Foreword special issue Lorca’s earthquake

(This is an excerpt from the content) On May 11 2011 at 1705 hours, a small 4.5 Mw. magnitude earthquake struck the town of Lorca in south-eastern Spain. Other than alarmed citizens, only minor damage to buildings occurred due to this quake. Unfortunately at 1847 hours, a second shock registering a magnitude of 5.1 Mw. and very shallow (just around 2 km under the city) produced the largest seismic catastrophe registered in Spain in the last 120 years. This second shock is commonly referred to as “Lorca’s earthquake” and the following papers describe the context, circumstances and consequences of the event. Spain is a country of moderate seismic hazard in a global context. Before the Lorca earthquake, the most destructive earthquake in modern times was the so-called “Andalusian earthquake” (25th December 1884) that resulted in 750 fatalities and more than 1,500 injuries, reaching X in Mercalli’s intensity scale. Despite the lack of catastrophic events in the last 120 years, Spain has always had a scientific interest in seismic ..

Adicción al trabajo y conflicto trabajo familia en trabajadores de la Región del Libertador General Bernardo O' Higgins

98 p.La adicción al trabajo y el conflicto trabajo familia son dos aspectos que están influyendo ampliamente en la salud, vida familiar y social de las personas que desempeñan algún tipo de trabajo ya sea de forma particular o entregando sus servicios a algún empleador externo. En la actualidad, a nivel nacional, aun no existe un amplio estudio de estas problemáticas, ya que estos sucesos aun no son considerados como problemas relevantes dentro del aspecto laboral. Debido a esto, es que el objetivo del presente estudio fue describir la adicción al trabajo y determinar su relación con el conflicto trabajo-familia en una muestra de trabajadores de una empresa de retail de la Región de O’Higgins, con la finalidad de obtener algunos resultados preliminares sobre estos factores. Para ello, se procedió a la aplicación de tres cuestionarios que nos permitieron recoger la información relevante para este estudio: El Test de Adicción Laboral, la Escala CTF-CFT y un Cuestionario Socio demográfico. Así, dentro de la muestra compuesta por 96 trabajadores de la organización, se obtuvo como resultado que la mayoría de los funcionarios evaluados presenta una adicción moderada a su trabajo, mientras que con respecto al Conflicto Trabajo familia, también se encontró que estos presentan de forma moderada los tres tipos de conflicto que mide el cuestionario (Conflicto basado en el comportamiento, tiempo y estrés). Finalmente con respecto a la direccionalidad del conflicto, esta se presenta con una influencia bidireccional entre los aspectos del trabajo y la familia.Finalmente, los alcances para la investigación y la práctica de estas temáticas se discuten al final del presente estudio. Palabras claves: Adicción al trabajo, conflicto trabajo familia, relación entre adicción y conflicto

Clinical outcomes of an innovative cefazolin delivery program for MSSA infections in OPAT

Cefazolin is a recommended treatment for methicillin-susceptible Staphylococcus aureus (MSSA) infections that has been successfully used in outpatient parenteral antibiotic therapy (OPAT) programs. The aim of this study was to assess the clinical outcomes of cefazolin delivered each day (Group 24) vs. every two days (Group 48) for MSSA infections in OPAT programs. It was a prospective observational study with retrospective analysis of a cohort of MSSA infections attended in OPAT. The primary outcome was treatment success, defined as completing the antimicrobial regimen without death, treatment discontinuation, or readmission during treatment and follow-up. A univariate and multivariate logistic regression model was built. A two-sided p < 0.05 was considered statistically significant. Of the 149 MSSA infections treated with cefazolin 2 g/8 h in OPATs, 94 and 55 patients were included in the delivery Group 24 and Group 48, respectively. Treatment failure and unplanned readmission rates were similar in both groups (11.7% vs. 7.3% p = 0.752 and 8.5% vs. 5.5% p = 0.491). There was a significant increase in vascular access complications in Group 24 (33.0%) with respect to Group 48 (7.3%) (p < 0.001). Treating uncomplicated MSSA infection with cefazolin home-delivered every two days through an OPAT program is not associated with an increased risk of treatment failure and entails a significant reduction in resource consumption compared to daily delivery

Towards a New Use of Health Data

Las TIC han entrado con fuerza en los últimos años en el ámbito de la salud, tanto en la prestación de los servicios sanitarios como en su gestión. Dentro de estos está cobrando un papel absolutamente primordial la información sanitaria y los datos de salud; hasta el punto de que no es aventurado decir que la información sanitaria se va a convertir en el eje del sistema. A lo anterior hay que sumar una nueva regulación a nivel europeo en materia de protección de datos personales (Reglamento UE 2016/679). Partiendo de este marco, el presente artículo analiza las posibilidades de tratamiento y uso que la nueva normativa europea en protección de datos personales nos permite respecto de los datos de salud, en particular, la posibilidad de utilización con fines no directamente relacionados con la prestación de la asistencia sanitariaIn recent years ICTs have strongly influenced not only the provision of Health Services but also Health Service management. Consequently, the role of health information, as well as that of health data, is becoming increasingly essential to the extent that it could become the axis of the system in the near future. Additionally, the new regulation on personal data protection at a European level (EU Regulation 2016/679) must be taken into consideration. Taking this legal framework as a starting point, the present paper analyses the possibilities of the processing of health data permitted by legal norms, paying special attention to the possibility of its use for purposes not directly related to the provision of healthcareFundación SENECA de la Región de Murcia (España) 19486/PI/1

El desarrollo del pensamiento complejo matemático en educación básica, una experiencia de formación docente en la ANIEM

In this paper we will present the social purpose, goals and means of dissemination of the National Association for Inclusive Education in Mexico (ANIEM). Wewill determine its origin and basis in its constitution, we will expose an example of mathematical innovation in the processes of cognitive integration through the construction of new instructional and educational paradigms in teacher training. For this purpose, we will use the methodology based on action-research and mixed information processing, since quantitative and qualitative data of didactic interventions in active teachers will be evaluated. A set of evidences resulting from the application of didactic strategies, where there was a transition from a cognitive preconceptual structure to the initial integration of a complex mathematical thinking, will be analyzed. In this sense, ANIEM, being fully constituted and having among its main activities, research, innovation, dissemination, review of inclusion policies in the country and the exchange of successful national and international experiences of educational innovations; and being the teacher and the student the beneficiaries of these, has been able to consolidate itself as an integrating instance of teacher education, updating and training.En este artículo daremos a conocer el objeto social, los fines y medios de difusión de la Asociación Nacional para la Inclusividad Educativa en México (ANIEM). Determinaremos su origen y fundamento en su constitución, expondremos un ejemplo de innovación matemática en los procesos de integración cognitiva a través de la construcción de nuevos paradigmas instruccionales y educativos en la formación docente. Para ello, utilizaremos la metodología basada en la investigación-acción y en el tratamiento de la información mixta, ya que se valorarán datos cuantitativos y cualitativos de intervenciones didácticas en docentes activos. Se analizará un conjunto de evidencias que resultaron de la aplicación de estrategias didácticas, donde hubo una transición de una estructura preconceptual cognitiva a la integración inicial de un pensamiento complejo matemático. En este sentido, la ANIEM al estar plenamenteconstituida y al tener entre sus principales actividades, la investigación, la innovación, la difusión, la revisión de las políticas de inclusión en el país y el intercambio de experiencias exitosas nacionales e internaciones de innovaciones educativas; y siendo, el docente y el discente los beneficiarios de éstas, ha podido consolidarse como una instancia integradora de formación, actualización y capacitación docente

Escalas de valoração de dor em pacientes críticos não comunicativos:revisão sistémica

RESUME

La educación secundaria de jóvenes y adultos: tensiones entre los discursos de gestión y las definiciones de política educativa de la modalidad

En este trabajo presentamos resultados parciales de nuestra investigación, “La inclusión social y educativa en la educación secundaria de jóvenes y adultos en Argentina en el contexto de las políticas estatales 2004-2013. Un estudio en tres provincias argentinas: Entre Ríos, Córdoba y Chaco”.Nos focalizamos en la educación secundaria de jóvenes y adultos en el período estudiado, porque creemos que es interpelada por las políticas estatales de inclusión social y educativa cuyo marco normativo está sostenido en la Ley de Educación Nacional y en resoluciones y documentos del Consejo Federal de Educación así como en normativas provinciales.Analizamos las relaciones que se establecen entre la definición de políticas educativas para la modalidad y los modos de gestión de los funcionarios que conducen la educación de jóvenes y adultos en las tres provincias. Triangulamos datos obtenidos en entrevistas a ellos con el análisis de normativas y documentos oficiales nacionales y provinciales. Organizamos esta presentación en tres ejes: educación permanente de jóvenes y adultos; los sujetos, sus trayectorias y las políticas de inclusión; y las instituciones y las propuestas curriculares

Clinical features and prognosis of prosthetic valve endocarditis due to Staphylococcus aureus

Purpose: Staphylococcus aureus prosthetic valve endocarditis (SAPVE) is a serious infection with high mortality. The main objective of this study was to identify factors associated with in-hospital mortality. Methods: From January 2008 to December 2021, consecutive patients from a Spanish cohort of infective endocarditis with a definitive diagnosis of SAPVE were analyzed. Results: During the study period, 219 cases of definitive SAPVE were diagnosed, which accounted for 16.7% of a total of 1309 cases of definitive prosthetic valve endocarditis (PVE). Patients presented advanced age and marked comorbidity. There was a higher incidence of persistent bacteremia, septic shock, stroke, and acute kidney injury than in cases of PVE caused by other microorganisms. Methicillin resistance was not associated with differences in clinical presentation, echocardiographic findings, or mortality. Only 50.6% of the patients with surgical indications (88 patients) underwent surgery. Overall, in-hospital mortality was 47.9%. The variables associated with in-hospital mortality were age (OR:1.03, 95% CI: 1.00-1.05; p = 0.016), heart failure (OR:2.86, 95% CI: 1.53–5.32; p = 0.001), acute kidney injury (OR:2.42, 95%CI:1.28–4.58; p = 0.006), stroke (OR:3.53, 95% CI:1.79–6.96; p < 0.001) and surgery indicated but not performed (OR:2.01, 95% CI:1.06–3.8; p = 0.030). On the other hand, the performance of surgery per se in patients with SAPVE, regardless of whether there was a surgical indication according to the guidelines, was not associated with a reduction in in-hospital mortality. Conclusions: SAPVE is characterized by high mortality, which is more marked in patients who present a surgical indication but do not undergo surger

Correlations between Different Heavy Metals in Diverse Body Fluids: Studies of Human Semen Quality

It has been hypothesized that exposure to heavy metals may impair male reproduction. To measure the effect produced by low doses of heavy metals on semen parameters, it is necessary to clarify in which body fluids those measurements must be performed. Sixty-one men attending infertility clinics participated in our study. Concentrations of lead, cadmium, and mercury were measured in whole blood, blood plasma, and seminal plasma using spectroanalytical and electrochemical methods. Semen analyses were performed according to World Health Organization criteria. For statistical analysis, Spearman's rank correlations, mean comparison tests, and discriminant analysis were calculated. Significant correlations between the measured concentrations of the three heavy metals in the same biological fluids were observed. However, no similar relationship was seen when comparing the concentrations in different body fluids of the same metal. According to our results and previous publications, seminal plasma might be the best body fluid for assessing impairment of human semen parameters

Evaluation of the Effect of Hydroxyzine on Preoperative Anxiety and Anesthetic Adequacy in Children: Double Blind Randomized Clinical Trial.

Surgical procedures can generate significant preoperative anxiety (POA) in as much as 70% of the paediatric population. The role of hydroxyzine and distractive techniques such as clowns in the management of anxiety is controversial. Our main objective was to evaluate the effect of hydroxyzine on the control of POA. The secondary objective was to assess the potential additive effect of hydroxyzine and distracting techniques. We performed a randomized double-blind, controlled clinical trial in children aged 2–16 years undergoing outpatient surgery (). Subjects were randomized to hydroxyzine (group 1) or placebo (group 2). For the secondary objective, two further groups were made by allocation by chance to hydroxyzine plus accompaniment with clowns (group 3) and placebo plus clowns (group 4). All patients were accompanied by their parents as the standard procedure. POA was determined by a modified Yale scale of POA (m-YPAS). Compliance of children during induction of anesthesia (Induction Compliance Checklist (ICC)) was also assessed. No differences () were found in POA control at the time of induction measured by m-YPAS (group 1: ; group 2: ; group 3: ; group 4: ). No differences were found in the level of ICC between the different treatment arms (group 1: ; group 2: ; group 3: ; group 4: ). The combination of all treatments (group 3) was the only effective strategy to contain the progression of anxiety. In conclusion, hydroxyzine was not effective to control POA in children. The combination of hydroxyzine and clowns avoided the progression of POA in our patients. This trial is registered with ClinicalTrials.gov identifier: NCT03324828 (registered 21 September 2017, subject recruitment started on 12th January 2018).post-print489 K