Robotics for social welfare

Supported by developments in the field of social robotics, virtual worlds and ICT tools it is possible to build new solutions in health and welfare. Two projects are described in this article. They are intended to improve efficiency and quality of current therapeutic procedures. The ESTIMULO project improves emotional and cognitive status of people with dementia using a reactive pet-robot. The ELDERTOY project modifies the classical concept from the toy industry to develop a new solution for the aged people. ELDERTOY involves a double purpose, fun and therapeutic. In a complementary way, these projects aim to be an example of the breaking of the technology gap both of seniors and of people with disabilities. Therefore, the ultimate goal is to promote and adapt scientific and technological knowledge to be applied to improve significantly the standard of quality of life in society

Tratamiento cognitivo conductual de un caso de trastorno delirante dismorfofóbico

Presentamos un caso de dismorfofobia delirante al que se aplica terapia cognitivoconductual (TCC) para modificar la creencia delirante y sus consecuencias emocionales y conductuales. La terapia incluyó: debate empírico, lógico y funcional, prueba de realidad y saciación. Las medidas de resultado fueron la PANSS, el grado de convicción en la creencia y escalas subjetivas de ansiedad y estado de ánimo. La convicción en la creencia desapareció y se produjo una notable mejoría en la perturbación emocional y en el funcionamiento social. Los cambios se mantuvieron 12, 24 y 36 meses después de finalizada la terapia. Se reflexiona sobre la necesidad de mantener tratamientos psicológicos a largo plazo en la psicosis.The paper presents the Cognitive-Behavioural Therapy used to modify the delusional beliefs and the emotional and functional consequences of a patient with a dismorphobic delusional disorder. The method included the following techniques: empirical, logical and functional discussion, verification of the reality and satiation. PANSS, dimensional measures of the extent of conviction, concerns about the belief, and subjective scales of anxiety and mood were used as measures of the results. The conviction about the belief disappeared. There was also an improvement in the emotional disturbances and in the social functioning. These changes kept up stable in his 12, 24 and 36 months follow up after the therapy. We reflect on the need of a long term psychological follow up for the intervention on the psychosis

Tratamiento cognitivo-conductual de un paciente con diagnóstico de trastorno delirante

Presentamos un caso con diagnóstico de trastorno delirante al que se aplica Terapia Cognitivo-Conductual (TCC) para la modificación de las creencias delirantes y sus consecuencias emocionales y conductuales. El procedimiento incluyó: debate empírico, lógico y funcional, comprobación de la realidad, saciación y solución elegante. Las medidas de resultado fueron la PANSS, medidas dimensionales del grado de convicción y preocupación en las creencias, la QLS y escalas subjetivas de ansiedad y de estado de ánimo. La convicción en las creencias permaneció inalterable, pero se produjeron nuevas reinterpretaciones delirantes de carácter más benigno; además, se apreció una notable mejoría en las perturbaciones emocionales asociadas y en el funcionamiento social, cambios mantenidos en seguimiento realizado 12 meses después de la terapia. Reflexionamos sobre la necesidad de tratamientos psicológicos de mantenimiento a largo plazo en el abordaje de la sintomatología psicótic

Soporte residencial de enfermos mentales crónicos

La atención de los enfermos mentales crónicos incluye el uso de técnicas y recursos tanto sanitarios como sociales. Entre estos se incluye el soporte residencial. En este artícu - lo se revisan distintos aspectos de dicho soporte, tales como: su fundamento técnico; su desarrollo histórico; diversas áreas que han sido objeto de estudio en la literatura científi - ca, relativas a los pacientes, los alojamientos, los profesionales y el vecindario; y las carac - terísticas específicas del soporte residencial a estos pacientes en la Comunidad Autónoma Andaluza. E n t re otras cosas, se concluye que, en dicha Comunidad, el soporte residencial ha tenido un importante desarrollo y que el modelo ha evolucionado de modo similar a como lo ha hecho en otros lugares, combinando actualmente dos modos peculiares de funcionamiento: el centrado en el recurso y el centrado en el paciente. De esta manera, se potencia la consideración individualizada de las necesidades, deseos y capacidades de los pacientes

La propiedad de la tierra como fuente de poder local. Santa Fe entre el voto censitario y el sufragio universal

La propiedad de la tierra como fuente de poder local. Santa Fe entre el voto censitario y el sufragio universa

Procesos electorales y mecanismos de control político. (La composición sociolaboral del cuerpo electoral granadino)

Procesos electorales y mecanismos de control político. (La composición sociolaboral del cuerpo electoral granadino

Cumulative Inflammation and HbA1c Levels Correlate with Increased Intima‐Media Thickness in Patients with Severe Hidradenitis Suppurativa

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that has been associated with a greater risk of metabolic and cardiovascular comorbidities. The aim of this study is to assess cardiovascular risk by means of intima‐media thickness (IMT), metabolic syndrome, and other potential biomarkers in patients with severe hidradenitis suppurativa who are candidates for biologic therapy and to explore potentially associated factors. A cross‐sectional study was performed. Body mass index (BMI), carotid intima‐media thickness (IMT), and blood tests, including glycemic and lipid profile, insulin, vitamin D, and inflammation markers were performed. Fifty patients were included in the study; the male/female ratio was 3:2. The mean age was 38 years, and the mean disease duration was 21.8 years. The mean carotid IMT was 651.39 μm. A positive association of IMT with disease duration, tobacco consumption, and HbA1c levels was observed. HbA1c correlated with the age of onset, hypertension, metabolic syndrome, and glucose levels. Vitamin D levels inversely correlated with the number of areas affected. In conclusion, patients with severe HS present a higher cardiovascular risk, but it is not distributed equally within the patients: Tobacco consumption, inadequate glycemic control, and disease duration could be useful clinical and biochemical markers to identify patients at higher risk

Low exposure long-baseline neutrino oscillation sensitivity of the DUNE experiment

Artículo escrito por un elevado número de autores, solo se referencian el que aparece en primer lugar, el nombre del grupo de colaboración, si le hubiere, y los autores pertenecientes a la UAMThe Deep Underground Neutrino Experiment (DUNE) will produce world-leading neutrino oscillation measurements over the lifetime of the experiment. In this work, we explore DUNE's sensitivity to observe charge-parity violation (CPV) in the neutrino sector, and to resolve the mass ordering, for exposures of up to 100 kiloton-megawatt-calendar years (kt-MW-CY), where calendar years include an assumption of 57% accelerator uptime based on past accelerator performance at Fermilab. The analysis includes detailed uncertainties on the flux prediction, the neutrino interaction model, and detector effects. We demonstrate that DUNE will be able to unambiguously resolve the neutrino mass ordering at a 4σ (5σ) level with a 66 (100) kt-MW-CY far detector exposure, and has the ability to make strong statements at significantly shorter exposures depending on the true value of other oscillation parameters, with a median sensitivity of 3σ for almost all true δCP values after only 24 kt-MW-CY. We also show that DUNE has the potential to make a robust measurement of CPV at a 3σ level with a 100 kt-MW-CY exposure for the maximally CP-violating values δCP = ±π/2. Additionally, the dependence of DUNE's sensitivity on the exposure taken in neutrino-enhanced and antineutrino-enhanced running is discussed. An equal fraction of exposure taken in each beam mode is found to be close to optimal when considered over the entire space of interes

Searching for solar KDAR with DUNE

Artículo escrito por un elevado número de autores, solo se referencian el que aparece en primer lugar, el nombre del grupo de colaboración, si le hubiere, y los autores pertenecientes a la UAMThe observation of 236 MeV muon neutrinos from kaon-decay-at-rest (KDAR) originating in the core of the Sun would provide a unique signature of dark matter annihilation. Since excellent angle and energy reconstruction are necessary to detect this monoenergetic, directional neutrino flux, DUNE with its vast volume and reconstruction capabilities, is a promising candidate for a KDAR neutrino search. In this work, we evaluate the proposed KDAR neutrino search strategies by realistically modeling both neutrino-nucleus interactions and the response of DUNE. We find that, although reconstruction of the neutrino energy and direction is difficult with current techniques in the relevant energy range, the superb energy resolution, angular resolution, and particle identification offered by DUNE can still permit great signal/background discrimination. Moreover, there are non-standard scenarios in which searches at DUNE for KDAR in the Sun can probe dark matter interaction

Quality of Life in Patients with Skin Disease and Their Cohabitants

Health evaluation implies assess multidimensional aspects of a person’s development, such as physical, social, psychological, and emotional features. It is important to consider all these factors to apply a needs-oriented each patient approach. Chronic skin diseases have a great impact on quality of life, even more than other chronic conditions. For example, hidradenitis suppurativa is estimated to impair quality of life more than cardiovascular disease, lung disease or endocrine diseases. Multiple tools have been developed to measure health-related quality of life in patient, being the Dermatology Life Quality Index (DLQI) the most used. Psoriasis, hidradenitis suppurativa, acne, atopic dermatitis and hair disorders are those with the greatest impact on patients’ quality of life. Moreover, chronic skin conditions impair not only patients’ quality of life, but also cohabitants. Nevertheless, there is scarce information regarding the impact on their cohabitants. So, the objective of this chapter is to review the literature to assess the psychological and social effects of dermatological conditions both on patients and cohabitants