PROTOCOLOS DE PEDIATRÍA

tuberculosis infantil, 2019

Todos los niños en contacto con el bacilo tuberculoso deberán ser estudiados y clasificados en: expuestos, infectados o enfermos. Cada estadio comporta una actitud terapéutica diferente. En los casos de exposición, debemos suspender contacto con el adulto enfermo e instaurar profilaxis primaria para evitar el contagio del niño que todavía no se ha infectado. En caso de ITBL (niño asintomático con PT y/o IGRA positivo), debemos descartar la ETB activa e instaurar profilaxis 2ª para evitar que desarrolle enfermedad. Diagnosticaremos ETB cuando aparezca clínica compatible y hallazgos radiológicos, analíticos, anatomopatológicos y/o microbiológicos sugestivos. El diagnóstico de certeza lo proporciona un cultivo o una PCR positiva para MTB, aunque con frecuencia en niños no obtenemos confirmación microbiológica (formas paucibacilares), realizando habitualmente un diagnóstico de sospecha. La presentación clínica de la ETB es muy variable, desde formas oligosintomáticas (presencia de síntomas constitucionales inespecíficos, síntomas respiratorios) hasta síntomas de afectación grave. La localización más frecuente es la pulmonar, con mayor predominio de formas ganglionares, siendo los síntomas respiratorios (tos crónica, dificultad respiratoria, dolor torácico) y constitucionales (fiebre, sudoración,

1996

Medieval Literature: Medieval literature is a broad subject, encompassing essentially all written works available in Europe and beyond during the Middle Ages (that is, the one thousand years from the fall of the Western Roman Empire ca. AD 500 to the beginning of the Florentine Renaissance in the late 15th century). The literature of this time was composed of religious writings as well as secular works. Just as in modern literature, it is a complex and rich field of study, from the utterly sacred to the exuberantly profane, touching all points in-between. Works of literature are often grouped by place of origin, language, and genre. Renaissance Literature: The Renaissance is a period in European history, from the 14th to the 17th century and regarded as the cultural bridge between the Middle Ages and modern history. It started as a cultural movement in Italy in the Late Medieval period and later spread to the rest of Europe, marking the beginning of the Early Modern Age. The intellectual basis of the Renaissance was its own invented version of humanism, derived from the rediscovery of classical Greek philosophy, such as that of Protagoras, who said that "Man is the measure of all things." As a cultural movement, the Renaissance encompassed innovative flowering of Latin and vernacular literatures, beginning with the 14th-century resurgence of learning based on classical sources, which contemporaries credited to Petrarch; the development of linear perspective and other techniques of rendering a more natural reality in painting; and gradual but widespread educational reform.

Journal of Sociology

Kaupapa Māori methodologies in Aotearoa New Zealand have often been applied to content of immediate and direct relevance to Māori communities. Some of these include research about aspects of cultural revitalisation or examinations of the position Māori occupy within broader ethnic disparities, particularly in health and social outcomes. This article seeks to expand the application of Kaupapa Māori paradigms to research topics outside ‘te ao Maori’ (the Māori world). We argue that the Kaupapa Māori theorising of a Māori visual arts and culture scholar can provide crucial insights on white privilege in Aotearoa New Zealand with a view to addressing disparities and creating more embracing and equitable perspectives of belonging, citizenship and nationhood.