Atitudes do profissional de enfermagem em relação ao comportamento suicida: influência da inteligência emocional

OBJECTIVE: To assess attitudes and the influence of emotional intelligence is the objective of this work. METHOD: Nursing professionals answered a questionnaire that assessed the attitude towards suicide and emotional intelligence. RESULTS: The results show a general adverse attitude towards suicidal behavior. The moral dimension of suicide makes the differences between mental health and emergency professionals. CONCLUSIONS: Possessing a higher degree of mental health training and a high level of emotional intelligence is associated with a more positive attitude towards patients with suicidal behavior. The formation and development of emotional skills are essential for care delivery to patients with suicidal behavior.OBJETIVO: Evaluar la actitud y la influencia de la inteligencia emocional es el objetivo de este trabajo. MÉTODO: Profesionales de enfermería contestaron un cuestionario que evaluó la actitud hacia el suicidio e inteligencia emocional. RESULTADOS: Los resultados muestran una actitud general desfavorable hacia el comportamiento suicida. La dimensión moral del suicidio marca las diferencias entre los profesionales de salud mental y urgencias. CONCLUSIONES: Poseer un mayor grado de formación en salud mental y un alto nivel de inteligencia emocional se asocia a una actitud más positiva hacia el paciente con comportamiento suicida. Formación y desarrollo de habilidades emocionales son fundamentales para el cuidado de los pacientes con conducta suicida.OBJETIVO: avaliar a atitude e a influência da inteligência emocional é o objetivo deste trabalho. MÉTODO: profissionais de enfermagem responderam a um questionário para avaliar as atitudes suicidas e inteligência emocional. RESULTADOS: os resultados mostram atitude geralmente desfavorável perante o comportamento suicida. A dimensão moral do suicídio faz a diferença entre profissionais de saúde mental e emergência. CONCLUSÕES: possuir maior grau de formação em saúde mental e alto nível de inteligência emocional associa-se a uma atitude mais positiva em relação ao paciente com comportamento suicida. A formação e o desenvolvimento de competências emocionais são essenciais para o cuidado dos pacientes com comportamento suicida

Zirconium Metal−Organic Polyhedra with Dual Behavior for Organophosphate Poisoning Treatment

Organophosphate nerve agents and pesticides are extremely toxic compounds because they result in acetylcholinesterase (AChE) inhibition and concomitant nerve system damage. Herein, we report the synthesis, structural characterization, and proof-of-concept utility of zirconium metal−organic polyhedra (Zr-MOPs) for organophosphate poisoning treatment. The results show the formation of robust tetrahedral cages [((n-butylCpZr)3(OH)3O)4L6]Cl6 (Zr-MOP-1; L = benzene-1,4- dicarboxylate, n-butylCp = n-butylcyclopentadienyl, Zr-MOP-10, and L = 4,4′-biphenyldicarboxylate) decorated with lipophilic alkyl residues and possessing accessible cavities of ∼9.8 and ∼10.7 Å inner diameters, respectively. These systems are able to both capture the organophosphate model compound diisopropylfluorophosphate (DIFP) and host and release the AChE reactivator drug pralidoxime (2-PAM). The resulting 2-PAM@ Zr-MOP-1(0) host−guest assemblies feature a sustained delivery of 2-PAM under simulated biological conditions, with a concomitant reactivation of DIFP-inhibited AChE. Finally, 2-PAM@Zr-MOP systems have been incorporated into biocompatible phosphatidylcholine liposomes with the resulting assemblies being non-neurotoxic, as proven using neuroblastoma cell viability assays.Spanish MCIN/AEI PID2020-113608RB-I00FEDER/Junta de Andalucia-Conserjeria de Economia y Conocimiento B-FQM-364-UGR18 B-FQM-006-UGR18FEDER/Junta de Andalucia-Consejeria de Transformacion Economica, Industria, Conocimiento y Universidades P18-RT-612 P20_00672Fondazione CRUIprograma Juan de la Cierva FormacionSpanish Government PID2020-118117RB-I00Center for Forestry Research & Experimentation (CIEF)European Commission SEJIGENT/2021/059 PROMETEU/2021/054La Caixa Foundation 100010434 LCF/BQ/PR20/11770014"Maria de Maeztu" Program for Centers of Excellence in RD CEX2019-000919-MH2020-MSCA-IF2019-888972-PSust-MO

Synthesis, Structure and Nickel Carbonyl Complexes of Dialkylterphenyl Phosphines

The experimental and computational characterization of a series of dialkylterphenyl phosphines, PR2Ar′ is described. The new P‐donors comprise five compounds of general formula PR2Arurn:x-wiley:09476539:media:chem201803598:chem201803598-math-0001 (R=Me, Et, iPr, c‐C5H9 and c‐C6H11); Arurn:x-wiley:09476539:media:chem201803598:chem201803598-math-0002 = 2,6‐C6H3‐(3,5‐C6H3‐(CMe3)2)2), and another five PR2Ar′ phosphines containing the bulky alkyl groups iPr, c‐C5H9 or c‐C6H11, in combination with Ar′=Arurn:x-wiley:09476539:media:chem201803598:chem201803598-math-0003 , Arurn:x-wiley:09476539:media:chem201803598:chem201803598-math-0004 , or Arurn:x-wiley:09476539:media:chem201803598:chem201803598-math-0005 (L1–L10). Steric and electronic parameters have been determined computationally and from IR and X‐ray data obtained for the phosphines and for some derivatives, including tricarbonyl and dicarbonyl nickel complexes, Ni(CO)3(PR2Ar′) and Ni(CO)2(PR2Ar′). In the solid state, the free phosphines PR2Ar′ adopt one of the three possible structures formally related by rotation around the Cipso−P bond. Details on their relative energies and on the influence of the free phosphine structure on its coordination chemistry towards Ni(CO)n (n = 2, 3) fragments has been obtained by experimental and computational methods.Ministerio de Economía y Competitividad CTQ2013-42501-P, CTQ2016-75193-P, CTQ2017-82893-C2-2-

Differences in mobility, driving styles and road crashes among drivers, according to their status of user and non-user of bicycle

Introducción: Se conoce la tendencia al menor respeto de las normas de seguridad vial por parte de los usuarios de bicicleta. Los objetivos de este estudio fueron identificar las diferencias en la movilidad, estilos de conducción y accidentalidad entre conductores de turismo, en función de su condición o no de usuarios de bicicleta y valorar el efecto de montar en bicicleta sobre cada una de estas variables. Material y Métodos: Se realizó un estudio transversal sobre una muestra de 1114 conductores de turismo (34,4% de ellos usuarios de bicicleta) empleando un cuestionario autoadministrado que valoró: su movilidad, uso de dispositivos de seguridad, estilos de conducción y accidentalidad. Resultados: Los conductores usuarios de bicicleta presentaron mayores exposiciones, manifestaron conducir más deprisa, se percibieron como mejores al volante y se implicaron más frecuentemente en estilos de conducción de riesgo. Conclusión: En nuestra población, ser usuario de bicicleta se asoció positivamente con todos los factores relacionados con una mayor morbi-mortalidad por tráfico.Introduction: It is well known the lower respect to the road safety rules by the bicycle users. The objectives of this study were to identify differences in mobility, driving styles and road crashes among car drivers, according to their condition or not as bicycle users and to assess the effect of being bicycle users on each of these variables. Material and Methods: A cross sectional study was conducted on a sample of 1114 car drivers (34.4% of them cyclists) using a self-administered questionnaire which assessed: mobility, use of safety devices, driving styles and road crashes. Results: The drivers who were also bicycle users had: higher level of exposure, they drove faster, they perceived themselves as better car drivers and they had been more frequently involved in risky-driving styles than car drivers not bicycle users. Conclusion: In our population, the bicycle user condition was positively associated with all factors that increase morbidity and mortality due to traffic accident

Método y kit de diagnóstico para la determinación cuantitativa de la expresión del canal maxi-K

Método y kit de diagnóstico para la determinación cuantitativa de la expresión del canal maxi-K. La presente invención se refiere a un método y kit de diagnóstico para la determinación cuantitativa en leucocitos de sangre periférica de una muestra de sangre total de la expresión de los genes KCNM implicados en la hipertensión arterial humana. En concreto de la expresión, de los niveles de ARNm y/o proteínas, de las subunidades alfa y beta1 del canal iónico maxi-K, es decir, de los genes KCNMA1 y KCNMB1.Españ

EZH2 endorses cell plasticity to non-small cell lung cancer cells facilitating mesenchymal to epithelial transition and tumour colonization

CGL was funded by the Consejería de Salud y Familias, Junta de Andalucía (RH-0139-2020) and SG-P is funded by Instituto de Salud Carlos III (CP19/00029, PI15/00336, PI19/01533). JAM is supported by RTI2018.101309B-C22 funded by MCIN/AEI/10.13039/501100011033/FEDER “Una manera de hacer Europa” and by the Chair “Doctors Galera-Requena in cancer stem cell research”. PCS is funded by Ministerio de Ciencia e Innovación (grant PID2020-119032RB-I00) and FEDER/Junta de Andalucía-Consejería de Transformación Económica, Industria, Conocimiento y Universidades (grants P20_00335 and B‐CTS‐40‐UGR20). The Landeira lab is supported by the Spanish ministry of science and innovation (PID2019-108108-100, EUR2021-122005), the Andalusian regional government (PC-0246-2017, PIER-0211-2019, PY20_00681) and the University of Granada (A-BIO-6-UGR20) grants.Reversible transition between the epithelial and mesenchymal states are key aspects of carcinoma cell dissemination and the metastatic disease, and thus, characterizing the molecular basis of the epithelial to mesenchymal transition (EMT) is crucial to find druggable targets and more effective therapeutic approaches in cancer. Emerging studies suggest that epigenetic regulators might endorse cancer cells with the cell plasticity required to conduct dynamic changes in cell state during EMT. However, epigenetic mechanisms involved remain mostly unknown. Polycomb Repressive Complexes (PRCs) proteins are well-established epigenetic regulators of development and stem cell differentiation, but their role in different cancer systems is inconsistent and sometimes paradoxical. In this study, we have analysed the role of the PRC2 protein EZH2 in lung carcinoma cells. We found that besides its described role in CDKN2A-dependent cell proliferation, EZH2 upholds the epithelial state of cancer cells by repressing the transcription of hundreds of mesenchymal genes. Chemical inhibition or genetic removal of EZH2 promotes the residence of cancer cells in the mesenchymal state during reversible epithelial–mesenchymal transition. In fitting, analysis of human patient samples and tumour xenograft models indicate that EZH2 is required to efficiently repress mesenchymal genes and facilitate tumour colonization in vivo. Overall, this study discloses a novel role of PRC2 as a master regulator of EMT in carcinoma cells. This finding has important implications for the design of therapies based on EZH2 inhibitors in human cancer patients.Junta de Andalucía (RH-0139-2020)Instituto de Salud Carlos III (CP19/00029, PI15/00336, PI19/01533)MCIN/AEI/10.13039/501100011033/FEDER “Una manera de hacer Europa” RTI2018.101309B-C22Chair “Doctors Galera-Requena in cancer stem cell research”Ministerio de Ciencia e Innovación (grant PID2020-119032RB-I00)FEDER/Junta de Andalucía-Consejería de Transformación Económica, Industria, Conocimiento y Universidades (grants P20_00335 and B‐CTS‐40‐UGR20)Spanish ministry of science and innovation (PID2019-108108-100, EUR2021-122005)Andalusian regional government (PC-0246-2017, PIER-0211-2019, PY20_00681)University of Granada (A-BIO-6-UGR20

Autobeca

Projecte presentat al 3r Premi a la Qualitat de la Gestió Universitària, convocat pel Consell Social de la UPCAward-winnin

International Consensus Document on Obstructive Sleep Apnea

El objetivo principal de este documento internacional de consenso sobre apnea obstructiva del sueno es proporcionar unas directrices que permitan a los profesionales sanitarios tomar las mejores decisiones en la asistencia de los pacientes adultos con esta enfermedad según un resumen crítico de la literatura más actualizada. El grupo de trabajo de expertos se ha constituido principalmente por 17 sociedades científicas y 56 especialistas con amplia representación geográfica (con la participación de 4 sociedades internacionales), además de un metodólogo experto y un documentalista del Centro Cochrane Iberoamer icano. El documento consta de un manuscrito principal, con las novedades más relevantes del DIC, y una serie de manuscritos online que recogen las búsquedas bibliográficas sistemáticas de cada uno de los apartados del DIC. Este documento no cubre la edad pediátrica ni el manejo del paciente en ventilación mecánica crónica no invasiva (que se publicarán en sendos documentos de consenso aparte)

Variability of indication criteria in knee and hip replacement: an observational study

<p>Abstract</p> <p>Background</p> <p>Total knee (TKR) and hip (THR) replacement (arthroplasty) are effective surgical procedures that relieve pain, improve patients' quality of life and increase functional capacity. Studies on variations in medical practice usually place the indications for performing these procedures to be highly variable, because surgeons appear to follow different criteria when recommending surgery in patients with different severity levels. We therefore proposed a study to evaluate inter-hospital variability in arthroplasty indication.</p> <p>Methods</p> <p>The pre-surgical condition of 1603 patients included was compared by their personal characteristics, clinical situation and self-perceived health status. Patients were asked to complete two health-related quality of life questionnaires: the generic SF-12 (Short Form) and the specific WOMAC (Western Ontario and Mcmaster Universities) scale. The type of patient undergoing primary arthroplasty was similar in the 15 different hospitals evaluated.</p> <p>The variability in baseline WOMAC score between hospitals in THR and TKR indication was described by range, mean and standard deviation (SD), mean and standard deviation weighted by the number of procedures at each hospital, high/low ratio or extremal quotient (EQ_5-95), variation coefficient (CV_5-95) and weighted variation coefficient (WCV_5-95) for 5-95 percentile range. The variability in subjective and objective signs was evaluated using median, range and WCV_5-95. The appropriateness of the procedures performed was calculated using a specific threshold proposed by Quintana et al for assessing pain and functional capacity.</p> <p>Results</p> <p>The variability expressed as WCV_5-95was very low, between 0.05 and 0.11 for all three dimensions on WOMAC scale for both types of procedure in all participating hospitals. The variability in the physical and mental SF-12 components was very low for both types of procedure (0.08 and 0.07 for hip and 0.03 and 0.07 for knee surgery patients). However, a moderate-high variability was detected in subjective-objective signs. Among all the surgeries performed, approximately a quarter of them could be considered to be inappropriate.</p> <p>Conclusions</p> <p>A greater inter-hospital variability was observed for objective than for subjective signs for both procedures, suggesting that the differences in clinical criteria followed by surgeons when indicating arthroplasty are the main responsible factors for the variation in surgery rates.</p