Resumen Objetivos: el deporte silencioso constituye una oferta deportiva específica para las personas sordas, impulsada a fines del siglo pasado en Europa. Este artículo, centrándose en un aspecto poco atendido desde la investigación social latinoamericana, describe la emergencia de este tipo de práctica en Argentina y analiza algunas de sus implicancias en la lucha por el reconocimiento de esta minoría en sus dos primeras décadas de existencia en los ámbitos local y regional. Desarrollo: con este fin, se recuperan estudios franceses que detallan el rol político del deporte silencioso desde su fundación internacional. Luego, se pormenoriza la llegada de este movimiento a Argentina, a través de la constitución, en 1953, de la Federación Deportiva Silenciosa Argentina (FDSA). A su vez, realizando análisis de contenido de fuentes producidas por la comunidad sorda local, se examinan las identificaciones de la sordera agenciadas y sus implicancias. El corpus estudiado incluye la Primera Revista Silenciosa Argentina, estatutos, actas de reuniones, archivos de la FDSA, la colección completa de la publicación Ad-Verbum. Palabra por Palabra (publicada por la Confederación Argentina de Sordomudos) y entrevistas realizadas a líderes del deporte silencioso argentino. Conclusiones: la creación de la FDSA promovió el activismo sordo y fue un trampolín en la difusión del deporte silencioso en Argentina y Latinoamérica. Este impulso propicia una resignificación de la sordera que cuestiona el menosprecio social recibido de la mirada clínica terapéutica oralista y redunda en la lucha de las personas sordas por sus derechos e integración social, exigiendo el respeto de su singularidad como minoría lingüística.

Abstract Objectives: Silent sport comprises a specific type of sports activity for deaf people born at the end of the last century in Europe. This article, which focuses on an aspect little attended fTom Latin American social research, describes the emergence of this activity in Argentina and analyzes some of the implications in the struggle for recognition of this minority sport in the first two decades of its existence at the local and regional levels. Development: To this end, French studies detailing the political role of silent sport since its international foundation were analyzed. Further, the details of the emergence of this activity in Argentina through the establishment of the Federación Deportiva Silenciosa Argentina (FDSA) in 1953 were also examined. We also explored deafness identifications and their implications by analyzing content from sources produced by the local deaf community. The corpus studied includes the Primera Revista Silenciosa Argentina, statutes, minutes of meetings, FDSA archives, and the complete collection of the Ad-Verbum. Palabra por Palabra (published by the Confederación Argentina de Sordomudos), and interviews conducted with leaders of the Argentine silent sport. Conclusions: The establishment of FDSA promoted deaf activism and functioned as a springboard in the dissemination of silent sport at the national and Latin American levels. This fostered a redefinition of deafness that questioned the social contempt received from the oral therapeutic clinical perspective. What originally was a struggle that deaf people faced for their individual rights and social integration has now turned into a demand for respect of their uniqueness as a linguistic minority.

Resumo Objetivo: o esporte silencioso constitui uma oferta esportiva específica para as pessoas surdas impulsionada a finais do século passado na Europa. Este artigo, centrando-se em um aspecto pouco atendido desde a pesquisa social latino-americana, descreve a emergência deste tipo de prática na Argentina e analisa algumas de suas implicâncias na luta pelo reconhecimento desta minoria em suas duas primeiras décadas de existência no nível local e regional. Desenvolvimento: com este objetivo, se recuperam estudos franceses que detalham o papel político do esporte silencioso desde sua fundação internacional. Depois, se pormenoriza a chegada deste movimento à Argentina, através da constituição em 1953 da Federación Deportiva Silenciosa Argentina (FDSA). À sua vez, realizando análises de conteúdo de fontes produzidas pela comunidade surda local, se examinam as identificações da surdez agenciadas e suas implicâncias. O corpus estudado inclui a Primera Revista Silenciosa Argentina, estatutos, atas de reuniões, ficheiros da FDSA, a coleção completa da Ad-Verbum. Palabra por Palabra (publicado pelo Confederación Argentina de Sordomudos) y entrevistas realizadas a líderes do esporte silencioso argentino. Conclusões: a criação da FDSA promoveu o ativismo surdo e foi um trampolim na difusão do esporte silencioso a nível nacional e latino-americano. Este impulso propicia uma ressignificação da surdez que questiona o menosprezo social recebido do olhar clínico terapêutico oralista e redunda na luta das pessoas surdas por seus direitos e integração social, exigindo o respeito de sua singularidade como minoria linguística.

SUMMARY: The act of playing is as ancient as humanity itself, yet Huizinga was the one who re-signified the concept of “ludic” as a didactive resource related to culture. Play-based learning was developed as a didactic strategy by the forerunners of the New School. Several Authors (Brunner, Frebel, Decroly, Montessori, Cossettini and Freire) have analyzed its pedagogy projections and stressed the impact and formative value in the cognitive strategies involved in problem solving tasks, attention and memory development, as well it’s motivational and creativity elements. The object of the present work is to evaluate the impact of these didactic interventions in the cultural and conceptual conceptions of the students related to cadaveric material in the course of practical working during anatomy classes. Observational and transversal study through a questionnaire applied to 658 medical students (2016, n = 198; 2017, n= 228; 2018 n=232) which included a Modified Templer Death Anxiety Scale, population questions (age, gender, place of birth, situation regarding the subject, work-related aspects, former studies, motivations related to career choice). Terminology related to “cadaveric material” and “anatomic piece” was investigated with Bernard’s free-listing and lot-drawing techniques in order to investigate cultural and imaginary conceptions and groups of conceptual dimensions. The class structure divides the students in two different ckassrooms, in order to evaluate difference with the inclusion of play-based activities in one of them. The results were processed using tests of descriptive and inferencial statistics (SPSS and dendrogram making), to evaluate the terminological analysis, Visual Anthropac Freelists versión: 1.0.1.36 and Visual Anthropac Pilesorts versión: 1.0.2.60. The present research takes into account all current ethical and legal norms. It has been observed that terms such as “cadaveric material” and “anatomic piece” were associated mainly with repugnancy, disgust, fear and study material. It was observed, in the group of student using play based techniques, a lesser number of negative terminology, as well as conceptual dimensions related with the material as a didactic and instructional resource instead of a distress factor. In conclusion the implementation of play-based techniques in the learning process of the Anatomy coursework was positively associated with a lesser negative impact in both associated terminology and in conceptual dimensions related to cadaveric material. Such an impact is of particular importance in the context of teaching and it would relate with the decrease of negative factors in cadaveric affronting.

RESUMEN: El jugar fue resignificado por Huizinga como un recurso didáctico y se lo denominó “ludoaprendizaje”, “aprendizaje mediado por el juego” o “técnicas lúdicas”. Diversos autores estudiaron su aplicación en distintos contextos fue desarrollado como estrategia didáctica por los impulsores de la Escuela Nueva. Distintos autores (Brunner, Frebel, Decroly, Montessori, Cossettini y Freire) han analizado sus proyecciones pedagógicas y resaltaron el valor formativo e impacto en las estrategias cognitivas para la resolución de problemas, desarrollar la atención y memoria, así como elemento motivador y de creatividad. El objetivo es evaluar el impacto de esta intervención didáctica en las concepciones culturales y conceptuales referidas al material cadavérico durante el TP y su afrontamiento. Realizamos un sstudio observacional y transversal mediante una encuesta aplicada a 658 alumnos (año 2016=198; año 2017= 228; año 2018= 232) que incluyó la Escala de ansiedad ante la muerte de Temple -EAM- modificada, preguntas poblacionales (edad, sexo, lugar de nacimiento, situación en la materia, aspectos laborales, estudios previos, motivaciones en relación con la elección de la carrera) y se indagaron términos asociados a los conceptos “material cadavérico” y “pieza anatómica” con la técnica de listados libres de Bernard y la técnica de montones para investigar concepciones culturales e imaginarios y grupos de dimensiones conceptuales. Dado que la arquitectura de la Cátedra divide a los alumnos en 2 salones distintos, para evaluar diferencias con la inclusión de actividades lúdicas en un grupo. Los resultados fueron procesados con pruebas de estadística descriptiva e inferencial (SPSS para dicho análisis y realización de dendogramas), para análisis de los términos Visual Anthropac Freelists versión: 1.0.1.36 y Visual Anthropac Pilesorts versión: 1.0.2.60. El presente trabajo cumple con los reparos ético-legales y normativos vigentes. Observamos que los términos “material cadavérico” y “pieza anatómica” se asociaron con repugnancia, asco, miedo y elemento de estudio, principalmente. En el grupo de alumnos con técnicas lúdicas se objetivó menor cantidad de términos negativos, así como dimensiones conceptuales más relacionadas con el material como recurso instruccional didáctico y no como factor de distrés. En conclusión, la implementación de técnicas lúdicas en la didáctica del proceso enseñanza y aprendizaje con material cadavérico en la materia Anatomía se asoció con un menor impacto negativo en los términos asociados y dimensiones conceptuales referidos al material cadavérico. Dicho impacto tiene injerencia en el contexto de la enseñanza y se asociaría con la disminución de factores negativos en el afrontamiento cadavérico.

The objective of this article is to describe the therapeutic itineraries for the care and rehabilitation of people with disabilities in Argentina and Chile. As a methodological strategy, we will present secondary data and some of the findings of two independent qualitative studies. The results show that when pursuing healthcare, people with disabilities and their families face situations that are negative for their quality of life, social participation, and self-esteem. In this way, their position of disadvantage and social devaluation is reproduced

El objetivo de este artículo es describir los itinerarios terapéuticos en busca del cuidado de la salud y la rehabilitación de las personas con discapacidad de Argentina y Chile. Para ello, se presentan datos secundarios y se retoma parte de los hallazgos de dos investigaciones cualitativas independientes realizadas en estos países. Los resultados muestran que, en el recorrido de la búsqueda de su salud, las personas con discapacidad junto a sus familiares afrontan situaciones negativas para su bienestar, su participación social y su autoestima. De este modo, se reproduce su situación de desventaja y devaluación social.

A partir de uma pesquisa qualitativa realizada naRegião II do Chile -localizado no norte do país sobre as políticas e práticas implorando para aspessoascomdeficiência física, este artigo discute o diagnóstico que afirma a existência de umamudança de paradigma na consagrando objecto de umaabordagem de direitos humanos. Longe de este postulado, a recuperação da visão dos atores principais de deficiência, pessoascomdeficiência implorando e cidadãos que dar-lhes (ounão) de esmolas, processosevidências de exclusão e navalidação / socialmente produzido por um estado ambivalente, que, no contexto das relaçõessociaisneoliberais, promoveum mercado simbólico da tragédia médico pessoal. Nasmesmasidentificações de câmbio -de pena / esmola e mecanismos suportabilidade que reproduzem o domínio das pessoascomdeficiência e umasociedade desigual ocorrer.

From a qualitative research conducted in Region II of Chile -located in the north of the country on disability policies and practices begging for people with physical impairments, this article discusses the diagnosis that affirms the existence of a paradigm shift in the consecrating the subject of a human rights approach. Far from this postulate, the recovery of view of key actors of disability, people with impairments begging and citizens who give them (or not) alms, evidence exclusion processes and in / social validation produced by an ambivalent state, that, in the context of neoliberal social relations, promotes a symbolic market of personal medical tragedy. In the same -from pity / almsgiving exchange identifications and supportability mechanisms that reproduce the domination of people with impairments and an unequal society occur.

Partiendo de una investigación cualitativa realizada en la II Región de Chile-ubicada en el norte del país- sobre políticas de discapacidad y prácticas de mendicidad en personas con deficiencias físicas, este artículo discute el diagnóstico que afirma la existencia de un cambio de paradigma en la materiaconsagrador de un enfoque de derechos. Muy lejos de este postulado, la recuperación del punto de vista de actores clave de la discapacidad, personas con deficiencias que mendigan y ciudadanos que les dan (o no) limosna, evidencia procesos de exclusión e in/validación social producidos por un Estado ambivalente, que, en el marco de relaciones sociales neoliberales, promueve un mercado simbólico de la tragedia médica personal. En el mismo-a partir del intercambio lástima/limosna- se producen identificaciones y mecanismos de soportabilidad que reproducen la dominación de las personas con deficiencias y una sociedad desigual.

En este artículo planteamos una crítica constructiva a la teoría de la opresión sostenida por el modelo social anglosajón de la “discapacidad”. Revisamos sus planteos fundacionales y actuales, señalando sus limitaciones. Recuperando una relectura de la teoría de Pierre Bourdieu, proponemos comprender la “discapacidad” en términos de relación de dominación. Justificamos la pertinencia de este abordaje a partir de un caso práctico, extraído de una investigación cualitativa sobre “discapacidad”, limosna y modos de dominación en la ii Región de Chile. Concluimos bosquejando algunas reflexiones sobre los desafíos para la investigación de la “discapacidad” como modo de dominación.

In this paper we propose a critical constructive contribution to the theory of oppression sustained by the Anglo-Saxon social model “disability”. We revise its founding and current ideas, pointing out its limitations. Retrieving an interpretation of the theory of Pierre Bourdieu, we propose to understand “disability” in terms of domination relationships of domination. We justify the relevance of this approach from a case study, a qualitative research based on “disability”, almsgiving and modes of domination in the ii Region of Chile. We conclude by outlining some thoughts on the challenges for research “disability” as a means of domination

Abstract Porokeratosis is a skin disorder clinically characterized by annular plaques with keratotic borders resembling the Great Wall of China and histopathologically by cornoid lamellae. The disease has several clinical variants. Porokeratosis ptychotropica, which has recently become part of these variants, is quite rare and little known. The entity is characterized by verrucous plaques – which may resemble a psoriasis plaque – that affect the regions of the buttocks, most commonly the gluteal cleft, with or without extremity involvement. Itching is often present. We report a rare case of porokeratosis ptychotropica and highlight its unusual manifestation (single plaque), the first case reported in the Brazilian literature.

Resumo: Meios de contraste iodado podem promover efeitos hemodinâmicos relacionados à vasoconstrição intrarrenal prolongada e redução da perfusão, predispondo à hipóxia e isquemia medular. Alterações de resistência vascular renal podem representar os primeiros sinais de mudança funcional desse órgão. A técnica Doppler pulsado é considerada acessível, não invasiva e permite avaliar a dinâmica vascular dos rins, por meio da aferição dos índices de resistividade (IR) e pulsatilidade (IP). Contudo, na espécie canina, a aquisição de traçados espectrais pode ser penosa devido às dificuldades de varredura e captação de sinal Doppler, sobretudo em relação ao rim direito, devido à sua localização dorsocranial na cavidade abdominal, o que prolonga substancialmente a realização do exame. O objetivo deste estudo é comprovar que a avaliação Doppler pulsado das artérias intrarrenais do rim esquerdo de cães representa a repercussão hemodinâmica renal da administração intravenosa de meios de contraste iodado não sendo necessária a realização do exame nos dois rins. Foram avaliados ambos os rins de seis cadelas adultas em quatro momentos distintos: antes da infusão intravenosa do contraste radiológico e após 1,5 horas, 24 horas e 48 horas, por meio da análise subjetiva da morfologia, ecogenicidade cortical e grau de perfusão renais e análise objetiva do comprimento, volume e resistência vascular intrarrenais (IR e IP). Os parâmetros avaliados ao modo B e Doppler dos rins direito e esquerdo não apresentaram diferenças estatisticamente significativas entre si em cada momento avaliado. Assim, constatou-se que o exame ultrassonográfico Doppler pulsado do rim esquerdo representou a repercussão hemodinâmica renal da aplicação intravenosa de meios de contraste iodado, desde que morfometria, morfologia, ecogenicidade cortical e perfusão de ambos os rins fossem consideradas semelhantes na abordagem ultrassonográfica inicial.

Abstract: Iodinated contrast media can provide hemodynamic effects related to prolonged intrarenal vasoconstriction and reduced perfusion, predisposing to hypoxia and medular ischemia. Changes in the renal vascular resistance may represent the first sign of impaired renal function. Pulsed wave Doppler sonography is low cost, non-invasive and allows renal hemodynamic evaluation by resistivity (RI) and pulsatility (PI) indices. However in dogs, spectral Doppler waveform may be hard to obtain due to scanning difficulties and lack of signal Doppler. This fact occurs mostly in the right kidney because of its cranial and dorsal position in the abdominal cavity and may prolong the exam. The purpose of this study is to prove that the pulsed wave Doppler interrogation of the canine left kidney intrarenal arteries represent the renal hemodynamic effects of intravenous administration of iodinated contrast media and is not necessary to perform the exam in both kidneys. Right and left kidneys of six adult dogs were evaluated at four different times: before intravenous contrast infusion and after 1.5 hours, 24 hours and 48 hours, subjectively by using renal morphology, cortical echogenicity and renal perfusion, and objectively by using renal length, renal volume and intrarenal vascular resistance (RI and PI). No significant differences were noted between the parameters assessed by B mode and Doppler sonography of the right and left kidney in each evaluated moment. Thus, it was noted that pulsed wave Doppler sonographic evaluation of the left kidney represented the renal hemodynamic response of intravenous iodinated contrast media administration, only if both kidneys presented similar morphometry, morphology, cortical echogenicity, and perfusion during the first assessment.

Abstract: This paper shares the results of a qualitative study that examined the social processes that lead to the practice of begging in men with disabilities in the City of Buenos Aires, with the intention to problematize the diagnosis asserting a change in attitudes toward this minority from the International Convention on the Rights of Persons with Disabilities. Critically retrieving the social model of disability, we identified four routes associated with new forms of vulnerability promoted by today's capitalism in peripheral contexts (job loss, weakening of networks, chronic unemployment and naturalization of disability as an individual medical tragedy), which configure the possibility conditions of this postcard. We conclude that these processes show the existence of disability policies and supportability mechanisms erected to survive in an unequal world, expressing the problem of the "new social question".

Resumen: En este trabajo se comparten los resultados de una investigación cualitativa que analizó los procesos sociales que conducen al ejercicio de la mendicidad en varones con discapacidad de la Ciudad de Buenos Aires, con la intención de problematizar el diagnóstico que afirma un cambio en las actitudes hacia esta minoría, a partir de la Convención Internacional sobre los Derechos de las Personas con Discapacidad. Al recuperar críticamente el modelo social de la discapacidad, se identifican cuatro itinerarios asociados a nuevas formas de vulnerabilidad promovidas por el capitalismo actual en contextos periféricos (pérdida del empleo, debilitamiento de redes, desempleo crónico y naturalización de la discapacidad como tragedia médica individual) que configuran las condiciones de posibilidad de esta postal. Se concluye que estos procesos evidencian la existencia de políticas de discapacitación y mecanismos de soportabilidad eregidos para sobrevivir en un mundo desigual, expresando el problema de la "nueva cuestión social".

Although adapted sport is considered the main integrator of people with disabilities, Disability Studies argues that it reinforces the oppression suffered by this group. However, these positions do not historically reconstruct the ethos constructed in sport. In order to contribute to this discussion, I analyze here the ways of thinking about and experiencing disability that were constructed in the origins of the field of adapted sport, in the city of Buenos Aires, from 1950 to 1961. Thus, I begin by analyzing the content of publications of the first clubs for people with disabilities and in-depth interviews with protagonists of the origins of adapted sport and local physiatry.

Si bien el deporte adaptado es considerado el principal integrador de las personas con discapacidad, desde los Disability Studies se considera que el mismo refuerza la opresión sufrida por este colectivo. Sin embargo, estas posturas no reconstruyen históricamente el éthos construido en el deporte. En función de realizar un aporte a esta discusión, analizo aquí los modos de pensar y sentirse discapacitado construidos en el origen del campo del deporte adaptado, en la Ciudad de Buenos Aires, entre los años 1950 y 1961. Para ello, parto del análisis de contenido de la prensa escrita de los primeros clubes para personas con discapacidad y de entrevistas en profundidad a los protagonistas del origen del deporte adaptado y de la fisiatría local.

Ewing sarcoma is a primitive neuroectodermal tumor rarely occurs in the skin and sobcutaneous tissues. Generally Ewing's sarcoma is a primary bone tumor, but when present in soft tissues it characterizes an extremely uncommon clinical picture. It usually involves the deep subcutaneous tissue or muscles, and more rarely occurs like a primary skin cancer. Most patients are white, women, and in the second decade of life. The clinical features are a superficial mass, in average measuring 2-3 cm, of soft consistency, freely mobile and sometimes painful. The more affected locations are upper and lower extremities, trunk, head, neck or multiple lesions. The presence of metastases is very rare.