puede desarrollarse desde lactantes, niños, gestantes y adultos.1 En muchas personas puede ser asintomática o presentarse con síntomas que cursan con fiebre, cefalea intensa, dolor retro ocular, dolores musculares y articulares, además de sarpullido. La infección puede progresar a fiebre, hemorragia severa e incluso hasta shock y acompañado de dificultad para respirar, sangrado severo y/o complicaciones internas de carácter grave y hasta producir la muerte, si no es controlada a tiempo.