192 research outputs found

    Tratamiento psicológico y el cáncer de mama. Un estudio bibliométrico

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    Hoy en día, el cáncer de mama es una de las enfermedades más prevalentes en la sociedad. Con el paso de los años, ha ido tomando relevancia para el conjunto de la población y su investigación está cada vez más demandada. En el presente estudio, se procedió a realizar un análisis bibliográfico de la literatura científica relacionada con la enfermedad del cáncer y los tratamientos psicológicos actuales. Se llevó a cabo la búsqueda en la base de datos Web of Science para seleccionar todas aquellas publicaciones referentes al tema con el objetivo de realizar un análisis bibliométrico de la evolución temporal, la distribución de autores y revistas, la estructura social de colaboración y el análisis de contenido de la literatura científica. Los resultados muestran como se trata de un campo de estudio que aumenta su productividad en los últimos 17 años y en el que participan un gran número de autores (n = 1619) y revistas (n = 412). Son siete las revistas que más productividad científica aportan. También, existe una amplia colaboración entre los autores siendo la más significativa la establecida entre Caroline Seynaeve y Aad Tibben, líderes del Colegio Invisible hallado. Asimismo, más de 1000 descriptores encontrados se agrupan en las categorías: variables sociodemográficas, proceso de salud-enfermedad, instituciones, método de análisis y competencias

    REDPETUR: collaborative experience

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    REDPETUR is a competency-based teaching network in the field of internships in tourism studies. Its goal is to successfully address the role of these studies in society and optimize the public resources used. This Network has carried out a series of activities, thanks to the financing of the Integral Teaching Plan of the University of Malaga, which have contributed to the adaptation of training in pandemic times using information technologies (IT) such as Virtual Campus and Icaro platform (an ecosystem which connects companies, students and teachers). In addition, from a Delphi analysis this network has set the foundations for collaboration between tourism faculties sharing generated content to ensure their students gain practical experience to complete their education.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

    Visual acuity at various distances and defocus curve: a good match

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    The defocus curve (DC) has become the gold standard method for assessing the visual performance at different distances, and hence, to evaluate the depth of focus that is provided by modern presbyopia-compensating intraocular lenses that are used in cataract surgery. A former study, carried out by other authors, reported that the DC method, based on placing the chart at far distance and using trial negative lenses, underestimated the visual acuity that was measured by varying the test distance (VD) in pseudophakic patients. We have revisited the issue with pseudophakic subjects and have extended the study to include young phakic observers with their natural accommodation preserved. Our results show that both the VD and DC methods are equivalent in precision and accuracy and can be used indistinctly. However, the DC method is more practical in the clinics because it does not require further control of the chart positioning and illuminance.This research funded by the Agencia Estatal de Investigación, Ministerio de Ciencia e Innovación of the Spanish government (PID2020-114582RB-I00/AEI/10.13039/501100011033).Peer ReviewedPostprint (published version

    La responsabilidad civil del administrador concursal en España

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    El siguiente Trabajo de Fin de Grado explica la figura del administrador dentro del concurso de acreedores, cuando de su conducta deriva bien un daño o perjuicio contra la masa, bien un daño o perjuicio contra el deudor, acreedor o un tercero. De este modo, la Ley 22/2003, de 9 de julio, Concursal, establece en su art. 36 un doble régimen de responsabilidad de los administradores concursales, de naturaleza civil y de carácter compensatorio. Para garantizar este carácter resarcitorio, el legislador ha obligado al administrador concursal a la suscripción de un seguro de responsabilidad civil indispensable para poder aceptar el cargo, y que permite compensar los daños o perjuicios causados por el administrador durante el ejercicio de sus funciones

    La tributación de los no residentes en España en el impuesto sobre sucesiones y donaciones

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    El presente Trabajo de Fin de Grado viene a abordar la problemática en la regulación del ISD respecto de los no residentes en España. En el, se va realizar un análisis de la evolución normativa que ha sufrido este impuesto en España desde la Ley 29/1987, de 18 de diciembre, del Impuesto de Sucesiones y Donaciones, haciendo hincapié en el examen de la Sentencia del TJUE, de 3 de septiembre de 2014 (asunto C-127/12),la cual supuso un punto de inflexión en su regulación y en las modificaciones en la normativa española del ISD que tuvieron lugar como consecuencia de esta Sentencia

    Spatio-chromatic vision with multifocal diffractive intraocular lens

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    Background This study aims to detect alterations in the spatio-chromatic pseudophakic vision produced by multifocal diffractive intraocular lenses (IOLs) and provides a physical interpretation. Methods In vitro characterization of the imaging performance of two diffractive IOLs: AT LISA Tri (Zeiss) and FineVision (PhysIOL) in on-bench model eye illuminated with red (R, 625 nm), green (G, 530 nm) and blue (B, 455 nm) lights. We used the metrics: energy efficiency (EE), area under the modulation transfer function, longitudinal chromatic aberration (LCA), and halo intensity. Through-focus (TF) analysis and calculation of the expected defocus curve under white (W) daylight were included. In vivo visual acuity (VA) of 50 pseudophakics (60 eyes) was assessed under W, R, G, B lights at far and near. Two clinical experiments evaluated LCA and R, G, B TF-EE effects on pseudophakic vision and their relative importance. Results Clinical mean VA values under W light agreed with the predicted values at far and near for both IOLs. LCA measurements and R, G, B TF-EE curves were consistent with their lens design based on the 0th and 1st diffraction orders operative for far and near vision, respectively. LCA effects were compensated at near but noticed at far (-¿0.75 D under B light). We detected strong asymmetry in visual resolution depending on the object distance and the illuminating wavelength—red predominance at far, blue predominance at near—in consistency with the TF-EE measurements. Conclusions Diffractive multifocal IOL designs produce asymmetries in the spatio-chromatic vision of pseudophakics beyond the alterations strictly due to LCA. VA asymmetry for far/near object distance under R and B illumination is clinically detectable in subjects implanted with IOLs with 0th and 1st diffraction orders for far and near vision, respectively. Such VA asymmetry cannot be explained solely from the influence of defocus, as would be derived from a chromatic difference of power, but mainly from the wavelength dependence of the EE.Agencia Estatal de Investigación from Spanish Government (Grant No. PID2020-114582RB-I00/AEI/10. 13039/501100011033).Peer ReviewedPostprint (published version

    Intervención de emergencia en formato online basado en act en un caso de Trastorno Adaptativo

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    This article aims to present the clinical approach of a pa­tient of the Psychological Service of the Faculty of Psy­chology of the UNED who was treated during the Covid-19 Health Emergency situation. This is a case study N = 1 of a 22-year-old man whose symptoms are associated to an adjustment disorder with mixed anxiety and depres­sion. After evaluating the case by means of an unstruc­tured interview and self-reports, a brief, protocolized in­tervention was carried out through an online modality. The therapeutic approach was the Acceptance and Commit­ment Therapy (ACT), which included different strategies aimed at allowing F. to discriminate his problematic be­havior pattern, accept aversive private events and take ac­tions with personal meaning. Results showed an increase in adaptive behaviors in the areas that F. considered valu­able, and a decrease in anxiety and depressive symptoms. In the final section, limitations and future recommedations are are discussedEl presente artículo tiene como objetivo exponer el abordaje clínico de un usuario del Servicio de Psicología Aplicada de la de la Facultad de Psicología de la UNED atendido durante la situación de Emergencia Sanitaria Covid-19. Se trata de un estudio de caso N = 1 de un varón de 22 años (F.) cuya sintomatología se ajusta a un trastorno adaptativo con ansiedad mixta y estado de ánimo deprimido. Tras la evaluación del caso mediante entrevista no estructurada y autorregistros del paciente, se llevó a cabo una intervención breve protocolarizada con modalidad online. La aproximación terapéutica llevada a cabo fue la Terapia de Aceptación y Compromiso (ACT), que incluyó diferentes estrategias dirigidas a que F. pudiera discriminar su patrón de conducta problemático, aceptar los eventos privados aversivos y pudiera emprender acciones con significado personal. Los resultados mostraron un aumento de conductas adaptativas en las áreas que F. consideraba valiosas, y una disminución de la sintomatología ansiosa y depresiva. En el apartado final, se discuten las limitaciones de la intervención derivadas del contexto en el que fue realizada

    Clinical nutrition as part of the treatment pathway of pancreatic cancer patients: an expert consensus

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    Consensus; Nutritional screening; Pancreatic cancerConsenso; Cribado nutricional; Cáncer de páncreasConsens; Cribratge nutricional; Càncer de pàncreesPurpose Malnutrition is a common problem among pancreatic cancer (PC) patients that negatively impacts on their quality of life (QoL) and clinical outcomes. The main objective of this consensus is to address the role of Medical Nutrition Therapy (MNT) into the comprehensive therapeutic management of PC patients. Methods A Spanish multidisciplinary group of specialists from the areas of Medical Oncology; Radiation Oncology; Endocrinology and Nutrition; and General Surgery agreed to assess the role of MNT as part of the best therapeutic management of PC patients. Results The panel established different recommendations focused on nutritional screening and nutritional screening tools, MNT strategies according to PC status, and MNT in palliative treatment. Conclusions There is an unmet need to integrate nutritional therapy as a crucial part of the multimodal care process in PC patients. Health authorities, health care professionals, cancer patients, and their families should be aware of the relevance of nutritional status and MNT on clinical outcomes and QoL of PC patients.Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature.

    Effects of a mesoporous bioactive glass on osteoblasts, osteoclasts and macrophages

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    A mesoporous bioactive glass (MBG) of molar composition 75SiO2-20CaO-5P2O5 (MBG-75S) has been synthetized as a potential bioceramic for bone regeneration purposes. X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), nitrogen adsorption studies and transmission electron microscopy (TEM) demonstrated that MBG-75S possess a highly ordered mesoporous structure with high surface area and porosity, which would explain the high ionic exchange rate (mainly calcium and silicon soluble species) with the surrounded media. MBG-75S showed high biocompatibility in contact with Saos-2 osteoblast-like cells. Concentrations up to 1 mg/ml did not lead to significant alterations on either morphology or cell cycle. Regarding the effects on osteoclasts, MBG-75S allowed the differentiation of RAW264.7 macrophages into osteoclast-like cells but exhibiting a decreased resorptive activity. These results point out that MBG-75S does not inhibit osteoclastogenesis but reduces the osteoclast bone-resorbing capability. Finally, in vitro studies focused on the innate immune response, evidenced that MBG-75S allows the proliferation of macrophages without inducing their polarization towards the M1 pro-inflammatory phenotype. This in vitro behavior is indicative that MBG-75S would just induce the required innate immune response without further inflammatory complications under in vivo conditions. The overall behavior respect to osteoblasts, osteoclasts and macrophages, makes this MBG a very interesting candidate for bone grafting applications in osteoporotic patients
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