146 research outputs found

    Biopsychosocial effects of training in recognition, emotional facial reproduction and relaxation: a pilot study

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    Abstract: Several studies have evaluated emotional facial recognition in people with neurological disorders and psychiatric illnesses. However, few behavioral rehabilitation programs in social skills include training in emotional facial recognition and reproduction. The objective of the present investigation was to develop a pilot brief intervention in recognition and emotional facial reproduction and its deactivation through relaxation, to evaluate its biopsychosocial effects. A pre - post-treatment design was used (N = 22 healthy adults). The results have shown an effect on the decrease of the respiratory rate (p <. 001) and the inflammatory response associated with stress (p < .05), as well as a decrease (p <. 05) of the anxiety score, depression and emotional suppression; and an increase in the social support score. Its clinical utility is discussed in the context of training these skills for mental health professionals and patients with elevated inflammation. Keywords: Expression-facial-emotional; IL-6; social support; suppression emotional; depression; anxiety; relaxation. Efectos biopsicosociales del entrenamiento en reconocimiento, reproducción facial emocional y relajación: un estudio pilotoResumen:. Diversos estudios han evaluado el reconocimiento facial emocional en personas con trastornos neurológicos y enfermedades psiquiátricas. Sin embargo, pocos programas de rehabilitación conductual en habilidades sociales incluyen el entrenamiento en reconocimiento y reproducción facial emocional. El objetivo de la presente investigación fue desarrollar una intervención breve piloto en reconocimiento y reproducción facial emocional y su desactivación mediante la relajación, para evaluar sus efectos biopsicosociales. Se utilizó un diseño pre – post tratamiento (N = 22 adultos sanos). Los resultados muestran un efecto sobre la disminución de la tasa respiratoria (p <. 001) y la respuesta inflamatoria de asociada con estrés (p < .05), así como un decremento (p < .05) del  puntaje de ansiedad, depresión y supresión emocional; y un incremento en el puntaje de apoyo social. Su utilidad clínica se discute en el contexto de entrenar estas habilidades para los profesionales en salud mental y en pacientes con inflamación elevada.Palabras Clave: Expresión-facial-emocional; il-6, apoyo-social; supresión-emocional; depresión; ansiedad; relajación

    Assessing competences in sustainability in teaching degrees and post-degrees: a proposal of a tool

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    Este estudio presenta una revisión de competencias genéricas en sostenibilidad (CS) en Educación Superior y proporciona una compilación de estas CS mediante una rúbrica que sirve como instrumento para evaluar el nivel de adquisición de las CS de los estudiantes universitarios en el campo de la educación. La rúbrica ha sido diseñada, analizada y contrastada por un grupo de investigadores de diferentes universidades vinculados al campo de la educación. Ha sido adaptada a los grados y posgrados de educación de ocho universidades y está estructurada en tres niveles de dominio en la adquisición de las competencias. Esta rúbrica puede ser un instrumento útil para la evaluación de la CS en los grados de educación del sistema universitario español.This study presents a review on the generic competences in sustainability (CS) at higher education and provides a compilation of these CS through a rubric that serves as a tool to assess the level of CS acquisition among university students of teacher training. The rubric has been designed, analysed and contrasted by a group of researchers from different universities linked to teacher training courses. It has been adapted to different undergraduate and postgraduate teaching programs at eight universities. It is structured in three levels of competency acquisition. This rubric can be a useful instrument for the assessment of CS in the degrees of education in the Spanish university system

    Associations of accumulated persistent organic pollutants in breast adipose tissue with the evolution of breast cancer after surgery

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    Dr. JP Arrebola is under contract within the Ramón y Cajal Program (RYC-2016-20155, Ministerio de Economía, Industria y Competitividad, Spain). This study was supported by research grants from Instituto de Salud Carlos III, Junta de Andalucía and European Regional Development Fund – FEDER (PI-0513/2012, PI16/01858, PI18/01573, PI20/01568).Chronic exposure to persistent organic pollutants (POPs) is suspected to contribute to the onset of breast cancer, but the impact on the evolution of patients after diagnosis is unclear. We aimed to analyze the contribution of long-term exposure to five POPs to overall mortality, cancer recurrence, metastasis, and development of second primary tumors over a global follow-up of 10 years after surgery in breast cancer patients in a cohort study. Between 2012 and 2014, a total of 112 newly diagnosed breast cancer patients were recruited from a public hospital in Granada, Southern Spain. Historical exposure to POPs was estimated by analyzing their concentrations in breast adipose tissue samples. Sociodemographic data were collected through face-to-face interviews, while data on evolution tumor were retrieved from clinical records. Statistical analyses were performed using Cox regression (overall survival, breast cancer recurrence or metastasis) and binary logistic regression models (joint outcome variable). We also tested for statistical interactions of POPs with age, residence, and prognostic markers. The third vs first tertile of hexachlorobenzene concentrations was associated with a lower risk of all-cause mortality (Hazard Ratio, HR = 0.26; 95 % Confidence Interval, CI = 0.07-0.92) and of the appearance of any of the four events (Odds Ratio = 0.37; 95 % CI = 0.14-1.03). Polychlorinated biphenyl 138 concentrations were significantly and inversely associated with risk of metastasis (HR = 0.65; 95 % CI = 0.44-0.97) and tumor recurrence (HR = 0.69; 95 % CI = 0.49-0.98). Additionally, p,p & PRIME;dichlorodiphenyldichloroethylene showed inverse associations with risk of metastasis in women with ER-positive tumors (HR = 0.49; 95 % CI = 0.25-0.93) and in those with a tumor size <2.0 cm (HR = 0.39; 95 % CI = 0.18-0.87).Ministerio de Economía, Industria y Competitividad, Spain RYC-2016-20155Instituto de Salud Carlos IIIJunta de AndalucíaEuropean Regional Development Fund – FEDER (PI-0513/2012, PI16/01858, PI18/01573, PI20/01568)University of Granada / CBU

    Efectos diferenciales de la citoquina IL-6 después del estrés social agudo: resultados preliminares

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    Objetivo: evaluar el efecto diferencial del estrés social agudo sobre la interleucina 6 salival mediante la prueba conductual Trier Social Stress Test (tsst). Método: participaron diecisiete estudiantes universitarios, normotensos, a quienes se registró la presión arterial media en tres momentos: 10 minutos antes, pre y post tsst. También se recolectó una muestra de IL-6 salival pre-post tsst. Resultados: hubo un incremento en la presión arterial media sólo cuando se presentó el tsst (p0.05). El análisis de IL-6 reveló que 53 % de la muestra incrementó su concentración de IL-6 (p<0.001) mientras que 47 % de los participantes decrementó su nivel de IL-6 (p<0.01), existiendo una diferencia estadísticamente significativa post-tsst entre ambos subgrupos (p<0.05). Limitaciones: se recomienda establecer parámetros normativos de la IL-6 salival. Principales hallazgos: los datos preliminares que presentamos sugieren que el estrés social agudo incrementa la presión arterial, pero que este efecto induce una expresión diferencial de IL-6 en todos los participantes, en aquellos con una concentración baja de IL-6 se incrementa después del estrés agudo, mientras que aquellos con un nivel alto de IL-6 previo, la prueba tiende a disminuirla

    Dignity in end-of-life care in Emergency Departments. A qualitative study on families and patients (Research Project FFI2016-76927-P-AEI/FEDER, UE)

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    Background/aims: In the absence of palliative care hospital units and home palliative care services, many patients with far-advanced diseases resort to emergency departments for end-of-life care. The objective of this study was to understand the perceptions of patients with faradvanced diseases and their families about care received when they go to hospital emergency departments seeking palliative care. Methods: A qualitative phenomenological study was designed. Data collection included both participant observation in Hospital Emergency Departments and in-depth interviews with 25 patients with far-advanced diseases who attended Hospital Emergency Departments. Data analysis: field notes and transcriptions of interviews were added to an hermeneutic unit. Then, an inductive analysis was carried out using ATLAS.ti software to extract emergent themes. Results: From the analysis, three categories were extracted. (1) “Feeling abandoned, hopeless, and misunderstood”, participants feel that they are unimportant or that there is no solution for their situation, in units that are destined to “save lives” or solve problems. (2) “Absence of communication and clinical information”, patients perceive misinformation about the diagnosis and their condition, feeling isolated and cut off from professionals and even their own families; (3) “Undignified care”, defined by feelings of loneliness (lack of company), lack of professional empathy, lack of intimacy, depersonalisation, fear and feelings of neglect. Conclusions: Patients with far-advanced diseases perceive that care in hospital emergency departments is characterised by neglect, deficiencies in information and clinical communication, and the absence of empathetic care. All of this adds to the perception of loss of dignity in end-of-life care in emergency departments
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