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

Objective: To describe the 20-year experience of a high-complexity clinic in southwestern Colombia regarding the percutaneous and laparoscopic management of post-kidney transplant lymphocele (PKTL). Methods: We conducted a retrospective, descriptive, and observational study to identify patients diagnosed with lymphocele through the kidney transplant program database. Demographic and clinical data were collected, including comorbidities, risk factors for lymphocele development, and treatment outcomes. Inclusion criteria included patients aged ≥18 years with a diagnosis of lymphocele following kidney transplantation and with complete medical records available. Data were compiled using Excel and analyzed with Stata 14.0®. Results: We included 31 patients with post-kidney transplant lymphocele between 2000 and 2020. Of these, 19 were male and 12 female; the median age was 46 years, and the median body mass index was 22.7 kg/m². The most common comorbidities were hypertension and type 2 diabetes mellitus. The median time to initial diagnosis was 41 days, and the median lymphocele volume was 240 mL. Recurrence following percutaneous treatment occurred in 77 % of cases, while no recurrence was observed in patients who underwent laparoscopic marsupialization. Conclusions: PKTL is a common complication occurring within the first 45 days post-transplantation. Although percutaneous management is linked to a high recurrence rate, it may be utilized as a first-line treatment. In cases of treatment failure, the laparoscopic approach should be regarded as the standard of care due to its favorable outcomes.

Clinical case description: A 6-year-old girl was admitted to the hospital with diffuse abdominal pain and discomfort when urinating. She was diagnosed with gastroenteritis and a urinary tract infection. Urine examination subsequently showed traces of protein, some pyocytes, and Decoy cells, characteristic of a polyomavirus infection. The diagnosis was confirmed by plasma PCR and immunostaining of capsid antigens in urine cells. Relevance: Polyomavirus infection in children goes unnoticed unless the urinary sediment is searched for infected cells. The viruses remain largely inactive until adulthood, where they can reactivate in immunosuppressed individuals. Clinical implications: In children with fever, abdominal pain, or increased nasopharyngeal secretion, it is important to always perform a urine sediment examination for decoy cells; otherwise, primary polyomavirus infections would go undetected. Conclusions: To our knowledge, only two cases of primary infection in children have been reported so far, and this is the second. Urine testing is essential to detect the presence of decoy cells.

Femicides in Puerto Rico have become an increasingly alarming issue in the post-COVID context, exposing deep social, legal, and geographic vulnerabilities. This article explores how Geographic Intelligence (GI) can be employed as a strategic tool to mitigate gender-based violence by incorporating spatial analysis into crime prevention and public policy. Drawing from data compiled between 2020 and 2025, the study identifies recurring spatial patterns and regional disparities in femicide cases across the island, with significant concentrations in urban areas such as the San Juan-Bayamón Consolidated Statistical Area. The article critiques the governmental response and highlights the limitations in data collection and georeferencing practices, which hinder effective interventions. It also frames the issue within a broader Caribbean context, comparing Puerto Rico’s femicide rates to neighboring countries and discussing how conservative and neoliberal governance contributes to the erosion of gender equity. The theoretical framework integrates feminist, intersectional, and environmental criminology perspectives, including Canter’s Circle Theory and risk terrain modeling. The findings advocate for a shift toward community-centered, regionally tailored interventions and emphasize the urgency of including geographic intelligence in both academic discourse and institutional policymaking. Ultimately, the article positions GI not merely as a mapping technique but as a critical lens through which to understand, predict, and prevent femicides in complex social terrains.

Religion involves adherence to a tradition with established doctrines and practices, while spiritualityfocuses on the personal search for meaning and connection. This article presents empirical data thatvalidate the importance of the expression of spirituality (through diverse religions and non-religious forms)for most people. The exercise of a theoretically supported practice, consistent with the values of theprofession, free of stereotypes, ethical and inclusive must recognize the spiritual dimension and religiousbeliefs of the people who receive our services. The patriarchal, hegemonic, androcentric and misogynisticcharacter of some religious-ecclesial structures hinders the consideration of the plural and contextualhistorical realities of women when it comes to their spirituality. Consideration of biopsychosocial andspiritual needs in our interventions requires an ethical and inclusive approach and the integration ofspiritual sensitivity into service delivery.

Gender-based violence is a social phenomenon that manifests itself all around the world with no distinction of social class, ethnicity, age or geographical location. It is a social problem composed of a cycle of abuse, threats and violence that can lead to feminicide as the most extreme expression of gender-based violence. This article aims to contextualize the reader regarding the global context of gender-based violence. Theoretical considerations, statistical data, socioeconomic factors, barriers to seeking help, legislation, and prevention are addressed from this global perspective on the phenomenon. According to the literature, it is estimated that 736 million women around the world have been victims of physical or sexual violence throughout their lives. By 2021, nearly 45,000 women and girls around the world were murdered by their partners or other family member, with the private and home environment being the most dangerous for them. However, less than 40% of women who experience violence seek any type of help. It is urgent to continue acting towards education, awareness-raising and the adoption of inclusive approaches that address causes, transform norms and promote empowerment to prevent gender-based violence and protect women and girls around the world.

In the context of 21st century diseases, women have been identified as the group most likely to acquire emerging disabilities. The disabilities are the consequence of health conditions that have recently been recognized and are growing in prevalence in the population. They are linked to social inequalities and injustices, including violence. One of the manifestations of violence identified as a cause of emerging disabilities is gender violence. For women with disabilities, particularly what we today called emerging disabilities, who are victims of gender violence, the challenges in facing the consequences of victimization can be overwhelming. This woman's situation demands specialized services that address needs due to the consequences of acquired traumas. This paper aims to justify the development of research, which results in a project of interest disciplinary clinical services for this population.

This article is based on the author’s experiences in her workplace specifically problematizing the situations that derive directly from the patriarchal system. The essay describes examples of patriarchy in the work environment and argues how this form of systemic violence makes women vulnerable in male-dominated workplaces. It highlights the obstacles faced by working women, due to inequities in terms of wages and opportunities for professional growth. It raises the need for profound social changes to address this problem.

This text discusses how the Tsotsils of Chamula and Chenalhó, as well as the Tseltals in Oxchuc —all municipalities in Chiapas, Mexico— conceived and confronted the risks and causes that led individuals to become subjected to ak’bil chamel or ak’chamel (the casting of evil) in the late 1990s and during the early 2000s. It analyzes, on the one hand, the strategies employed by the j-ak’chameletik (those who cause harm) and, on the other, the actions carried out by people capable of diagnosing and eliminating ak’bil chamel; these were the j-iloletik (in Tsotsil) and ch’abajeletik (in Tseltal) (those who can see, hear, and feel blood). Furthermore, it examines the secrets that people commonly need to know in order to avoid, neutralize, and exterminate the j-ak’chameletik.

The aim of this paper is to provide a general overview of statistical sources on employment and access to medical care for the foreign population in Mexico. The review focuses on sources that capture stock, migration flows, and administrative health records. Three exploration criteria are used: the existence or absence of variables that allow the identification or the migrant population, the thematic coverage of labor integration and access to medical services, and statistical representativeness. As part of the third criterion, the specific case of the labor conditions and the use of medical services by the Guatemalan population on the southern border of Mexico is presented, based on the 2020 Census. The main challenge of household surveys is the representativeness of the results, while that of administrative records is the identification of migrants.

This article aims to analyze how adolescent boys and girls from indigenous community of Tamulté de las Sabanas, located in the municipality of Centro, Tabasco, perceive psychological violence in dating relationships. It also seeks to identify gender-based differences in the exercise of this type of violence. The methodological adopted follows a qualitative approach, using a semi-structured script applied to high school students aged 15 to 17. The findings reveal that psychological violence is common in dating relationships, that there are gender-based differences in its perception, and that social networks play a key role in controlling interactions within the couple.