Dentro del espejo. Análisis de la visión del alumnado universitario sobre la intervención profesional en violencia de género en España.

El tratamiento de la violencia de género como problema público constituye el revulsivo definitivo para iniciar su erradicación. Los y las profesionales de la intervención social tienen en ello un papel fundamental como mediadores/as entre las instituciones y la población. El objetivo principal de este estudio consiste en describir la situación de dichos/as profesionales en la lucha contra la violencia de género en España a partir de las percepciones de una muestra de alumnado de la Universidad de Málaga. Para dar respuesta a dicho objetivo, se implementa una metodología cualitativa mediante la aplicación de una matriz DAFO. Los resultados obtenidos subrayan especialmente las amenazas a las que deben enfrentarse los y las interventores sociales, resaltando aquí la inversión deficiente y la falta de respuesta social. Asimismo, se remarca la falta de habilidades sociales como debilidad del colectivo analizado. Desde un punto de vista positivo, se destaca la experiencia y la competencia profesional, fortalecidas por los avances legislativos y la diversidad de recursos existentes en España para abordar la violencia de género. Las aportaciones de esta investigación sirven para diseñar planes de estudio y políticas públicas que promuevan una intervención social más efectiva en violencia de género.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Memory and Executive Dysfunction Predict Complex Activities of Daily Living Impairment in Amnestic Multi-Domain Mild Cognitive Impairment

[EN]Background: Specific cognitive alterations could be one of the predictors that lead to the complex activities of daily living (CADL) impairment in mild cognitive impairment (MCI) and, hence, help to explain the continuum between MCI and dementia. Objective: We aimed to reevaluate the existing uncertainty regarding the impact of memory and executive functions on CADL in patients with MCI. Methods: Caregivers of 161 patients with amnestic multi-domain MCI and of 150 patients with incipient Alzheimer’s disease as well as 100 age-, sex-, and education-matched controls, completed the Interview for Deterioration in Daily Living Activities in Dementia, a suitable instrument for the description and discrimination of CADL. In addition, all patients and controls were assessed with a neuropsychological battery to measure explicit memory and executive functions performance. Results: Multiple regression analyses showed that in the group of patients with amnestic multi-domain MCI, 67.4% of the variability of the CADL impairment was explained by worse performance on executive functions tests (p < 0.0001) and 41.8% by different explicit memory components impairment (p < 0.0001). Further, in patients with incipient AD, 44.0% of the variability of CADL impairment was explained by worse performance on executive functions tests (p < 0.0001) and 39.9% by different explicit memory components worsening (p < 0.0001). Conclusions: Memory and executive functions alterations impact similarly on the CADL in both amnestic multi-domain MCI and incipient Alzheimer’s disease. Given the continuum that exists between both conditions, we conclude that CADL impairment may be an important early step in the evolution towards Alzheimer’s disease from amnestic multi-domain MCI

Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations

BACKGROUND: The Mini Mental State Examination (MMSE) is a cognitive test that is commonly used as part of the evaluation for possible dementia. OBJECTIVES: To determine the diagnostic accuracy of the Mini‐Mental State Examination (MMSE) at various cut points for dementia in people aged 65 years and over in community and primary care settings who had not undergone prior testing for dementia. SEARCH METHODS: We searched the specialised register of the Cochrane Dementia and Cognitive Improvement Group, MEDLINE (OvidSP), EMBASE (OvidSP), PsycINFO (OvidSP), LILACS (BIREME), ALOIS, BIOSIS previews (Thomson Reuters Web of Science), and Web of Science Core Collection, including the Science Citation Index and the Conference Proceedings Citation Index (Thomson Reuters Web of Science). We also searched specialised sources of diagnostic test accuracy studies and reviews: MEDION (Universities of Maastricht and Leuven, www.mediondatabase.nl), DARE (Database of Abstracts of Reviews of Effects, via the Cochrane Library), HTA Database (Health Technology Assessment Database, via the Cochrane Library), and ARIF (University of Birmingham, UK, www.arif.bham.ac.uk). We attempted to locate possibly relevant but unpublished data by contacting researchers in this field. We first performed the searches in November 2012 and then fully updated them in May 2014. We did not apply any language or date restrictions to the electronic searches, and we did not use any methodological filters as a method to restrict the search overall. SELECTION CRITERIA: We included studies that compared the 11‐item (maximum score 30) MMSE test (at any cut point) in people who had not undergone prior testing versus a commonly accepted clinical reference standard for all‐cause dementia and subtypes (Alzheimer disease dementia, Lewy body dementia, vascular dementia, frontotemporal dementia). Clinical diagnosis included all‐cause (unspecified) dementia, as defined by any version of the Diagnostic and Statistical Manual of Mental Disorders (DSM); International Classification of Diseases (ICD) and the Clinical Dementia Rating. DATA COLLECTION AND ANALYSIS: At least three authors screened all citations.Two authors handled data extraction and quality assessment. We performed meta‐analysis using the hierarchical summary receiver‐operator curves (HSROC) method and the bivariate method. MAIN RESULTS: We retrieved 24,310 citations after removal of duplicates. We reviewed the full text of 317 full‐text articles and finally included 70 records, referring to 48 studies, in our synthesis. We were able to perform meta‐analysis on 28 studies in the community setting (44 articles) and on 6 studies in primary care (8 articles), but we could not extract usable 2 x 2 data for the remaining 14 community studies, which we did not include in the meta‐analysis. All of the studies in the community were in asymptomatic people, whereas two of the six studies in primary care were conducted in people who had symptoms of possible dementia. We judged two studies to be at high risk of bias in the patient selection domain, three studies to be at high risk of bias in the index test domain and nine studies to be at high risk of bias regarding flow and timing. We assessed most studies as being applicable to the review question though we had concerns about selection of participants in six studies and target condition in one study. The accuracy of the MMSE for diagnosing dementia was reported at 18 cut points in the community (MMSE score 10, 14‐30 inclusive) and 10 cut points in primary care (MMSE score 17‐26 inclusive). The total number of participants in studies included in the meta‐analyses ranged from 37 to 2727, median 314 (interquartile range (IQR) 160 to 647). In the community, the pooled accuracy at a cut point of 24 (15 studies) was sensitivity 0.85 (95% confidence interval (CI) 0.74 to 0.92), specificity 0.90 (95% CI 0.82 to 0.95); at a cut point of 25 (10 studies), sensitivity 0.87 (95% CI 0.78 to 0.93), specificity 0.82 (95% CI 0.65 to 0.92); and in seven studies that adjusted accuracy estimates for level of education, sensitivity 0.97 (95% CI 0.83 to 1.00), specificity 0.70 (95% CI 0.50 to 0.85). There was insufficient data to evaluate the accuracy of the MMSE for diagnosing dementia subtypes.We could not estimate summary diagnostic accuracy in primary care due to insufficient data. AUTHORS' CONCLUSIONS: The MMSE contributes to a diagnosis of dementia in low prevalence settings, but should not be used in isolation to confirm or exclude disease. We recommend that future work evaluates the diagnostic accuracy of tests in the context of the diagnostic pathway experienced by the patient and that investigators report how undergoing the MMSE changes patient‐relevant outcomes

El volcanismo neógeno-cuaternario de Catalunya: caracteres estructurales, petrológicos y geodinámicos

El volcanismo neógenocuaternario de Catalunya está asociado al sistema de fracturas escalonadas, de orientación preferente SW-NE y NW-SE, que condiciona también las depresiones tectónicas o fosas neógenas. Las dataciones radiométricas ponen de manifiesto una actividad volcánica entre 10 y 0.1 m.a., localizándose las erupciones más antiguas en la fosa del Empordà, mientras que el volcanismo cuaternario se concentra en las proximidades de Olot (La Garrotxa). El magmatismo es de carácter alcalino, con términos exclusivamente básicos (basanitas), salvo un afloramiento traquítico. Son frecuentes los xenolitos de rocas sedimentarias y plutónicas básicas y ácidas, presentando estos últimos el mayor grado de transformación. Los caracteres estructurales, geoquímicos y mineralógicos, junto a las relaciones isotópicas Sr8YlSr86 apoyan un origen profundo, subcrustal, del magma, y definen un volcanismo intraplaca como el que corresponde a un modelo de rift embrionario sin atenuación litosférica y con escasas manifestacio

El volcanismo neógeno-cuaternario de Catalunya: caracteres estructurales, petrológicos y geodinámicos

El volcanismo neógenocuaternario de Catalunya está asociado al sistema de fracturas escalonadas, de orientación preferente SW-NE y NW-SE, que condiciona también las depresiones tectónicas o fosas neógenas. Las dataciones radiométricas ponen de manifiesto una actividad volcánica entre 10 y 0.1 m.a., localizándose las erupciones más antiguas en la fosa del Empordà, mientras que el volcanismo cuaternario se concentra en las proximidades de Olot (La Garrotxa). El magmatismo es de carácter alcalino, con términos exclusivamente básicos (basanitas), salvo un afloramiento traquítico. Son frecuentes los xenolitos de rocas sedimentarias y plutónicas básicas y ácidas, presentando estos últimos el mayor grado de transformación. Los caracteres estructurales, geoquímicos y mineralógicos, junto a las relaciones isotópicas Sr8YlSr86 apoyan un origen profundo, subcrustal, del magma, y definen un volcanismo intraplaca como el que corresponde a un modelo de rift embrionario sin atenuación litosférica y con escasas manifestacio

Late Miocene onset of the modern Antarctic Circumpolar Current

International audienceThe Antarctic Circumpolar Current plays a pivotal role in global climate through its strong influence on the global overturning circulation, ocean heat and CO 2 uptake. However, when and how the Antarctic Circumpolar Current reached its modern-like characteristics remains disputed. Here we present neodymium isotope and sortable silt records from sediment cores in the Southwest Pacific and South Indian oceans spanning the past 31 million years. Our data indicate that a circumpolar current like that of today did not exist before the late Miocene cooling. These findings suggest that the emergence of a homogeneous and deep-reaching strong Antarctic Circumpolar Current was not linked solely to the opening and deepening of Southern Ocean Gateways triggering continental-scale Antarctic Ice Sheet expansion during the Eocene-Oligocene Transition (∼34 Ma). Instead, we find that besides tectonic pre-conditioning, the expansion of the Antarctic Ice Sheet and sea ice since the middle Miocene Climate Transition (∼14 Ma) played a crucial role. This led to stronger density contrast and intensified Southern Westerly Winds across the Southern Ocean, establishing a vigorous deep-reaching circumpolar flow and an enhanced global overturning circulation, which amplified the late Cenozoic global cooling. The Antarctic Circumpolar Current (ACC), driven by the interplay among Southern Westerly Winds (SWW), buoyancy forcing and bathymetry 1 , is the largest ocean current on Earth. It actively regulates the transport of heat, moisture, carbon and nutrients between the Southern Ocean and the low-latitude regions, thus substantially influencing atmospheric CO 2 and global climate 1. To assess the future response of the ACC to ongoing climate warming and its impacts on Antarctic Ice Sheet dynamics, global circulation and climate 2 , it is critical to unrave

Cultura della Guerra e Arti della Pace. Il III Duca di Osuna in Sicilia e a Napoli (1611-1620). Diretto da Encarnación Sánchez García.

This monograph, designed to celebrate the centenary of the arrival in Italy of Pedro Tellez Giron, III Duke of Osuna, as viceroy of Sicily, collects 36 essays dedicated to him and to his myth, basically born from his government at first as viceroy of Sicily (1611-1616) and then of Naples (1616-1620). Many of the works deal with historical and cultural problems of Europe-wide, investigating aspects of the personal and political life of Tellez Giron, the historical and cultural role he played and the literary and historical myth which he gave rise, while others light moments of the Sicilian and Neapolitan history and art of the early decades of the seventeenth century