Nursing diagnoses in people with digestive stoma and their association with sociodemographic and clinical factors

Purpose: To determine nursing diagnoses in people with a digestive stoma and their relationship with sociodemographic and clinical variables. Method: A cross-sectional descriptive study of 102 subjects in the General Surgery Unit of a first-level hospital (Granada, Spain) was conducted. Data were collected on the presence of nursing diagnoses, sociodemographic and clinical variables. Results: NANDA-I: "Deficient knowledge (00126)" and "Readiness for enhanced health management (00162)" were present in the entire sample studied. The period of care (postoperative vs. follow-up) was the most common significant variable among diagnoses. Conclusions: This work contributes to the determination of NANDA-I diagnoses in people with digestive stomas. Implications for nursing practice: The results provide a guide to help nursing professionals develop individual care plans

Motivation, satisfaction and achievement motivation: Are there really differences between Sciences and Humanities?

Tras tanta polémica entre "letras" y "ciencias" sobre cuál de los dos es mejor o más difícil, se ha pretendido comprobar si existe algún tipo de diferencia entre ambas especialidades en cuanto a motivación, satisfacción o rendimiento; y a su vez, si existe algún tipo de relación entre estos tres constructos. Por lo tanto, participaron en el estudio una muestra de 120 alumnos de ambas ramas, obteniendo seis carreras diferentes con 20 alumnos en cada una. Los resultados no dieron ningún valor significativo en cuanto a diferencias entre ambas especialidades, pero sí una correlación entre motivación y satisfacción.After so much controversy between "Humanities" and "Sciences" about which one is better or harder, we'd like to test if there are any differences between both specialties in terms of motivation, satisfaction and academic achievement; and at the same time, if there is some kind of relationship between these three constructs. Thus, participated a sample of 120 students of those two special i ties, from six different degrees, pi cking 20 st udents from each one . Results didn't provide any significant difference between both specialties, but did provide a correlation between motivation and satisfaction.ReiDoCrea. Departamento de Psicología Social. Universidad de Granada

Drying-rewetting cycles in ordinary Portland cement mortars investigated by electrical impedance spectroscopy

[EN] Changes caused in the porous microstructure of ordinary Portland cement (OPC) mortars were studied using electrical impedance spectroscopy (EIS) and equivalent circuit (EqC). Two successive processes, at 20 ºC and 50 °C, consisting of several drying-rewetting cycles, were applied to the mortars. After each cycle, the electrical impedance and the amount of water absorbed were measured. The EIS-EqC methodology allowed to find two distributed impedance relaxations, associated to capillary and gel-C-S-H porosities, respectively. At room temperature any microstructural change was not detected. Nevertheless, at 50 °C two microstructural changes were inferred: 1) the volume of accessible porosity increased (pore coarsening) and 2) the surface of the conductive path through C-S-H gel became more conductive (surface smoothing).The authors would like to thank the Spanish Ministry of Science and Innovation for supporting this research through the project BIA 2011-26947.Fita Fernández, IC.; Cruz González, JM.; Calvo Muñoz, C.; Soriano Martínez, L.; Paya Bernabeu, JJ.; Sánchez Martín, I. (2018). Drying-rewetting cycles in ordinary Portland cement mortars investigated by electrical impedance spectroscopy. Construction and Building Materials. 187:954-963. https://doi.org/10.1016/j.conbuildmat.2018.07.227S95496318

Uso de la plataforma GENIALLY para la creación de recursos digitales y materiales online en la formación docente de profesores dentro de los Grados de Educación infantil, primaria y secundaria (K-12)

Memoria ID2022-129 Ayudas de la Universidad de Salamanca para la innovación docente, curso 2022-2023

Marco activo de recursos de innovación docente: Madrid

Una guía de espacios e instituciones para actividades educativas complementarias en enseñanza secundaria y Formación Profesional

Prognostic value of bioelectrical impedance analysis in head and neck cancer patients undergoing radiotherapy: a VALOR® study

IntroductionBioelectrical impedance analysis (BIA) serves as a method to estimate body composition. Parameters such as phase angle (PA), standardized phase angle (SPA), body mass cell (BCM), BCM index (BCMI), and fat-free mass (FFM) might significantly impact the prognosis of head and neck cancer (HNC) patients. The present study aimed to investigate whether bioelectrical parameters can be used to predict survival in the HNC population and establish the optimal cutoff points for predictive accuracy.MethodsA multicenter observational study was performed across 12 tertiary hospitals in Andalusia (a region from the south of Spain). A total of 494 patients diagnosed with HNC between 2020 and 2022 at different stages were included in this study, with a minimum follow-up period of 12 months. The BIA assessment was carried out during the first 2 weeks of radical radiotherapy treatment with chemotherapy or other systemic treatments. A multivariate logistic regression analysis of overall survival, complications, hospital admission, and palliative care and its relationship with BIA nutritional assessment was performed.ResultsSignificant prognostic factors identified in the multivariable analysis encompassed phase angle (PA), standardized phase angle (SPA), body cell mass (BCM), and BCM index (BCMI). Lower PA and BCM values were significantly associated with adverse clinical outcomes. A BCM threshold above 17 kg/m2 was the most significant predictor for predicting survival within the overall HNC population. The PA values of <5.1° in male and <4.8° in female patients showed the best predictive potential for mortality. Increased PA (as a continuous variable) demonstrated a significantly reduced risk for mortality (OR, 0.64; 95% CI, 0.43–0.94; p < 0.05) and a decreased likelihood of hospital admission (OR, 0.75; 95% CI, 0.52–1.07; p < 0.05). Higher BCM correlated with a lower risk of mortality (OR, 0.88; 95% CI, 0.80–0.96; p < 0.01) and a diminished probability of hospital admission (OR, 0.91; 95% CI, 0.83–0.99; p < 0.05).ConclusionBIA is a crucial tool in the nutritional assessment of HNC patients. BCM and PA are the main bioelectrical parameters used to predict clinical outcomes in this population. Future studies are needed to validate BIA variables in a large cohort to ensure whether early intensification of nutritional treatment would improve survival

El grupu neandertal de la Cueva d'El Sidrón (Borines, Piloña).

Na monografía clásica de Puig y Larraz (1896: 250-252) amiéntense delles cavidaes del Conceyu de Piloña2 , pero non la Cueva d’El Sidrón (Fig. 1). Esta conocíase, ensin dulda, dende la Guerra Civil y el maquis al servir d’abellugu a persiguíos políticos, y guarda una alcordanza imborrable nuna de les sos múltiples entraes, yá qu’ellí ta enterrada Olvido Otero González (1908-1938). Per El Sidrón pasaron munches persones a lo llargo de los años, pero en 1994 prodúxose’l descubrimientu per parte d’unos espeleólogos xixoneses d’unos güesos humanos que dieron un importante xiru a la conocencia de los nuesos antepasaos neandertale

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885

The authors wish to make the following corrections to this paper [...]