Déficit en habilidades gráficas en niños víctimas de maltrato intrafamiliar institucionalizados / Deficit on graphic skills in children victims of institutionalized domestic abuse

El objetivo de este trabajo es analizar las habilidades gráficas en niños víctimas de maltrato intrafamiliar institucionalizados. Participaron 104 niños divididos en dos grupos. El primer grupo lo conformaron niños recién institucionalizados por violencia intrafamiliar (NVVI); el segundo grupo, de comparación, formado por niños que no han sido víctimas de violencia (NNVI), equiparados en género, edad y escolarización. Se usaron escalas y subescalas de habilidades gráficas de la Evaluación Neuropsicológica Infantil. Los resultados muestran que en los NVVI está alterada su capacidad de la copia de figuras y del dibujo de la figura humana, con un mayor uso de errores de cierre, adiciones y omisiones; sin embargo, se evidencian resultados normales tanto en la copia como en el tiempo de ejecución de la figura compleja. El grafismo básico para procesos de escritura se encuentra alterado de una forma cuantitativa y cualitativa, sin embargo procesos más complejos se muestran conservados. Esto implicaría la necesidad de la intervención en los procesos básicos, lo que serviría como prevención de alteraciones en funciones que se adquieren posteriormente. AbstractThe aim of this paper is to analyze the graphical abilities in children victims of institutionalized domestic abuse. 104 children took part and were divided into two groups. The first group was made up of freshly institutionalized children of domestic violence (NVVI); the second comparison group was made up of children who have not been victims of domestic violence (NNVI) were matched by gender, age and schooling. Scales and subscales of graphic skills about Neuropsychological Assessment for Children were used. The results show that in the NVVI is altered its ability to copy figures and drawing of human body, with increased use of closure errors, omissions and additions; however, normal results are evident both in the copy as the runtime of the complex figure. The basic graphism for writing processes is altered in a quantitative and qualitative way; however more complex processes are preserved. This would imply the need for intervention in basic processes, which would serve as prevention for changes in functions subsequently acquired

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study.

Introduction Primary care (PC) professionals' knowledge about alcohol use has been identified as one of the barriers PC providers face in their clinic. Both PC professionals’ level of training and attitude are crucial in the clinical practice regarding alcohol use. Objective To evaluate the knowledge, attitude, and preventive practices of Spanish PC physicians and nurses towards alcohol use. Design An observational, descriptive, cross-sectional, multi-center study. Methodology Location: PC centers of the Spanish National Health System (NHS). Participants: PC physicians and nurses selected randomly from health care centers, and by sending an e-mail to semFYC and SEMERGEN members. Healthcare providers completed an online survey on knowledge, attitude, and follow-up recommendations for reducing alcohol intake. A descriptive, bivariate, and multivariate statistical analysis was conducted (p<0.05). Results Participants: 1,760 healthcare providers completed the survey (75.6% [95% CI 73.5–77.6] family physicians; 11.4% [95% CI 9.9–12.9] medical residents; and 12.5% [95% CI 10.9–14.1] nurses), with a mean age of 44.7 (SD 11.24, range: 26–64, 95% CI: 47.2–48.2). Knowledge was higher in family physicians (p<0.001), older professionals (Spearman's r = 0.11, p<0.001), and resident trainers (p<0.001). The PC professional most likely to provide advice for reducing alcohol use was: a nurse (p <0.001), female (p = 0.010), between 46 and 55 years old (p <0.001). Conclusions PC providers’ knowledge and preventive practices regarding alcohol use are scarce, hence specific training strategies to increase their knowledge and improve their attitude and skills with regard to this health problem should be considered a healthcare policy priority.post-print507 K

(el caso del Macizo de Caroig)

Se estudian los regímenes selvícolas más adecuados para la utilización energética y maderable de las masas de pino carrasco (Pinus halepensis) del Macizo del Caroig, partiendo de los datos de un inventario LIDAR y de una revision bibliográfica amplia sobre la especie. Se proporcionan datos sobre los sistemas de aprovechamiento más adecuados, sus rendimientos y costes estimados para los distintos tipos de masas forestales inventariadas, se estudia la influencia de esos tratamientos sobre el riesgo de incendios forestales y se recomiendan prácticas para reducir su incidencia y gravedad a través de selvicultura preventiva e infraestructuras de defensa optimizadas mediante algoritmos basados en lógica fuzzy. Se proporcionan también datos sobre transformación energética y características de los combustibles

ECMO for COVID-19 patients in Europe and Israel

Since March 15th, 2020, 177 centres from Europe and Israel have joined the study, routinely reporting on the ECMO support they provide to COVID-19 patients. The mean annual number of cases treated with ECMO in the participating centres before the pandemic (2019) was 55. The number of COVID-19 patients has increased rapidly each week reaching 1531 treated patients as of September 14th. The greatest number of cases has been reported from France (n = 385), UK (n = 193), Germany (n = 176), Spain (n = 166), and Italy (n = 136) .The mean age of treated patients was 52.6 years (range 16–80), 79% were male. The ECMO configuration used was VV in 91% of cases, VA in 5% and other in 4%. The mean PaO2 before ECMO implantation was 65 mmHg. The mean duration of ECMO support thus far has been 18 days and the mean ICU length of stay of these patients was 33 days. As of the 14th September, overall 841 patients have been weaned from ECMO support, 601 died during ECMO support, 71 died after withdrawal of ECMO, 79 are still receiving ECMO support and for 10 patients status n.a. . Our preliminary data suggest that patients placed on ECMO with severe refractory respiratory or cardiac failure secondary to COVID-19 have a reasonable (55%) chance of survival. Further extensive data analysis is expected to provide invaluable information on the demographics, severity of illness, indications and different ECMO management strategies in these patients

Validity and reliability of the Spanish version of the Displaced Aggression Questionnaire

The Displaced Aggression Questionnaire (DAQ) is an instrument that assesses personality differences in the tendency to displace aggression. This scale is composed of three factors: angry rumination (as affective dimension), revenge planning (as cognitive dimension), and general tendency to engage in displaced aggression (as a behavioral dimension). The present study examined the validity and reliability of the Spanish version of the DAQ. Method: The sample consisted of 429 student and non-student participants. Results: The results showed good psychometric properties, and factor analyses revealed a clear three-factor structure. Further, preliminary data about associations between DAQ scores and indirect aggression and emotion regulation strategies are shown. Conclusions: The scale presents adequate evidence for potential use in a Spanish population. We discuss its utility for research on different types of aggression (e.g., domestic abuse)

InN/InGaN multiple quantum Wells emitting at 1.5 mu grown by molecular beam epitaxy

This work reports on the growth by molecular beam epitaxy and characterization of InN/InGaN multiple quantum wells (MQWs) emitting at 1.5 μm. X-ray diffraction (XRD) spectra show satellite peaks up to the second order. Estimated values of well (3 nm) and barrier (9 nm) thicknesses were derived from transmission electron microscopy and the fit between experimental data and simulated XRD spectra. Transmission electron microscopy and XRD simulations also confirmed that the InGaN barriers are relaxed with respect to the GaN template, while the InN MQWs grew under biaxial compression on the InGaN barriers. Low temperature (14 K) photoluminescence measurements reveal an emission from the InN MQWs at 1.5 μm. Measurements as a function of temperature indicate the existence of localized states, probably due to InN quantum wells’ thickness fluctuations as observed by transmission electron microscopy

Effectiveness of a Hand Hygiene Program at Child Care Centers:A Cluster Randomized Trial

Respiratory infections (RIs) are an important cause of morbidity and excessive antibiotic prescriptions in children attending day care centers (DCCs). We aimed to assess the effectiveness of an educational and hand hygiene program in DCCs and homes in reducing RI incidence and antibiotic prescriptions in children. A cluster, randomized, controlled, and open study of 911 children aged 0 to 3 years attending 24 DCCs in Almería (Spain) with an 8-month follow-up. Two intervention groups of DCC families performed educational and hand hygiene measures, 1 with soap and water (SWG; n = 274), another with hand sanitizer (HSG; n = 339), and the control group (CG; n = 298) followed usual hand-washing procedures. RI episode rates were compared through multilevel Poisson regression models. The percentage of days missed were compared with Poisson exact tests. There were 5211 RI episodes registered. Children in the HSG had less risk of RI episodes (incidence rate ratio [IRR]: 0.77; 95% confidence interval [CI]: 0.68-0.88) and antibiotic prescriptions (IRR: 0.69; 95% CI: 0.57-0.84) compared with the those in the CG. Children in the SWG had a higher risk of RI episodes (IRR: 1.21; 95% CI: 1.06-1.39) and antibiotic prescriptions (IRR: 1.31; 95% CI: 1.08-1.56) than those in the HSG. Pupils missed 5186 DCC days because of RIs, and the percentage of days absent was significantly lower in the HSG compared with the CG (P Hand hygiene programs that include hand sanitizer and educational measures for DCC staff, children, and parents, reduce absent days, RIs, and antibiotic prescriptions for these infections in children at DCCs