La fuerza del parentesco y la cotidianidad doméstica en las casas del bajo clero secular de Murcia durante los siglos XVII y XVIII

The aim of this paper is to study the households of secular clergymen in the city of Murcia during the XVII and XVIII centuries. In order to achieve this two documents made for tax collection purposes will be used: a statement by ecclesiastics in 1667 and the book of families in 1756. The purpose is to analyse the family structures in which relatives were present. It was found that women predominated. It has been found that there were different reasons for the presence of relatives in the households of clergymen: from providing care and assistance or help with their studies, to helping out in domestic service.En este trabajo se estudian los hogares de los clérigos seculares de la ciudad de Murcia durante los siglos XVII y XVIII a partir de dos fuentes realizadas con fines recaudatorios: unas declaraciones de eclesiásticos de 1667 y el libro de familias del Vecindario de 1756. Se trata de analizar las estructuras familiares en que estaban presentes los parientes, detectándose que predominaban las mujeres. Se ha comprobado que había diferentes motivos que explicaban la presencia de familiares en las casas de los eclesiásticos: desde brindar cuidado y asistencia o ayudar en sus estudios, hasta colaborar en el servicio doméstico.  

Pasados y presente. Estudios para el profesor Ricardo García Cárcel

Ricardo García Cárcel (Requena, 1948) estudió Historia en Valencia bajo el magisterio de Joan Reglà, con quien formó parte del primer profesorado de historia moderna en la Universidad Autónoma de Barcelona. En esta universidad, desde hace prácticamente cincuenta años, ha desarrollado una extraordinaria labor docente y de investigación marcada por un sagaz instinto histórico, que le ha convertido en pionero de casi todo lo que ha estudiado: las Germanías, la historia de la Cataluña moderna, la Inquisición, las culturas del Siglo de Oro, la Leyenda Negra, Felipe II, Felipe V, Austrias y Borbones, la guerra de la Independencia, la historia cultural, los mitos de la historia de España... Muy pocos tienen su capacidad para reflexionar, ordenar, analizar, conceptualizar y proponer una visión amplia y llena de matices sobre el pasado y las interpretaciones historiográficas. A su laboriosidad inimitable se añade una dedicación sin límites en el asesoramiento de alumnos e investigadores e impulsando revistas, dosieres, seminarios o publicaciones colectivas. Una mínima correspondencia a su generosidad lo constituye este volumen a manera de ineludible agradecimiento

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

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La fuerza del parentesco y la cotidianidad doméstica en las casas del bajo clero secular de Murcia durante los siglos XVII y XVIII

The aim of this paper is to study the households of secular clergymen in the city of Murcia during the XVII and XVIII centuries. In order to achieve this two documents made for tax collection purposes will be used: a statement by ecclesiastics in 1667 and the book of families in 1756. The purpose is to analyse the family structures in which relatives were present. It was found that women predominated. It has been found that there were different reasons for the presence of relatives in the households of clergymen: from providing care and assistance or help with their studies, to helping out in domestic service.En este trabajo se estudian los hogares de los clérigos seculares de la ciudad de Murcia durante los siglos XVII y XVIII a partir de dos fuentes realizadas con fines recaudatorios: unas declaraciones de eclesiásticos de 1667 y el libro de familias del Vecindario de 1756. Se trata de analizar las estructuras familiares en que estaban presentes los parientes, detectándose que predominaban las mujeres. Se ha comprobado que había diferentes motivos que explicaban la presencia de familiares en las casas de los eclesiásticos: desde brindar cuidado y asistencia o ayudar en sus estudios, hasta colaborar en el servicio doméstico.  

Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery

In order to develop evidence-based recommendations and expert consensus for nutrition management of patients undergoing bariatric surgery and postoperative follow-up, we conducted a systematic literature search using PRISMA methodology plus critical appraisal following the SIGN and AGREE-II procedures. The results were discussed among all members of the GARIN group, and all members answered a Likert scale questionnaire to assess the degree of support for every recommendation. Patients undergoing bariatric surgery should be screened preoperatively for some micronutrient deficiencies and treated accordingly. A VLCD (Very Low-Calorie Diet) should be used for 4-8 weeks prior to surgery. Postoperatively, a liquid diet should be maintained for a month, followed by a semi-solid diet also for one month. Protein requirements (1-1.5 g/kg) should be estimated using adjusted weight. Systematic use of specific multivitamin supplements is encouraged. Calcium citrate and vitamin D supplements should be used at higher doses than are currently recommended. The use of proton-pump inhibitors should be individualised, and vitamin B12 and iron should be supplemented in case of deficit. All patients, especially pregnant women, teenagers, and elderly patients require a multidisciplinary approach and specialised follow-up. These recommendations and suggestions regarding nutrition management when undergoing bariatric surgery and postoperative follow-up have direct clinical applicability.Funding for the face-to-face meeting and the translation into English was provided by NESTLE HEALTHCARE.Ye

Impact of late presentation of HIV infection on short-, mid- and long-term mortality and causes of death in a multicenter national cohort : 2004-2013

To analyze the impact of late presentation (LP) on overall mortality and causes of death and describe LP trends and risk factors (2004-2013). Cox models and logistic regression were used to analyze data from a nation-wide cohort in Spain. LP is defined as being diagnosed when CD4 < 350 cells/ml or AIDS. Of 7165 new HIV diagnoses, 46.9% (CI:45.7-48.0) were LP, 240 patients died.First-year mortality was the highest (aHR = 10.3[CI:5.5-19.3]); between 1 and 4 years post-diagnosis, aHR = 1.9(1.2-3.0); an

Prediction of long-term outcomes of HIV-infected patients developing non-AIDS events using a multistate approach

Outcomes of people living with HIV (PLWH) developing non-AIDS events (NAEs) remain poorly defined. We aimed to classify NAEs according to severity, and to describe clinical outcomes and prognostic factors after NAE occurrence using data from CoRIS, a large Spanish HIV cohort from 2004 to 2013. Prospective multicenter cohort study. Using a multistate approach we estimated 3 transition probabilities: from alive and NAE-free to alive and NAE-experienced ("NAE development"); from alive and NAE-experienced to death ("Death after NAE"); and from alive and NAE-free to death ("Death without NAE"). We analyzed the effect of different covariates, including demographic, immunologic and virologic data, on death or NAE development, based on estimates of hazard ratios (HR). We focused on the transition "Death after NAE". 8,789 PLWH were followed-up until death, cohort censoring or loss to follow-up. 792 first incident NAEs occurred in 9.01% PLWH (incidence rate 28.76; 95% confidence interval [CI], 26.80-30.84, per 1000 patient-years). 112 (14.14%) NAE-experienced PLWH and 240 (2.73%) NAE-free PLWH died. Adjusted HR for the transition "Death after NAE" was 12.1 (95%CI, 4.90-29.89). There was a graded increase in the adjusted HRs for mortality according to NAE severity category: HR (95%CI), 4.02 (2.45-6.57) for intermediate-severity; and 9.85 (5.45-17.81) for serious NAEs compared to low-severity NAEs. Male sex (HR 2.04; 95% CI, 1.11-3.84), ag