El tratamiento psicológico de la tricotolomanía: un estudio de caso

This paper presents a clinical case of trichotillomania, thus aims to present in detail the procedure followed in a public health context, using cognitive-behavioral techniques, in order to deepen the knowledge of the efficacy of these treatment procedures and demonstrate the feasibility of their use. The results obtained showed significant improvements in different clinical aspects: first, the hair pulling behavior disappeared completely; moreover, anxiety diminished significantly and mood normalized. This allows us to conclude that the intervention was successful.En este trabajo se presenta un caso clínico de tricotilomanía, cuyo objetivo es presentar en detalle el procedimiento seguido en un contexto de sanidad pública, utilizando técnicas cognitivo-comportamentales, para profundizar en el conocimiento de la eficacia de estos procedimientos de tratamiento y mostrar la viabilidad de su aplicación. Los resultados obtenidos muestran mejorías importantes en distintos aspectos clínicos: en primer lugar, desapareció completamente la conducta de arrancamiento del cabello, además disminuyó considerablemente la ansiedad y se normalizó el estado de ánimo. Todo ello nos permite llegar a la conclusión de que la intervención resultó satisfactoria

Interference Pattern Representation on the Complex s-Plane

In this work, the normalized interference pattern produced by a coherence interferometer system was represented as a complex function. The Laplace transform was applied for the transformation. Poles and zeros were determined from this complex function, and then, its pole-zero map and its Bode diagram were proposed. Both graphical representations were implemented numerically. From our numerical results, pole location and zero location depend on the optical path difference (OPD), while the Bode diagram gives us information about the OPD parameter. Based on the results obtained from the graphical representations, the coherence interferometer systems, the low-coherence interferometer systems, the interferometric sensing systems, and the fiber optic sensors can be analyze on the complex s-plane

Implementation of a Positive Technology Application in Patients With Eating Disorders: A Pilot Randomized Control Trial

Background: Positive psychological interventions (PPIs) have been suggested to produce benefits in patients with eating disorders (ED) by improving well-being, which might act as a buffer of the harmful effects caused by the disorder. Best Possible Self (BPS) is a PPI which consists of writing and envisioning a future where everything has turned out in the best possible way. In this regard, positive technology (PT) can be of considerable benefit as it allows to implement specific PPIs that have already shown efficacy. Objective: This study tested the preliminary efficacy of the BPS exercise implemented through a PT application and carried out for 1 month, in improving positive functioning measures, compared to a control condition, in patients with ED. Follow-up effects were also explored at 1 and 3 months later. Methods: This is a pilot randomized controlled trial, with two experimental conditions. Participants were 54 outpatients, who were receiving ongoing specialized treatment in ED services. 29 participants were randomly allocated to the BPS intervention and 25 to the control exercise. The sample was composed mostly by females and the mean age was 27 years. In the intervention group, participants had to write about their BPS. In the control group participants had to write about their daily activities. The exercise was conducted through the Book of Life, which is a PT application that allows users to add multimedia materials to the written content. Measures of future expectations, affect, dispositional optimism, hope and self-efficacy were assessed at different time frames. Results: Findings showed that all participants improved over time and there were no statistically significant differences between conditions on the specific measures. These effects were not influenced by prior levels of ED severity. Within-group effect sizes indicate a greater benefit for the participants in the BPS condition, compared to the control condition, on nearly all the measures. Conclusion: Results indicated that PT produced modest improvements in patients with EDs that are receiving current treatment for ED. More empirical attention is needed to explore the potential benefits of PPIs as supporting tools in the prevention and treatment of EDs

Plan estratégico de marketing para la cesión de derechos de licencias de merchandising de los Juegos Panamericanos y Parapanamericanos Lima 2019

Los Juegos Panamericanos y Parapanamericanos Lima 2019 es un evento multidisciplinario representativo del continente americano. Si se realiza una comparación con eventos deportivos similares desarrollados en otros países, más allá de ser una actividad deportiva importante, existe la oportunidad de generar ingresos adicionales, a través de la cesión de derechos de licencias de merchandising. El presente Plan Estratégico de Marketing tiene como finalidad que el uso de la marca Lima 2019, mediante la cesión de derechos de licencias de merchandising de los Juegos Panamericanos y Parapanamericanos Lima 2019, sea una opción atractiva que otorgue valor agregado a los participantes del proceso. Además, según estudios e investigaciones realizadas, se sugiere que la organización del evento desarrolle productos de merchandising representativos que generen valor económico, social y emocional. El plan tiene como objetivo generar ingresos adicionales a la organización, debido a que las negociaciones se realizarán con un valor mínimo garantizado por la venta de productos de merchandising; además de que la unidad de negocios encargada de la cesión de licencias cuenta con un bajo riesgo económico. El proceso de cesión de derechos de licencias de merchandising se puede realizar en forma directa, es decir el licenciador negocia sin intermediarios con los licenciatarios; o en forma indirecta, con la participación de una agencia de licencias especializada. En el presente PEM, se sugiere contratar una agencia especializada y experta en el negocio de licencias de merchandising en la industria del deporte. Asimismo, el presente plan estratégico busca lograr una eficiente participación de licenciatarios, de tal manera que genere mayores ingresos a la organización del evento Lima 2019; es por ello que se plantea diversas estrategias y mecanismos de control para el logro de los objetivos propuestos.The Lima 2019 Pan American and Parapan American Games is a multidisciplinary event representative of the American continent. If a comparison is made with similar sporting events developed in other countries, beyond being an important sport activity, there is the opportunity to generate additional income, through the assignment of merchandising licensing rights. The purpose of this Strategic Marketing Plan is that the use of the Lima 2019 brand, through the transfer of merchandising license rights of the 2019 Pan Am and Parapan Am Games, will be an attractive option that gives added value to the participants of the process. Also, according to studies and research conducted, it is suggested that the organization of the event develop representative merchandising products that generate economic, social and emotional value. The plan aims to generate additional income to the organization, because the negotiations will be carried out with a minimum value guaranteed by the sale of merchandising products; in addition, the business unit responsible for the transfer of licenses has a low economic risk. The process of transfer of merchandising license rights can be done directly, that is, the licensor negotiates without intermediaries with the licensees; or indirectly, with the participation of a specialized licensing agency. In this SMP, it is suggested to hire a specialized and expert agency in the business of merchandising licenses in the sports industry. Likewise, this strategic plan seeks to achieve an efficient participation of licensees, in such a way that it generates more income for the Lima 2019 event organization; that is why it poses various strategies and control mechanisms to achieve the proposed objectives.Tesi

Trans fat consumption and its impact on malnutrition in University Students of the Higher Education System (Canton Milagro)

Esta investigación tuvo como objetivo identificar los patrones de alimentación referente al consumo de grasas trans, y como incide en la aparición de problemas de salud como es la desnutrición, afectando el rendimiento académico de los estudiantes del Sistema de Educación Superior del Cantón Milagro. Por lo cual permite conocer el nivel de conocimiento y concientización por parte de esta población vulnerable, y como consiguiente, implementar medidas preventivas para evitar posibles enfermedades y problemas en la salud, como lo es la desnutrición. Todos los datos recolectados y las investigaciones realizadas, han manifestado que existe una gran cantidad de estudiantes universitarios que tienen como estilo de vida el alto consumo de alimentos ricos en grasas trans, los mismos que ya padecen de problemas nutricionales, por lo cual, se encuentran afectados académicamente. Para esta investigación se tomó una población de 11.042 estudiantes universitarios, con una muestra de 372; la misma que tuvo un enfoque mixto, de carácter descriptivo y corte transversal. Para la obtención de toda esta información se realizó una revisión bibliográfica y la aplicación de una encuesta con preguntas referidas al tema a investigar; lo cual arrojó resultados comprometedores y a la vez esperados.    The objective of this research was to identify feeding patterns related to the consumption of trans fats, and how it affects the appearance of health problems such as malnutrition, affecting the academic performance of students of the Higher Education System of Canton Milagro. Therefore, it allows us to know the level of knowledge and awareness on the part of this vulnerable population, and as a result, implement preventive measures to avoid possible diseases and health problems, such as malnutrition. All the data collected and the research conducted have shown that there is a large number of university students whose lifestyle is the high consumption of foods rich in trans fats, the same ones that already suffer from nutritional problems, which is why they are affected academically. For this research a population of 11,042 university students was taken, with a sample of 372; the same one that had a mixed approach of an exploratory nature. In order to obtain all this information, a bibliographic review and the application of a survey with questions related to the subject to be investigated were carried out; which yielded compromising results and at the same time expected

Obesidad e hipertensión arterial en docentes de la Universidad Pública. Caso Cantón Milagro

Este trabajo tuvo como objetivo caracterizar los niveles de obesidad   y la hipertensión en los docentes del Sistema de Educación Superior del Cantón Milagro,  como una posible muestra de una población nacional. Se analizó el conocimiento de la situación actual en esta problemática para poder advertir a este grupo poblacional sobre los efectos que puede tener la relación   entre obesidad   e hipertensión, así­ como también establecer las causas laborales que pueden traer esta complicación en la salud e los docentes universitarios de la Universidad pública.La población estuvo constituida por docentes de la Universidad Estatal de Milagro y la Universidad Agraria para un total de 350 docentes; Para el cálculo de la muestra se aplicó la fórmula para muestras finitas misma, encuestándose a 197 docentes en relación a 8 hábitos de consumo y de actividad fí­sica que pueden estar relacionados con la obesidad y la hipertensión arterial.Se concluyó que un un 63% , de la población puede considerarse de acuerdo con su í­ndice de masa Corporal con sobrepeso y un 22% c on obesidad. La asociación entre la Hipertensión Arterial y Obesidad fue de un 23%. Se señaló que los docentes manifiestaron que la docencia universitaria es acumulativa en carga horaria, sumado a las nuevas polí­ticas de educación superior que presionan las actividades cotidianas lo que puede condicionar la no realización de actividades deportivas o malos habitos alimenticios que favorezcan obesidad e hipertensió

Leishmania infantum asymptomatic infection in inflammatory bowel disease patients under anti-TNF therapy

Background: In recent years anti-TNF therapy has been associated with leishmaniasis in immunocompromised patients from endemic areas. Nevertheless, data on asymptomatic Leishmania infection in such patients is scarce. The aim of this study was to determine the prevalence of asymptomatic infection in inflammatory bowel disease (IBD) patients treated with TNF inhibitors living in an endemic area (Catalonia) and to follow up them to study how the infection evolved. Methods: 192 IBD patients (143 Crohn's disease; 49 ulcerative colitis) from Catalonia (Spain), an area endemic for L. infantum, were recruited. Peripheral blood samples were collected and tested for anti-Leishmania antibodies by Western blotting (WB). Leishmania kinetoplast DNA was detected in peripheral blood mononuclear cells (PBMC) by a quantitative PCR. Results: Serology was positive in 3.1% and Leishmania DNA was found in 8.8%, with a low parasitic load and humoral response. The prevalence was 10.9%, patients being considered infected if they tested positive by at least one of the techniques. Eight out of the 21 patients with asymptomatic leishmaniasis were monitored for 3-8 months after the first test. None of them showed an increased parasitemia or humoral response, or developed leishmaniasis during the follow-up period. Conclusion: The prevalence of Leishmania asymptomatic infection detected in our IBD cohort is similar to that found in healthy population in close endemic areas. Due to the short monitoring period, it is not possible to reach a conclusion about the risk of Leishmania reactivation from this study

CO and C 3

ZnSb2O6 has been synthesized by a microwave-assisted solution method in order to test its possible application as a gas sensor. Zinc nitrate, antimony trichloride, and ethylenediamine were used as precursors and deionized water as solvent. Microwave radiation, with a power of ~350 W, was applied for solvent evaporation. The thermal decomposition of the precursors leads to the formation of ZnSb2O6 at 600°C. This oxide crystallized in a tetragonal structure with cell parameters a=4.66 Å, c=9.26 Å and space group P42/mnm. Microwires and microrods formed by nanocrystals were observed by means of scanning and transmission electron microscopies (SEM and TEM, resp.). Pellets of the oxide were tested as gas sensors in flowing atmospheres of carbon monoxide (CO) and propane (C3H8). Sensitivity increased with the gas concentration (0–300 ppm) and working temperatures (ambient, 150 and 250°C) increase. The results indicate high sensitivity of ZnSb2O6 in both gases at different concentrations and operating temperatures

Use of tocilizumab in kidney transplant recipients with COVID-1

Acute respiratory distress syndrome associated with coronavirus infection is related to a cytokine storm with large interleukin-6 (IL-6) release. The IL-6-receptor blocker tocilizumab may control the aberrant host immune response in patients with coronavirus disease 2019 (COVID-19) . In this pandemic, kidney transplant (KT) recipients are a high-risk population for severe infection and showed poor outcomes. We present a multicenter cohort study of 80 KT patients with severe COVID-19 treated with tocilizumab during hospital admission. High mortality rate was identified (32.5%), related with older age (hazard ratio [HR] 3.12 for those older than 60 years, P = .039). IL-6 and other inflammatory markers, including lactic acid dehydrogenase, ferritin, and D-dimer increased early after tocilizumab administration and their values were higher in nonsurvivors. Instead, C-reactive protein (CRP) levels decreased after tocilizumab, and this decrease positively correlated with survival (mean 12.3 mg/L in survivors vs. 33 mg/L in nonsurvivors). Each mg/L of CRP soon after tocilizumab increased the risk of death by 1% (HR 1.01 [confidence interval 1.004-1.024], P = .003). Although patients who died presented with worse respiratory situation at admission, this was not significantly different at tocilizumab administration and did not have an impact on outcome in the multivariate analysis. Tocilizumab may be effective in controlling cytokine storm in COVID-19 but randomized trials are needed