93 research outputs found
Que Grande es el Cine!
El objetivo de este trabajo sobre el programa que viene emitiĂ©ndose en TVE2 estos cuatro Ășltimos años, ÂĄQuĂ© grande es el cine!, ha sido reunir todos los datos que caractericen al programa, haciendo un estudio sobre los contenidos emitidos, ya sean bien las pelĂculas, bien los coloquios ofrecidos en cada espacio. Por ello, este trabajo se ha basado mĂĄs en los aspectos propiamente relacionados con la emisiĂłn que en cĂłmo se lleva a cabo el proceso de documentaciĂłn del programa. Sin embargo, este segundo aspecto no ha quedado omitido, ya que lo consideramos esencial para que el trabajo dĂ© una perspectiva acerca de lo que es ÂĄQuĂ© grande es el cine
¿Disminuye el Estrés Generado en la Sala de Disección la Formación sobre la Muerte y el Moribundo?
Positive effects on reducing studentsâ stress have been reported across numerous university settings when anatomy preparatory seminars have been provided. To date, this type of preparation for coping with cadaver dissection has not been studied in Spanish universities. The aim of this study is to evaluate how first-year Spanish medical students face the dissecting room and whether previous preparation about death and dying reduces the stress generated. We performed an interventional study with students who received preparatory classes before the dissection practices (Experimental Group, EG) and with students who did not (Control Group, CG). Sociodemographic data and a self-assessment on stress symptoms were collected through a questionnaire completed before and after the dissection practices. No differences were found in the self-report of symptoms of stress among students who consider themselves religious or not, or between students who had a family member in the healthcare environment or not. However, in the EG, the students who had ample experience with terminally ill patients or death reported fewer stress symptoms. Unexpectedly, the number of self- reported stress symptoms after the dissection practice was higher in EG students. In conclusion the stress levels of first-year Spanish medical students not only did not improve after receiving preparatory classes about death and dying and discussion groups, but it gets worse. We found a relationship between student stress measured and experience with terminally ill patients or death. Additional studies are needed to identify the most suitable preparation for Spanish medical students.Se han informado efectos positivos en la reduccioÌn del estreÌs en los estudiantes de numerosos entornos universitarios cuando se han impartido seminarios preparatorios de anatomiÌa. Hasta la fecha, este tipo de preparacioÌn para hacer frente a la diseccioÌn del cadaÌver no se ha estudiado en las universidades espanÌolas. El objetivo de este estudio es evaluar coÌmo los estudiantes de medicina espanÌoles de primer anÌo se enfrentan a la sala de diseccioÌn y si la preparacioÌn previa sobre la muerte y el moribundo reduce el estreÌs generado. Realizamos un estudio de intervencioÌn con estudiantes que recibieron clases preparatorias antes de las praÌcticas de diseccioÌn (Grupo Experimental, GE) y con estudiantes que no las recibieron (Grupo de Control, GC). Se recogieron datos sociodemograÌficos y siÌntomas de estreÌs mediante un cuestionario de autoevaluacioÌn antes y despueÌs de las praÌcticas de diseccioÌn. No se encontraron diferencias en los siÌntomas de estreÌs valorados, entre los estudiantes que se consideran religiosos y los que no, ni tampoco entre los estudiantes que teniÌan o no un familiar en el entorno sanitario. Sin embargo, en el GE, en los estudiantes que teniÌan una amplia experiencia con pacientes con enfermedades terminales o con la muerte se observaron menos siÌn- tomas de estreÌs. Inesperadamente, el nuÌmero de siÌntomas de estreÌs recogidos despueÌs de la praÌctica de diseccioÌn fue mayor en los estudiantes del GE. En conclusioÌn, los niveles de estreÌs de los es- tudiantes espanÌoles de medicina de primer anÌo no solo no mejora- ron despueÌs de recibir las clases preparatorias sobre la muerte y el moribundo y establecer grupos de discusioÌn, sino que empeoraron. Encontramos una relacioÌn entre la medicioÌn del estreÌs en los estudiantes y la experiencia con pacientes con enfermedades ter- minales o con la muerte. Se necesitan estudios adicionales para identificar la preparacioÌn maÌs adecuada para los estudiantes de medicina espanÌoles.Unidad Docente de AnatomĂa y EmbriologĂaFac. de Ăptica y OptometrĂaTRUEUniversidad Complutense de Madridpu
Musical Learning
Music plays a vital role in culture of human societies. The harmonic flow of sounds directly influences different areas involved in cognitive process and emotions. Our enthusiastic group organized and offered a dinamic workshop for children between 9 and 10 in order to introduce them to the fascinating world of Neurosciences. Our talk began explaining the basic anatomy of nervous system and sensory systems, such as the ear. We exposed the links between sound stimuli and how our brain is able to interpret and respond to them. We visited 5th grade students in different schools in the city of Mendoza, Argentina. Children got acquainted with basic concepts of the nervous system, neurons and hearing system. They learned how music helps to evoke memories and affects our mood. Finally, they were able to manipulate different animal brains and to observed neurons with a microscope. Our approach was based on teaching through games, thus improving the communication between speakers and students and, facilitating the consolidation of novel knowledge. This experience with children has been really enriching for our professional careers.Fil: Asensio, Joana Antonela. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaFil: Barauna, Andrea Anabella. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaFil: Chrabalowsky, MartĂn. Universidad Nacional de Cuyo; ArgentinaFil: Croce, Cristina Celeste. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaFil: FarĂas Altamirano, Luz EstefanĂa. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaFil: Freites, Carlos Leandro. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaFil: LĂłpez, MarĂa Paula. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaFil: Mata MartĂnez, Esperanza. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaFil: PĂĄez, Andrea. Universidad Nacional de Cuyo; ArgentinaFil: VĂĄsquez, Elena. Consejo Nacional de Investigaciones CientĂficas y TĂ©cnicas. Centro CientĂfico TecnolĂłgico Conicet - Mendoza. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos. Universidad Nacional de Cuyo. Facultad de Ciencias MĂ©dicas. Instituto de HistologĂa y EmbriologĂa de Mendoza Dr. Mario H. Burgos; ArgentinaXXXIV Anual Meeting of Argentine Society for Research in NeurosciencesCĂłrdobaArgentinaSociedad Argentina de Investigacion en Neurociencia
Breast cancer patient experiences through a journey map: A qualitative study.
Background: Breast cancer is one of the most prevalent diseases in women. Prevention and treatments have lowered mortality; nevertheless, the impact of the diagnosis and treatment continue to impact all aspects of patients' lives (physical, emotional, cognitive, social, and spiritual). Objective: This study seeks to explore the experiences of the different stages women with breast cancer go through by means of a patient journey. Methods: This is a qualitative study in which 21 women with breast cancer or survivors were interviewed. Participants were recruited at 9 large hospitals in Spain and intentional sampling methods were applied. Data were collected using a semi-structured interview that was elaborated with the help of medical oncologists, nurses, and psycho-oncologists. Data were processed by adopting a thematic analysis approach. Results: The diagnosis and treatment of breast cancer entails a radical change in patients' day-today that linger in the mid-term. Seven stages have been defined that correspond to the different medical processes: diagnosis/unmasking stage, surgery/cleaning out, chemotherapy/loss of identity, radiotherapy/transition to normality, follow-up care/the 'new' day-today, relapse/starting over, and metastatic/time-limited chronic breast cancer. The most relevant aspects of each are highlighted, as are the various cross-sectional aspects that manifest throughout the entire patient journey. Conclusions: Comprehending patients' experiences in depth facilitates the detection of situations of risk and helps to identify key moments when more precise information should be offered. Similarly, preparing the women for the process they must confront and for the sequelae of medical treatments would contribute to decreasing their uncertainty and concern, and to improving their quality-of-life
Ascertaining breast cancer patient experiences through a journey map: A qualitative study protocol
This study seeks to describe breast cancer patients' experience over the course of the various stages of illness by means of a journey model. This is a qualitative descriptive study. Individual, semi-structured interviews will be administered to women with breast cancer and breast cancer survivors. Patients will be recruited from nine large hospitals in Spain and intentional sampling will be used. Data will be collected by means of a semi-structured interview that was elaborated with the help of medical oncologists, nurses, and psycho-oncologists. Data will be processed adopting a thematic analysis approach. The outcomes of this study will afford new insights into breast cancer patients' experiences,providing guidance to improve the care given to these individuals. This protocol aims to describe the journey of patients with breast cancer through the healthcare system to establish baseline data that will serve as the basis for the development and implementation of a patient-centered, evidence-based clinical pathway
Multidimensional Scale of Perceived Social Support (MSPSS) in cancer patients: psychometric properties and measurement invariance
Background: The aim of this study was to evaluate the psychometric properties, convergent validity, and factorial invariance of the Multidimensional Scale of Perceived Social Support (MSPSS) in cancer patients. Method: Confi rmatory factor analysis (CFA) was conducted to explore the scale's dimensionality and test for strong measurement invariance across sex and age in a cross-sectional, multicenter, prospective study. Patients completed the MSPSS and Satisfaction with Life Scale (SWLS). Results: A total of 925 consecutive patients were recruited in 13 hospitals between July 2015 and December 2018. The CFA indicated that the original three factor model was replicated in patients with cancer. The results of the multi-group CFA revealed a strong invariance according to sex and age. The Spanish version of the MSPSS had high estimated reliability with values exceeding .90. The simple sum of the items of each scale was a good indicator of oncology patients' perceived social support. The three MSPSS subscales correlated signifi cantly with the SWLS. Women scored higher on social support by friends than men. Conclusion: The Spanish version of the MSPSS proved to be a valid, reliable instrument to assess perceived social support in cancer patients
Prediction of quality of life in early breast cancer upon completion of adjuvant chemotherapy
Quality of life (QoL) is a complex, ordinal endpoint with multiple conditioning factors. A predictive model of QoL after adjuvant chemotherapy can support decision making or the communication of information about the range of treatment options available. Patients with localized breast cancer (n = 219) were prospectively recruited at 17 centers. Participants completed the EORTC QLQC30 questionnaire. The primary aim was to predict health status upon completion of adjuvant chemotherapy adjusted for multiple covariates. We developed a Bayesian model with six covariates (chemotherapy regimen, TNM stage, axillary lymph node dissection, perceived risk of recurrence, age, type of surgery, and baseline EORTC scores). This model allows both prediction and causal inference. The patients with mastectomy reported a discrete decline on all QoL scores. The effect of surgery depended on the interaction with age. Women with ages on either end of the range displayed worse scores, especially with mastectomy. The perceived risk of recurrence had a striking effect on health status. In conclusion, we have developed a predictive model of health status in patients with early breast cancer based on the individual's profile
Effect of Continuous Positive Airway Pressure on Inflammatory, Antioxidant, and Depression Biomarkers in Women With Obstructive Sleep Apnea: A Randomized Controlled Trial
Study objectives: The effect of continuous positive airway pressure (CPAP) on mediators of cardiovascular disease and depression in women with obstructive sleep apnea (OSA) is unknown. We aimed to assess the effect of CPAP therapy on a variety of biomarkers of inflammation, antioxidant activity, and depression in women with OSA.
Methods: We conducted a multicenter, randomized controlled trial in 247 women diagnosed with moderate-to-severe OSA (apnea-hypopnea index [AHI] ? 15). Women were randomized to CPAP (n = 120) or conservative treatment (n = 127) for 12 weeks. Changes in tumor necrosis factor ? (TNF?), interleukin 6 (IL-6), C-reactive protein (CRP), intercellular adhesion molecule 1 (ICAM-1), catalase (CAT), superoxide dismutase (SOD), and brain-derived neurotrophic factor (BDNF) were assessed. Additional analyses were conducted in subgroups of clinical interest.
Results: Women had a median (25th-75th percentiles) age of 58 (51-65) years, body mass index 33.5 (29.0-38.3) kg/m2, and AHI 33.3 (22.8-49.3). No differences were found between groups in the baseline levels of the biomarkers. After 12 weeks of follow-up, there were no changes between groups in any of the biomarkers assessed. These results did not change when the analyses were restricted to sleepy women or to those with severe OSA. In women with CPAP use at least 5 hours per night, only TNF? levels decreased compared to the control group (-0.29 ± 1.1 vs -0.06 ± 0.53, intergroup difference -0.23 [95% CI = -0.03 to -0.50]; p = 0.043).
Conclusions: Twelve weeks of CPAP therapy does not improve biomarkers of inflammation, antioxidant activity, or depression compared to conservative treatment in women with moderate-to-severe OSA
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