Las comunidades terapéuticas como tratamiento para las drogodependencias: una revisión sistemática del seguimiento a corto plazo

Objetivo. Las comunidades terapéuticas (CT) constituyen uno de los tratamientos más extensos para las drogodependencias; sin embargo, su investigación es escasa. El objetivo fue realizar una revisión sistemática para conocer los elementos metodológicos de los estudios de seguimiento a corto plazo y, a su vez, describir las consecuencias de las CT. Material y método. Se aplicó el "Preferred Reporting Items for Systematic reviews and meta- Analyses" (PRISMA) para la búsqueda en Medline, PsycINFO, PsycARTICLES y PsycCRITIQUES de estudios de seguimiento a corto plazo de CT entre 1980 y 2010. Resultados. El seguimiento consiste en un registro inicial y, al menos, otro al medio año de tratamiento; la muestra mínima contiene 60 usuarios con una mayor prevalencia de hombres solteros;el 50% continúa en seguimiento y/o alcanza la abstinencia. Conclusión. Las CT parecen ser beneficiosas para el ajuste del consumo y otros aspectos psicosociales, aunque la falta de información dificulta garantizar la comparación de estos hallazgos. © 2013 Elsevier España, S.L. y SET. Todos los derechos reservados

DARIAH Beyond Europe

International audienceDARIAH, the digital humanities infrastructure with origins and an organisational home in Europe, is nearing the completion of its implementation phase. The significant investment from the European Commission and member countries has yielded a robust set of technical and social infrastructures, ranging from working groups, various registries, pedagogical materials, and software to support diverse approaches to digital humanities scholarship. While the funding and leadership of DARIAH to date has come from countries in, or contiguous with, Europe, the needs that drive its technical and social development are widely shared within the international digital humanities community beyond Europe. Scholars on every continent would benefit from well-supported technical tools and platforms, directories for facilitating access to information and resources, and support for working groups.The DARIAH Beyond Europe workshop series, organised and financed under the umbrella of the DESIR project (“DARIAH ERIC Sustainability Refined,” 2017–2019, funded by the European Union’s Horizon 2020 Research and Innovation Program), convened three meetings between September 2018 and March 2019 in the United States and Australia. These workshops served as fora for cross-cultural exchange, and introduced many non-European DH scholars to DARIAH; each of the workshops included a significant delegation from various DARIAH bodies, together with a larger number of local presenters and participants. The local contexts for these workshops were significantly different in their embodiment of research infrastructures: on the one hand, in the U.S., a private research university (Stanford) and the de facto national library (the Library of Congress), both in a country with a history of unsuccessful national-scale infrastructure efforts; and in Australia, a system which has invested substantially more in coordinated national research infrastructure in science and technology, but very little on a national scale in the humanities and arts. Europe is in many respects ahead of both host countries in terms of its research infrastructure ecosystem both at the national and pan-European levels.The Stanford workshop had four main topics of focus: corpus management; text and image analysis; geohumanities; and music, theatre, and sound studies. As the first of the workshops, the Stanford group also took the lead in proposing next steps toward exploring actionable “DARIAH beyond Europe” initiatives, including the beginnings of a blog shared among participants from all the workshops, extra-European use of DARIAH’s DH Course Registry, and non-European participation in DARIAH Working Groups.The overall theme of the Library of Congress workshop was “Collections as Data,” building on a number of U.S.-based initiatives exploring how to enhance researcher engagement with digital collections through computationally-driven research. In Washington, D.C., the knowledge exchange sessions focussed on digitised newspapers and text analysis, infrastructural challenges for public humanities, and the use of web-archives in DH research. As at Stanford, interconnecting with DARIAH Working Groups was of core interest to participants, and a new Working Group was proposed to explore global access and use of digitised historical newspapers. A further important outcome was the agreement to explore collaboration between the U.S.-based “Collections as Data” initiatives and the Heritage Data Reuse Charter in Europe. The third and final workshop in the series took place in March 2019 in Australia, hosted by the National Library of Australia in Canberra. Convened by the Australian Academy of the Humanities (AAH), together with the Australian Research Data Commons (ARDC) and DARIAH, this event was co-located with the Academy’s second annual Humanities, Arts and Culture Data Summit. The first day of the event, targeted at research leadership and policy makers, was intended to explore new horizons for data-driven humanities and arts research, digital cultural collections and research infrastructure. The two subsequent days focused on engaging with a wide variety of communities, including (digital) humanities researchers and cultural heritage professionals. Organised around a series of Knowledge Exchange Sessions, combined with research-led lightning talks, the participants spoke in detail about how big ideas can be implemented practically on the ground. This poster reflects on the key outcomes and future directions arising from these three workshops, and considers what it might look like for DARIAH to be adopted as a fundamental DH infrastructure in a complex variety of international, national, and regional contexts, with diverse funding models, resources, needs, and expectations. One major outcome of all workshops was the shared recognition that, in spite of extensive funding, planning, and goodwill, these workshops were not nearly global enough in their reach: most importantly they were not inclusive of the Global South. Our new DARIAH beyond Europe community has a strong shared commitment to address this gap

The Effect of Subsidence on Segmental and Global Lordosis at Long-term Follow-up After Anterior Cervical Discectomy and Fusion

Objective Subsidence following anterior cervical discectomy and fusion (ACDF) may lead to disruptions of cervical alignment and lordosis. The purpose of this study was to evaluate the effect of subsidence on segmental, regional, and global lordosis. Methods This was a retrospective cohort study performed between 2016–2021 at a single institution. All measurements were performed using lateral cervical radiographs at the immediate postoperative period and at final follow-up greater than 6 months after surgery. Associations between subsidence and segmental lordosis, total fused lordosis, C2–7 lordosis, and cervical sagittal vertical alignment change were determined using Pearson correlation and multivariate logistic regression analyses. Results One hundred thirty-one patients and 244 levels were included in the study. There were 41 one-level fusions, 67 two-level fusions, and 23 three-level fusions. The median follow-up time was 366 days (interquartile range, 239–566 days). Segmental subsidence was significantly negatively associated with segmental lordosis change in the Pearson (r = -0.154, p = 0.016) and multivariate analyses (beta = -3.78; 95% confidence interval, -7.15 to -0.42; p = 0.028) but no associations between segmental or total fused subsidence and any other measures of cervical alignment were observed. Conclusion We found that subsidence is associated with segmental lordosis loss 6 months following ACDF. Surgeons should minimize subsidence to prevent long-term clinical symptoms associated with poor cervical alignment

Holding blame at bay? ‘Gene talk’ in family members’ accounts of schizophrenia aetiology

We provide the first detailed analysis of how, for what purposes and with what consequences people related to someone with a diagnosis of schizophrenia use ‘gene talk'. The article analyses findings from a qualitative interview study conducted in London and involving 19 participants (mostly women). We transcribed the interviews verbatim and analysed them using grounded theory methods. We analyse how and for what purposes participants mobilized ‘gene talk' in their affectively freighted encounter with an unknown interviewer. Gene talk served to (re)position blame and guilt, and was simultaneously used imaginatively to forge family history narratives. Family members used ‘gene talk' to recruit forebears with no psychiatric diagnosis into a family history of mental illness, and presented the origins of the diagnosed family member's schizophrenia as lying temporally before, and hence beyond the agency of the immediate family. Gene talk was also used in attempts to dislodge the distressing figure of the schizophrenia-inducing mother. ‘Gene talk', however, ultimately displaced, rather than resolved, the (self-)blame of many family members, particularly mothers. Our article challenges the commonly expressed view that genetic accounts will absolve family members' sense of (self-)blame in relation to their relative's/relatives' diagnosis

Effects of Trophic Skewing of Species Richness on Ecosystem Functioning in a Diverse Marine Community

Widespread overharvesting of top consumers of the world’s ecosystems has “skewed” food webs, in terms of biomass and species richness, towards a generally greater domination at lower trophic levels. This skewing is exacerbated in locations where exotic species are predominantly low-trophic level consumers such as benthic macrophytes, detritivores, and filter feeders. However, in some systems where numerous exotic predators have been added, sometimes purposefully as in many freshwater systems, food webs are skewed in the opposite direction toward consumer dominance. Little is known about how such modifications to food web topology, e.g., changes in the ratio of predator to prey species richness, affect ecosystem functioning. We experimentally measured the effects of trophic skew on production in an estuarine food web by manipulating ratios of species richness across three trophic levels in experimental mesocosms. After 24 days, increasing macroalgal richness promoted both plant biomass and grazer abundance, although the positive effect on plant biomass disappeared in the presence of grazers. The strongest trophic cascade on the experimentally stocked macroalgae emerged in communities with a greater ratio of prey to predator richness (bottom-rich food webs), while stronger cascades on the accumulation of naturally colonizing algae (primarily microalgae with some early successional macroalgae that recruited and grew in the mesocosms) generally emerged in communities with greater predator to prey richness (the more top-rich food webs). These results suggest that trophic skewing of species richness and overall changes in food web topology can influence marine community structure and food web dynamics in complex ways, emphasizing the need for multitrophic approaches to understand the consequences of marine extinctions and invasions

Are identities oral? Understanding ethnobotanical knowledge after Irish independence (1937-1939)

BACKGROUND: The Schools' Folklore Scheme (1937-1939) was implemented at a pivotal time in Irelands' political history. It resulted in a body of ethnological information that is unique in terms of when, why and how it was collected. This material consists of over 700,000 pages of information, including ethnomedicinal and ethnobotanical traditions, reflecting an oral identity that spans generations and that in many cases was not documented in writing until the 1930s. The intention of this study is to highlight the importance of the Schools' Folklore Scheme and to demonstrate an ethnographic approach based on recollections of original participants of the scheme, to further understand the material in the collection and the impact it had on the participants. METHODS: This study involves an analysis of both oral and archival data. Eleven semi-structured interviews with original participants of the scheme were carried out between April and September 2016. Their corresponding schools' archival contributions to the scheme were located, and ethnomedicinal information was analysed and compared with the participants' recollections. RESULTS: The majority of participants' stated the scheme had a positive impact on them. Five participants' recalled collecting ethnomedicinal information, and there was a direct correlation between three of the participants' ethnomedicinal recollections and their entries in the archives. One third of all the ethnomedicinal entries analysed included the use of a plant. There were 191 plant mentions and 64 plant species named. CONCLUSIONS: Contacting the original participants offers a novel approach of analysing this archival material. It provides a unique first-hand account of this historical initiative, an insight into how the scheme was implemented and how it impacted upon the children. The ethnomedicinal and ethnobotanical information provides an understanding of the medicinal practices in Ireland during the 1930s. The plant species that were both orally recalled by participants and documented in the archives are in keeping with key ethnomedicinal systems throughout the world

Changing the game? Gender, ethnicity, and age in mediated professional sport

The aim of the research is to analyze the ways in which the cultural meanings of professional sport associated with gender, ethnicity, and age are changing in the U.K. and the U.S. in the context of international social processes. This study contributes to the examination of mediated sport, and therefore, wider sporting and social processes, in several ways. It assesses mediated sport discourses as reproducing existing power relations as arranged around the social categories of gender and ethnicity. It acknowledges hegemonic masculinity remains as a useful concept for understanding the construction of gender, specifically within mediated sport. Elements of hegemonic, and therefore subordinate, masculinity are demonstrating nuanced changes. Discourses relating to media coverage of large-scale sporting events further emphasize the divisions and are implicated as resources for difference making between individuals and groups based on ethnic, ‘racialized,’ and national identities. Finally, this study offers an initial exploration of mediated sport and age. Here mediated sport discourses build a system of values and definitions related to cultural understandings of the body, social interaction, and behavioural convention; this establishes what the researcher has termed an ‘age complex’ derived from mediated sport discourses