Riesgo psicosocial y calidad de vida laboral en el personal asistencial de un establecimiento de salud de Virú 2023

Los Riesgos psicosociales y la Calidad de vida laboral actualmente son vistos como grandes desafíos a resolver debido a altas repercusiones en el desarrollo personal y laboral de la humanidad; y su gran influencia en la economía a nivel mundial y nacional. La investigación surgió con el objetivo de determinar la relación entre los Riesgos Psicosociales y la Calidad de Vida Laboral en el personal asistencial de un establecimiento de salud de Virú, 2023. Su metodología tuvo enfoque cuantitativo, aplicada y diseño no experimental, transversal y correlacional. Se consideró una muestra de 81 trabajadores, entre profesionales de salud y administrativo. Para la recolección de datos se utilizó dos cuestionarios como instrumento, el Cuestionario de Riesgo Psicosocial COPSOQISTAS21 el cuestionario Calidad de vida en el trabajo CVT- GOHISALO. Los datos recopilados se introdujeron en el análisis estadístico SPSS 29; cuyos resultados indicaron que el 93.8% de los encuestados poseen un nivel medio de riesgo psicosocial y para calidad de vida laboral, el 59.3% de los encuestados poseen un nivel medio. También se determinó una relación significativa y negativa de magnitud media entre las variables analizadas, con un coeficiente r=-0.347 y Sig. = 0.000. Se concluyó que, las variables analizadas poseen una relación inversa negativa y, por ende, afirmó que si el Riesgo Psicosocial es latente o alto entonces la Calidad de vida laboral se verá afectada negativamente

Development of the Evaluation of Teaching Performance in Basic Education

The evaluation of teaching performance is a process of reflection and improvement that provides the necessary mechanisms for teachers to improve the quality of education. The purpose of this study is to analyze the development of teacher performance evaluation in elementary education. The study method used was argumentative criticism based on an analysis of the literature on the subject. Thus, the approach (introduction), development (arguments), and conclusions are presented. As a conclusion, it has been obtained that the evaluation of teaching performance allows the optimization of resources and instruments in teaching practices. In this sense, it helps teachers to make decisions to improve their teaching

Índice de progreso social para la provincia de Concepción

El Índice de Progreso Social (IPS) es una medición holística que involucra el análisis de dimensiones, componentes y una serie de indicadores capaces de valorar el progreso social. Esta herramienta explora las necesidades básicas sociales y medioambientales de los ciudadanos y mide la transformación del progreso social. La presente tesis tiene como objetivo medir el progreso social del distrito de Concepción, capital de la provincia de Concepción, ubicada en la región Junín. Esta investigación resulta ser la primera medición del IPS para el distrito de Concepción, el cual es una oportunidad para reconocer y tomar acciones de acuerdo a las necesidades de la población en aras de contribuir con el progreso social del distrito. Para realizar la medición del IPS de Concepción, se utilizó como instrumento el cuestionario propuesto por CENTRUM Católica, el que fue adaptado a la realidad del distrito y ejecutado a través de encuestas a la población con el objetivo de obtener información primaria. Adicionalmente, se incluyó fuentes secundarias relevantes las cuales son citadas a detalle en el presente estudio. De esta manera, se construyeron los índices de desempeño en tres dimensiones: Necesidades Humanas Básicas, Fundamentos del Bienestar y Oportunidades. El resultado del distrito se posicionó en un nivel “bajo” (de 45 a 54 puntos) de progreso social con 49.09 puntos sobre 100 como indicador IPS en el 2018. La dimensión de Fundamentos del Bienestar expuso la puntuación más baja con 33.8 puntos, seguida por las Necesidades Humanas Básicas con 56.8 puntos y Oportunidades con 59.1 puntos. Los componentes considerados cómo la fortaleza del distrito fueron el agua y saneamiento, y tolerancia e inclusión, mientras que los componentes más débiles fueron seguridad personal y sostenibilidad ambiental. De acuerdo a los índices obtenidos, y previo análisis del marco teórico, se plantearon acciones y se realizaron propuestas para el rediseño de las estrategias de acuerdo al enfoque de los componentes y dimensiones del progreso social.The Social Progress Index (PSI) is a holistic measurement that involves the analysis of dimensions, components and a series of indicators capable of assessing social progress. This tool explores the basic social and environmental needs of citizens and measures the transformation of social progress. The objective of this thesis is to measure the social progress of the Concepción district, capital of the province of Concepción, located in the Junín region. This investigation turns out to be the first IPS measurement for the district of Concepción, which is an opportunity to recognize and take actions according to the needs of the population in order to contribute to the social progress of the district. To carry out the IPS measurement of Concepción, the questionnaire proposed by CENTRUM Católica was used as an instrument, which was adapted to the reality of the district and carried out through surveys of the population with the objective of obtaining primary information. Additionally, relevant secondary sources were included, which are cited in detail in this study. In this way, the performance indices were constructed in three dimensions: Basic Human Needs, Fundamentals of Welfare and Opportunities. The result of the district was positioned at a "low" level (45 to 54 points) of social progress with 49.09 points out of 100 as an IPS indicator in 2018. The Fundamentals of Welfare dimension showed the lowest score with 33.8 points, followed for Basic Human Needs with 56.8 points and Opportunities with 59.1 points. The components considered as the strength of the district were water and sanitation, and tolerance and inclusion, while the weakest components were personal security and environmental sustainability. According to the obtained indices, and after analyzing the theoretical framework, actions were proposed and proposals were made for the redesign of the strategies according to the approach of the components and dimensions of social progress.Tesi

Plasma-Based Bioinks for Extrusion Bioprinting of Advanced Dressings

Extrusion bioprinting based on the development of novel bioinks offers the possibility of manufacturing clinically useful tools for wound management. In this study, we show the rheological properties and printability outcomes of two advanced dressings based on platelet-rich plasma (PRP) and platelet-poor plasma (PPP) blended with alginate and loaded with dermal fibroblasts. Measurements taken at 1 h, 4 days, and 18 days showed that both the PRP- and PPP-based dressings retain plasma and platelet proteins, which led to the upregulation of angiogenic and immunomodulatory proteins by embedded fibroblasts (e.g., an up to 69-fold increase in vascular endothelial growth factor (VEGF), an up to 188-fold increase in monocyte chemotactic protein 1 (MCP-1), and an up to 456-fold increase in hepatocyte growth factor (HGF) 18 days after printing). Conditioned media harvested from both PRP and PPP constructs stimulated the proliferation of human umbilical vein endothelial cells (HUVECs), whereas only those from PRP dressings stimulated HUVEC migration, which correlated with the VEGF/MCP-1 and VEGF/HGF ratios. Similarly, the advanced dressings increased the level of interleukin-8 and led to a four-fold change in the level of extracellular matrix protein 1. These findings suggest that careful selection of plasma formulations to fabricate wound dressings can enable regulation of the molecular composition of the microenvironment, as well as paracrine interactions, thereby improving the clinical potential of dressings and providing the possibility to tailor each composition to specific wound types and healing stages.This work was fully supported by a collaborative fundamental research grant from the Basque Government Elkartek program under grant nº. B4H KK-2019-0006-BC

Efficacy and safety of autologous platelet rich plasma for the treatment of vascular ulcers in primary care: Phase III study

Background: Vascular ulcers are commonly seen in daily practice at all levels of care and have great impact at personal, professional and social levels with a high cost in terms of human and material resources. Given that the application of autologous platelet rich plasma has been shown to decrease healing times in various different studies in the hospital setting, we considered that it would be interesting to assess the efficacy and feasibility of this treatment in primary care. The objectives of this study are to assess the potential efficacy and safety of autologous platelet rich plasma for the treatment of venous ulcers compared to the conventional treatment (moist wound care) in primary care patients with chronic venous insufficiency (C, clinical class, E, aetiology, A, anatomy and P, pathophysiology classification C6). Design: We will conduct a phase III, open-label, parallel-group, multicentre, randomized study. The subjects will be 150 patients aged between 40 and 100 years of age with an at least 2-month history of a vascular venous ulcer assigned to ten primary care centres. For the treatment with autologous platelet rich plasma, all the following tasks will be performed in the primary care setting: blood collection, centrifugation, separation of platelet rich plasma, activation of coagulation adding calcium chloride and application of the PRP topically after gelification. The control group will receive standard moist wound care. The outcome variables to be measured at baseline, and at weeks 5 and 9 later include: reduction in the ulcer area, Chronic Venous Insufficiency Quality of Life Questionnaire score, and percentage of patients who require wound care only once a week. Discussion: The results of this study will be useful to improve the protocol for using platelet rich plasma in chronic vascular ulcers and to favour wider use of this treatment in primary care.This study can be undertaken thanks to the financial support of the Spanish Carlos III Health Institute. We are grateful for funding from the Department of Health and Consumer Affairs of the Government of the Basque Country, the Basque Health Service (Osakidetza) for the pilot support and the Ezkerraldea Enkarterri health region

How is tailored implementation undertaken using a self-guided toolkit? Qualitative study of the ItFits-toolkit in the ImpleMentAll project

BackgroundThe process of tailored implementation is ill-defined and under-explored. The ItFits-toolkit was developed and subsequently tested as a self-guided online platform to facilitate implementation of tailored strategies for internet-based cognitive behavioural therapy (iCBT) services. In ImpleMentAll, ItFits-toolkit had a small but positive effect on the primary outcome of iCBT normalisation. This paper investigates, from a qualitative perspective, how implementation teams developed and undertook tailored implementation using the toolkit within the trial.MethodsImplementation teams in thirteen sites from nine countries (Europe and Australia) used the ItFits-toolkit for six months minimum, consistent with the trial protocol. A qualitative process evaluation was conducted. Descriptive data regarding goals, barriers, strategies, and implementation plans collected within the toolkit informed qualitative data collection in real time. Qualitative data included remote longitudinal interviews (n = 55) with implementation team members (n = 30) and observations of support calls (n = 19) with study sites. Qualitative data were analysed thematically, using a team-based approach.ResultsImplementation teams developed and executed tailored implementation projects across all steps in the toolkit process. Working in a structured way but with room for flexibility, decisions were shaped by team members' ideas and goals, iterative stakeholder engagement, internal and external influences, and the context of the ImpleMentAll project. Although teams reported some positive impacts of their projects, 'time', both for undertaking the work, and for seeing project impacts, was described as a key factor in decisions about implementation strategies and assessments of success.ConclusionThis study responds directly to McHugh et al.'s (2022) call for empirical description of what implementation tailoring looks like in action, in service settings. Self-guided facilitation of tailored implementation enables implementers in service settings to undertake tailoring within their organisations. Implementation tailoring takes considerable time and involves detailed work but can be supported through the provision of implementation science informed guidance and materials, iterative and ongoing stakeholder engagement, and working reflectively in response to external influencing factors. Directions for advancement of tailored implementation are suggested

Comportamentos agressivos em crianças e adolescentes com risco para esquizofrenia: diferenças entre gêneros

OBJECTIVE: This study aimed to investigate whether differences in aggression-related behavioral problems occur between boys and girls at high risk for schizophrenia living in the city of São Paulo, Brazil. METHOD: Using the Child Behavior Checklist, we compared the prevalence of behavioral problems between genders for the offspring (6-18 years) of mothers with diagnosis of schizophrenia and a comparison group of children born to women with no severe mental disorders recruited at the gynecology outpatient clinic of the same hospital. The Structured Clinical Interview for DSM-IV Axis I Disorders, Patient Edition was applied for the evaluation of diagnostic status of mothers. RESULTS: Male children of women with schizophrenia had a lower prevalence of aggressive behavior compared to females (4% vs. 36%; p = 0.005), whereas no gender differences regarding aggression were detected in the comparison group (24% vs. 32%; p = 0.53). Logistic regression analyses showed that male gender and being a child of women with schizophrenia interacted so as to favor lower prevalence of aggressive behavior (p = 0.03). CONCLUSION: These findings reinforce the notion that behavioral gender differences related to schizophrenia are already detectable in childhood.OBJETIVO: Investigar diferenças da ocorrência de comportamentos agressivos entre crianças e adolescentes do sexo masculino e feminino com risco genético para desenvolver esquizofrenia. MÉTODO: A prevalência de comportamentos agressivos foi medida utilizando o inventário de comportamentos para crianças e adolescentes, Child Behavior Checklist, e comparada entre os gêneros para o grupo de crianças filhas de mulheres com esquizofrenia e para um grupo de crianças filhas de mulheres atendidas no serviço de ginecologia do mesmo hospital. A entrevista clínica estruturada para DSM-IV (The Structured Clinical Interview for DSM-IV Axis I Disorders Patient Edition) foi utilizada para confirmar o diagnóstico materno. RESULTADOS: Os filhos de mulheres com esquizofrenia do sexo masculino apresentaram prevalência menor de comportamentos agressivos quando comparados às meninas (4% x 36%; p = 0,005), o que não ocorreu para o grupo comparativo (24% x 32%; p = 0,53). A análise de regressão logística mostrou que pertencer ao sexo masculino e ser filho de mulher com esquizofrenia interagiram de forma a favorecer menor prevalência de comportamentos agressivos (p = 0,03). CONCLUSÃO: Esses achados corroboram para a noção que as diferenças comportamentais entre os gêneros na esquizofrenia podem ser detectadas precocemente durante a infância