Estilos de vida, estrategias de afrontamiento, estrés y depresión en estudiantes de la Facultad de Medicina de la UAEM

Introducción: Los estudiantes de Ciencias de la Salud de la Facultad de Medicina (FM) de la Universidad Autónoma del Estado de México (UAEM), requieren, además de inteligencia cognitiva, inteligencia emocional y habilidades de relación interpersonal: empatía, compasión y madurez. La naturaleza de la profesión en el ámbito de la salud solicita que el estudiante tenga un perfil con ciertas características entre las que se enfatizan habilidades de gestión, templanza en el trabajo para situaciones imprevistas, el cumplimiento con el deber y la necesidad de actualización permanente,1 que les ayuden a tener un desarrollo integral para desempeñarse profesionalmente. Objetivo: Identificar estrategias de afrontamiento al estrés y correlacionar con estilos de vida, estrés y síntomas depresivos. Material y Métodos: Se realizó un estudio de tipo descriptivo, transversal y correlacional. Con muestreo no probabilístico de tipo dirigido, de 173 estudiantes voluntarios. Se aplicó el cuestionario FANTASTIC, Escala de Estrés Percibido de Cohen, Inventario de Estrategias de Afrontamiento e Inventario de Depresión de Beck. Se aplicó Chi cuadrada para establecer la significancia y coeficiente de Pearson para correlación. Resultados: Las estrategias de afrontamiento usadas fueron activas-adaptativas; orientadas a la solución de problemas. En estilos de vida saludables mostraron menores índices de estrés y depresión. Abstract Background: Health science students at the School of Medicine of the Autonomous University of the State of Mexico (UAEM) require, in addition to cognitive intelligence, sufficient emotional intelligence and interpersonal skills: empathy, compassion and maturity. The nature of the profession in the field of health requires that the student has a profile with certain characteristics among which are emphasized management skills, temperance at work for unforeseen situations, compliance with the liability and the need for permanent updating.1 To help them to perform professionally and to have an integral development. Objective: To identify stress coping strategies and to correlate with lifestyles, stress and depressive symptoms. Method: A descriptive, transverse and correlational qualitative study was carried out. With non-probabilistic directed sample of 173 volunteer students. The FANTASTIC questionnaire, Cohen’s Perceived Stress Scale, Coping Strategies Inventory, and Beck Depression Inventory were applied. Chi square test was applied to establish the significance and Pearson coefficient for correlation. Results: The coping strategies used were active-adaptive and solutions-oriented. Healthy lifestyles showed lower rates of stress and depression. &nbsp

Estilos de vida, estrategias de afrontamiento, estrés y depresión en estudiantes de la Facultad de Medicina de la UAEM

Introducción: Los estudiantes de Ciencias de la Salud de la Facultad de Medicina (FM) de la Universidad Autónoma del Estado de México (UAEM), requieren, además de inteligencia cognitiva, inteligencia emocional y habilidades de relación interpersonal: empatía, compasión y madurez. La naturaleza de la profesión en el ámbito de la salud solicita que el estudiante tenga un perfil con ciertas características entre las que se enfatizan habilidades de gestión, templanza en el trabajo para situaciones imprevistas, el cumplimiento con el deber y la necesidad de actualización permanente,1 que les ayuden a tener un desarrollo integral para desempeñarse profesionalmente. Objetivo: Identificar estrategias de afrontamiento al estrés y correlacionar con estilos de vida, estrés y síntomas depresivos. Material y Métodos: Se realizó un estudio de tipo descriptivo, transversal y correlacional. Con muestreo no probabilístico de tipo dirigido, de 173 estudiantes voluntarios. Se aplicó el cuestionario FANTASTIC, Escala de Estrés Percibido de Cohen, Inventario de Estrategias de Afrontamiento e Inventario de Depresión de Beck. Se aplicó Chi cuadrada para establecer la significancia y coeficiente de Pearson para correlación. Resultados: Las estrategias de afrontamiento usadas fueron activas-adaptativas; orientadas a la solución de problemas. En estilos de vida saludables mostraron menores índices de estrés y depresión. Abstract Background: Health science students at the School of Medicine of the Autonomous University of the State of Mexico (UAEM) require, in addition to cognitive intelligence, sufficient emotional intelligence and interpersonal skills: empathy, compassion and maturity. The nature of the profession in the field of health requires that the student has a profile with certain characteristics among which are emphasized management skills, temperance at work for unforeseen situations, compliance with the liability and the need for permanent updating.1 To help them to perform professionally and to have an integral development. Objective: To identify stress coping strategies and to correlate with lifestyles, stress and depressive symptoms. Method: A descriptive, transverse and correlational qualitative study was carried out. With non-probabilistic directed sample of 173 volunteer students. The FANTASTIC questionnaire, Cohen’s Perceived Stress Scale, Coping Strategies Inventory, and Beck Depression Inventory were applied. Chi square test was applied to establish the significance and Pearson coefficient for correlation. Results: The coping strategies used were active-adaptive and solutions-oriented. Healthy lifestyles showed lower rates of stress and depression. &nbsp

Nephrops Sentinel Fishery in Functional Unit 25 (North Galicia) 2017-2019

The ICES Working Group for the Bay of Biscay and the Iberian Waters Ecoregion (WGBIE) as-sesses the status of 23 stocks distributed from ICES Divisions 3.a–4.a though to Subarea 9, mostly distributed in Subareas 7, 8 and 9. The group was tasked with conducting assessments of stock status for 14 stocks using analytical, forecast methods or trends indicators to provide catch fore-casts and a first draft of the ICES advice for 2021. For two of the Nephrops stocks updates were provided on catch data with the advice release delayed until October after the completion of the surveys used for the assessment. For the remaining 9 stocks not scheduled for advice this year, after the stock information update, no specific revision of the advice was proposed. The advice for these stocks, released in 2019, is valid for the years 2020 and 2021 or for 2020 to 2022. Analytical assessments using age-structured models were conducted for the northern stock of white anglerfish, the northern and southern stocks of megrim, four-spot megrim in Iberian Waters and sole in the Bay of Biscay. The two hake stocks and one southern stock of anglerfish were assessed using models that allow the use of length-structured data (no age data). A surplus-production model, without age or length structure, was used to assess the second southern stock of anglerfish and an analytical age-length structure model was used for the European seabass in the Bay of Biscay. The state of stocks for which no analytical assessment could be performed was inferred from examination of catch, commercial LPUE or CPUE data and from survey information, where available. The length-structured assessment for the southern stock of hake was rejected during the working group which resulted in the downgrading of the stock from Category 1 to 3 as an interim solution. This decision was also supported by the absence of clear guidelines on how to adjust fore-casts for advice when using the decision tree recommended by WKFORBIAS (ICES, 2020) for stocks with strong retrospective patterns. This year advice for the stock followed the 2 over 3-year rule based on survey and LPUE trends. A SPiCT model for the stock was explored for ref-erence points but some inconsistencies were found among biomass indices and the retrospective patterns were also problematic. Intersessional work (online workshop) to migrate assessment analyses to a Stock Synthesis model is planned before the end of the year. Despite an ICES data call with a deadline of six weeks before the meeting, the recurrent late data submission to ICES for most stocks has occurred, worsened by the COVID-19 disruption. This delayed the process of having the data quality checked and the assessment completed before the start of the working group. This is an important matter of concerns for the working group members. In response to the spread of COVID-19 virus, all ICES assessment and advice physical meetings were suspended and held remotely. The 2020 advice sheets for 13 stocks were abbreviated and will be released with advice released in 2019 as annex. A full advice sheet, however, was done for the southern hake due to the change in category of the stock. The structure of the report is set out with section 1 presenting a summary for each stock, discuss-ing general issues and conclusions. Section 2 provides descriptions of the relevant fishing fleets and surveys used in the assessment of the stocks. Sections 3–18 contain the single stock assess-ments

Hydroacoustic survey of the jumbo squid Dosidicus gigas in the Gulf of California during March and September-October 2010

The horizontal and vertical distribution and the dorsal mantle length (DML) of the jumbo squid (Dosidicus gigas) were investigated in the Gulf of California (26-33 °N) during March and September-October 2010 using a Simrad EY-60 echosounder (120 kHz split beam transducer) and jig sampling. During March jumbo squids were captured and echo-detected off Santa Rosalía and around and south of the Grandes Islas region, in regions where satellite sea surface temperatures ranged between 16.5 and 18 °C. Jumbo squid were also abundant south of Guaymas Basin and along the east coast with SST ranged between 17.5 and 19 °C. During September-October jumbo squids were echo detected and captured at the west coast of the gulf at regions with SST below the mean of the survey area (< 30.5 °C). Jumbo squid distribution and DML estimated using hydroacoustic methods and measured from captured squids followed the previously known seasonal migrations and temporal DML frequency distribution reported in the Gulf, in the Grandes Islas region and east coast of the Gulf during the spring and in the east coast during late summer. Hydroacoustic data showed no evident daily vertical migrations during the two sampling seasons

Standard comparison of local mental health care systems in eight European countries

Aims. There is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe. This study is part of the Seventh Framework programme REFINEMENT (Research on Financing Systems’ Effect on the Quality of Mental Health Care in Europe) project. Methods. A total of eight study areas from European countries with different systems of care (Austria, England, Finland, France, Italy, Norway, Romania, Spain) were analysed using a standard open-access classification system (Description and Evaluation of Services for Long Term Care in Europe, DESDE-LTC). All publicly funded services universally accessible to adults (≥18 years) with a psychiatric disorder were coded. Care availability, diversity and capacity were compared across these eight local MHS. Results. The comparison of MHS revealed more community-oriented delivery systems in the areas of England (Hampshire) and Southern European countries (Verona – Italy and Girona – Spain). Community-oriented systems with a higher proportion of hospital care were identified in Austria (Industrieviertel) and Scandinavian countries (Sør-Trøndelag in Norway and Helsinki-Uusimaa in Finland), while Loiret (France) was considered as a predominantly hospital-based system. The MHS in Suceava (Romania) was still in transition to community care. Conclusions. There is a significant variation in care availability and capacity across MHS of local areas in Europe. This information is relevant for understanding the process of implementation of community-oriented mental health care in local areas. Standard comparison of care provision in local areas is important for context analysis and policy planning

Genetic Structure of the Spanish Population

<p>Abstract</p> <p>Background</p> <p>Genetic admixture is a common caveat for genetic association analysis. Therefore, it is important to characterize the genetic structure of the population under study to control for this kind of potential bias.</p> <p>Results</p> <p>In this study we have sampled over 800 unrelated individuals from the population of Spain, and have genotyped them with a genome-wide coverage. We have carried out linkage disequilibrium, haplotype, population structure and copy-number variation (CNV) analyses, and have compared these estimates of the Spanish population with existing data from similar efforts.</p> <p>Conclusions</p> <p>In general, the Spanish population is similar to the Western and Northern Europeans, but has a more diverse haplotypic structure. Moreover, the Spanish population is also largely homogeneous within itself, although patterns of micro-structure may be able to predict locations of origin from distant regions. Finally, we also present the first characterization of a CNV map of the Spanish population. These results and original data are made available to the scientific community.</p

Efectos de la fibra dietética en la reducción de factores de riesgo cardiovasculares asociados a la obesidad

La obesidad es una pandemia que afecta a más de 650 millones de personas en todo el mundo. Los principales efectos del aumento y la acumulación de grasa corporal son la resistencia a la insulina, la dislipidemia y la hipertensión, los cuales son factores de riesgo para presentar enfermedades cardiovasculares. Por lo tanto, una de las terapias nutricionales para revertir estas alteraciones es el consumo de fibra dietética, que al evadir la digestión por enzimas humanas y la absorción intestinal, tienen efectos en todo el tracto digestivo disminuyendo la absorción de macronutrientes, aumentando la saciedad y modificando la microbiota intestinal. Por lo mencionado anteriormente, la presente revisión tiene como objetivo describir los efectos de la fibra dietética en la reducción de los factores de riesgo cardiovasculares asociados a la obesidad. Para el desarrollo de tal objetivo describiremos los factores de riesgo mencionados. Asimismo, describiremos la fibra dietética y los mecanismos implicados en la reducción de dichos factores. Palabras claves: Fibra dietética, enfermedades cardiovasculares y obesidad (DeCS). DOI: http://dx.doi.org/10.17268/rmt.2021.v16i02.0

Ruxolitinib in refractory acute and chronic graft-versus-host disease : a multicenter survey study

Graft-versus-host disease is the main cause of morbidity and mortality after allogeneic hematopoietic stem cell transplantation. First-line treatment is based on the use of high doses of corticosteroids. Unfortunately, second-line treatment for both acute and chronic graft-versus-host disease, remains a challenge. Ruxolitinib has been shown as an effective and safe treatment option for these patients. Seventy-nine patients received ruxolitinib and were evaluated in this retrospective and multicenter study. Twenty-three patients received ruxolitinib for refractory acute graft-versus-host disease after a median of 3 (range 1-5) previous lines of therapy. Overall response rate was 69.5% (16/23) which was obtained after a median of 2 weeks of treatment, and 21.7% (5/23) reached complete remission. Fifty-six patients were evaluated for refractory chronic graft-versus-host disease. The median number of previous lines of therapy was 3 (range 1-10). Overall response rate was 57.1% (32/56) with 3.5% (2/56) obtaining complete remission after a median of 4 weeks. Tapering of corticosteroids was possible in both acute (17/23, 73%) and chronic graft-versus-host disease (32/56, 57.1%) groups. Overall survival was 47% (CI: 23-67%) at 6 months for patients with aGVHD (62 vs 28% in responders vs non-responders) and 81% (CI: 63-89%) at 1 year for patients with cGVHD (83 vs 76% in responders vs non-responders). Ruxolitinib in the real life setting is an effective and safe treatment option for GVHD, with an ORR of 69.5% and 57.1% for refractory acute and chronic graft-versus-host disease, respectively, in heavily pretreated patients