Calidad de vida y calidad percibida del cuidado recibido en pacientes con cáncer de colon y recto

Traballo fin de grao (UDC.FEP). Enfermarí

Diagnostic and treatment delay, quality of life and satisfaction with care in colorectal cancer patients: a study protocol

[Abstract] Background. Due to recent improvements in colorectal cancer survival, patient-reported outcomes, including health-related quality of life and satisfaction with care, have become well-established endpoints to determine the impact of the disease on the lives of patients. The aim of this study is to determine prospectively, in a cohort of colorectal cancer incident cases: a) health-related quality of life, b) satisfaction with hospital-based care, and c) functional status. A secondary objective is to determine whether diagnostic/therapeutic delay influence quality of life or patients’ satisfaction levels. Methods/design. Single-centre prospective follow-up study of colorectal cancer patients diagnosed during the period 2011–2012 (n = 375). This project was approved by the corresponding ethics review board, and informed consent is obtained from each patient. After diagnosis, patients are interviewed by a trained nurse, obtaining information on sociodemographic characteristics, family history of cancer, first symptoms, symptom perception and reaction to early symptoms. Quality of life is assessed with the EORTC QLQ-C30 and QLQ- CR29 questionnaires, and patients’ satisfaction with care is determined using the EORTC IN-PATSAT32. Functional status is measured with the Karnofsky Performance Status Scale. Clinical records are also reviewed to collect information on comorbidity, tumour characteristics, treatment, hospital consultations and exploratory procedures. Symptoms-to-diagnosis interval is defined as the time from the date of first symptoms until the cytohistological confirmation of cancer. Treatment delay is defined as the time between diagnosis and surgical treatment. All the patients will be followed-up for a maximum of 2 years. For survivors, assessments will be re-evaluated at one and two years after the diagnosis. Multiple linear/logistic regression models will be used to identify variables associated with the patients’ functional status, quality of life and satisfaction with care score. Changes in quality of life over time will be analysed with linear mixed-effects regression models. Discussion. The results will provide a deeper understanding of the impact of colorectal cancer from a more patient-centred approach, allowing us to identify groups of patients in need of additional attention, as well as areas for improvement. Special attention will be given to the relationship between diagnostic/therapeutic delay and patients’ quality of life and satisfaction with the care received.Instituto de Salud Carlos III; PI10/02285Galicia. Consellería de Economía e Industsria; 10CSA916052P

Seabed litter distribution in the high seas of the Flemish Pass area (NW Atlantic)

Seabed litter of the Flemish Pass area (NW Atlantic Ocean) was analysed and described using data from the EU-Spain groundfish survey (2006-2017 period). This study presents baseline information on seabed litter in this area. The Flemish Pass is located in areas beyond national jurisdiction within the Northwest Atlantic Fisheries Organization Regulatory Area Division 3L. A total of 1169 valid bottom trawl hauls were analysed (104-1478 m depth). Litter was found in 8.3% of the hauls, with mean densities of 1.4±0.2 items km–2 and 10.6±5.2 kg km–2. An increasing pattern with depth was found, the highest densities of seabed litter being identified in the deepest areas located in the Flemish Pass channel and down the northeastern flank of the Grand Bank. Fishing was found to be the main source of marine litter, and 61.9% of the hauls with litter presence showed litter included in the fisheries-related litter category. Whereas in most cases the litter was composed of small fragments of rope, in other cases it was composed of entire fishing gears such as traps. Plastics, metal and other anthropogenic litter were the next most abundant categories, accounting for 18.6%, 16.5% and 12.4% of the total, respectively.Versión del editor1,00

Spanish Research Report for 2015

Spanish catch information used in this Report is based on the logbook data contributed by the Spanish Administration. Table 1 presents the catches by species and Division in 2015 based on this information. The split of catches and effort between the different gears in this Report are based on information from NAFO observers on board. In 2015 NAFO observers information from 1,272 days was available while total effort of the Spanish fleet in NAFO Regulatory Area was 1,317 days (around 97% coverage). In addition to NAFO observers, IEO scientific observers were on board 320 fishing days that it means 24 % of the Spanish total effort. All length, age and biological information presented in this paper is based on sampling carried out by IEO scientific observers: 576 samples were taken in 2015, with 59,883 individuals of different species examined (Table 2).Postprint0,000

A network analysis to identify mediators of germline-driven differences in breast cancer prognosis.

Identifying the underlying genetic drivers of the heritability of breast cancer prognosis remains elusive. We adapt a network-based approach to handle underpowered complex datasets to provide new insights into the potential function of germline variants in breast cancer prognosis. This network-based analysis studies ~7.3 million variants in 84,457 breast cancer patients in relation to breast cancer survival and confirms the results on 12,381 independent patients. Aggregating the prognostic effects of genetic variants across multiple genes, we identify four gene modules associated with survival in estrogen receptor (ER)-negative and one in ER-positive disease. The modules show biological enrichment for cancer-related processes such as G-alpha signaling, circadian clock, angiogenesis, and Rho-GTPases in apoptosis

Problemas encontrados durante la traducción del francés hacia el español de la parte I y II de la «Guía Un Turismo Sostenible para el Desarrollo», realizada por los estudiantes de V año de Traducción e Interpretación de Lenguas Extranjeras periodo 2021-2022

La lingüística se reconoce como la disciplina que tiene por propósito la investigación, descripción y evolución de una lengua. En el contexto de la traducción esta disciplina es una herramienta esencial a considerar, puesto que, brinda una serie de explicaciones de los problemas que se presentan al momento de traducir un texto de una lengua a otra. Este trabajo se enfoca en analizar los problemas encontrados en la traducción de la primera y segunda parte de la «Guía Un Turismo Sostenible para el Desarrollo», en vista que gran parte de las dificultades de traducción presentadas en este documento se derivan de las lenguas español y francés, fue necesario hacer uso de la investigación documental en temas relacionados a la traductología, lingüística, turismo, administración y otros, a fin de resolver los problemas que se presentarán más adelante. Cabe destacar que este documento cuenta con particularidades propias que se ajustan a la modalidad Seminario de Graduación de la carrera, no obstante, de manera general la investigación se perfila bajo el método inductivo, de tipo transversal y con un enfoque cualitativo. En conclusión, el resultado de este trabajo proporciona una propuesta de traducción que será de beneficio para los estudiantes de la carrera de Turismo Sostenible y para las instituciones relacionadas a este sector, dado que, la guía permite el análisis y la evaluación de los proyectos de desarrollo que propone el sector turístico para crear un turismo amigable con el medio ambiente en el cual se involucran tanto el gobierno, las instituciones público-privadas como la comunidad, asimismo, esta propuesta de traducción garantizará un antecedente de la temática para los traductores en formació

Incorporating progesterone receptor expression into the PREDICT breast prognostic model

Background: Predict Breast (www.predict.nhs.uk) is an online prognostication and treatment benefit tool for early invasive breast cancer. The aim of this study was to incorporate the prognostic effect of progesterone receptor (PR) status into a new version of PREDICT and to compare its performance to the current version (2.2).Method: The prognostic effect of PR status was based on the analysis of data from 45,088 European patients with breast cancer from 49 studies in the Breast Cancer Association Consortium. Cox proportional hazard models were used to estimate the hazard ratio for PR status. Data from a New Zealand study of 11,365 patients with early invasive breast cancer were used for external validation. Model calibration and discrimination were used to test the model performance.Results: Having a PR-positive tumour was associated with a 23% and 28% lower risk of dying from breast cancer for women with oestrogen receptor (ER)-negative and ER-positive breast cancer, respectively. The area under the ROC curve increased with the addition of PR status from 0.807 to 0.809 for patients with ER-negative tumours (p = 0.023) and from 0.898 to 0. 902 for patients with ER-positive tumours (p = 2.3 x 10(-6)) in the New Zealand cohort. Model calibration was modest with 940 observed deaths compared to 1151 predicted.Conclusion: The inclusion of the prognostic effect of PR status to PREDICT Breast has led to an improvement of model performance and more accurate absolute treatment benefit predic-tions for individual patients. Further studies should determine whether the baseline hazard function requires recalibration. (C) 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).Peer reviewe

Germline variants and breast cancer survival in patients with distant metastases at primary breast cancer diagnosis.

Breast cancer metastasis accounts for most of the deaths from breast cancer. Identification of germline variants associated with survival in aggressive types of breast cancer may inform understanding of breast cancer progression and assist treatment. In this analysis, we studied the associations between germline variants and breast cancer survival for patients with distant metastases at primary breast cancer diagnosis. We used data from the Breast Cancer Association Consortium (BCAC) including 1062 women of European ancestry with metastatic breast cancer, 606 of whom died of breast cancer. We identified two germline variants on chromosome 1, rs138569520 and rs146023652, significantly associated with breast cancer-specific survival (P = 3.19 × 10-8 and 4.42 × 10-8). In silico analysis suggested a potential regulatory effect of the variants on the nearby target genes SDE2 and H3F3A. However, the variants showed no evidence of association in a smaller replication dataset. The validation dataset was obtained from the SNPs to Risk of Metastasis (StoRM) study and included 293 patients with metastatic primary breast cancer at diagnosis. Ultimately, larger replication studies are needed to confirm the identified associations

Variables psicológicas implicadas en la actitud e iniciativa emprendedora

Identificar variables individuales relacionadas con la iniciativa emprendedora y el fomento de competencias transversales relacionadas con la misma, supone un desafío en la investigación actual sobre emprendimiento. El proyecto titulado Variables psicológicas implicadas en la actitud e iniciativa emprendedora, realizado bajo el programa Innova Docencia promovido por el Vicerrectorado de Calidad de la UCM en la convocatoria 2016-2017, ha tenido por objetivo analizar y evaluar variables psicológicas relacionadas con emprendimiento que presentan una muestra de estudiantes de la Universidad Complutense de Madrid. En dicho estudio han participado 1222 estudiantes de la UCM correspondientes a 27 titulaciones: 14 de Grado, 2 de Dobles Grados, y 11 de Máster. El 28,6% de la muestra fueron hombres y el 71% fueron mujeres. La media de edad fue de 20,43 años. El equipo investigador estuvo compuesto por 40 personas: 25 PDI de la UCM, 2 PAS, 8 alumnos y alumnas, 1 técnico, y 4 PDI de las universidades de Castilla-La Mancha (UCLM), UNED, Carlos III de Madrid (UC3M), y Alcalá de Henares (UAH). El PDI de la UCM correspondía a las siguientes facultades: Psicología (7), Ciencias de la Documentación (3), Ciencias Económicas y Empresariales (6), Ciencias Políticas y Sociología (3), Comercio (1), Trabajo Social (1), Ciencias Biológicas (2), Informática (1), y Bellas Artes (1). Un equipo UCM perteneciente a 9 facultades, que representó a 13 departamentos y a todas las áreas de conocimiento. La metodología empleada consistió en un cuestionario que evaluaba los siguientes aspectos: datos sociodemográficos, actitud emprendedora, y las variables psicológicas: personalidad, inteligencia emocional, resolución de problemas y tolerancia a la ambigüedad. Se optó por instrumentos estandarizados, con buenas características psicométricas de fiabilidad y validez que permitieran obtener resultados robustos, con amplia evidencia empírica y que evaluaban adecuadamente variables que la literatura ha relacionado con la actitud e iniciativa emprendedora. Además todos ellos se han utilizado en investigaciones relacionadas con emprendimiento, lo que aumentó la validez externa. Se ha analizado la iniciativa emprendedora desde el punto de vista de los estudiantes y también teniendo en cuenta variables del entorno familiar y personal. Los resultados nos muestran que son las variables psicológicas de extraversión, reparación emocional y estrategias de resolución de problemas las que predicen la iniciativa emprendedora. Los estudiante que compaginan estudios y trabajo tienen una mayor iniciativa emprendedora, y aquellos cuyos padres y/o pareja desarrollan su actividad laboral como autónomos. Se presentan datos por titulación académica, sexo, actividad laboral de los padres y compaginar estudios y trabajo. Se muestran datos de todas las variables psicológicas por titulación académica, y una comparativa de dichas variables entre los universitarios, un grupo de estudiantes de Formación Profesional (FP) y una muestra de emprendedores reales. Los resultados obtenidos son relevantes para tomar decisiones orientadas a la mejora de la actitud, iniciativa y comportamiento emprendedor. Permitirán el diseño y ejecución de actividades académicas para sensibilizar a los estudiantes en la cultura emprendedora, y formar en competencias transversales, cada vez más demandadas, para mejorar la empleabilidad y competitividad como claves para el crecimiento de nuestra sociedad