39 research outputs found

    Ciclo de conferencias destinada a los alumnos del MBA-UCM: La Dirección de Recursos Humanos vista desde la perspectiva de los responsables y profesionales en la empresa

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    El proyecto INNOVA-Docencia titulado “Ciclo de conferencias destinado a los alumnos del MBA-UCM: La Dirección de Recursos Humanos vista desde la perspectiva de los responsables y profesionales en la empresa” ha pretendido que los alumnos del Máster en Administración y Dirección de Empresas conozcan de primera mano qué se hace en las empresas en materia de Dirección de Recursos Humanos, gracias a la participación de varios profesionales y responsables de esta área. Además, ha servido para que los alumnos ampliaran su red de contactos de cara a su desarrollo profesional

    Ciclo de conferencias sobre Dirección de Recursos Humanos para los alumnos del Grado en Relaciones Laborales y Recursos Humanos

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    Este Proyecto Innova-Docencia ha impulsado un ciclo de conferencias impartidas por cinco egresados de la Universidad Complutense de Madrid que realizan actividades propias del área de recursos humanos en sus organizaciones. El objetivo principal ha sido familiarizar a los estudiantes del Grado en Relaciones Laborales y Recursos Humanos con las actividades que desarrollan los departamentos de Recursos Humanos y complementar los conocimientos teóricos adquiridos

    The PHQ-PD as a screening tool for panicdisorder in theprimarcarsetting in Spain.

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    INTRODUCTION Panic disorder is a common anxiety disorder and is highly prevalent in Spanish primary care centres. The use of validated tools can improve the detection of panic disorder in primary care populations, thus enabling referral for specialized treatment. The aim of this study is to determine the accuracy of the Patient Health Questionnaire-Panic Disorder (PHQ-PD) as a screening and diagnostic tool for panic disorder in Spanish primary care centres. METHOD We compared the psychometric properties of the PHQ-PD to the reference standard, the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) interview. General practitioners referred 178 patients who completed the entire PHQ test, including the PHQ-PD, to undergo the SCID-I. The sensitivity, specificity, positive and negative predictive values and positive and negative likelihood ratios of the PHQ-PD were assessed. RESULTS The operating characteristics of the PHQ-PD are moderate. The best cut-off score was 5 (sensitivity .77, specificity .72). Modifications to the questionnaire's algorithms improved test characteristics (sensitivity .77, specificity .72) compared to the original algorithm. The screening question alone yielded the highest sensitivity score (.83). CONCLUSION Although the modified algorithm of the PHQ-PD only yielded moderate results as a diagnostic test for panic disorder, it was better than the original. Using only the first question of the PHQ-PD showed the best psychometric properties (sensitivity). Based on these findings, we suggest the use of the screening questions for screening purposes and the modified algorithm for diagnostic purposes

    Transdiagnostic cognitive behavioral therapy versus treatment as usual in adult patients with emotional disorders in the primary care setting (PsicAP study) : protocol for a randomized controlled trial

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    Demand for primary care (PC) services in Spain exceeds available resources. Part of this strong demand is due to the high prevalence of emotional disorders (EDs)-anxiety, depression, and somatic symptom disorders-and related comorbidities such as pain or chronic illnesses. EDs are often under- or misdiagnosed by general practitioners (GPs) and, consequently, treatment is frequently inadequate. We aim to compare the short- and long-term effectiveness of group-delivered transdiagnostic cognitive behavioral therapy (TD-CBT) versus treatment as usual (TAU) in the treatment of EDs in the PC setting in Spain. We also aim to compare the effect of these treatments on disability, quality of life, cognitive-emotional factors, and treatment satisfaction. Here we present the study design of a two-arm, single-blind, randomized controlled trial (N=1126) to compare TAU to TD-CBT for EDs. TAU will consist primarily of pharmacological treatment and practical advice from the GP while TD-CBT will be administered in seven 90-minute group sessions held over a period ranging from 12 to 14 weeks. Psychological assessments are carried out at baseline (ie, pretreatment); posttreatment; and at 3-, 6-, and 12-month follow-up. The study is conducted in approximately 26 PC centers from the National Health System in Spain. This study was initiated in December 2013 and will remain open to new participants until recruitment and follow-up has been completed. We expect all posttreatment evaluations to be completed by December 2017, and follow-up will end in December 2018. We expect the TD-CBT group to have better results compared to TAU on all posttreatment measures and that this improvement will be maintained during follow-up. This project could serve as a model for use in other areas or services of the National Health System in Spain and even in other countries. International Standard Randomized Controlled Trial Number (ISRCTN): 58437086; http://www.isrctn.com/ISRCTN58437086 (Archived by WebCite at http://www.webcitation.org/6mbYjQSn3

    El abrigo de Benzú (Ceuta). Aportaciones al conocimiento de las sociedades con tecnología de Modo III en la región histórica del Estrecho de Gibraltar

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    El abrigo de Benzú se encuentra situado próximo a la ciudad de Ceuta, en el (norte) de África. Trabajamos en estos momentos en una fase final de la memoria científica de las actividades realizadas los últimos años. Por ello damos un balance, que todavía no es definitivo, de los datos geológicos, estratigráficos, cronológicos, ecológicos y de los recursos utilizados por las sociedades prehistóricas. Incidimos en datos tecnológicos de los productos arqueológicos y en los modos de vida. Las bases geológicas y paleoecológicas de la región histórica del Estrecho de Gibraltar ofrecen grandes semejanzas entre la orilla norteafricana y la europea. abrigo de Benzú cuenta con una secuencia de 7 estratos con tecnología muy definida en el concepto de Modo III. Las similitudes con los conjuntos del sur de la Península Ibérica son manifiestas. Destacamos también la explotación de recursos marinos por sociedades cazadoras-recolectoras desde el inicio de la secuencia en el Pleistoceno Medio. Con estas bases arqueológicas y el contexto de estudios recientes en la región norteafricana valoramos las posibles relaciones y contactos entre las sociedades de las dos orillas de la región histórica del Estrecho de Gibraltar

    Factor structure and measurement invariance across various demographic groups and over time for the phq-9 in primary care patients in spain

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    The Patient Health Questionnaire (PHQ-9) is a widely-used screening tool for depression in primary care settings. The purpose of the present study is to identify the factor structure of the PHQ-9 and to examine the measurement invariance of this instrument across different sociodemographic groups and over time in a sample of primary care patients in Spain. Data came from 836 primary care patients enrolled in a randomized controlled trial (PsicAP study) and a subsample of 218 patients who participated in a follow-up assessment at 3 months. Confirmatory factor analysis (CFA) was used to test one- and two-factor structures identified in previous studies. Analyses of multiple-group invariance were conducted to determine the extent to which the factor structure is comparable across various demo- graphic groups (i.e., gender, age, marital status, level of education, and employment situa- tion) and over time. Both one-factor and two-factor re-specified models met all the pre- established fit criteria. However, because the factors identified in the two-factor model were highly correlated (r = .86), the one-factor model was preferred for its parsimony. Multi-group CFA indicated measurement invariance across different demographic groups and across time. The present findings suggest that physicians in Spain can use the PHQ-9 to obtain a global score for depression severity in different demographic groups and to reliably monitor changes over time in the primary care setting

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

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    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
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