Variables relacionadas con la reducción de la satisfacción de los usuarios de emergencias

The information received by patients about the severity of their condition, the type of tests to be performed, or the average waiting time in the service are factors that influence their degree of satisfaction and, therefore, their possible anger and/or aggressiveness. Users' discomfort can sometimes lead to violence towards health workers, and this, in turn, can lead to the commonly associated physical and psychological consequences. Our main objective is to explore the relationship between the waiting time, patients' perceived satisfaction with the service, as well as the other variables under study. We used a cross-sectional design was used to evaluate 320 hospital patients in the Region of Murcia (Spain). Our indicate that receiving information about their process, waiting time until the doctor's consultation, the degree of satisfaction with the professional, and the resolution of the doubts are predictors of the degree of overall patient satisfaction with the clinical experience.La información recibida por los pacientes sobre la gravedad de su condición, el tipo de pruebas a realizar o el tiempo promedio de espera en el servicio son factores que influyen en el grado de satisfacción. La incomodidad de los usuarios a veces puede conducir a la violencia hacia los trabajadores de salud, y esto, a su vez, a las consecuencias físicas y psicológicas comúnmente asociadas. Nuestro objetivo es explorar la relación entre el tiempo de espera, la satisfacción del paciente con el servicio y otras variables de interés. Se utilizó un diseño transversal para evaluar a 320 pacientes hospitalarios en la Región de Murcia (España). Los resultados indican que recibir información sobre su proceso, el tiempo de espera hasta la consulta, el grado de satisfacción con el profesional y la resolución de dudas son predictores del grado de satisfacción general del paciente con la experiencia clínica

Lipidomes in cadaveric decomposition and determination of the postmortem interval: a systematic review

© 2024 by the authors. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/ This document is the Published version of a Published Work that appeared in final form in International Journal of Molecular Sciences. To access the final edited and published work see https://doi.org/10.3390/ijms25020984Lipids are a large group of natural compounds, together with proteins and carbohydrates, and are essential for various processes in the body. After death, the organism’s tissues undergo a series of reactions that generate changes in some molecules, including lipids. This means that determining the lipid change profile can be beneficial in estimating the postmortem interval (PMI). These changes can also help determine burial sites and advance the localization of graves. The aim was to explore and analyze the decomposition process of corpses, focusing on the transformation of lipids, especially triglycerides (TGs) and fatty acids (FAs), and the possible application of these compounds as markers to estimate PMI and detect burial sites. A systematic review of 24 scientific articles from the last 23 years (2000–2023) was conducted. The results show that membrane glycerophospholipids (such as phosphatidylcholine and phosphatidylglycerol, among others) are the most studied, and the most promising results are obtained, with decreasing patterns as PMI varies. Fatty acids (FAs) are also identified as potential biomarkers owing to the variations in their postmortem concentration. An increase in saturated fatty acids (SFAs), such as stearic acid and palmitic acid, and a decrease in unsaturated fatty acids (UFAs), such as oleic acid and linoleic acid, were observed. The importance of intrinsic and extrinsic factors in decomposition is also observed. Finally, as for the burial sites, the presence of fatty acids and some sterols in burial areas of animal and human remains can be verified. In conclusion, glycerophospholipids and fatty acids are good markers for estimating PMI. It has been observed that there are still no equations for estimating the PMI that can be applied to forensic practice, as intrinsic and extrinsic factors are seen to play a vital role in the decomposition process. As for determining burial sites, the importance of soil and textile samples has been demonstrated, showing a direct relationship between saturated fatty acids, hydroxy fatty acids, and some sterols with decomposing remains

Comparison of cytopathological changes induced by mercury chloride exposure in renal cell lines (VERO and BGM)

©2004. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This document is the Accepted, version of a Published Work that appeared in final form in Environmental Toxicology and Pharmacology. To access the final edited and published work see http://dx.doi.org/10.1016/j.etap.2004.03.007The response to mercury chloride was assessed in two cell lines of renal origin, determining the range of toxic concentrations by Neutral Red assay after 24-h of exposure. Morphological changes in the Buffalo Green Monkey (BGM) and VERO cell lines after exposure to subcytotoxic doses (0.045 and 0.038 mM, respectively) equivalent to EC10 (effective concentrations 10%) of mercury chloride were evaluated at the structural and ultrastructural level by optic, transmission and scanning microscopy. Using transmission electron microscopy, the most notable findings in treated cells were the presence of intracytoplasmic inclusion bodies and apoptotic bodies. Scanning microscopy pointed to a cell with a disrupted perinuclear region and a decreased number of surface microvilli. Similar alterations in both in vivo and in vitro experiments have been described by other authors. We conclude that BGM and VERO renal cell lines can be considered as useful tools for toxicological studies involving mercury chloride

Profiles of lateral violence in nursing personnel of the Spanish public health system

Background Workplace violence in healthcare settings has long been studied in scientific literature, particularly in the nursing profession. Research has explored mostly user violence probably for its high prevalence and impact on health and job satisfaction. Yet this focus may overshadow another dangerous type of workplace violence: coworker violence. Exerted by co-workers with similar status, lateral violence differs from that yielded by a co-worker with a higher rank, known as vertical. This study aims to deepen the knowledge about lateral violence perceived by nurses and its interaction with other variables commonly associated with workplace violence in healthcare: burnout, job satisfaction, and self-perceived health. Method A random block sampling was performed, prompting a total sample of 925 nursing professionals from 13 public hospitals located in the southeast of Spain. The sample distribution (mean and standard deviation) and the response percentages according to the study variables of the ad-hoc questionnaire were analyzed and classified with cluster analysis. Results Through the cluster analysis, two subgroups were obtained: Cluster 1, composed of 779 participants, with low scores in the variables used for the classification, high levels of both extrinsic and intrinsic satisfaction, low levels of emotional exhaustion and cynicism, and low rates of somatization, anxiety, social dysfunction and depression; and Cluster 2, composed of 115 participants and characterized by moderate-high scores in the variables used for the classification, moderate extrinsic satisfaction, and low intrinsic satisfaction, high emotional exhaustion and cynicism and lower somatization, anxiety, social dysfunction, and depression scores. Excluded cases amounted to 31. Conclusion Nursing professionals who experience lateral violence reveal a lower intrinsic satisfaction, feeling less self-accomplished in their job, and less positive work experience. Emotional exhaustion rises as a concerning progressive and long-term outcome of experiencing this type of violence

Consumo de drogas en las prisiones de la Región de Murcia: características en función de la nacionalidad

Comparar las pautas de consumo de drogas entre la población autóctona y extranjera penitenciaria en los Centros Penitenciarios de la Región de Murcia. Método: estudio transversal analítico con una muestra formada por 659 participantes. La recogida de datos se realizó por medio de un cuestionario formado por 40 ítems con respuesta tipo Likert donde se recogen variables sociodemográficas y de consumo de drogas durante el último mes en prisión. Resultados: un 29,8% (n=197) de los encuestados son extranjeros, el consumo de drogas es superior en los nacionales que en los extranjeros (66,2% vs 49,7%, respectivamente) siendo el cannabis, alcohol y cocaína las drogas más frecuentes para ambos colectivos. Por último se han analizados las correlaciones existentes entre las variables nacionalidad y consumo por medio de las pruebas de Odds ratio y valor de P.To compare patterns of drug abuse among the native inmates and foreign inmates in the Prisons in Murcia Region. Method: a cross-sectional study with a sample of 659 participants. Data collection was conducted through a questionnaire consisting of 40 items with Likert-type response in which variables on sociodemographics and drug abuse during the last month in prison are compiled. Results: 29.8% (n=197) of respondents are foreigners, drug abuse is higher among national inmates that among foreign inmates (66.2% vs. 49.7%, respectively), cannabis, alcohol and cocaine being the most frequent substances for both groups. Finally, we have analyzed the correlations between nationality and drug abuse variables through testing Odds ratio and P value

Tough Love Lessons: Lateral Violence among Hospital Nurses

Background: Workplace violence is a growing social problem among many professions, but it particularly affects the health sector. Studies have mainly focused on evaluating user violence toward health professionals, with less attention being paid to other sources of conflict, such as co-workers themselves. There are different manifestations of this violence in what has been called a context of tolerated or normalized violence among co-workers. However, its effects are far from being tolerable, as they have an impact on general health and job satisfaction and contribute to burnout among professionals. Based on this idea, and following the line of the previous literature, nursing staff are a population at high risk of exposure to workplace violence. For this reason, the present study aims to evaluate exposure to lateral violence or violence among co-workers in nursing staff in public health services and the relationship of this exposure with some of the most studied consequences. (2) Methods: A cross-sectional associative study was carried out in which scales of workplace violence (HABS-CS), burnout (MBI-GS), job satisfaction (OJS), and general health (GHQ-28) were applied to a sample of 950 nursing staff from 13 public hospitals located in the southeast of Spain. (3) Results: The results show that nursing staff have a high exposure to violence from their co-workers, which is more common in male nurses. Greater exposure is observed in professionals with between 6 and 10 years of experience in the profession, and it is not characteristic of our sample to receive greater violence when they have less experience or are younger. A positive correlation is observed with high levels of burnout and a negative correlation with general health and job satisfaction. (4) Conclusions: The results of this work contribute to increasing the scientific evidence of the consequences of a type of workplace violence frequent among nursing staff and to which less attention has been paid in relative terms to other types of prevalent violence. Organizations should be aware of the importance of this type of workplace violence, its frequency and impact, and implement appropriate prevention policies that include the promotion of a culture that does not reward violence or minimize reporting. A change of mentality in the academic environment is also recommended in order to promote a more adequate training of nursing staff in this field

Users’ perception of violence and conflicts with professionals in primary care centers before and during covid-19. a qualitative study

Background: Workplace violence is a social problem of special interest in both intervention and research. Among the sectors that most perceive this type of violence, health care professionals stand out. The most common type of violence for this professional group is the one perpetrated by the users or patients themselves. It has been reported that one out of every four acts of violence in the workplace occurs in the healthcare setting. Within the health sector, the Mental Health, Emergency and Primary Care services have been widely reported as being among the most vulnerable, with Primary Care being the least addressed of the three. Although the available literature is extensive, there are hardly any studies that explore from a qualitative perspective what are the sources of conflict in this sector from the perspective of the users, the most common being to work with professionals. Objective: The aim of this study is to examine those aspects derived from the organization, the professionals or the users of Primary Care that, from the users’ point of view, cause violent situations and how they think these could be avoided. Method: The sample consisted of 80 users of the Primary Care services of the Health Service of Murcia. For data collection, a qualitative study was conducted through 10 focus groups and a subsequent thematic analysis of the data. Results: The results have allowed us to identify that, from an organizational point of view, the uncertainty in waiting times, the need to adapt the telematic or telephone appointment to the different types of users, or the management of emergencies in Primary Care are the aspects that cause most conflicts between users and professionals. In this sense, suggested improvements are aimed at providing information in the mobile application updated on the opening hours or maintaining the telephone appointment for those who need or request it, among many others. As for the professionals, users point out that the medical staff is perceived as distant and sometimes does not provide

Experiencia de innovación educativa con “Brainstorming” en la Universidad de Murcia

[SPA] En este trabajo analizamos la percepción de los estudiantes del Grado de Bioquímica, tras unas sesiones de “brainstorming”. La propuesta del equipo docente tenía como objetivo potenciar la participación del alumnado en equipo y mejorar su creatividad facilitando así los procesos de enseñanza-aprendizaje en la asignatura de Bioética y Biomedicina de la Universidad de Murcia. Hemos observado que era la primera vez que se aplicaba en estos alumnos esta técnica, a pesar de que el nuevo Espacio Europeo de Educación Superior (EEES) exige trabajar estas competencias en el alumnado para que les permitan posteriormente enfrentarse con éxito a su realidad profesional y personal. La mayoría de los alumnos encuestados valoraron muy positivamente la experiencia (70,6%). La eficacia de este método quedará contrastada con los resultados de la evaluación final de la asignatura que, dado que se basa en la capacidad de resolución de problemas y no en los conocimientos teórico-practico exclusivos, nos permitirá evaluar de forma objetiva nuestros resultados. El “brainstorming” es una estrategia de enseñanza-aprendizaje que permite por lo tanto mejorar la competencia del trabajo en equipo y el razonamiento crítico.[ENG] In this study we analyze the perceptions in students of Biochemistry, after a few sessions of "brainstorming ". The proposals of teacher team were enhancing student participation and improve team creativity thereby facilitating the teaching-learning in the subject of Bioethics and Biomedicine of the University of Murcia. We had observed that it was the first time I applied this technique in these students, even though the new European Higher Education Area (EHEA) required to work these skills in students to enable them to later cope successfully with their professional reality and personnel. Most students surveyed highly positive experience (70.6%). The effectiveness of this method will be contrasted with the results of the final evaluation of the course that since it is based on the ability to solve problems and not on the theoretical-practical exclusive knowledge allow us to objectively evaluate our results. The " brainstorming " is a teaching and learning strategy that allows therefore improves the skills of teamwork and critical thinking

Mercado integrado latinoamericano (MILA)

Hoy día, ante un mercado complejo y el incremento de la dependencia tecnológica, el derribo de las barreras tradicionales y los mercados integrados, se da inicio al Mercado Integrado Latinoamericano (MILA), formado por las bolsas de Chile, Perú y Colombia. Esta integración se da con el fin de fortalecer los lazos comerciales entre los países y consolidar la estructura de crecimiento del sector bursátil. El presente artículo, se da a partir de la teoría de Peter Drucker, y el artículo de Theodore Levitt llamado “La Miopía del Mercadeo‟, para posteriormente sumergirse en la integración de las Bolsas de Valores de Colombia, Chile y Perú y la conformación del Mila, integrado por las bolsas de valores de Perú, Chile y Colombia, con el fin de convertirse en el primer mercado de América Latina y crear un mercado único de renta variable diversificado, amplio y atractivo para los inversionistas locales y extranjeros. Considerado, entonces el MILA, un proyecto innovador para las tres bolsas, pero que genera un desafío para los intermediarios y la academia, quienes poseen el compromiso de dar a conocer a los inversionistas, los productos, con el fin de lograr un crecimiento acelerado.Incluye anexos, bibliografí

La situación de las mujeres en las prisiones de Murcia ¿Más vulnerables que los hombres?

The study analyzes the demographic, crime and victimization profile in a sample of 21 women imprisoned inMurcia II, and compares the influx of violent behaviors among men and women to determine which group is most vulnerable while in prison. A survey was used to compile data and then a cross-sectional study with aconfidence of 95% was carried out. Survey respondents represent 2.1% of this prison population, have a young profile, have a couple and come from disadvantaged social classes. 65.1% of women use drugs while in prison and more than a half had been imprisoned before. Regarding victimization due to gender, women are more vulnerable to violent behavior than men.En este estudio se analiza el perfil sociodemográfico, delictivo y de victimización de una muestra de 21 mujeres encuestadas en el Centro Penitenciario de Murcia II, comparando además la afluencia de comportamientos violentos entre el colectivo masculino y femenino para determinar cuál es más vulnerabledurante el cumplimento de la pena. La recogida de datos se realizó por medio de una encuesta, llevándose acabo un estudio transversal analítico con un margen de confianza del 95%. Las mujeres encuestadas suponen el 2,1% del total de la población penitenciaria de este centro, poseen un perfil joven, con pareja y proceden de clases sociales desfavorecidas. Un 65,1% consumen drogas durante la condena y más de la mitad habían estado en prisión anteriormente. En cuanto a la victimización según sexo, las mujeres son más vulnerables a sufrir comportamientos violentos que los hombres