Browsing by Autor "Camila Uribe"

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DO AMNESTIES PRECLUDE JUSTICE
(Universidad Autónoma del Estado de México, 2012) Camila Uribe
"A common trend among recent peace processes is the use of amnesty agreements as a mechanism to restore the rule of law and bring democracy back to the country. However, the international community is still reluctant to endorse them. Both human rights advocates and international organizations such as the United Nations have vehemently opposed the choice of amnesty. However, for others, amnesty agreements are still a legitimate and plausible way to achieve peace and even justice. Thus, the purpose of this paper is to examine the “paradoxical question” of whether amnesty agreements require peace at the expense of justice. Specifically, it purports to study whether amnesty agreements can aid or contribute in the achievement of justice, especially when the agreement is coupled by alternative justice mechanisms, such as truth commissions, reparations, and vetting. Section 1 of this paper will address the definition of amnesty agreements; section 2 will approach the “changing” perception the international community has given to them; section 3 will propose a definition of justice to be used for purposes of this paper; and section 4 will analyze the South African and the East Timor case, as two different examples of how amnesties can be applied in peace processes and to what extent both countries accomplished to bring justice to their people. The cases of South Africa, East Timor were chosen; primarily because of the way they applied amnesty in order to pursue a certain purpose. Though each of these cases shows several caveats, they help to understand how amnesty agreements may be applicable in different contexts and may be implemented in different ways to reach different outcomes, and ultimately justice."
Metabolic studies and calculi analysis in urinary lithiasis, how to stop recurrence?
(Thieme Medical Publishers (Germany), 2023) Catalina Barco‐Castillo; Camila Uribe; Angela Bohórquez; Carlos Gustavo Trujillo; Adolfo Serrano
Lalitiasis urinaria es la consulta urolgica ms frecuente para la sala de emergencias debido al clico renoureteral.Las complicaciones incluyen hematuria, anuria debido a la obstruccin bilateral o unilateral en el rin solitario y la sepsis.La recurrencia ocurre en hasta el 50% de los pacientes despus de 5 aos desde el primer episodio, y aquellos paciente requieren estudios metablicos y anlisis del clculo.El manejo farmacolgico y las modificaciones dietticas evitarn nuevos episodios.Nuestro objetivo es describir cada trastorno metablico asociado con su respectivo tipo de clculo y su manejo basado en la prevencin de la recurrencia de la litiasis urinaria.
Pancreatic VIPoma as a Differential Diagnosis in Chronic Pediatric Diarrhea: A Case Report and Review of the Literature
(Elmer Press Inc., 2021) Carolina Bonilla González; Juliana Rusinque; Camila Uribe; Ailim Carias; Maria Luisa Contreras
Chronic diarrhea is a common chief complaint in the pediatric population with a wide range of diagnostic differentials; as such, whilst suspecting common causes, less prevalent conditions tend to be overlooked, such as neuroendocrine tumor pathologies. VIPomas are characterized by hypersecretion of the vasoactive intestinal peptide (VIP), causing watery diarrhea, hypokalemia, and achlorhydria. Nonetheless, its low incidence rate in children makes it an easily unnoticed pathology. Herein, we report a case of a 14-year-old female patient and a review of relevant literature. The patient complained of 7-month history of watery diarrhea, multiple emetic episodes, and relevant past medical history of multiple hospitalizations. Chronic diarrheal disease work-up studies, including a high VIP scintigram, showed a lesion suggestive of a VIPoma-type neuroendocrine pancreatic tumor. A distal pancreatectomy was performed with a complete resolution of the symptoms. When faced with a pediatric patient presenting with chronic secretory diarrhea and whose work-up studies rule out the most common pathologies, the possible presence of a neuroendocrine tumor as VIPoma should be considered.
Usefulness of the Combination of FilmArray and procalcitonin in respiratory infections in the Pediatric Intensive Care Unit
(Research Square (United States), 2022) Carolina Bonilla González; Laura Camargo-Agón; Pedro Barrera; Sebastián Peña; Alejandra Mal Chain; Camila Uribe; Jose Fernando Vera‐Chamorro
Abstract Introduction . Acute respiratory infections represent one of the main causes of preventable infant mortality and morbidity in children, and although a significate proportion of cases are of viral etiology, antibiotic treatment is the overly-excessive norm. Studies suggest that the combined use of serum procalcitonin (PCT) and polymerase chain reaction (PCR) multiplex (FilmArray) may be used to guide antibiotic therapy. Methods . A prospective cohort study was conducted of patients between 1 month and 17 years of age with acute respiratory infection hospitalized in the PICU with a negative viral panel report and both respiratory FilmArray and procalcitonin performed in the first 72 hours of hospitalization. A diagnostic algorithm was then applied to these patients, tailored to the result of both tests. Results . Of the total 326 patients recluted, 110 met the inclusion criteria; 23 patients were excluded for infections other than respiratory origin. Of the 87 remaining patients, all had a respiratory FilmArray performed prior to the PCT sample, demonstrating a diagnostic yield of over 80%. Procalcitonin was requested in slightly more than half of the patients and was positive in a third of these cases. When combined in the diagnostic algorithm, FilmAray and PCT lead to changes in treatment plan in 30% of patients in terms of antibiotic management prescribed on admission, with the most frequent treatment plan change being suspending the antibiotic altogether (from 41.4% to 10.3%, for a total of 89.7% of patients without antibiotic therapy following the algorithm. None of the patients died and only 1/87 patients required re-initiating antibiotics after having suspended treatment. The interaction between the identification of a viral pathogen in the FilmArray and a negative PCT result yielded statistically significant results (p=0.004) and affected the change in treatment management mainly in antibiotic discontinuation. Conclusions . The combined use of FilmArray and serum PCT as tools in the diagnostic algorithm is a safe way to guide tailored antibiotic therapy in pediatric patients with ARI in critical state.