Análidis descriptivo sobre el envejecimiento de la población y la enfermedad de alzheimer: la realidad social actual

Análidis descriptivo sobre el envejecimiento de la población y la enfermedad de alzheimer: la realidad social actua

La mediación del/la trabajador/a social en el tema de la violencia de género en relación a los medios de comunicación

La mediación del/la trabajador/a social en el tema de la violencia de género en relación a los medios de comunicació

Análidis descriptivo sobre el envejecimiento de la población y la enfermedad de alzheimer: la realidad social actual

Análidis descriptivo sobre el envejecimiento de la población y la enfermedad de alzheimer: la realidad social actua

Proceso de tutorización y supervisión del practicum en trabajo social: un espacio de aprendizaje significativo

La adaptación del practicum a las exigencias del EEES ha supuesto un proceso de reorganización que contempla un nuevo modelo que refuerza la supervisión. Se presenta el proceso de tutorización y supervisión en el practicum del Grado de Trabajo social como un espacio de aprendizaje significativo que conlleva la interrelación de diferentes protagonistas en la construcción de un proyecto pedagógico, organizativo y estructural que guía todo el proceso para alcanzar los objetivos finales cara el futuro desarrollo profesional. A la espera de un estudio que implique a todos los agentes, se presentan las primeras reflexiones de la coordinación, y las fortalezas y debilidades detectadas tras el primer año de implantación del nuevo practicum

Professional preference for mental illness: the role of contact, empathy, and stigma in Spanish Social Work undergraduates

Financiado para publicación en acceso aberto: Universidade de Vigo/CISUGThe treatment of the mentally ill people is a challenge across the world, and different professionals, such as doctors, social workers, psychologists, or nurses, take care of this group. Nonetheless, mental health is not a vocational sector preferred by students and professionals of many of these careers. Research has proposed that professional preference for a patient group would be positively influenced by intergroup contact (quantity and quality) and empathy (perspective-taking), and negatively associated with intergroup anxiety and social distance. However, the evidence testing this proposal was partial and mainly referring to other patient groups such as minorities or immigrants. The major aim of this cross-sectional study was to clarify two research questions referring to mentally ill persons: Do contact and empathy protect undergraduates from intergroup anxiety and social distance and promote professional preference? Do intergroup anxiety and social distance predict professional preference and mediate the influence of contact and empathy in professional preference? A convenience sample of 409 Social Work undergraduates (81% females) from three Spanish universities completed a questionnaire between February and June 2020. Concerning direct relationships, the structural equation model showed that the quantity of contact only predicted intergroup anxiety negatively; quality of contact and empathy negatively predicted intergroup anxiety and social distance; intergroup anxiety positively predicted social distance; intergroup anxiety and social distance negatively predicted professional preference. Concerning mediated relationships, the influence of quality of contact and empathy on social distance was mediated by intergroup anxiety; social distance mediated the relationship of intergroup anxiety with professional preference; both anxiety and distance mediated the influence of quality of contact and empathy in professional preference. These results encourage interventions aimed at enhancing professional preference for mental illness by improving contact, knowledge, and empathy and reducing stigma in students and workers from diverse mental health careers

Aproximación teórica al fenómeno de la monoparentalidad

Aproximación teórica al fenómeno de la monoparentalida

Aprehendiendo a respetar: la perspectiva de derechos humanos como elemento fundamental en la formación y práctica del trabajo social

Aprehendiendo a respetar: la perspectiva de derechos humanos como elemento fundamental en la formación y práctica del trabajo socia

Entre tinieblas: aventuras y desventuras de un proyecto de cooperación para el desarrollo desde la perspectiva de género

Entre tinieblas: aventuras y desventuras de un proyecto de cooperación para el desarrollo desde la perspectiva de géner

Intermittent inotropic support with levosimendan in advanced heart failure as destination therapy: The LEVO-D registry

Advanced heart failure; Inotropes; Palliative careInsuficiencia cardiaca avanzada; Inotropos; Cuidados paliativosInsuficiència cardíaca avançada; Inòtrops; Cures pal·liativesAim Patients with advanced heart failure (AHF) who are not candidates to advanced therapies have poor prognosis. Some trials have shown that intermittent levosimendan can reduce HF hospitalizations in AHF in the short term. In this real-life registry, we describe the patterns of use, safety and factors related to the response to intermittent levosimendan infusions in AHF patients not candidates to advanced therapies. Methods and results Multicentre retrospective study of patients diagnosed with advanced heart failure, not HT or LVAD candidates. Patients needed to be on the optimal medical therapy according to their treating physician. Patients with de novo heart failure or who underwent any procedure that could improve prognosis were not included in the registry. Four hundred three patients were included; 77.9% needed at least one admission the year before levosimendan was first administered because of heart failure. Death rate at 1 year was 26.8% and median survival was 24.7 [95% CI: 20.4–26.9] months, and 43.7% of patients fulfilled the criteria for being considered a responder lo levosimendan (no death, heart failure admission or unplanned HF visit at 1 year after first levosimendan administration). Compared with the year before there was a significant reduction in HF admissions (38.7% vs. 77.9%; P 12 g/dL (+1.5), amiodarone use (−1.5) HF visit 1 year before levosimendan (−1.5) and heart rate >70 b.p.m. (−2). Patients with a score less than −1 had a very low probability of response (21.5% free of death or HF event at 1 year) meanwhile those with a score over 1.5 had the better chance of response (68.4% free of death or HF event at 1 year). LEVO-D score performed well in the ROC analysis. Conclusion In this large real-life series of AHF patients treated with levosimendan as destination therapy, we show a significant decrease of heart failure events during the year after the first administration. The simple LEVO-D Score could be of help when deciding about futile therapy in this population

Frequency, risk factors, and outcomes of hospital readmissions of COVID-19 patients

To determine the proportion of patients with COVID-19 who were readmitted to the hospital and the most common causes and the factors associated with readmission. Multicenter nationwide cohort study in Spain. Patients included in the study were admitted to 147 hospitals from March 1 to April 30, 2020. Readmission was defined as a new hospital admission during the 30 days after discharge. Emergency department visits after discharge were not considered readmission. During the study period 8392 patients were admitted to hospitals participating in the SEMI-COVID-19 network. 298 patients (4.2%) out of 7137 patients were readmitted after being discharged. 1541 (17.7%) died during the index admission and 35 died during hospital readmission (11.7%, p = 0.007). The median time from discharge to readmission was 7 days (IQR 3-15 days). The most frequent causes of hospital readmission were worsening of previous pneumonia (54%), bacterial infection (13%), venous thromboembolism (5%), and heart failure (5%). Age [odds ratio (OR): 1.02; 95% confident interval (95% CI): 1.01-1.03], age-adjusted Charlson comorbidity index score (OR: 1.13; 95% CI: 1.06-1.21), chronic obstructive pulmonary disease (OR: 1.84; 95% CI: 1.26-2.69), asthma (OR: 1.52; 95% CI: 1.04-2.22), hemoglobin level at admission (OR: 0.92; 95% CI: 0.86-0.99), ground-glass opacification at admission (OR: 0.86; 95% CI:0.76-0.98) and glucocorticoid treatment (OR: 1.29; 95% CI: 1.00-1.66) were independently associated with hospital readmission. The rate of readmission after hospital discharge for COVID-19 was low. Advanced age and comorbidity were associated with increased risk of readmission