Fortalezas Familiares Y Consumo De Alcohol En Hombres Y Mujeres Adolescentes

The present study aimed to analyze the differences in family assets in adolescents, men and women, by level of alcohol consumption. For this, a non-probabilistic sample of 454 high school students was selected, with a mean age of 15.9 years old (SD = 1.07); of which 49.1% were men and 50.9% were women. Three dimensions of the Parental Practice Scale (Andrade & Betancourt, 2008) were used to assess family assets, which assesses the support and supervision of both parents; in addition, the scale house rules of Sánchez-Xicotencatl (2015) was used. To measure alcohol consumption, four indicators were used to evaluate the behavior’s presence, the age of onset, as well as frequency and quantity (Andrade & Betancourt, 2008). The results showed that 57% of men and 53.8% of women reported that they had consumed alcohol. Regarding the differences in family assets by the categories of the alcohol consumption indicator, the findings showed significant differences house rules (in both men and women), and in the men’s case differences were found in maternal supervision and in women, differences were found in the support-supervision of the father. The results allow us to have elements of the role of the assets evaluated in the alcohol consumption in adolescent population, as well as the differential effect by the sex of the adolescents

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Memoria del II Coloquio Internacional sobre Diversidad Cultural y Estudios Regionales

Desde la Sede de Occidente y, específicamente, en el seno de la Coordinación de Investigación y con el apoyo de la Dirección de la Sede y las Coordinaciones de Docencia, Administración y Acción Social, así como de la Vicerrectoría de Investigación, se han celebrado en el 2011 y en el 2012 dos coloquios internacionales sobre diversidad cultural y estudios regionales. El propósito de ambos consistió principalmente en motivar a investigadores e investigadoras de las distintas unidades académicas de la Universidad de Costa Rica y de otras instituciones de Educación Superior, así como a representantes de Centros e Institutos de Investigación nacionales e internacionales, a presentar resultados de investigaciones que contribuyeran a un mayor conocimiento de los procesos culturales y que dieran a conocer resultados que permitieran la comprensión de las realidades de distintos sectores y regiones. En el 2011 se presentaron cuarenta y seis ponencias y se dictaron tres conferencias magistrales, y en el 2012 se expusieron cincuenta ponencias y se impartieron tres conferencias magistrales.UCR::Sedes Regionales::Sede de Occidente::Recinto San Ramón::Centro de Investigaciones sobre Diversidad Cultural y Estudios Regionales (CIDICER

O final dos reinos: Diálogos entre Tiwanaku e La Aguada

Este escrito pone de nuevo a dialogar las iconografías de Tiwanaku (altiplano del Titicaca, Bolivia) y La Aguada (Noroeste de la Argentina), a más de 40 años de los trabajos de Rex González y de Ponce Sanginés. Lo hace en un contexto enteramente diferente con un énfasis decolonial. Objetos, imágenes, información etnográfica y arqueólogos de ambos lados de una frontera entre "naciones", se ensamblan con la clara intención de cuestionar supuestos subyacentes muy profundos de la arqueología. Metodología: a partir de los caminos que plantean las imágenes y colores, se amarran en estos nudos también los humanos y las cosas, las experiencias chamánicas y los fenómenos meteorológicos, todos enlazados de modo relacional. Conclusiones: tras poner a dialogar a La Aguada y Tiwanaku, con base en nuestras trayectorias investigativas, la discusión desemboca en una reflexión acerca de las consecuencias presentes de naturalizar miradas segmentadas y funcionalistas de los mundos animales y vegetales en el pasado, que se originan en los subyacentes ontológicos de nuestra propia modernidad. Originalidad: el texto apunta a abordar la crítica decolonial a partir del estudio de casos concretos y a aportar a esos debates desde materialidades arqueológicas.This paper once again brings the iconographies of Tiwanaku (Titicaca high plateau, Bolivia) and La Aguada (Northwest of Argentina) into discussion, more than 40 years after the works of Rex González and Ponce Sanginés. It does so in an entirely different context with a decolonial emphasis. Objects, images, ethnographic information and archaeologists from both sides of a border between “nations” are assembled with the clear intention of questioning very deep underlying assumptions of archaeology. Methodology: Beginning with the paths posed by images and colors, these knots also bind humans and things, shamanic experiences and meteorological phenomena. Conclusions: After bringing La Aguada and Tiwanaku into dialogue, based on our research trajectories, the discussion leads to a reflection on the present consequences of naturalizing segmented and functionalist gazes of the animal and plant worlds in the past, which originate in the ontological underpinnings of our own modernity. Originality: The text aims to approach decolonial criticism from the study of concrete cases and to contribute to these debates on the basis of archaeological materiality.Fil: Marconetto, María Bernarda. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Antropología de Córdoba. Universidad Nacional de Córdoba. Facultad de Filosofía y Humanidades. Instituto de Antropología de Córdoba; ArgentinaFil: Villanueva Criales, Juan Eduardo. Museo Nacional de Etnografía y Folklore; Bolivi

Síndrome de alienación parental en los procesos de divorcio de la pareja /

 tesis que para obtener el grado de Doctor en Psicología, presenta María Cristina Pérez Agüero ; asesor Patricia Andrade Palos. 193 páginas : diagramas. Doctorado en Psicología UNAM, Facultad de Psicología, 201

Conflicto interpersonal: Semejanzas y diferencias por estatus de pareja y reporte de violencia en mujeres de Hidalgo

El presente trabajo explora las diferencias entre el informe de Conflicto y Violencia en dos grupos de mujeres: participantes que han experimentado Violencia por la Pareja Íntima y participantes sin reporte; residentes del estado de Hidalgo, México. Las escalas de Conflicto y Violencia por la Pareja Íntima fueron aplicadas en un grupo de 619 participantes: 314 asistieron a servicios de salud para consulta por experimentar violencia por la pareja Íntima, mientras que, 305 eran usuarias de medicina general de Brigadas de Salud móvil. Utilizamos un diseño de dos vías, 3*2, estatus de la relación (noviazgo, matrimonio y unión libre) y tipos de muestra (reporte de violencia por la pareja íntima y sin reporte). Los resultados mostraron que las mujeres en relaciones de noviazgo reportan de manera diferencial el conflicto relacionado a los celos en comparación con aquellas mujeres casadas o en unión libre. Mientras que, las demás áreas de conflicto son más reportadas por las mujeres que han experimentado violencia, con independencia de su estatus de pareja

Realistic assessment of transport protocols performance over LEO-based communications

We study the performance exhibited by the transport protocols, Transport Control Protocol (TCP) and QUIC, over realistic satellite networks. We propose a novel methodology, which combines real implementation (exploiting virtualization techniques) and simulation, to carry out systematic and repetitive experiments. We modify the default operation of the ns-3 framework and we integrate the dynamism that characterizes satellite communication links, particularly Low Earth Orbit (LEO). We carry out a thorough assessment over different setups, changing the operating frequency band and packet buffer lengths. In addition, we ascertain the impact of using the multi-streaming feature that QUIC integrates. The results show that QUIC yields lower delays than TCP, although it might suffer from higher jitter in particular setups. In addition, the results evince that using multiple streams in QUIC does not yield a relevant gain for the default Round-Robin (RR) scheduler. We propose more appropriate scheduling strategies, which are able to yield better performances with unbalanced traffic. Even if the behavior of transport protocols over non-terrestrial-networks might not be always appropriate, the obtained results evince that QUIC can definitively bring benefits when compared to TCP. Furthermore, we have shown that optimal scheduling policies yields a fairer performance when using multiple flows, having unbalanced traffic loads.This project was funded the Spanish Government (Ministerio de Economía Competitividad, Fondo Europeo de Desarrollo Regional, MINECO-FEDER) by means of the project SITED: Semantically-enabled Interoperable Trustworthy Enriched Data-spaces (PID2021-125725OB-I00); and by EU Horizon 2020 research and innovation program , Drones4Safety-agreement No. 861111