La terapia interpersonal de la depresión y las psicoterapias en el fin del milenio.

En este trabajo presentamos los fundamentos teóricos y clínicos de la Terapia Interpersonal de la depresión y analizamos los motivos que la han consolidado como una alternativa eficaz y frecuentemente practicada de psicoterapia en los Estados Unidos de América. Exponemos la situación en España y en Europa. Discutimos algunas implicaciones de esto para la práctica de la psicoterapia en los próximos años

La terapia interpersonal de la depresión y las psicoterapias en el fin del milenio.

En este trabajo presentamos los fundamentos teóricos y clínicos de la Terapia Interpersonal de la depresión y analizamos los motivos que la han consolidado como una alternativa eficaz y frecuentemente practicada de psicoterapia en los Estados Unidos de América. Exponemos la situación en España y en Europa. Discutimos algunas implicaciones de esto para la práctica de la psicoterapia en los próximos años

CULEX (CULEX) CORONATOR (DYAR & KNAB) (ARTHROPODA: DIPTERA: CULICIDAE) EN CAMAGÜEY, CUBA

Se reporta por primera vez la presencia de Culex (Culex) coronator (Dyar & Knab) (Diptera: Culicidae) en las localidades de Vertientes (n=6) y Najasa (n=5), pertenecientes a la provincia Camagüey, Cuba. La especie se relaciona con importantes arbovirosis, como son la encefalitis equina venezolana, encefalitis de San Luis y es un potencial vector de la fiebre del Nilo occidental. Se requiere investigar a profundidad la localización y posterior control de los criaderos larvarios de esta especie de mosquito, lo que puede proveer un estimado de la densidad poblacional en la fase adulta y proporcionar información necesaria para eliminar las larvas de este mosquito en sus respectivos criaderos

Management of acute diverticulitis with pericolic free gas (ADIFAS). an international multicenter observational study

Background: There are no specific recommendations regarding the optimal management of this group of patients. The World Society of Emergency Surgery suggested a nonoperative strategy with antibiotic therapy, but this was a weak recommendation. This study aims to identify the optimal management of patients with acute diverticulitis (AD) presenting with pericolic free air with or without pericolic fluid. Methods: A multicenter, prospective, international study of patients diagnosed with AD and pericolic-free air with or without pericolic free fluid at a computed tomography (CT) scan between May 2020 and June 2021 was included. Patients were excluded if they had intra-abdominal distant free air, an abscess, generalized peritonitis, or less than a 1-year follow-up. The primary outcome was the rate of failure of nonoperative management within the index admission. Secondary outcomes included the rate of failure of nonoperative management within the first year and risk factors for failure. Results: A total of 810 patients were recruited across 69 European and South American centers; 744 patients (92%) were treated nonoperatively, and 66 (8%) underwent immediate surgery. Baseline characteristics were similar between groups. Hinchey II-IV on diagnostic imaging was the only independent risk factor for surgical intervention during index admission (odds ratios: 12.5, 95% CI: 2.4-64, P =0.003). Among patients treated nonoperatively, at index admission, 697 (94%) patients were discharged without any complications, 35 (4.7%) required emergency surgery, and 12 (1.6%) percutaneous drainage. Free pericolic fluid on CT scan was associated with a higher risk of failure of nonoperative management (odds ratios: 4.9, 95% CI: 1.2-19.9, P =0.023), with 88% of success compared to 96% without free fluid ( P <0.001). The rate of treatment failure with nonoperative management during the first year of follow-up was 16.5%. Conclusion: Patients with AD presenting with pericolic free gas can be successfully managed nonoperatively in the vast majority of cases. Patients with both free pericolic gas and free pericolic fluid on a CT scan are at a higher risk of failing nonoperative management and require closer observation

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

How does emotional exhaustion influence work stress? Relationships between stressor appraisals, hedonic tone, and fatigue in nurses' daily tasks : a longitudinal cohort study

Background: Work-related stress is a prevalent condition in the nursing profession, and its influence may vary according to changeable individual and situational factors. It is, therefore, important to investigate the real-time momentary changes in these factors and their relationship to emotional exhaustion experienced by nurses. Objectives: We aim to analyse how their perceptions of demand, control, effort and reward change according to the task performed through real-time assessment and interact with the emotional exhaustion level of ward nurses. Design: The research design was longitudinal. Method: A three-level hierarchical model with a repeated measures design was used to assess the momentary self-reports of 96 hospital ward nurses, completed using a smartphone programmed with random alarms. Results: Findings show that demand, effort, and control appraisals depend on the task performed. The task appraised as most demanding, effortful, and controllable was direct care. Reward appraisal depends on the task performed and personal variables, i.e. emotional exhaustion. The situations perceived as more rewarding were rest and direct care. Momentary hedonic tone can be explained by the task performed, demand, reward, emotional exhaustion and by the interaction between emotional exhaustion and demand appraisal. Momentary fatigue can be explained by the task performed, demand, reward, and the emotional exhaustion. Conclusions: This study highlights the importance of using momentary measures to understand complex and changeable inter-relationships. While also clarifying the targets of intervention programmes aimed at preventing burnout within the nursing profession

Un libro, un mundo

Se desarrolla un proyecto de innovación educativa que muestra el interés de un colectivo de profesores y profesoras de distintos centros de la comunidad en experimentar diversas formas de animar a leer a los alumnos y alumnas englobando los tres cursos de Educación Infantil y los tres ciclos de Educación Primaria. Con Infantil se pretende conocer e interpretar diferentes textos de la lengua escrita utilizando las diferentes formas de expresión y comunicación, y disfrutar de las creaciones propias y de los compañeros. Para Primaria se pretende ser capaz de comprender y usar la lengua española desde la expresión escrita hasta la oral, acercar y usar las nuevas tecnologías con diferentes tipos de textos, y usar la biblioteca para todo tipo de actividades y no sólo para el préstamo de libros. El proyecto se basa principalmente en tres actividades, una para cada trimestre. El primer trimestre se centra en el teatro, donde la actividad principal es la representación de una obra de teatro en el festival de Navidad. El segundo trimestre se centra en el cómic, en donde la actividad principal es hacer un cómic. En el tercer trimestre se desarrolla la fábula, donde la actividad principal es hacer una pequeña fábula.Castilla y LeónConsejería de Educación. Dirección General de Universidades e Investigación; Monasterio de Nuestra Señora de Prado, Autovía Puente Colgante s. n.; 47071 Valladolid; +34983411881; +34983411939ES

Fundamentos de la Gerencia - AD144 - 201901

Descripción: El curso de Fundamentos de la Gerencia es un curso teórico general, que apertura en el estudiante el conocimiento de la Administración mediante conceptos y metodologías básicas, que le permitirán comprender el trabajo de los gerentes en las organizaciones, utilizando para ello el proceso de la administración, dentro de un enfoque técnico y a la vez humano, que son los elementos principales de la competitividad en el siglo XXI. El contenido del curso representa primero, el punto de partida para los cursos de ciclos siguientes dentro de la línea de Negocios, y segundo, la formación de la base para los criterios futuros que requiere un profesional de Administración para manejar situaciones. Propósito: El curso de Fundamentos de la Gerencia contribuye directamente al desarrollo de las competencias específicas 1de Pensamiento Estratégico y Desarrollo de Personas en el Nivel 1, para cada una de ellas. Los cursos pre requisitos, dependiendo de la carrera, son Comprensión y Producción del Lenguaje o Introducción a los Negocios. Está diseñado para la Facultad de Negocios, Facultad de Hotelería y Administración, Facultad de Derecho, Facultad de Psicología y la Carrera de Comunicación Audiovisual y Medios Interactivos

Alkylphenolic compounds and risk of breast and prostate cancer in the MCC-Spain study

BACKGROUND: Alkylphenolic compounds are chemicals with endocrine disrupting properties that have been widely used in industry with important changes in their usage over time. Few epidemiologic studies have evaluated the effect of alkylphenolic compounds on human health. OBJECTIVES: We investigated whether occupational exposure to alkylphenolic compounds is associated with breast and prostate cancer. METHODS: We carried out a population-based case-control study including 1513 incident cases of breast cancer, 1095 of prostate cancer, and 3055 controls, frequency matched by sex, age and region. Occupational exposure to alkylphenolic compounds was estimated using a recently developed job-exposure matrix, which considered different scenarios of exposure and different subtypes of alkylphenolic compounds. RESULTS: History of occupational exposure to alkylphenolic compounds was modestly associated with breast cancer (OR = 1.23; 95% CI = 1.01-1.48). Within the different scenarios, the occupational use of domestic tensioactives was positively associated with breast cancer (OR = 1.28; 95% CI = 1.02-1.60), while occupational exposure in other scenarios showed mostly a suggestion of a similar positive associations. Exposure to nonylphenol ethoxylates was positively associated with breast cancer (OR = 1.21; 95% CI = 1.00-1.47), while exposure to other compounds was uncommon. In general, we did not observe associations between alkylphenolic compounds and prostate cancer, except for a positive association among men occupationally exposed to cosmetic, hair and personal hygiene products. CONCLUSIONS: Our findings suggest a modest association between breast cancer risk and occupational exposure to alkylphenolic compounds, and no associations between these compounds and prostate cancer risk. These findings warrant further corroboration in other studies.This work was partially funded by the public grants from the Catalan Government (2014SGR756, 2017SGR1085, 2017SGR733, SLT006/17/76), and European Regional Development Fund-ERDF, by the “Accion Transversal del Cancer”, approved on the Spanish Ministry Council on the 11th October 2007, by the Instituto de Salud Carlos IIIFEDER (PI08/1770, PI08/0533, PI08/1359, PS09/00773-Cantabria, PS09/01286-León, PS09/01903-Valencia, PS09/02078-Huelva, PS09/01662-Granada, PI11/01403, PI11/01889-FEDER, PI11/00226, PI11/01810, PI11/02213, PI12/00488, PI12/00265, PI12/01270, PI12/00715, PI12/00150, PI14/01219, PI14/0613, PI15/00069, PI15/00914, PI15/01032, PI11/01810, PI14/01219, PI11/02213, PIE16/00049, PI17/01179), by the Fundación Marqués de Valdecilla (API 10/09), by the Red Temática de Investigación del Cáncer (RTICC) del ISCIII (RD12/0036/0036), by the Junta de Castilla y León (LE22A10-2), by the Consejería de Salud of the Junta de Andalucía (PI-0571-2009, PI0306-2011, salud201200057018tra), by the Conselleria de Sanitat of the Generalitat Valenciana (AP_061/10), by the Recercaixa (2010ACUP/00310), by the Regional Government of the Basque Country, by the Consejería de Sanidad de la Región de Murcia, by the European Commission grants FOOD-CT-2006-036224-HIWATE, by the Spanish Association Against Cancer (AECC) Scientific Foundation, by the Catalan Government-Agency for Management of University and Research Grants (AGAUR) grants 2014SGR647 and 2014SGR850. ISGlobal is a member of the CERCA Programme, Generalitat de Catalunya