Experiencias de cuidado al final de la vida de los enfermeros y cuidadores del hospital II Luis Heysen Inchaustegui – ES SALUD. 2018

El objetivo de la presente investigación es caracterizar las experiencias de cuidado al final de la vida de enfermeros y cuidadores en Hospital II Luis Heysen Inchaustegui – Es-salud. 2018. Es un estudio cualitativo con abordaje de estudio de caso. La población constituida por 29 enfermeros y 21 cuidadores de pacientes al final de la vida entre junio y agosto del 2018 y la muestra por 8 enfermeros y 6 cuidadores; ésta fue determinada por saturación y redundancia. Se recogieron los datos por entrevista semiestructurada a través de su respectiva guía; validada por juicio de expertos. Se tuvieron presente los principios éticos del Informe Belmont. Los datos se analizaron fundamentándose en la Teoría de Watson y el marco referencial de Waldow; dando lugar a dos categorías: Desde la experiencia del enfermero; con sus subcategorías sintiendo impotencia ante la evolución desfavorable del paciente y cuidando la dimensión espiritual centrado en lo religioso y la categoría desde la experiencia del familiar cuidador con sus subcategorías: Sufrimiento del familiar cuidador y Angustia al cuidar a un ser querido. Ellas evidencian la difícil experiencia vivida tanto por enfermeras como cuidadores. Considerando finalmente que en la experiencia de los enfermeros se evidencian manifiesto sentimientos encontrados, producidos por el impacto que produce la experiencia que trae consigo a la muerte; impregnado de temor, miedo, angustia, tristeza, desesperación, etc. Los cuidadores requieren apoyo en el manejo de necesidades espirituales, emocionales y culturales, que deben ser sobrellevadas

Efectos de un programa de ejercicio físico supervisado sobre la estructura cardíaca durante la gestación. Ensayo clínico aleatorizado

Objetivo: Analizar la seguridad del ejercicio aeróbico para el sistema cardiovascular de las mujeres gestantes y valorar las posibles mejoras cardiovasculares producidas. Sujetos y métodos: Se diseñó un ensayo clínico aleatorizado, no apareado, no enmascarado. El registro de datos se realizó en las semanas 20 y 34 de gestación. En la semana 20, se estudió a 45 gestantes del grupo de ejercicio (GE), de las cuales completaron el estudio 35. Del grupo de control (GC), en la semana 20 participaron 14, y completaron el estudio 9. Resultados: En la semana 20 hubo mejoras en el índice de masa corporal (GE: 25,1 4,3/GC: 27,9 4,5) (p = 0,04) y en la presión arterial sistólica (GE: 104,7 10,9/GC: 112,5 11,3) (p = 0,02). En el GC hubo presencia de hipertrofia concéntrica (n = 2, 14,3%). En la semana 34, el GE presentó un mayor volumen sistólico (GE: 52,33 10,42/GC: 43,69 9,48) (p = 0,03). Conclusión: El ejercicio aeróbico durante el embarazo es seguro para el sistema cardiovascular, mejorando incluso algunos parámetros

Solving math problems by regular and high-ability students

O desempenho cognitivo e académico de alunos com altas capacidades nem sempre é entendido em termos dos processos cognoscitivos envolvidos na sua aprendizagem. Na ausência dessa análise, psicólogos e professores estão limitados na real avaliação das competências destes alunos e na implementação de práticas de ensino que atendam às suas especificidades e necessidades. Partindo desta realidade, procura-se averiguar como um grupo de alunos de Portugal e de Espanha, com idades entre os 9 e os 12 anos, resolvem problemas. A amostra foi constituída para efeitos comparativos por alunos com elevado potencial intelectual e por alunos regulares. Os dados obtidos mostram um superior desempenho por parte dos alunos com alta capacidade, mesmo controlando o efeito de outras variáveis.The cognitive and academic performance of high ability students is not always understood in terms of the cognitive processes involved in their learning. In the absence of this analysis, psychologists and teachers are limited in the real evaluation of the competences of these students and in the implementation of teaching practices that meet their specificities and needs. Starting from this reality, we try to find out how a group of students from Portugal and Spain, between the ages of 9 and 12, solve math problems. The sample was composed for comparison purposes by students with high intellectual potential and by regular students. The data obtained show a superior performance on the part of the students with high capacity, even controlling the effect of other variables.info:eu-repo/semantics/publishedVersio

Buona fede e art. 41 Cost.: alla ricerca di un diritto contrattuale "giusto"

Tale contributo tenta di analizzare la problematica della libertà di iniziativa economica privata come limite e fondamento della libertà contrattuale dei privati concentrando l’attenzione sul rapporto contratto-giudice-mercato

Basketball training influences shot selection assessment : a multi-attribute decision-making approach1

In spite of the fact that shoot selection is a crucial ingredient of performance in basketball, the judgment and decision making processes involved in it have been largely neglected. In the present work, we explore individuals' strategies to assess the adequateness of shooting (in a simulation laboratory task) in situations varying in the degree of physical defensive pressure, rebound, defensive balance and shooting distance. Our results showed that the four target dimensions have an impact on participants' judgments. More importantly, training influences the degree to which one of the non-obvious dimensions (defensive balance) is taken into account by participants in order to make their judgments. These results stress the necessity to develop measures of shot selection decisional quality beyond scoring rates

Black, Brown, and Powerful: Freedom Dreams in Unequal Cities

In April 2018, the Institute on Inequality and Democracy convened scholars, activists, policy advocates, community residents, and nonprofit workers to share and discuss research and action pertaining to processes of inequality in Los Angeles. We sought to shed light on the entangled structures of oppression, including urban displacement, housing precarity, racialized policing, criminal justice debt, forced labor, and the mass supervision and control of youth. Through keynote talks, group dialogue, and workshops, we analyzed how in Los Angeles, and elsewhere, black and brown communities face multiple forms of banishment and exploitation ranging from the criminalization of poverty to institutionalized theft.The question of racial banishment has been an important one for the Institute since its inauguration two years ago. This year though, amidst the troubled times of Trumpism, we wanted to shift our focus from banishment to freedom. In the reports that follow, you will find many examples of what Robin D.G. Kelley, a key presence at the Institute, has famously called “freedom dreams.” Located in, and thinking from South Central Los Angeles, the event’s participants provide insight into organizing frameworks and resistance strategies that challenge exclusion and refuse subordination. From tenant organizing to debtors’ unions, from underground scholars to educational reparations, visions of freedom abound. The Institute on Inequality and Democracy is convinced that university-based research can, and must, support such freedom dreams. Such partnership – between the public university and social justice movements – requires careful attention to the difficult task of decolonizing the university. This mandate is evident throughout this collection of reports. There is no easy alliance between academic power and banished communities; there is no obvious solidarity between urban plans and freedom dreams. This event was intended to be a step towards building such alliances, especially by reconstructing the curriculum and canon of knowledge

El efecto diferencial de la instrucción incidental e intencional en el aprendizaje de las condiciones para la decisión de tiro en baloncesto

Discriminative decision rule learning is a core ingredient in many interactive sports. This study presents a laboratory simulation experiment (an adaptation of a Go/No-go task) that focuses on the quantitative analysis of three important environmental determinants of shot selection in basketball: physical opposition, availability of rebound and availability of defensive balance. Our results show that these three criteria are incorporated into decisions at different rates. Moreover, the use of such criteria is differentially sensitive to intentional (vs. incidental) instruction. In practical terms, these results illustrate some of the potential limitations of decision-making training by mere task design, i.e., without the coach's explicit guidance

The "greening" of environmental sciences studies in Spain

Presentamos los resultados de un proceso de identificación de la presencia de la Educación Ambiental (EA) en los grados de Ciencias Ambientales (CA) en España. Para ello hemos indagado en las páginas web de las universidades, señalando la presencia de la EA, su carácter optativo/obligatorio, los departamentos responsables de la misma y los indicadores de EA y de metodología docente en sus guías docentes. Por otro lado se aplicó una encuesta a una muestra de estudiantes universitarios del grado de CA sobre su interés hacia la EA, la naturaleza de esta y su grado de acuerdo con los indicadores anteriores. Los resultados evidencian una implantación parcial de la EA y una esperanzadora actitud de los estudiantes hacia dicha presencia.We show the results of a process of identifying the presence of Environmental Education (EE) in Environmental Sciences degrees (ES) in Spain. So we have searched into the websites of universities, pointing the presence of EE, the optional/compulsory character, the departments responsible for it, and indicators of EE and teaching methodology in their teaching guides. On the other hand a survey was applied to a sample of students of university degree of ES including their interest in the EE, the nature of this, and how much they agree with the above indicators. The results show a partial implementation of the EE and a hopeful attitude of students towards such presence

El síndrome de alienación parental y su percepción en los procesos de variación de tenencia – Lima, Perú

El presente trabajo de investigación tuvo como objetivo la interpretación respecto a la percepción que los operadores jurídicos tienen acerca del síndrome de alienación parental en los procesos de variación de tenencia. Ello debido al incremento de dicho trastorno a nivel nacional y a las consecuencias que podría desencadenar en los menores alienados, motivo por el cual el aporte a su estudio resultó necesario. En ese sentido, el diseño de la presente investigación encontró su sustento en la teoría fundamentada, puesto que esta se encuentra íntimamente ligada a las investigaciones de enfoque cualitativo y se avoca a la recolección de información teórica desde una perspectiva analítica de fenómenos que ya han sido previamente estudiados. La muestra estuvo integrada por 7 especialistas en Derecho de Familia, Derecho Civil y Derecho Constitucional, entre ellos Jueces y Fiscales, asimismo, el instrumento empleado fue la guía de entrevista, la cual constó de 9 preguntas semiestructuradas, las mismas que posibilitaron la obtención de diversas conclusiones, entre ellas lo fundamental que resulta conocer y difundir más respecto al SAP y sus alcances en nuestro país

Analysis of health claims regarding creatine monohydrate present in commercial communications for a sample of European sports foods supplements

Objective: To analyse the information on health claims present in the labelling of creatine monohydrate (CM) products. Design: A descriptive study of a selection of products marketed as CM, with health claims, and that met the inclusion/exclusion criteria, was conducted using the Amazon and Google Shopping websites. The adequacy and compliance of the health claims were evaluated with the European legislative requirements (European Food Safety Authority and European Commission). The results were discussed with scientific evidence criteria from the Academy of Nutrition and Dietetics, International Olympic Committee, and International Society of Sports Nutrition, as well as the systematic review carried out by Mielgo-Ayuso in 2019. Setting: Health claims in the commercial communications of a sample of CM supplements, in relation to current legislation and scientific knowledge. Participant: A total of 554 CM products were obtained. Results: Of the total sample, only 167 met the inclusion/exclusion criteria. Of these, 30·5 % recommended a CM dose of 5·0–5·9 g/d, while 29·9 % recommended 3·0 to 3·9 g/d. As for the health claims, ‘Enhances physical performance’ appeared in 73·1 % of the supplements, in most cases referring to a dosage of 3·0 to 3·9 g/d for these products. The rest of the declarations were not adequate or needed to be modified. Conclusion: Only 25 % of the health claims complied with the criteria established by the scientific reference documents. Most of the declarations must be modified or eliminated, as they could be considered fraudulent and/or misleading for the consumer