Huellas del joven Martínez Ruiz en el Azorín adulto: sobre el sistema ecléctico de la tetralogía crítica (1912-1915)

En este artículo se salvará la aparente distancia que separa al joven José Martínez Ruiz (1873-1967), simpatizante del anarquismo, del Azorín conservador en que se convirtió en su madurez. Para ello se presentará su tetralogía crítica, formada por Lecturas españolas (1912), Clásicos y modernos (1913), Los valores literarios (1914) y Al margen de los clásicos (1915), como el resultado de un anhelo juvenil por construir una historia de la literatura española. Se realizará un cotejo entre estas cuatro obras y el libro La evolución de la crítica, de 1899, con el objetivo de determinar qué influencia tuvieron las diversas escuelas teóricas examinadas en este opúsculo en su crítica literaria de madurez. De este análisis se concluirá que es posible apreciar una continuidad entre las metodologías críticas analizadas en La evolución de la crítica y las practicadas por el Azorín adulto. Asimismo, se propondrá que su labor crítica de madurez se sostiene sobre un sistema amplio y ecléctico heredado de estas teorías con las que se familiarizó en su juventud.This article expects to overcome the apparent distance noticed between the young José Martínez Ruiz (1873-1967), sympathizer of the anarchism, to the conservative author that later became known as Azorín. This way, his critical tetralogy (formed by Lecturas españolas, 1912, Clásicos y modernos, 1913, Los valores literarios, 1914, and Al margen de los clásicos, 1915) will be presented as a result of a young desire of writing a history of the Spanish literature. After this, the influence of his 1899 work La evolución de la crítica in the books mentioned above will be analyzed. In addition, it will be concluded that it is possible to appreciate continuity between the critical methodologies that Martínez Ruiz analyzed in La evolución de la crítica and those which he displayed to write his critical tetralogy. Finally, it will be proposed that his adult critical methodology is based on an eclectic system, which derives from the different theories of literary criticism that he learnt as a young writer

Reescritura y reciclaje de cuentos tradicionales. Recopilación de materiales para una página web

Presentamos la web "cajón de cuentos", con la que pretendemos potenciar el trabajo en el aula a partir de los cuentos tradicionales

Indications and hemoglobin thresholds for red blood cell transfusion and iron replacement in adults with gastrointestinal bleeding: An algorithm proposed by gastroenterologists and patient blood management experts

Gastrointestinal (GI) bleeding is associated with considerable morbidity and mortality. Red blood cell (RBC) transfusion has long been the cornerstone of treatment for anemia due to GI bleeding. However, blood is not devoid of potential adverse effects, and it is also a precious resource, with limited supplies in blood banks. Nowadays, all patients should benefit from a patient blood management (PBM) program that aims to minimize blood loss, optimize hematopoiesis (mainly by using iron replacement therapy), maximize tolerance of anemia, and avoid unnecessary transfusions. Integration of PBM into healthcare management reduces patient mortality and morbidity and supports a restrictive RBC transfusion approach by reducing transfusion rates. The European Commission has outlined strategies to support hospitals with the implementation of PBM, but it is vital that these initiatives are translated into clinical practice. To help optimize management of anemia and iron deficiency in adults with acute or chronic GI bleeding, we developed a protocol under the auspices of the Spanish Association of Gastroenterology, in collaboration with healthcare professionals from 16 hospitals across Spain, including expert advice from different specialties involved in PBM strategies, such as internal medicine physicians, intensive care specialists, and hematologists. Recommendations include how to identify patients who have anemia (or iron deficiency) requiring oral/intravenous iron replacement therapy and/or RBC transfusion (using a restrictive approach to transfusion), and transfusing RBC units 1 unit at a time, with assessment of patients after each given unit (i.e., “don’t give two without review”). The advantages and limitations of oral versus intravenous iron and guidance on the safe and effective use of intravenous iron are also described. Implementation of a PBM strategy and clinical decision-making support, including early treatment of anemia with iron supplementation in patients with GI bleeding, may improve patient outcomes and lower hospital costs

Open questions and misconceptions in the diagnosis and management of anemia in patients with gastrointestinal bleeding

Despite high prevalence of iron deficiency anemia (IDA) in patients with acute or chronic gastrointestinal bleeding (GIB), IDA and iron deficiency (ID) are frequently untreated. Reasons may be misconceptions about the impact and diagnosis of IDA and the efficacy of new treatments. Addressing these misconceptions, this article summarizes current evidence for better understanding and management of GIB-associated IDA. Despite only few controlled studies evaluated the efficacy of iron treatment in patients with GIB, there is consistent evidence suggesting that: (a) IDA should be diligently investigated, (b) effective treatment of ID/IDA improves outcomes such as health-related quality of life and can avoid severe cardiovascular consequences, and (c) intravenous iron should be considered as well-tolerated treatment in this setting. Overall, the misconceptions and practices outlined in this article should be replaced with strategies that are more in line with current guidelines and best practice in GIB and other underlying conditions of ID/IDA.A pesar de la alta prevalencia de anemia por déficit de hierro (ADH) en pacientes con hemorragia digestiva (HD) aguda o crónica, la ADH y el déficit de hierro (DH) son frecuentemente infratratados. Diversos conceptos erróneos sobre el impacto, el diagnóstico y la eficacia de los nuevos tratamientos de la ADH probablemente lo justifican. Para abordar estos errores conceptuales, este artículo resume la evidencia actual para una mejor comprensión y manejo de la ADH. A pesar de que existen pocos estudios controlados que hayan evaluado la eficacia del tratamiento con hierro en pacientes con HD, hay evidencia que sugiere que: (a) la ADH debe ser investigada diligentemente; (b) el tratamiento eficaz del DH/ADH mejora la calidad de vida relacionada con la salud y puede evitar relevantes complicaciones cardiovasculares, y (c) el hierro intravenoso debe ser considerado como un tratamiento bien tolerado en este contexto. En general, los conceptos erróneos y las prácticas inadecuadas descritas en este artículo deben ser reemplazados por estrategias que estén más en línea con las directrices actuales y buenas prácticas clínicas en HD y otras condiciones causantes del DH/ADHinfo:eu-repo/semantics/publishedVersio

Reseña de Cecilio Alonso: Travesías de la modernidad. Prensa y letras en España (1890-1914), Sevilla: Renacimiento, 2015.

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