Mediational effect of fairburn’s transdiagnostic mechanisms between attachment to the mother and eating disorder symptoms in a clinical sample

Objective: Research has supported a link between insecure attachment and eating disorders (EDs); however, little is known about how this influence is exerted in young female EDs patients. This study tested, for the first time, a multiple mediational model, wherein the four Fairburn’s transdiagnostic mechanisms mediated the relationship between attachment to the mother and ED symptoms. Methods: A total of 101 female young EDs patients aged 15–24 were administered the Inventory of Parent and Peer Attachment, Eating Disorder Inventory-3 and Eating Attitudes Test-26 to assess attachment, the four transdiagnostic maintaining mechanisms and ED symptoms, respectively. Results: Comparison analyses showed that there were no significant differences between the diagnostic groups in terms of attachment and the transdiagnostic variables. Multiple mediational analyses indicated that low self-esteem and clinical perfectionism were significant mediators between insecure attachment to the mother and ED symptoms, while controlling for depressive symptoms. Conclusion: These findings suggest that the distal risk influence of insecure attachment to the mother in the development of ED symptoms might be explained by low selfesteem and high clinical perfectionism, controlling for depressive symptoms. Further investigation into the efficacy of cognitive-behavioral treatments targeting insecure attachment representations for young EDs patients is recommendedLC-G was supported by two grants from The Research Council of Norway, grant numbers 288083 and 301010S

Infección por Candida parapsilosis en neonatos

Revisión bibliográfica. Candida parapsilosis es ya el hongo que produce más colonización e infecciones sistémicas en unidades de cuidados intensivos neonatales. Los factores de riesgo demostrados son: Presencia de catéteres intravenosos, uso de imipenem o cefalosporinas, colonización cutáneo mucosa, hiperglucemia, inmunosupresión, alimentación parenteral y el más importante, la prematuridad. El tratamiento, salvo situaciones especiales, se basa en el empleo de fluconazol. La prevención más efectiva está fundamentada en la transmisión, tanto en las manos del personal sanitario como el cuidado de los catéteres. La profilaxis farmacológica ha demostrado resultados opuestos, por lo que establecer conclusiones generales no es apropiado

GENDER AND WORK FAMILY CONFLICT: TESTING THE RATIONAL MODEL AND THE GENDER ROLE EXPECTATIONS MODEL IN THE SPANISH CULTURAL CONTEXT

G utek, Searle, and Klepa (1991) proposed two models to explain the gender differences in work–family conflict: the rational model and the gender role expectations model. Both models have mostly been tested on American and Canadian samples, and have obtained partial support. Given the cultural differences between North American countries and Spain, we should question whether the two models are equally applicable to Spanish society or whether one of them captures Spanish men and women’s experience of work–family conflict better than the other. So, the aim of this study is to test which of the models better explains the gender differences in work–family conflict in the Spanish cultural context (or if, indeed, the two models apply equally well). Given the typical cultural dimensions of Spanish society, we expected to find greater support for the gender role expectations model than for the rational model. However, the results obtained in this study indicated that, while the rational model can explain the gender differences that were found, the gender role expectations model cannot capture Spanish people’s work–family conflict experiences. The results are interpreted in terms of cultural dimensions characteristic of the Spanish context

COMPARATIVE STUDY BETWEEN THE THEORY OF PLANNED BEHAVIOUR AND THE VALUE-BELIEF-NORM MODEL REGARDING THE ENVIRONMENT, ON SPANISH HOUSEWIVES? RECYCLING BEHAVIOUR

Environmental behaviors have been analyzed from different theoretical models. The theory of planned behavior emphasizes the attitudinal aspects associated with behavior, while the value–belief–norm model regarding the environment focuses on the importance of moral components when setting environmental behaviors in motion. The objective of this study was to analyze both models, comparing both their degree of fit and their predictive power regarding recycling behavior. To do so, we used a sample made up of 154 Spanish housewives. The results indicated that despite the fact that the theory of planned behavior is a general model for predicting and explaining behavior, it has a greater degree of fit and greater capacity to predict recycling behavior than the value–belief–norm model regarding the environment

Aplicación del modelo Flipped Classroom y las TIC en las asignaturas de la materia de Ciencias Biológicas del Grado en Ciencias de la Actividad Física y del Deporte.

El presente proyecto pretende mejorar la calidad docente y, por ende, mejorar los resultados académicos de las asignaturas que forman la Materia de Ciencias Biológicas (Anatomía Humana, Fisiología del Deporte y Biomecánica del Deporte), encuadradas dentro del Módulo de Ciencias Básicas y contempladas en la estructura del Grado en Ciencias de la Actividad Física y del Deporte, según su memoria aprobada en el 2009 (Resolución de 13 de noviembre de 2009, pag. 732) y verificada en febrero de 2016 (expediente Nº: 1250/2009 ID título: 2500909). Cabe destacar que las asignaturas de la Materia están consideradas como créditos de Formación Básica y son impartidas en primer y segundo curso de la titulación, teniendo una carga crediticia total de 16 créditos ECTS. Para ello, el presente proyecto pretende utilizar las Tecnologías de la Información y de la Comunicación (TIC) junto con un nuevo abordaje educativo denominado Flipped Classroom (FC), como medios para mejorar y facilitar la adquisición de las competencias clave de las asignaturas que comprenden la Materia de Ciencias Biológicas. Para el desarrollo del proyecto, se pretende generar video-tutoriales, que se pondrán a disposición de los alumnos previamente a las clases teóricas en aula con la intención de involucrar a los alumnos en el proceso de aprendizaje. Igualmente, se diseñarán herramientas de autoevaluación de los contenidos visualizados por los alumnos.Actividad Física y Deport

Antibioterapia inhalada en paciente con bronquiectasias pulmonares e infección bronquial

Las bronquiectasias pulmonares no debidas a la fibrosis quística son la tercera causa de enfermedad respiratoria crónica. Requieren un manejo integral del paciente y de sus comorbilidades. En los últimos años ha habido importantes avances con respecto al manejo y tratamiento de estos pacientes, con este trabajo pretendemos actualizar nuestro conocimiento sobre este tema a propósito de un caso. El tratamiento antibiótico inhalado es una herramienta que debemos utilizar en los pacientes con bronquiectasias pulmonares no debidas a fibrosis quística, ya que mejoran la sintomatología y la calidad de vida de los pacientes y disminuyen el número de exacerbaciones y la mortalidad.Non cystic fibrosis bronquiectasis are the third cause of chronic respiratory illness. They require a comprehensive management of the patient and its comorbidities. In the last few years, important advances in the management and treatment of these patients have been done, with this work we intend to update our knowledge on this topic in relation to a case. Inhaled antibiotic treatment is a tool that should be used in patients with non cystic fibrosis bronquiectasis,as they improve the symptoms and life quality of this patients and decrease the number of exacerbations and mortality

Immediate post-extraction implants subject to immediate

Since Brånemark first started developing its implant system, there has been a continuous and significant evolution in oral implantology through experimental and clinical research, and many of the concepts that were once considered valid have now become the subject of debate. The insertion of the implant immediately after extraction of the tooth to be substituted has now become the implant treatment of choice and is associated with preserving the bone structure and the gingival architecture, as well as with reducing the treatment time, which ultimately benefits the patient. Objective: To evaluate the success rate of the immediate post-extraction implants (IPI) subject to immediate loading. Study Design: A meta-analytic study was carried out on 659 immediate post-extraction implants obtained from a bibliographic review of 25 articles published within the last 9 years. Results: We obtained a sample of 322 patients who had been treated with a total of 659 implants placed immediately following extraction. The mean age of the patients was 51 years old. A total of 441 implants were inserted in the maxilla, 152 in the mandible and 64 were placed in an unspecified location. The survival rate ranged between 85% and 100%. Conclusions: Immediate post-extraction implant treatment is an implant alternative with a survival rate similar to that of the conventional technique for implant placement and enables preserving both the bone structure and gingival architecture, as well as providing immediate functional loading, thus improving the quality of the treatment as far as the patient is concerned. © Medicina Oral S. L

Looking for adaptive footprints in the HSP90AA1 ovine gene

BackgroundClimatic factors play an important role in determining species distributions and phenotypic variation of populations over geographic space. Since domestic sheep is managed under low intensive systems animals could have retained some genome adaptive footprints. The gene encoding the Hsp90? has been extensively studied in sheep and some polymorphisms located at its promoter have been associates with differences in the transcription rate of the gene depending on climatic conditions. In this work the relationships among the distribution and frequencies of 11 polymorphisms of the ovine HSP90AA1 gene promoter in 31 sheep breeds and the climatic and geographic variables prevailing in their regions of origin have been studied. Also the promoter sequence has been characterized in 9 species of the Caprinae subfamily. ResultsCorrelations among several climatic variables and allele frequencies of the polymorphisms of the HSP90AA1 gene promoter linked with differences in the transcription activity of the gene under heat stress conditions have been assessed. A group of breeds reared in semi dry climates have high frequencies of the insertion allele of the g.667-668insC associated with the heat stress response. Other group of breeds native to semi arid conditions showed very low frequencies of this same allele. However, in some cases, this previous correlation has not been achieved, revealing the high levels of gene flow among populations occurred following domestication. The Bayesian Test of Beaumont and Balding identified two outlier loci, the g.522A?>?G and g.703_704del(2)A candidates to balancing and directional selection, respectively. Polymorphisms detected in O. aries are also present in several species of the Caprinae subfamily being C. hircus, O. musimon and O. moschatus those sharing the highest number of them with O. aries.ConclusionsDespite domestication, sheep breeds showed some genetic footprints related to climatic variables. Adaptation of breeds to heat climates can suppose a selective advantage to cope with global warming caused by climatic change. Polymorphisms of the HSP90AA1 gene detected in the Ovis aries species are also present in wild species from the Caprinae subfamily, indicating a great antiquity of these mutations and its importance in the adaptation of species to past climatic conditions existing in its native environments.Publishe

A prospective cross-sectional study on quality of life and treatment satisfaction in type 2 diabetic patients with retinopathy without other major late diabetic complications

Background: To assess quality of life and treatment satisfaction in patients with type 2 diabetes mellitus with diabetic retinopathy (DR) using validated instruments, with comparison to patients without DR. Methods: A prospective cross-sectional study was designed to assess the influence of retinopathy on quality of life and treatment satisfaction in patients with type 2 diabetes mellitus who do not have any other advanced late complications that could interfere with these outcomes. We included 148 patients with DR and 149 without DR, all without other advanced diabetic complications. Quality of life was assessed using the Audit of Diabetes Dependent Quality of Life (ADDQoL) questionnaire, and treatment satisfaction was assessed using the Diabetes Treatment Satisfaction Questionnaire (DTSQ). Clinical and treatment variables related to diabetes were also collected. The degree of DR was classified according to the International Clinical Classification System. Multivariate linear regression models were used to model the ADDQoL and DTSQ scores according to sociodemographical and clinical characteristics, and to model the adjusted relationship of DTSQ with ADDQoL. In DR patients, a subanalysis assessed the relationship of these scores with the degree of retinopathy, severity of macular edema, and previous photocoagulation treatment. Results: DR was associated with significantly lower quality of life (p < 0.001), when examining the two general quality of life items and most of the specific domains. Concerning DTSQ, no difference was found in the total score, and only two domains that assess the perception of glycemic control (hyper- and hypoglycemia) showed a worse score in DR (p < 0.001 and p = 0.008, respectively). Quality of life was significantly affected by the severity of DR, and treatment satisfaction was significantly affected by the severity of macular edema. In the multivariate analysis, a significant effect of the interaction between diabetes duration, insulin therapy, and the presence of DR was found for both, ADDQoL and DTSQ. Conclusion: In the absence of other major complications, DR has a negative impact on quality of life in patients with type 2 diabetes. Further, treatment satisfaction was not affected by the presence of DR.This study was supported by grant PS09/01035 from Instituto de Salud Carlos III

VALORES HACIA EL TRABAJO DEL PERSONAL DE ENFERMERÍA

The modern administration of the services of health of the community makes necessary readjustments and modifications of the organizational culture to achieve a bigger cohesion of the work teams that rebounds positively in the users of these services. In this sense, one of the factors to keep in mind, for their implications in the climate and in the development of the objectives of the organization, it would be the consistency among the values toward the work of supervisors and professionals to their position. On this base, the present work thinks about as objectives, on one hand, to identify the profile of values in the work that present the supervisors and its respective teams of nurses and, for other, to check if consistency exists among the profiles of values of both groups. For it, it has been selected a sample of 53 nurses and 4 supervisors of four different areas from infirmary of a hospital of the Andalusian community. All they answered the questionnaire of work values EVAT-30. The obtained results indicate that supervisors and nurses establish hierarchies of similar values and, therefore, with a high consistency grade. On the other hand, the dimensions of superior order more valued by both groups they have been those of Self-Enhancement and Conservation