Revista de Vertebrados de la Estación Biológica de Doñana

Dimorfismo sexual en Microtus cabrerae en base a los caracteres de su pelvis.Notas sobre la distribución y ecología de Microtus cabreae, Thomas, 1906.Alimentación de la culebra bastarda (Malpolon monspessulanus, Ophidia, Colubridae) en el S. O. de España.Selectividad en la predación de la lechuza común (Tyto alba) sobre Rano ridibunda.Variations in the food habits of the european Eagle Owl. (Bubo bubo)Contaminación en huevos de aves silvestres de lSuroeste de España por residuos organoclorados (Insecticidas y bifenilos policlorados)Sobre el status taxonómico del águila imperial ibéricaEstudio filogenético y comparativo de Microtus cabrerae y Microtus brecciensisDescripción de una nueva especie de liebre (Lepus castroviejoi), endémica de la Cordillera CantábricaPeer reviewe

Diseñando el futuro de la docencia de grado en la facultad de odontología de la UCM

Fac. de OdontologíaFALSEsubmitte

The impact of contextual factors on nursing outcomes and the role of placebo/nocebo effects

Introduction: Placebo and nocebo effects represent one of the most fascinating topics in the health care field. Objectives: the aims of this discussion paper were (1) to briefly introduce the placebo and nocebo effects, (2) to elucidate the contextual factors able to trigger placebo and nocebo effects in the nursing field, and (3) to debate the impact of contextual factors on nursing education, practice, organisation, and research. Methods: a narrative review was conducted based on the available evidence. Results: Placebo responses (from Latin \u201cI shall please\u201d) are a beneficial outcome(s) triggered by a positive context. The opposite are the nocebo effects (from Latin \u201cI shall harm\u201d), which indicates an undesirable outcome(s) caused by a negative context. Both are complex and distinct psychoneurobiological phenomena in which behavioural and neurophysiological changes arise subsequent to an interaction between the patient and the health care context. Conclusion: Placebo and nocebo concepts have been recently introduced in the nursing discipline, generating a wide debate on ethical issues; however, the impact on nursing education, clinical practice, nursing administration, and research regarding contextual factors triggering nocebo and placebo effects has not been debated to date

Evaluación del perfil competencial del estudiantado UCM por nivel de iniciativa emprendedora y género. Validación del Modelo Entrecomp de competencias emprendedoras

Examinar la relación entre las competencias emprendedoras propuestas por el Marco Europeo de Competencias Emprendedoras (Entrecomp) y el nivel de intención emprendedora. Se consideran las siguientes variables: sexo, estudios que realiza, si compagina trabajo y estudio, y Universidad en la que estudia

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

La investigación socioambiental en España. Proceso de institucionalizaicón y estructuras de investigación

En este articulo, sus autores analizan el proceso de institucionalización de la investigación socioambiental en España, y centran su atención en la cr3eación de estructuras y redes institucionales en donde participan los investigadores científicos. Analizan la influencia de la política europea de medio ambiente y señalan la singularidad del caso español al estar distribuidas las competencias administrativas sobre medio ambiente en dos niveles institucionales: el de la Administración central y el de las Comunidades Autónomas.Peer reviewe

Investigación etnohistórica sobre Getafe

El objetivo principal del proyecto es introducir, en la práctica diaria del aula, el método de trabajo interdisciplinar como instrumento para mejorar la calidad de la enseñanza. Para ello, se estudia, a través de las distintas áreas del currículo, la población actual del municipio de Getafe, utilizando una doble perspectiva. Por un lado, se analiza la situación actual del municipio; y por otro, se investiga la historia, la literatura, los fenómenos lingüísticos, las expresiones artísticas y el cambio en los usos y costumbres de Getafe. Los alumnos realizan una serie de entrevistas, utilizando unas encuestas elaboradas a tal efecto, a los dos tipos de población predominantes en el Instituto. En primer lugar, trazan un inventario de población oriunda; el segundo paso consiste en evaluar el impacto de la población procedente de la migración interior en la historia de Getafe. Se incluyen, en anexos, materiales elaborados distribuidos por áreas, diseño de actividades, recorridos literarios, fotos antiguas y una breve historia del municipio, desde la prehistoria a la actualidad.Madrid (Comunidad Autónoma). Consejería de Educación. Dirección General de Ordenación AcadémicaMadridMadrid (Comunidad Autónoma). Subdirección General de Formación del Profesorado. CRIF Las Acacias; General Ricardos 179 - 28025 Madrid; Tel. + 34915250893ES

Progression to hepatitis C virus micro-elimination in people living with HIV in Spain

People living with human immunodeficiency virus (PLWH) constitute a population among whom elimination of hepatitis C virus (HCV) is a priority [1]. In April 2015, Spaindwhich provides universal and free access to healthcaredelaborated on a recommendation for the prioritization of HCV treatment based mainly on the liver fibrosis stage. This recommendation was updated in September 2017, considering treatment uptake for every patient with a detectable HCV viral load. This change in statement facilitates micro-elimination in high-priority populations such as PLWH. Because of the high proportion of coinfected patients identified, the routinely programmed clinical visits, and the proactive screening strategies implemented in this setting, HCV elimination in this subgroup of patients is feasible

Parenteral drug use as the main barrier to hepatitis C treatment uptake in HIV-infected patients

[Objectives]: Our objective was to identify patient factors associated with being untreated for hepatitis C virus (HCV) infection in HIV-coinfected patients.[Methods]: A prospective longitudinal study was carried out. HIV-infected patients with active chronic HCV infection included in the HERACLES cohort (NCT02511496) constituted the study population. The main study outcome was receipt of HCV direct-acting antiviral (DAA) treatment from 1 May 2015 to 1 May 2017. The population was divided into patients who were receiving HCV treatment during follow-up and those who were not.[Results]: Of the 15 556 HIV-infected patients in care, 3075 (19.7%) presented with chronic HCV infection and constituted the study population. At the end of the follow-up, 1957 patients initiated HCV therapy (63.6%). Age < 50 years, absence of or minimal liver fibrosis, being treatment-naïve, HCV genotype 3 infection, being in the category of people who inject drugs using opioid substitutive therapy (OST-PWID), and being in the category of recent PWID were identified as significant independent risk factors associated with low odds of DAA implementation. When a multivariate analysis was performed including only the PWID population, both OST-PWID [odds ratio (OR) 0.552; 95% confidence interval (CI) 0.409–0.746) and recent PWID (OR 0.019; 95% CI 0.004–0.087) were identified as independent factors associated with low odds of treatment implementation.[Conclusions]: We identified factors, which did not include prioritization of a DAA uptake strategy, that limited access to HCV therapy. The low treatment uptake in several populations seriously jeopardizes the elimination of HCV infection in the coming years.This work was supported by the Ministerio de Sanidad (RD12/0017/0012) integrated in the Plan Nacional de I+D+I, and cofinanced by the ISCIII‐Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional (FEDER), the Fundación para la Investigación en Salud (FIS) del Instituto Carlos III (PI15/01017), and the Red de Investigación en SIDA de España ISCIII‐RETIC (grant number: RD16/0025/0034)