The Relationship between Weight Status, Health-Related Quality of Life, and Life Satisfaction in a Sample of Spanish Adolescents

Excess weight has been associated with numerous psychosocial problems and is considered to be one of the most important health problems of today. The aim of this study is to analyze the relationship between weight status, which is evaluated by means of the body mass index (BMI), and the health-related quality of life (HRQoL) and life satisfaction (LS) variables in Spanish adolescents, as well as to examine whether gender influences this interrelationship. A total of 1197 subjects studying in their 1st and 4th years of high school (mean age: 14.4 years, SD: 1.69) participated in the study by completing the Health Behavior in School-Aged Children (HBSC) questionnaire. Then, the participants were grouped into the following categories: underweight, normal weight, overweight, and obese. The results show that boys have significantly higher HRQoL as well as higher levels of LS. On the other hand, only the obese group shows significantly lower scores in both HRQoL and LS than those in the normal-weight group. The interaction of weight category and gender does not have a significant impact on the variables that have been analyzed (HRQoL or LS).2019-2

Estudios de cómic en la Universidad de Alicante. De Unicómic a una red de investigación

Con el fin de continuar con la labor de difusión de la historieta como arte, objeto de estudio académico y herramienta didáctica que desde 1999 realiza la asociación Unicómic, coordinadora de las Jornadas del Cómic de la Universidad de Alicante de idéntico nombre, y a partir de un curso sobre la relación del noveno arte con la Literatura y la Historia celebrado en noviembre de 2013, buena parte del profesorado de este último junto a otros investigadores con inquietudes similares acaban conformando una red de investigación centrada en las posibilidades del cómic como instrumento docente, de nombre Cómic como elemento didáctico. Posibilidades de la narración gráfica en disciplinas académicas y tramos de preparación a la universidad. Dicha red articula una serie de investigaciones que pasa por la realización y tutorización de Trabajos de Fin de Grado, la participación de sus miembros en cursos académicos de diversa índole y la labor continuista de coordinación de las propias jornadas de Unicómic

Innovar e investigar desde la narración gráfica: hacia un canon literario del cómic

Para el reconocimiento de la narración gráfica (cómic, tebeo, historieta, novela gráfica) como una herramienta didáctica adecuada, es necesaria la definición de un canon artístico de obras que recojan ejemplos principales que se conviertan en obras de referencia. Ya en el canon de cien obras de literatura infantil-juvenil del siglo XX (Equipo Peonza, 2004) aparecen ocho obras que podríamos definir como cómic. Desde la red de investigación en docencia universitaria sobre cómic didáctico y continuando la labor que desde 1999 realiza Unicómic, las Jornadas del Cómic de la Universidad de Alicante, hemos desarrollado una serie de iniciativas para intentar configurar un canon artístico del cómic, que posteriormente generará un canon escolar con aplicaciones didácticas específicas. En el siguiente trabajo presentaremos una primera selección de obras fundamentales a partir de las entrevistas realizadas a distintos autores, críticos y docentes especialistas en el cómic, que podríamos incluir en cualquier proyecto de promoción lectora o plan de lectura en Educación Primaria y Secundaria

OBL2013

En este estudio nueve estudiantes de últimos cursos de grado y postgrado han desarrollado competencias emprendedoras mediante la mentorización y evaluación de grupos de estudiantes de primer curso. Cada estudiante de último curso o de postgrado ha llevado a cabo la mentorización de dos grupos de estudiantes en la realización de un trabajo bibliográfico en equipo desarrollado en la asignatura OBLII de primer curso del Grado en Química. Para llevar a cabo dicha mentorización los estudiantes-tutores han realizado entre 6 y 10 reuniones con el equipo durante el semestre y finalmente han evaluado una serie de competencias transversales que suponen el 12% de la calificación de la asignatura. En todo momento ha existido una comunicación entre el estudiante-tutor y el profesor de la asignatura que finalmente corrige el trabajo realizado por los estudiantes. Mediante este sistema, los estudiantes-tutores no solo han sido capaces de transmitir a los estudiantes de nuevo ingreso nuevas metodologías de trabajo, habilidades para la búsqueda de información o como gestionar el tiempo, sino que han desarrollado una serie de competencias transversales como la capacidad de liderar un equipo, la capacidad y espíritu crítico o la comunicación oral adquiriendo así competencias emprendedoras de gran utilidad para su incorporación al mundo laboral

Adquisición de competencias emprendedoras a través de la mentorización de iguales

En este estudio nueve estudiantes de últimos cursos de grado y postgrado han desarrollado competencias emprendedoras mediante la mentorización y evaluación de grupos de estudiantes de primer curso. Cada estudiante de último curso o de postgrado ha llevado a cabo la mentorización de dos grupos de estudiantes en la realización de un trabajo bibliográfico en equipo desarrollado en la asignatura OBLII de primer curso del Grado en Química. Para llevar a cabo dicha mentorización los estudiantes-tutores han realizado entre 6 y 10 reuniones con el equipo durante el semestre y finalmente han evaluado una serie de competencias transversales que suponen el 12% de la calificación de la asignatura. En todo momento ha existido una comunicación entre el estudiante-tutor y el profesor de la asignatura que finalmente corrige el trabajo realizado por los estudiantes. Mediante este sistema, los estudiantes-tutores no solo han sido capaces de transmitir a los estudiantes de nuevo ingreso nuevas metodologías de trabajo, búsqueda de información o gestión del tiempo, sino que han desarrollado una serie de competencias transversales como la capacidad de liderar un equipo, la capacidad y espíritu crítico o la comunicación oral adquiriendo así competencias emprendedoras de gran utilidad para su incorporación al mundo laboral

Does knowledge of cancer diagnosis affect quality of life? A methodological challenge

BACKGROUND: As part of an assessment of quality of life in lung cancer patients an investigation was carried out to examine whether the knowledge of their diagnosis affected their quality of life. METHODS: Every patient in a defined geographical area with a potential diagnosis of lung cancer was interviewed at first consultation and after a definitive treatment has been given. Quality of life was assessed using three standard measures: the Nottingham Health Profile (NHP), the EORTC quality of life questionnaire (QLQ-C30) and its lung cancer supplementary questionnaire (QLQ-LC13). Comparison was made in quality of life scores between patients who knew their cancer diagnosis and those who did not. RESULTS: In all, 129 lung cancer patients were interviewed. Of these, 30 patients (23%) knew and 99 (78%) did not know their cancer diagnosis at the time of baseline assessment. The patient groups were similar in their characteristics except for age (P = 0.04) and cell type (P < 0.0001). Overall, there were no significant differences between these two groups with regard to their scores on the three instruments used. A major finding was that both group scored almost the same on emotional reactions (P = 0.8) and social isolation (P = 1.0) as measured by the NHP, and emotional (P = 0.7) and social functioning (P = 1.0) as measured by the EORTC QLQ-C30. In addition there were no significant differences in patients' symptom scores between those who knew their diagnosis and those who did not, nor did any consistent pattern emerge. The only significant difference was for sleep difficulties (P = 0.02). CONCLUSION: The findings suggest that the knowledge of cancer diagnosis does not affect the way in which patients respond to quality of life questionnaires

The evolving landscape of COVID-19 and post-COVID condition in patients with chronic lymphocytic leukemia: a study by ERIC, the European research initiative on CLL

In this retrospective international multicenter study, we describe the clinical characteristics and outcomes of patients with chronic lymphocytic leukemia (CLL) and related disorders (small lymphocytic lymphoma and high-count monoclonal B lymphocytosis) infected by SARS-CoV-2, including the development of post-COVID condition. Data from 1540 patients with CLL infected by SARS-CoV-2 from January 2020 to May 2022 were included in the analysis and assigned to four phases based on cases disposition and SARS-CoV-2 variants emergence. Post-COVID condition was defined according to the WHO criteria. Patients infected during the most recent phases of the pandemic, though carrying a higher comorbidity burden, were less often hospitalized, rarely needed intensive care unit admission, or died compared to patients infected during the initial phases. The 4-month overall survival (OS) improved through the phases, from 68% to 83%, p = .0015. Age, comorbidity, CLL-directed treatment, but not vaccination status, emerged as risk factors for mortality. Among survivors, 6.65% patients had a reinfection, usually milder than the initial one, and 16.5% developed post-COVID condition. The latter was characterized by fatigue, dyspnea, lasting cough, and impaired concentration. Infection severity was the only risk factor for developing post-COVID. The median time to resolution of the post-COVID condition was 4.7 months. OS in patients with CLL improved during the different phases of the pandemic, likely due to the improvement of prophylactic and therapeutic measures against SARS-CoV-2 as well as the emergence of milder variants. However, mortality remained relevant and a significant number of patients developed post-COVID conditions, warranting further investigationsAssociazione Italiana per la Ricerca sul Cancro, Grant/Award Number: IG-25024; Consellería de Innovacion, Universidades, Ciencia y Sociedad digital, Grant/Award Number: ACIF/2021/169; Fondazione Veronesi, Grant/Award Number: 1852164; General Secretariat of Research and Innovation of Greece; Ricerca per Credere nella vita” RCV odv, Grant/Award Number: 2022-DIMED

Thrombotic and bleeding complications in patients with chronic lymphocytic leukemia and severe COVID-19: a study of ERIC, the European Research Initiative on CLL

Background: Patients with chronic lymphocytic leukemia (CLL) may be more susceptible to COVID-19 related poor outcomes, including thrombosis and death, due to the advanced age, the presence of comorbidities, and the disease and treatment-related immune deficiency. The aim of this study was to assess the risk of thrombosis and bleeding in patients with CLL affected by severe COVID-19. Methods: This is a retrospective multicenter study conducted by ERIC, the European Research Initiative on CLL, including patients from 79 centers across 22 countries. Data collection was conducted between April and May 2021. The COVID-19 diagnosis was confirmed by the real-time polymerase chain reaction (RT-PCR) assay for SARS-CoV-2 on nasal or pharyngeal swabs. Severe cases of COVID-19 were defined by hospitalization and the need of oxygen or admission into ICU. Development and type of thrombotic events, presence and severity of bleeding complications were reported during treatment for COVID-19. Bleeding events were classified using ISTH definition. STROBE recommendations were used in order to enhance reporting. Results: A total of 793 patients from 79 centers were included in the study with 593 being hospitalized (74.8%). Among these, 511 were defined as having severe COVID: 162 were admitted to the ICU while 349 received oxygen supplementation outside the ICU. Most patients (90.5%) were receiving thromboprophylaxis. During COVID-19 treatment, 11.1% developed a thromboembolic event, while 5.0% experienced bleeding. Thrombosis developed in 21.6% of patients who were not receiving thromboprophylaxis, in contrast to 10.6% of patients who were on thromboprophylaxis. Bleeding episodes were more frequent in patients receiving intermediate/therapeutic versus prophylactic doses of low-molecular-weight heparin (LWMH) (8.1% vs. 3.8%, respectively) and in elderly. In multivariate analysis, peak D-dimer level and C-reactive protein to albumin ratio were poor prognostic factors for thrombosis occurrence (OR = 1.022, 95%CI 1.007?1.038 and OR = 1.025, 95%CI 1.001?1.051, respectively), while thromboprophylaxis use was protective (OR = 0.199, 95%CI 0.061?0.645). Age and LMWH intermediate/therapeutic dose administration were prognostic factors in multivariate model for bleeding (OR = 1.062, 95%CI 1.017-1.109 and OR = 2.438, 95%CI 1.023-5.813, respectively). Conclusions: Patients with CLL affected by severe COVID-19 are at a high risk of thrombosis if thromboprophylaxis is not used, but also at increased risk of bleeding under the LMWH intermediate/therapeutic dose administration

Phase I clinical trial in healthy adults of a nasal vaccine candidate containing recombinant hepatitis B surface and core antigens

SummaryBackgroundThe nasal vaccine candidate (NASVAC), comprising hepatitis B virus (HBV) surface (HBsAg) and core antigens (HBcAg), has been shown to be highly immunogenic in animal models.MethodsA phase I double-blinded, placebo-controlled randomized clinical trial was carried out in 19 healthy male adults with no serologic markers of immunity/infection to HBV. This study was aimed at exploring the safety and immunogenic profile of nasal co-administration of both HBV recombinant antigens. The trial was performed according to Good Clinical Practice guidelines. Participants ranged in age from 18 to 45 years and were randomly allocated to receive a mixture of 50μg HBsAg and 50μg HBcAg or 0.9% physiologic saline solution, as a placebo, via nasal spray in a five-dose schedule at 0, 7, 15, 30, and 60 days. A total volume of 0.5ml was administered in two dosages of 125μl per nostril. Adverse events were actively recorded 1h, 6h, 12h, 24h, 48h, 72h, 7 days and 30 days after each dose. Anti-HBs and anti-HBc titers were evaluated using corresponding ELISA kits at days 30 and 90.ResultsThe vaccine candidate was safe and well tolerated. Adverse reactions included sneezing (34.1%), rhinorrhea (12.2%), nasal stuffiness (9.8%), palate itching (9.8%), headache (9.8%), and general malaise (7.3%). These reactions were all self-limiting and mild in intensity. No severe or unexpected events were recorded during the trial. The vaccine elicited anti-HBc seroconversion in 100% of subjects as early as day 30 of the immunization schedule, while a seroprotective anti-HBs titer (≥10IU/l) was at a maximum at day 90 (75%). All subjects in the placebo group remained seronegative during the trial.ConclusionThe HBsAg–HBcAg vaccine candidate was safe, well tolerated and immunogenic in this phase I study in healthy adults. To our knowledge, this is the first demonstration of safety and immunogenicity for a nasal vaccine candidate comprising HBV antigens

A collaboratively derived environmental research agenda for Galapagos

Galápagos is one of the most pristine archipelagos in the world and its conservation relies upon research and sensible management. In recent decades both the interest in, and the needs of, the islands have increased, yet the funds and capacity for necessary research have remained limited. It has become, therefore, increasingly important to identify areas of priority research to assist decision-making in Galápagos conservation. This study identified 50 questions considered priorities for future research and management. The exercise involved the collaboration of policy makers, practitioners and researchers from more than 30 different organisations. Initially, 360 people were consulted to generate 781 questions. An established process of preworkshop voting and three rounds to reduce and reword the questions, followed by a two-day workshop, was used to produce the final 50 questions. The most common issues raised by this list of questions were human population growth, climate change and the impact of invasive alien species. These results have already been used by a range of organisations and politicians and are expected to provide the basis for future research on the islands so that its sustainability may be enhanced. </jats:p