Spanish adaptation of the stepparent role strain index

Stepparent role strain refers to the fragile position of these family members in stepfamilies due to the lack of clear social expectations about their roles. This ambiguity facilitates family conflict and a lack of stepparents’ integration into the family system. The aim of this paper is to adapt a pioneer measure of stepparent role strain—the Stepparent Role Strain Index of Whitsett and Land (1992)—in a Spanish sample and to analyze its construct validity. The final instrument is made up of 26 items which have good internal consistency (α= .89) and an underlying six-factor structure, explaining 64.50% of the total variance.La tensión de rol de los padrastros y de las madrastras alude a la frágil posición de estos miembros en las familias reconstituidas, debido a la ausencia de expectativas sociales sobre su rol, facilitando la aparición de discrepancias familiares así como la inadecuada integración del padrastro y de la madrastra en el sistema familiar. El objetivo de este trabajo es adaptar a una muestra española un instrumento pionero en la medida de la tensión de rol de los padrastros y de las madrastras, el Índice de Tensión de Rol de Whitsett y Land (1992). El instrumento queda formado por 26 ítems que obtienen una óptima consistencia interna (α= .89). La estructura factorial muestra 6 factores que explican el 64.50% de la varianza total

Relación de pareja y sintomatología depresiva de la mujer: implicaciones clínicas desde una perspectiva de género

Este artículo presenta los resultados de una investigación con una muestra de mujeres casadas y con hijos (un grupo control y un grupo de pacientes depresivas). Se evaluó en ambos grupos y en la muestra global la asociación entre la intimidad y distintos aspectos del poder en la pareja, por un lado, con el nivel de satisfacción marital y el nivel de sintomatología depresiva, teniendo en cuenta también la influencia de otras variables psicosociales habitualmente vinculadas a la depresión. Los resultados muestran la relevancia del grado de intimidad y de todos los aspectos referentes al poder en la relación (recursos educativos y laborales, estrategias de comunicación, reparto de tareas y decisiones y grado de equidad o igualdad) a la hora de explicar las vivencias depresivas de las mujeres. Finalmente se exponen las implicaciones clínicas de estos resultados para el trabajo psicoterapéutico con mujeres o con parejas.This article presents a research conducted with a Spanish sample of married women with children (divided into a community group and a clinical group of depressed patients). The goal of the research was to evaluate in the global sample and in both groups the association between marital intimacy and several aspects of marital power, on one hand, with the level of marital adjustment and depressive symptomatology. Several psychosocial variables usually associated with depressive symptomatology were also assessed. The results establish a strong and significant association between the level of intimacy and the different aspects of marital power (educational and economic resources, communication strategies, the division of tasks and decision making, and the degree of equity and equality) with the depressive symptomatology of women. Clinical implications for individual or couples psychotherapy are drawn from these results

Evaluating limiting factors for people with disabilities using mobility assistive technologies to enjoy National Parks: Comparative findings between Canada and Spain

Research has demonstrated the benefits of nature contact within wellbeing. Outdoor barriers versus amenities can impact on people with mobility/motor disabilities (PwMD) to enjoy nature such as National Parks (NPs). An online questionnaire was designed to obtain information in Canada and Spain on how these barriers influence PwMD to carry out outdoor activities in NPs. It was structured on three main themes: basic data, park’s public use and park knowledge. Statistical analysis has shown the predisposition of PwMDs to enjoy nature and highlights the barriers that prevent them from accessing outdoor activities. More research is needed in this area

Revisiting the epidemiology of bloodstream infections and healthcare-associated episodes: results from a multicentre prospective cohort in Spain (PRO-BAC Study)

PROBAC REIPI/GEIH-SEIMC/SAEI Group.The epidemiology of bloodstream infections (BSIs) is dynamic as it depends on microbiological, host and healthcare system factors. The aim of this study was to update the information regarding the epidemiology of BSIs in Spain considering the type of acquisition. An observational, prospective cohort study in 26 Spanish hospitals from October 2016 through March 2017 including all episodes of BSI in adults was performed. Bivariate analyses stratified by type of acquisition were performed. Multivariate analyses were performed by logistic regression. Overall, 6345 BSI episodes were included; 2510 (39.8%) were community-acquired (CA), 1661 (26.3%) were healthcare-associated (HCA) and 2056 (32.6%) hospital-acquired (HA). The 30-day mortality rates were 11.6%, 19.5% and 22.0%, respectively. The median age of patients was 71 years (interquartile range 60–81 years) and 3656 (58.3%; 95% confidence interval 57.1–59.6%) occurred in males. The proportions according to patient sex varied according to age strata. Escherichia coli (43.8%), Klebsiella spp. (8.9%), Staphylococcus aureus (8.9%) and coagulase-negative staphylococci (7.4%) were the most frequent pathogens. Multivariate analyses confirmed important differences between CA and HCA episodes, but also between HCA and HA episodes, in demographics, underlying conditions and aetiology. In conclusion, we have updated the epidemiological information regarding patients’ profiles, underlying conditions, frequency of acquisition types and aetiological agents of BSI in Spain. HCA is confirmed as a distinct type of acquisition.This work was financed by grants from Plan Nacional de I+D+i 2013–2016, Instituto de Salud Carlos III, Subdirección General de Redes y Centros de Investigación Cooperativa, Ministerio de Ciencia, Innovación y Universidades [PI16/01432] and the Spanish Network for Research in Infectious Diseases (REIPI) [RD16/0016/0001; RD16/0016/0008], co‐financed by the European Development Regional Fund ‘A way to achieve Europe’, Operative program Intelligent Growth 2014–2020

Risk Factors and Predictive Score for Bacteremic Biliary Tract Infections Due to Enterococcus faecalis and Enterococcus faecium: a Multicenter Cohort Study from the PROBAC Project

Biliary-tract bloodstream infections (BT-BSI) caused by Enterococcus faecalis and E. faecium are associated with inappropriate empirical treatment and worse outcomes compared to other etiologies. The objective of this study was to investigate the risk factors for enterococcal BT-BSI. Patients with BT-BSI from the PROBAC cohort, including consecutive patients with BSI in 26 Spanish hospitals between October 2016 and March 2017, were selected; episodes caused by E. faecalis or E. faecium and other causes were compared. Independent predictors for enterococci were identified by logistic regression, and a predictive score was developed. Eight hundred fifty episodes of BT-BSI were included; 73 (8.5%) were due to target Enterococcus spp. (48 [66%] were E. faecium and 25 [34%] E. faecalis). By multivariate analysis, the variables independently associated with Enterococcus spp. were (OR; 95% confidence interval): cholangiocarcinoma (4.48;1.32 to 15.25), hospital acquisition (3.58;2.11 to 6.07), use of carbapenems in the previous month (3.35;1.45 to 7.78), biliary prosthesis (2.19;1.24 to 3.90), and moderate or severe chronic kidney disease (1.55;1.07 to 2.26). The AUC of the model was 0.74 [95% CI0.67 to 0.80]. A score was developed, with 7, 6, 5, 4, and 2 points for these variables, respectively, with a negative predictive value of 95% for a score # 6. A model, including cholangiocarcinoma, biliary prosthesis, hospital acquisition, previous carbapenems, and chronic kidney disease showed moderate prediction ability for enterococcal BT-BSI. Although the score will need to be validated, this information may be useful for deciding empirical therapy in biliary tract infections when bacteremia is suspected. IMPORTANCE Biliary tract infections are frequent, and a significant cause of morbidity and mortality. Bacteremia is common in these infections, particularly in the elderly and patients with cancer. Inappropriate empirical treatment has been associated with increased risk of mortality in bacteremic cholangitis, and the probability of receiving inactive empirical treatment is higher in episodes caused by enterococci. This is because many of the antimicrobial agents recommended in guidelines for biliary tract infections lack activity against these organisms. To the best of our knowledge, this is the first study analyzing the predictive factors for enterococcal BT-BSI and deriving a predictive score.8 página

ATP5H/KCTD2 locus is associated with Alzheimer's disease risk

To identify loci associated with Alzheimer disease, we conducted a three-stage analysis using existing genome-wide association studies (GWAS) and genotyping in a new sample. In Stage I, all suggestive single-nucleotide polymorphisms (at P <0.001) in a previously reported GWAS of seven independent studies (8082 Alzheimer's disease (AD) cases; 12 040 controls) were selected, and in Stage II these were examined in an in silico analysis within the Cohorts for Heart and Aging Research in Genomic Epidemiology consortium GWAS (1367 cases and 12904 controls). Six novel signals reaching P <5 × 10 −6 were genotyped in an independent Stage III sample (the Fundació ACE data set) of 2200 sporadic AD patients and 2301 controls. We identified a novel association with AD in the adenosine triphosphate (ATP) synthase, H+ transporting, mitochondrial F0 (ATP5H)/Potassium channel tetramerization domain-containing protein 2 (KCTD2) locus, which reached genome-wide significance in the combined discovery and genotyping sample (rs11870474, odds ratio (OR)=1.58, P =2.6 × 10 −7 in discovery and OR=1.43, P =0.004 in Fundació ACE data set; combined OR=1.53, P =4.7 × 10 −9). This ATP5H / KCT D2 locus has an important function in mitochondrial energy production and neuronal hyperpolarization during cellular stress conditions, such as hypoxia or glucose deprivation

Somos diversidad. Actividades para la formación de profesionales de la educación formal y no formal en diversidad sexual, familiar, corporal y de expresión e identidad de género

Este manual se presenta como una “caja de herramientas” donde acudir en busca de recursos y actividades didácticas para elaborar formaciones en diversidad sexual, familiar, corporal y de expresión e identidad de género, dirigidas a profesionales que trabajan con jóvenes. En este sentido, son materiales que se pueden adaptar a las necesidades de cada formación y a distintos niveles de conocimiento, tanto de los grupos participantes, como de la persona que dinamice las actividades y que son lo suficientemente flexibles para que puedan ser moldeados y utilizados según los recursos temporales y espaciales que presente cada propuestaformativa. “Somos diversidad” ofrece un total de 44 actividades articuladas en 5 módulos temáticos. Abrazar la diversidad como una oportunidad educativa Transformarse para transformar: afectividad, diferencia y diversidad Sexualidades Corporalidades, identidades y expresiones de género Diversidad familiar Cada módulo ofrece un índice inicial, una breve bienvenida donde se reflejan la justificación y objetivos del módulo, una serie de actividades y un apartado de bibliografía citada y consultada. En cada actividad se detalla su duración estimada, los objetivos propuestos, los recursos necesarios, las indicaciones para su desarrollo, y se aportan finalmente los materiales específicos necesarios para realizarlas. Este manual es el resultado de la actividad “Juventud y LGTBI+: abrazar la diversidad en la educación no formal y formal” dentro del Plan de Actividades Transnacionales (TCA) del programa Erasmus+: Juventud en Acción, organizada por el Injuve y el Grupo de Investigación “Antropología, Diversidad y Convivencia” de la Universidad Complutense de Madrid