28 research outputs found

    Emilia Pardo Bazán y los asesinatos de mujeres

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    La violencia ejercida por los hombres sobre sus parejas constituye una realidad de trágica actualidad que ocupa buena parte de las páginas de sucesos. Una prueba de que este fenómeno tiene hondas raíces en nuestra sociedad la constituye el hecho de que hace ya un siglo fue denunciado por Emilia Pardo Bazán en numerosas crónicas donde se quejó de la reiteración de los crímenes y de la impunidad de sus autores.Tragically, the violence employed by men against their partners is very much in the news. The roots of this phenomenon are sunk deep in our society, as proved by the numerous articles written by Emilia Pardo Bazán, who complained a century ago that these crimes were widespread and their authors went unpunished

    Dos novelas para recordar: Las ciegas hormigas, de Ramiro Pinilla, y El santo y el demonio, de Víctor Chamorro

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    Rescatar dos novelas de un olvido inmerecido (Las ciegas hormigas, de Ramiro Pinilla, y El santo y el demonio, de Víctor Chamorro), detenernos en sus innegables cualidades estéticas, resaltar su carácter representativo de la época en que fueron escritas y descubrir a nuestros alumnos, como motivación lectora, que puede aparecer la más alta calidad literaria en autores menos estudiados, es la propuesta de este artículo.To rescue two novels of an undeserved oblivion (Las ciegas hormigas, of Ramiro Pinilla, and El santo y el demonio, of Víctor Chamorro), to notice their undeniable aesthetic qualities, to emphasize their representative character of the time in which they were written and to discover to our pupils, as a reading motivation, that the highest literary quality can appear in less studied authors, is the proposal of this article

    Evaluation of Adipose Tissue Zinc-Alpha 2-Glycoprotein Gene Expression and Its Relationship with Metabolic Status and Bariatric Surgery Outcomes in Patients with Class III Obesity

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    Zinc-α2 glycoprotein (ZAG) is an adipokine involved in adipocyte metabolism with potential implications in the pathogenesis of metabolic disorders. Our aim was to evaluate the relationship between visceral (VAT) and subcutaneous adipose tissue (SAT) ZAG expression and metabolic parameters in patients with class III obesity, along with the impact of basal ZAG expression on short- and medium-term outcomes related to bariatric surgery. 41 patients with class III obesity who underwent bariatric surgery were included in this study. ZAG gene expression was quantified in SAT and VAT. Patients were classified into two groups according to SAT and VAT ZAG percentile. Anthropometric and biochemical variables were obtained before and 15 days, 45 days, and 1 year after surgery. The lower basal SAT ZAG expression percentile was associated with higher weight and waist circumference, while the lower basal VAT ZAG expression percentile was associated with higher weight, waist circumference, insulin, insulin resistance, and the presence of metabolic syndrome. Basal SAT ZAG expression was inversely related to weight loss at 45 days after surgery, whereas no associations were found between basal VAT ZAG expression and weight loss after surgery. Additionally, a negative association was observed between basal SAT and VAT ZAG expression and the decrease of gamma-glutamyl transferase after bariatric surgery. Therefore, lower SAT and VAT ZAG expression levels were associated with an adverse metabolic profile. However, this fact did not seem to confer worse bariatric surgery-related outcomes. Further research is needed to assess the clinical significance of the role of ZAG expression levels in the dynamics of hepatic enzymes after bariatric surgeryThis study has been co-funded by FEDER funds (“A way to make Europe”). M.M. and L.G.S. are also supported by UMA18-FEDERJA-285 and UMA20-FEDERJA-144, co-funded by Malaga University, Junta de Andalucía and FEDER funds, CB06/03/0018, PI-0297-2018 and PI-0194-2017, co-funded by FEDER funds and Consejería de Salud y Familias, Junta de Andalucía, and CP17/00133, Instituto de Salud Carlos III (ISCIII), Ministry of Science, Innovation and Universities, Spain Partial funding for open access charge: Universidad de Málag

    Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study

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    Background In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery. Methods An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis. Results The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”. Conclusions The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies

    Management of acute diverticulitis with pericolic free gas (ADIFAS). an international multicenter observational study

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    Background: There are no specific recommendations regarding the optimal management of this group of patients. The World Society of Emergency Surgery suggested a nonoperative strategy with antibiotic therapy, but this was a weak recommendation. This study aims to identify the optimal management of patients with acute diverticulitis (AD) presenting with pericolic free air with or without pericolic fluid. Methods: A multicenter, prospective, international study of patients diagnosed with AD and pericolic-free air with or without pericolic free fluid at a computed tomography (CT) scan between May 2020 and June 2021 was included. Patients were excluded if they had intra-abdominal distant free air, an abscess, generalized peritonitis, or less than a 1-year follow-up. The primary outcome was the rate of failure of nonoperative management within the index admission. Secondary outcomes included the rate of failure of nonoperative management within the first year and risk factors for failure. Results: A total of 810 patients were recruited across 69 European and South American centers; 744 patients (92%) were treated nonoperatively, and 66 (8%) underwent immediate surgery. Baseline characteristics were similar between groups. Hinchey II-IV on diagnostic imaging was the only independent risk factor for surgical intervention during index admission (odds ratios: 12.5, 95% CI: 2.4-64, P =0.003). Among patients treated nonoperatively, at index admission, 697 (94%) patients were discharged without any complications, 35 (4.7%) required emergency surgery, and 12 (1.6%) percutaneous drainage. Free pericolic fluid on CT scan was associated with a higher risk of failure of nonoperative management (odds ratios: 4.9, 95% CI: 1.2-19.9, P =0.023), with 88% of success compared to 96% without free fluid ( P <0.001). The rate of treatment failure with nonoperative management during the first year of follow-up was 16.5%. Conclusion: Patients with AD presenting with pericolic free gas can be successfully managed nonoperatively in the vast majority of cases. Patients with both free pericolic gas and free pericolic fluid on a CT scan are at a higher risk of failing nonoperative management and require closer observation

    Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 17

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    El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 17 de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada, de acceso abierto a todas las áreas del conocimiento, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico. Con esta colección, se aspira contribuir con el cultivo, la comprensión, la recopilación y la apropiación social del conocimiento en cuanto a patrimonio intangible de la humanidad, con el propósito de hacer aportes con la transformación de las relaciones socioculturales que sustentan la construcción social de los saberes y su reconocimiento como bien público

    Didáctica (lengua y literatura)

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    Resumen tomado del autor. Resumen también en francés e inglésLa violencia ejercida por los hombres sobre sus parejas constituye una realidad de trágica actualidad que ocupa buena parte de las páginas de sucesos. Una prueba de que este fenómeno tiene hondas raíces en nuestra sociedad la constituye el hecho de que hace ya un siglo fue denunciado por Emilia Pardo Bazán en numerosas crónicas donde se quejó de la reiteración de los crímenes y de la impunidad de sus autores.MadridUniversidad de León. Biblioteca General San Isidoro. Hemeroteca; Campus de Vegazana, s. n.; 24071 León; Tel. +34987291685; [email protected]

    Didáctica (lengua y literatura)

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    Resumen tomado del autorRescata dos novelas de un olvido inmerecido, resalta su carácter representativo de la época en que fueron escritas y descubre a sus alumnos, como motivación lectora, que puede aparecer la más alta calidad literaria en autores menos estudiados.MadridUniversidad de León. Facultad de Educación. Servicio de Biblioteca; Campus de Vegazana, s. n.; 24071 León; Tel. +34987291146; Fax +34987291145; [email protected]; [email protected]

    Emilia Pardo Bazán y los asesinatos de mujeres

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    La violencia ejercida por los hombres sobre sos parejas constituye una realidad de lragscs actusísdad que ocupa buena parte de las páginas de sucesos. Una prueba de que cate fenómeno llene hondas raíces en nuestra sociedad la constituye el hecho de que hace ya un siglo fue denunciado por Emilia Pardo B áo en numerosas crónicas donde sc qoejó dc la reileradión dc los crímenes y de la impunidad dc sos autores
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