Estilos de vida, estrategias de afrontamiento, estrés y depresión en estudiantes de la Facultad de Medicina de la UAEM

Introducción: Los estudiantes de Ciencias de la Salud de la Facultad de Medicina (FM) de la Universidad Autónoma del Estado de México (UAEM), requieren, además de inteligencia cognitiva, inteligencia emocional y habilidades de relación interpersonal: empatía, compasión y madurez. La naturaleza de la profesión en el ámbito de la salud solicita que el estudiante tenga un perfil con ciertas características entre las que se enfatizan habilidades de gestión, templanza en el trabajo para situaciones imprevistas, el cumplimiento con el deber y la necesidad de actualización permanente,1 que les ayuden a tener un desarrollo integral para desempeñarse profesionalmente. Objetivo: Identificar estrategias de afrontamiento al estrés y correlacionar con estilos de vida, estrés y síntomas depresivos. Material y Métodos: Se realizó un estudio de tipo descriptivo, transversal y correlacional. Con muestreo no probabilístico de tipo dirigido, de 173 estudiantes voluntarios. Se aplicó el cuestionario FANTASTIC, Escala de Estrés Percibido de Cohen, Inventario de Estrategias de Afrontamiento e Inventario de Depresión de Beck. Se aplicó Chi cuadrada para establecer la significancia y coeficiente de Pearson para correlación. Resultados: Las estrategias de afrontamiento usadas fueron activas-adaptativas; orientadas a la solución de problemas. En estilos de vida saludables mostraron menores índices de estrés y depresión. Abstract Background: Health science students at the School of Medicine of the Autonomous University of the State of Mexico (UAEM) require, in addition to cognitive intelligence, sufficient emotional intelligence and interpersonal skills: empathy, compassion and maturity. The nature of the profession in the field of health requires that the student has a profile with certain characteristics among which are emphasized management skills, temperance at work for unforeseen situations, compliance with the liability and the need for permanent updating.1 To help them to perform professionally and to have an integral development. Objective: To identify stress coping strategies and to correlate with lifestyles, stress and depressive symptoms. Method: A descriptive, transverse and correlational qualitative study was carried out. With non-probabilistic directed sample of 173 volunteer students. The FANTASTIC questionnaire, Cohen’s Perceived Stress Scale, Coping Strategies Inventory, and Beck Depression Inventory were applied. Chi square test was applied to establish the significance and Pearson coefficient for correlation. Results: The coping strategies used were active-adaptive and solutions-oriented. Healthy lifestyles showed lower rates of stress and depression. &nbsp

Estilos de vida, estrategias de afrontamiento, estrés y depresión en estudiantes de la Facultad de Medicina de la UAEM

Introducción: Los estudiantes de Ciencias de la Salud de la Facultad de Medicina (FM) de la Universidad Autónoma del Estado de México (UAEM), requieren, además de inteligencia cognitiva, inteligencia emocional y habilidades de relación interpersonal: empatía, compasión y madurez. La naturaleza de la profesión en el ámbito de la salud solicita que el estudiante tenga un perfil con ciertas características entre las que se enfatizan habilidades de gestión, templanza en el trabajo para situaciones imprevistas, el cumplimiento con el deber y la necesidad de actualización permanente,1 que les ayuden a tener un desarrollo integral para desempeñarse profesionalmente. Objetivo: Identificar estrategias de afrontamiento al estrés y correlacionar con estilos de vida, estrés y síntomas depresivos. Material y Métodos: Se realizó un estudio de tipo descriptivo, transversal y correlacional. Con muestreo no probabilístico de tipo dirigido, de 173 estudiantes voluntarios. Se aplicó el cuestionario FANTASTIC, Escala de Estrés Percibido de Cohen, Inventario de Estrategias de Afrontamiento e Inventario de Depresión de Beck. Se aplicó Chi cuadrada para establecer la significancia y coeficiente de Pearson para correlación. Resultados: Las estrategias de afrontamiento usadas fueron activas-adaptativas; orientadas a la solución de problemas. En estilos de vida saludables mostraron menores índices de estrés y depresión. Abstract Background: Health science students at the School of Medicine of the Autonomous University of the State of Mexico (UAEM) require, in addition to cognitive intelligence, sufficient emotional intelligence and interpersonal skills: empathy, compassion and maturity. The nature of the profession in the field of health requires that the student has a profile with certain characteristics among which are emphasized management skills, temperance at work for unforeseen situations, compliance with the liability and the need for permanent updating.1 To help them to perform professionally and to have an integral development. Objective: To identify stress coping strategies and to correlate with lifestyles, stress and depressive symptoms. Method: A descriptive, transverse and correlational qualitative study was carried out. With non-probabilistic directed sample of 173 volunteer students. The FANTASTIC questionnaire, Cohen’s Perceived Stress Scale, Coping Strategies Inventory, and Beck Depression Inventory were applied. Chi square test was applied to establish the significance and Pearson coefficient for correlation. Results: The coping strategies used were active-adaptive and solutions-oriented. Healthy lifestyles showed lower rates of stress and depression. &nbsp

From absent to present pasts: civil society, democracy and the shifting place of memory in Brazil

This paper takes Alexis de Tocqueville’s concern with the emotional life of citizens as a cue for exploring the role of collective memory within ‘the self-organizing sphere’ and asking how the invocation of memory affects progress towards democracy. The paper hones in on the Brazilian experience, re-assessing Brazil’s amnesiac past as well as its much lauded ‘turn to memory’. Against common assertions that Brazil’s ‘turn to memory’ will enhance the country’s democratic credentials, this paper argues that the move from an ‘absent’ to a ‘present’ past in Brazil in fact bodes rather mixed prospects for the country’s democratic deepening

CONTROL MODO DESLIZANTE APLICADO EN LA MALLA DE CORRIENTE PARA UNA APLICACIÓN DE UNA BASE-DSP PARA EL CONTROL DE POSICIÓN DE UN MOTOR DE INDUCCIÓN DE JAULA DE ARDILLA

Este articulo propone el control modo deslizante y el control por campo orientado usando referencia síncrona aplicada a un motor de inducción pequeño de jaula de ardilla utilizando modulación de largura de pulso espacio vectorial (SPWM) para el control de la posición y del torque, un procesador digital y el método de lazo cerrado con relé para evaluar los parámetros del controlador.Palabras clave: Espacio Vectorial, Modo de Control Deslizante, Procesador de Señal Digital (DSP), Controlador PID, Método Modificado de Ziegler-Nichol

A Photo Score for Aesthetic Outcome in Sagittal Synostosis:An ERN CRANIO Collaboration

European Reference Network (ERN) CRANIO is focused on optimizing care for patients with rare or complex craniofacial anomalies, including craniosynostosis and/or rare ear, nose, and throat disorders. The main goal of ERN CRANIO is to collect uniform data on treatment outcomes for multicenter comparison. We aimed to develop a reproducible and reliable suture-specific photo score that can be used for cross-center comparison of phenotypical severity of sagittal synostosis and aesthetic outcome of treatment. We conducted a retrospective study among nonsyndromic sagittal synostosis patients aged &lt;19 years. We included preoperative and postoperative photo sets from 6 ERN CRANIO centers. Photo sets included bird's eye, lateral, and anterior-posterior views. The sagittal synostosis photo score was discussed in the working group, and consensus was obtained on its contents. Interrater agreement was assessed with weighted Fleiss' Kappa and intraclass correlation coefficients.The photo score consisted of frontal bossing, elongated skull, biparietal narrowness, temporal hollowing, vertex line depression, occipital bullet, and overall phenotype. Each item was scored as normal, mild, moderate, or severe. Results from 36 scaphocephaly patients scored by 20 raters showed kappa values ranging from 0.38 [95% bootstrap CI: 0.31, 0.45] for biparietal narrowness to 0.56 [95% bootstrap CI: 0.47, 0.64] for frontal bossing. Agreement was highest for the sum score of individual items [intraclass correlation coefficients agreement 0.69 [95% CI: 0.57, 0.82]. This is the first large-scale multicenter study in which experts investigated a photo score to assess the severity of sagittal synostosis phenotypical characteristics. Agreement on phenotypical characteristics was suboptimal (fair-moderate agreement) and highest for the summed score of individual photo score items (substantial agreement), indicating that although experts interpret phenotypical characteristics differently, there is consensus on overall phenotypical severity.</p

Could the 2017 ILAE and the four-dimensional epilepsy classifications be merged to a new "Integrated Epilepsy Classification"?

Over the last few decades the ILAE classifications for seizures and epilepsies (ILAE-EC) have been updated repeatedly to reflect the substantial progress that has been made in diagnosis and understanding of the etiology of epilepsies and seizures and to correct some of the shortcomings of the terminology used by the original taxonomy from the 1980s. However, these proposals have not been universally accepted or used in routine clinical practice. During the same period, a separate classification known as the "Four-dimensional epilepsy classification" (4D-EC) was developed which includes a seizure classification based exclusively on ictal symptomatology, which has been tested and adapted over the years. The extensive arguments for and against these two classification systems made in the past have mainly focused on the shortcomings of each system, presuming that they are incompatible. As a further more detailed discussion of the differences seemed relatively unproductive, we here review and assess the concordance between these two approaches that has evolved over time, to consider whether a classification incorporating the best aspects of the two approaches is feasible. To facilitate further discussion in this direction we outline a concrete proposal showing how such a compromise could be accomplished, the "Integrated Epilepsy Classification". This consists of five categories derived to different degrees from both of the classification systems: 1) a "Headline" summarizing localization and etiology for the less specialized users, 2) "Seizure type(s)", 3) "Epilepsy type" (focal, generalized or unknown allowing to add the epilepsy syndrome if available), 4) "Etiology", and 5) "Comorbidities & patient preferences"

From North Africa to Latin America and back: comparative findings and theoretical reflections

Taking the different case studies of the book together, one general observation stands out: Key agents of socioeconomic contention, including movements by organized labor and the unemployed that were important in the run-up to the uprisings and that saw their political opportunities open up in the immediate aftermath of the revolutions, have since been effectively marginalized as political actors. The concluding chapter reflects on the causes of this weakness of socioeconomic contention by identifying comparative insights that emerge from the contributions to this volume and by situating them in the context of broader comparative and theoretical debates on the relationship between social movements and political change. More specifically, the chapter first discusses Egypt’s and Tunisia’s post-revolutionary trajectories from a comparative perspective. Second, it discusses these comparative findings in the light of experiences in Latin America. Third, drawing again on comparative scholarship on Latin America, the chapter offers a theoretical interpretation of some of the main dynamics observed in Egypt and Tunisia based on the notion of a popular-sector incorporation crisis. Fourth and finally, the chapter concludes with general implications and an outlook

Dark Energy Survey Year 1 results: weak lensing mass calibration of redMaPPer galaxy clusters

We constrain the mass--richness scaling relation of redMaPPer galaxy clusters identified in the Dark Energy Survey Year 1 data using weak gravitational lensing. We split clusters into 4×3 bins of richness λ and redshift z for λ≥20 and 0.2≤z≤0.65 and measure the mean masses of these bins using their stacked weak lensing signal. By modeling the scaling relation as ⟨M 200m |λ,z⟩=M 0 (λ/40) F ((1+z)/1.35) G , we constrain the normalization of the scaling relation at the 5.0 per cent level as M 0 =[3.081±0.075(stat)±0.133(sys)]⋅10 14 M ⊙ at λ=40 and z=0.35 . The richness scaling index is constrained to be F=1.356±0.051 (stat)±0.008 (sys) and the redshift scaling index G=−0.30±0.30 (stat)±0.06 (sys) . These are the tightest measurements of the normalization and richness scaling index made to date. We use a semi-analytic covariance matrix to characterize the statistical errors in the recovered weak lensing profiles. Our analysis accounts for the following sources of systematic error: shear and photometric redshift errors, cluster miscentering, cluster member dilution of the source sample, systematic uncertainties in the modeling of the halo--mass correlation function, halo triaxiality, and projection effects. We discuss prospects for reducing this systematic error budget, which dominates the uncertainty on M 0. Our result is in excellent agreement with, but has significantly smaller uncertainties than, previous measurements in the literature, and augurs well for the power of the DES cluster survey as a tool for precision cosmology and upcoming galaxy surveys such as LSST, Euclid and WFIRST