Pain coping strategies and quality of life in patients diagnosed of fibromyalgia

Objetivo: El objetivo de la investigación se centra en el estudio de las estrategias de afrontamiento utilizada por el paciente para hacer frente a su dolor, siendo definidas estas como los pensamientos y acciones que los individuos realizan en sus esfuerzos por manejar el dolor, y su repercusión sobre la calidad de vida del paciente. Material y métodos: La muestra del estudio está formada por 32 mujeres diagnosticadas de fibromialgia que acuden por primera vez al Servicio de Psicología de la Unidad Multidisciplinar del Dolor en el Consorcio Hospital General Universitario de Valencia previa exploración médica. Los pacientes completaron una batería de cuestionarios donde además de recoger las variables sociodemográficas (edad, sexo, estado civil, nivel de estudios), se evaluó el nivel de dolor informado a través del EVA (escala analógica visual), valoración del dolor (por ejemplo, "el dolor depende de mí", "puedo anticipar cuándo me va a doler"...), las estrategias de afrontamiento al dolor a partir del cuestionario de afrontamiento al dolor (CAD) y el cuestionario de calidad de vida ICV-2R. Resultados y conclusiones: A nivel descriptivo, los resultados muestran que las pacientes informan de un nivel de dolor moderadamente elevado, siendo las estrategias de afrontamiento al dolor más utilizadas, la autoafirmación y la búsqueda de información, y presentando un índice de calidad de vida inferior al de la población general. A nivel correlacional, no se ha encontrado ninguna relación significativa entre el índice general de calidad de vida y las estrategias de afrontamiento al dolor, aunque el uso de estrategias de afrontamiento más bien pasivas (como por ejemplo, la religión) se asocian significativa y positivamente con la dimensiones de calidad de vida que implican cierto grado de desadaptación por parte del paciente a la enfermedad, mientras que el uso de estrategias más activas ante el dolor (por ejemplo, distracción y autocontrol mental) se relacionan significativa y negativamente con dichas dimensionesObjective: The objective of this research focused on the study of coping strategies used by patients to face pain, these being defined as the thoughts and actions taken by individuals in their efforts to handle pain and their impact on the patient quality of life. Material and methods: The study population included 32 women diagnosed of fibromyalgia that attended for the first time the Psychology Service of the Multidisciplinary Pain Unit at the Consorcio Hospital General Universitario de Valencia prior medical examination. The patients completed a set of questionnaires that, in addition to obtain sociodemographic variables (age, sex, marital status, educational level), the following was assessed: pain severity determined using a VAS (visual analogic scale), pain valuation (for example, "pain depends on me", "I can anticipate when it is going to hurt"...), pain coping strategies based on the pain coping questionnaire (PCQ) and the quality of life questionnaire ICV-2R. Results and conclusions: At the descriptive level, the results show that the patients reported a moderately severe pain, being self-assertion and information seeking the pain coping strategies more frequently used. Furthermore, they presented a quality of life index lower than the general population. At the correlational level, no significant relationship has been found between the general quality of life index and the pain coping strategies, although the use of more passive coping strategies (such as religion) are significantly and positively associated to dimensions of quality of life that involve certain degree of maladjustment of the patient to the disease, while the use of more active pain coping strategies (such as distraction and mental self-control) are significantly and negatively associated to such dimensions.Psicologí

Asserta medica ... ad mente[m] ... Hipps. apertendam publicae disputationi

Cartel anunciador de la disertaciónCopia digital. Madrid : Ministerio de Educación, Cultura y Deporte. Subdirección General de Coordinación Bibliotecaria, 2016Fecha en tít. : 1780Texto enmarcado en grab. calc.Grab. calc. de águila bicéfala:"D. Joachimus Rodriguez de Munera, Inventor. Alagarda d. et sculp. Oriolae. P.C. Tip.

Alberta Stroke Program Early CT Score applied to CT angiography source images is a strong predictor of futile recanalization in acute ischemic stroke

The final publication is available at Springer via http://dx.doi.org/10.1007/s00234-016-1652-7Introduction Reliable predictors of poor clinical outcome despite successful revascularization might help select patients with acute ischemic stroke for thrombectomy. We sought to determine whether baseline Alberta Stroke Program Early CT Score (ASPECTS) applied to CT angiography source images (CTA-SI) is useful in predicting futile recanalization. Methods Data are from the FUN-TPA study registry (ClinicalTrials.gov; NCT02164357) including patients with acute ischemic stroke due to proximal arterial occlusion in anterior circulation, undergoing reperfusion therapies. Baseline non-contrast CT and CTA-SI-ASPECTS, timelapse to image acquisition, occurrence, and timing of recanalization were recorded. Outcome measures were NIHSS at 24 h, symptomatic intracranial hemorrhage, modified Rankin scale score, and mortality at 90 days. Futile recanalization was defined when successful recanalization was associated with poor functional outcome (death or disability). Results Included were 110 patients, baseline NIHSS 17 (IQR 12; 20), treated with intravenous thrombolysis (IVT; 45 %), primary mechanical thrombectomy (MT; 16 %), or combined IVT+MT (39 %). Recanalization rate was 71 %, median delay of 287 min (225; 357). Recanalization was futile in 28 % of cases. In an adjusted model, baseline CTA-SI-ASPECTS was inversely related to the odds of futile recanalization (OR 0.5; 95 % CI 0.3–0.7), whereas NCCT-ASPECTS was not (OR 0.8; 95 % CI 0.5–1.2). A score ≤5 in CTA-SIASPECTS was the best cut-off to predict futile recanalization (sensitivity 35 %; specificity 97 %; positive predictive value 86 %; negative predictive value 77 %). Conclusions CTA-SI-ASPECTS strongly predicts futile recanalization and could be a valuable tool for treatment decisions regarding the indication of revascularization therapie

TransLectures

transLectures (Transcription and Translation of Video Lectures) is an EU STREP project in which advanced automatic speech recognition and machine translation techniques are being tested on large video lecture repositories. The project began in November 2011 and will run for three years. This paper will outline the project¿s main motivation and objectives, and give a brief description of the two main repositories being considered: VideoLectures.NET and poliMedia. The first results obtained by the UPV group for the poliMedia repository will also be provided.The research leading to these results has received funding from the European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement no. 287755. Funding was also provided by the Spanish Government (iTrans2 project, TIN2009-14511; FPI scholarship BES-2010-033005; FPU scholarship AP2010-4349)Silvestre Cerdà, JA.; Del Agua Teba, MA.; Garcés Díaz-Munío, GV.; Gascó Mora, G.; Giménez Pastor, A.; Martínez-Villaronga, AA.; Pérez González De Martos, AM.... (2012). TransLectures. IberSPEECH 2012. 345-351. http://hdl.handle.net/10251/3729034535

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

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

Sobre el diseño y las exposiciones en la Sala Hall

Puyuelo Cazorla, M.; Pastor Castillo, FJ. (2021). Sobre el diseño y las exposiciones en la Sala Hall. En Todo sobre diseño/All about design. Una década de exposiciones de diseño en la Sala Hall/ A decade of design exhibitions in the Hall. Editorial Universitat Politècnica de València. http://hdl.handle.net/10251/16668

Spread of a SARS-CoV-2 variant through Europe in the summer of 2020

[EN] Following its emergence in late 2019, the spread of SARS-CoV-21,2 has been tracked by phylogenetic analysis of viral genome sequences in unprecedented detail3,4,5. Although the virus spread globally in early 2020 before borders closed, intercontinental travel has since been greatly reduced. However, travel within Europe resumed in the summer of 2020. Here we report on a SARS-CoV-2 variant, 20E (EU1), that was identified in Spain in early summer 2020 and subsequently spread across Europe. We find no evidence that this variant has increased transmissibility, but instead demonstrate how rising incidence in Spain, resumption of travel, and lack of effective screening and containment may explain the variant’s success. Despite travel restrictions, we estimate that 20E (EU1) was introduced hundreds of times to European countries by summertime travellers, which is likely to have undermined local efforts to minimize infection with SARS-CoV-2. Our results illustrate how a variant can rapidly become dominant even in the absence of a substantial transmission advantage in favourable epidemiological settings. Genomic surveillance is critical for understanding how travel can affect transmission of SARS-CoV-2, and thus for informing future containment strategies as travel resumes.S

Çédille, revista de estudios franceses

Presentació

Variables psicológicas implicadas en la actitud e iniciativa emprendedora (II): personalidad, cognición y emoción

El proyecto titulado: Variables implicadas en la actitud e iniciativa emprendedora (II): personalidad, cognición y emoción, es la continuidad de otro presentado en la convocatoria anterior (2016-2017) cuyo objetivo era evaluar variables psicológicas en la actitud emprendedora de los estudiantes universitarios de la Universidad Complutense de Madrid (UCM). Este segundo proyecto ha tenido por objetivo principal ampliar la evaluación a otras facultades y áreas de conocimiento de nuestra universidad a fin de obtener el mapa y perfil de la iniciativa emprendedora del universitario UCM

El ingreso en la unidad de cuidados intensivos: la repercusión en el familiar del paciente

During the patients' ICU stay, relatives can experience stress, anxiety, disorganization, helplessness, confusion, concern, anger, blame, frustration, depression, uncertainty, etc., and their expressed basic needs are hope, confidence, appropriate equipment, flexible hourly of visits, psychological support, etc. However, the most important need is the information, which must be honest and with-out inconsistencies or contradictions. Given the individual differences of the relatives with regard of the amount of desired information, it should be convenient to realize a previous assessment to adapt the information to their needs. Thereby, it should be of great interest to realize studies destined to analyse what is the best moment to provide the information and through what channels. Moreover, the evidence of diverse psycho-logical disturbances in relatives during treatment and recovery process of the patient's critical illness, lead to the establishment of the utility of an initial assessment of the psychological status of relatives aimed to detect symptoms of disturbances in that moment as well as vulnerability factors that can predict future problems. It should be useful too a follow-up after discharge to identify the possible difficulties and to provide an appropriate support, in which application should be of great utility the psychologist as member of multidisciplinary team.Durante la estancia de un paciente en una UCI, sus familiares pueden experimentar: estrés, ansiedad, des-organización, sentimientos de desamparo, confusión, preocupación, irritabilidad, culpa, frustración, depresión, incertidumbre, etc., siendo las necesidades básicas manifestadas por los mismos el mantenimiento de la esperanza, confianza, la existencia de unas instalaciones apropiadas, de unos horarios de visita flexibles, apoyo psicológico, etc. No obstante, la necesidad considerada como más importante es la información, la cual debe ser adecuada, honesta, y al mismo tiempo carente de inconsistencias o contradicciones. Dadas las diferencias individuales de los familiares respecto a la cantidad de información deseada, sería conveniente realizar una valoración previa que permitiese adaptar la información a las necesidades del destinatario. Del mismo modo, podría resultar de gran utilidad la realización de estudios destinados a analizar cuál es el mejor momento para proporcionar la información y a través de qué canales. Además, la constatación de diversas alteraciones psicológicas en los familiares durante el proceso de tratamiento y recuperación de la enfermedad crítica del paciente, llevan al planteamiento de la utilidad de una exploración inicial del estado psicológico de los familiares con el objetivo de detectar tanto la existencia de síntomas indicadores de una alteración en ese momento, como de factores de vulnerabilidad que puedan predecir el desarrollo de los mismos, así como de un seguimiento en los meses sucesivos, con el objetivo de identificar las dificultades que puedan aparecer y proporcionar un apoyo apropiado, en cuya aplicación podría resultar de gran utilidad la figura del psicólogo como miembro integrante de un equipo multidisciplinar