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

The Secretariat of Government was created in 1974, originated in politics and historical necessities. The President, General Juan Domingo Perón, created this Secretary of State, one of a kind, providing it of functions that allowed to its holder, Colonel Vicente Damasco, carry out two main great political decisions of the President Perón´s government: Pacify the Nation, promoting dialogue at the highest level of the politicians, its main political parties, all the youth branches, the Armed Forces, the Catholic Church, facilitating the mutual understanding and concord, so necessary in that 70´s decade; the other main decision was the makin up of structural state reforms that Perón planned for the Argentinian State, ruled by ancient and obsolete nineteenth-century institutions, and converted in a modern and efficient state.  We will compare its differences and similitudes with the Chief of Cabinet created in the constitutional reform of 1994.

The present reflections deal, from a peculiar point of view and without the crusade nuances, with one of the most controversial and ancient themes throughout the history of legal sciences in their relation to the practice of medicine: medical liability. This topic has experienced special concern in contemporary society due to the progressive judicialization of medicine. The greatest concern is generated by medical liability in the field of criminal law. There is a growing academic debate on this subject and it is inevitable that various opinions will emerge on medical negligence. The article systematizes, from a doctrinal, exegetical and comparative study, some of its main theoretical foundations. We refer to the assumptions of legal responsibility, the concept of medical malpractice, the different positions regarding its incrimination, as well as the relevance of the classification of imprudence in the analysis of medical malpractice.

The purpose of this article is the conceptual analysis of the so-called financial and stock markets as consumer markets, mainly in light of the analysis of the concepts of relationship of consumption, suppliers, consumers and users. Working on the issue of doubling the debt of the financial user by virtue of the payment of debts as a personal guarantee of financial operations and consumer credit in the case of financial markets, and the characterization of the financial consumer in the case of financial markets. securities or stock markets. Said analysis is carried out encompassing the study of current regulations, such as existing doctrine and recent jurisprudence in this regard.

Aristóbulo del Valle was born in the city of Dolores, Province of Buenos Aires, on March 15, 1845. He was a prominent lawyer in Buenos Aires city, and since his youth he accompanied Adolfo Alsina in the “Partido Autonomista”. He registered as a volunteer soldier and therefore participated in the war against the Republic of Paraguay. He was deputy and minister of the Province of Buenos Aires, where he was also a candidate for governor. He also served as Senator of the Nation for various periods of time. He participated in the “Revolución del Parque” in 1890, and was a great professor of Constitutional Law at the University of Buenos Aires.

The aim of this article is to introduce the concept of sustainability, its relationship with the importance of environmental regulation as an instrument for achieving sustainable development. To present the issue of environmental justice that tends to fair treatment and the effective participation of all people towards the effective exercise of the human right to a healthy environment and the equitable distribution of environmental resources. Highlighting the value of networks for the recognition of the concept and its political and legal development.

Objetivo: Determinar la relación entre las características sociodemográficas y el nivel kinesiofobia en los pacientes adultos mayores con lumbalgia crónica inespecífica de Cañete, Lima - Perú 2019. Método: enfoque cuantitativo, tipo analítico, diseño de corte transversal. La muestra fue de 210 adultos mayores con dolor lumbar crónico inespecífico. Se realizó la medición del nivel de kinesiofobia a través del Cuestionario de Escala de Tampa para Kinesofobia. Resultados: De acuerdo a las características sociodemográficas: sexo 64.8% mujeres, 35.2% hombres, edad: 71.35 ± 6.21 años; 47.6% corresponden a sujetos de 65 a 70 años, 27.6% a sujetos de 71 a 75 años y 24.8% de 76 a 80 años, según su ocupación: 65.2% tienen el perfil sedentario y 34.8% realizan alguna actividad física; respecto al nivel de kinesiofobia: 73.3% se ubicó en nivel alto y 26.7 bajo. El análisis bivariado para asociar el nivel de kinesiofobia y el sexo según la prueba de chi cuadrado el p-valor es > 0.05. Para el nivel de kinesiofobia y la edad el p-valor de la prueba es <0,05.  Finalmente, el nivel de kinesiofobia y la ocupación se obtuvo un p-valor >0,05; en el análisis multivariado de padecer kinesiofobia alta se encontraron asociados tanto el grupo etario de 76 a 80 años el cual tiene un Odds Ratio (OR) ajustado de 2,99 (p< 0.05) y la ocupación de tipo sedentaria, la cual tiene un OR ajustado de 0,47 (p<0.05), además no se encontró asociación estadística entre el sexo y la kinesiofobia al realizar el análisis multivariado ajustándose a la edad y ocupación (p>0.05). Conclusiones: Se encontró relación entre el nivel de kinesiofobia con la edad y ocupación; sin embargo, no se halló relación estadísticamente significativa entre kinesiofobia y el sexo.Objective: To determine the relationship between sociodemographic characteristics and the level of kinesiophobia in elderly patients with non-specific chronic low back pain in Cañete, Lima - Peru 2019. Method: quantitative approach, analytical type, cross-sectional design. The sample was 210 older adults with nonspecific chronic low back pain. The level of kinesiophobia was measured through the Tampa Scale Questionnaire for Kinesophobia. Results: According to the sociodemographic characteristics: sex 64.8% women, 35.2% men, age: 71.35 ± 6.21; 47.6% correspond to subjects from 65 to 70 years, 27.6% to subjects from 71 to 75 years and 24.8% from 76 to 80 years, according to their occupation: 65.2% have a sedentary profile and 34.8% perform some physical activity; regarding the level of kinesiophobia: 73.3% was high and 26.7 low. The bivariate analysis to associate the level of kinesiophobia and sex according to the chi-square test, the p-value is> 0.05. For the level of kinesiophobia and age, the p-value of the test is <0.05. Finally, the level of kinesiophobia and occupation obtained a p-value> 0.05; In the multivariate analysis of suffering from high kinesiophobia, both the age group of 76 to 80 years old were found, which has an adjusted Odds Ratio (OR) of 2.99 (p <0.05) and the sedentary type occupation, which has an adjusted OR of 0.47 (p <0.05), also no statistical association was found between sex and kinesiophobia when performing the multivariate analysis adjusting to age and occupation (p> 0.05). Conclusions: A relationship was found between the level of kinesiophobia with age and occupation; however, no statistically significant relationship was found between kinesiophobia and sex.

El análisis del discurso como técnica teórico-metodológica centra las diversas formas en que el lenguaje es utilizado según contexto de la situación comunicativa. Permite la comprensión, circunstancias y actitudes expresadas ante una condición particular. La mujer con dolor crónico, manifiesta una expresión discursiva de sí misma ante continuos esfuerzos adaptativos. Objetivo: conocer la expresión lingüística de la mujer con dolor crónico osteomuscular que acude a consulta del Hospital Universitario de Los Andes, 2017. Método: Enfoque mixto, tipo descriptivo, diseño no experimental de campo. Se realizó una entrevista estructurada a 30 mujeres con dolor crónico osteomuscular en edad productiva para un estudio cuantitativo y cualitativo, analítico del discurso según “Teoría de la Valoración” con orientación funcional y semántica. Resultados: Predominio de los componentes: Entorno – Familia: falta de apoyo (70%) y baja dependencia (80%). Entorno – trabajo: Trato indiferente (70%), falta de apoyo (90%) y bajo rendimiento (70%). Percepción de sí misma: Frustración (80%), baja autoestima (70%) y tristeza (80%). Limitaciones en el trabajo: Poca concentración (60%) y lentitud (70%). Conclusión: Mostró análisis del discurso de las pacientes con dolor crónico osteomuscular en el dominio semántico para el entorno familiar, percepción de sí misma y limitaciones laborales, con uso de recursos lingüísticos evaluativos de actitud, con predominancia de afectos negativos para la percepción laboral y de sí misma y positiva para con el componente familiar. Recomendaciones: Diseñar estrategias por parte del equipo de salud que permitan conseguir una valoración de actitud positiva del entorno familiar, laboral y con percepción de apoyo.The discourse analysis as a theoretical-methodological technique focuses on the different ways in which language is used according to the context of the communicative situation. It allows the understanding, circumstances and attitudes expressed before a particular condition. The woman with chronic pain manifests a discursive expression of herself in the face of continuous adaptive efforts. The proposed objective is to know the linguistic expression of women with chronic musculoskeletal pain that comes to Los Andes University Hospital in 2017. Method: A structured interview was conducted with 30 women with chronic musculoskeletal pain in productive age for a quantitative and qualitative study, analytical discourse according to "Theory of Valuation" with functional and semantic orientation. Results: Prevalence of the components: Environment - Family: lack of support (70%) and low dependence (80%) Environment - work: Indifferent treatment (70%), lack of support (90%) and poor performance (70%) Perception of herself: Frustration (80%), low self-esteem (70%) and sadness (80%) Limitations at work: Little concentration (60%) and slowness (70%). Conclusion: This research showed in an analysis of the discourse of patients with chronic osteomuscular pain in the semantic domain for the family environment, self-perception and work limitations, with the use of linguistic resources evaluating attitude, with a predominance of negative affections for work and self-perception and positive towards the family component. Recommendations: Design strategies by the health team that allow obtaining a positive attitude assessment of the family, work environment and with perception of support.

La epilepsia es una condición médica frecuente en personas adultas, es provocada por el aumento de la actividad eléctrica de las neuronas en determinadas zonas del cerebro. La vitamina C pudiera representar un tratamiento complementario al farmacológico. Por tanto, se planteó determinar la relación entre consumo de vitamina C y frecuencia de convulsiones en pacientes epilépticos, servicio de Neurología, Instituto Autónomo Hospital Universitario de Los Andes (IAHULA), Mérida, Venezuela. Se realizó un estudio analítico, exposfacto y transversal. La población estuvo representada por la totalidad de pacientes que asistieron al Servicio de Neurología del IAHULA, entre el 27 de junio y el 30 de agosto de 2019. Muestreo no Probabilístico supeditado a criterios de inclusión y participación voluntaria. Muestra conformada por 45 pacientes. Se empleó la técnica de la encuesta y formulario de encuesta validado como instrumento. Los datos fueron analizados por frecuencias, estadísticos descriptivos de tendencia central y la prueba t de Student (p<0,05) y Odds Ratio. Se determinó alta frecuencia de crisis epilépticas en los pacientes estudiados en especial en mujeres con edades menores de 40 años. El consumo de vitamina C fue en promedio de 148,27±78,81 mg sin suplemento y 206,48±50,67mg con suplemento, el consumo fue menor al recomendado para la epilepsia. Se observaron diferencias estadísticas p≤0,05 entre consumo de vitamina C por debajo de 1500 mg y convulsiones en el último mes. La ingesta de vitamina C a través de la dieta puede usarse como tratamiento complementario al tratamiento farmacológico que ayudaría a reducir los daños ocasionados por el estrés oxidativo derivado de los fármacos y por la convulsión misma.Epilepsy is a frequent medical condition in adults and is produced by abnormal electrical activity of neurons in certain areas of the brain. A diet rich in vitamin C seems to have a positive effect on this disease. Therefore, it was proposed to determine the relationship between vitamin C consumption and seizure frequency in epileptic patients, Neurology Service, I.A.H.U.L.A Mérida -Venezuela. An analytical, exposfacto and transversal study was carried out. The population was represented by all the patients who attended the IAHULA Neurology Service, between June 27 and August 30, 2019. Non-probability sampling subject to inclusion criteria and voluntary participation. Sample made up of 45 patients. The survey technique and validated survey form was used as an instrument. The data were analyzed by frequencies, descriptive statistics of central tendency and Student's "t" (p <0.05) and Odds Ratio. High frequency of epileptic seizures in the patients studied, especially in women under 40 years of age. The consumption of vitamin C was on average 148.27 ± 78.81 mg without supplement and 206.48 ± 50.67mg with supplement, the consumption was less than that recommended for epilepsy. Statistical differences p≤0.05 were observed between vitamin C consumption below 1500 mg and seizures in the last month. The intake of vitamin C through diet can be used as a complementary treatment to pharmacological treatment that would help reduce the damage caused by oxidative stress derived from the drugs and by the seizure itself.

Las proteínas como la creatinina en orina presentan una eliminación variable a lo largo del día fáciles de dosar en cualquier momento; en cambio la depuración de creatinina de 24 horas como método de cuantificación de la función renal presenta una dificultad en la recolección de la muestra, por esta dificultad esta propuesta de cociente proteína creatinina (P/C) en orina como herramienta diagnóstica. Objetivo: Determinar la correlación entre Depuración de Creatinina y cociente proteína creatinina en pacientes con Enfermedad Renal, establecimiento de salud Nuevo Chimbote, Perú, 2018. Metodología: enfoque cuantitativo, tipo correlacional, diseño no experimental, prospectivo, se aplicó a una muestra de 55 pacientes con determinaciones analíticas del Servicio de Nefrología. Valoración de la correlación entre Depuración de Creatinina y cociente proteína creatinina mediante el Coeficiente de Correlación de Spearman. Resultados: mujeres 47,27% y varones 52,73%, la edad se distribuyó 3,6% tienen menos de 40 años, 10,9% entre 40 y 60 años, 85,5% mayor a 60 años; en diagnóstico 16.4% presentó Diabetes Mellitus (DM), 72,7% Hipertensión Arterial (HTA) y 10,9% DM+HTA;  entre Depuración de Creatinina y cociente proteína creatinina (P/C) se obtuvo correlación positiva fuerte y estadísticamente significativa (rho=0,707; p<0,019) Conclusión: El cociente proteína creatinina  presenta una buena correlación con los  valores de Depuración de Creatinina para determinar la tasa de filtración glomerular en pacientes con enfermedad renal.Proteins such as urine creatinine have a variable elimination throughout the day that is easy to dose at any time; On the other hand, the 24-hour creatinine clearance as a method of quantification of renal function presents a difficulty in the collection of the sample, due to this difficulty this proposal of urine protein creatinine ratio (P / C) as a diagnostic tool. Objective: to evaluate the correlation between Creatinine clearance and creatinine protein ratio in patients with Renal Disease, comparing samples collected consecutively in patients of the Nuevo Chimbote health facility, Peru, 2018. Methodology: quantitative approach, correlational type, prospective design, was applied to a sample of 55 patients with analytical determinations of the Nephrology Department. Assessment of the correlation between Creatinine clearance and creatinine protein ratio using the Spearman Correlation Coefficient. Results: women 47.27% and men 52.73%, the age was distributed 3.6% are less than 40 years old, 10.9% between 40 and 60 years old, 85.5% older than 60 years old; in diagnosis 16.4% presented Diabetes Mellitus (DM), 72.7% Arterial Hypertension (AHT) and 10.9% DM + HTN; between Creatinine Clearance and a statistically significant creatinine protein ratio (P/C) (r=0,707; p<0.019) Conclusion: The creatinine protein ratio has a good correlation with Creatinine Clearance values to determine the rate of glomerular filtration in patients with kidney disease.