Optimal attainment, high performance standards and flow in health professionals, professors and university students. An introductory approximation

Optimizar el rendimiento personal, académico o profesional y ser competitivos en un marco de excelencia, tanto en la vida personal como laboral, puede ser un reto gratificante o por el contrario, convertirse en una experiencia que afecte a la salud o se viva con estrés y afectividad negativa. En el entorno laboral y académico, con el desarrollo de la inteligencia social y emocional, entender que puede aspirarse a rendimientos óptimos o altos desempeños no solo sin perjudicar la salud, sino incluso incrementando los niveles de satisfacción personal y bienestar psicológico, es una interesante aportación. En este trabajo se presenta una aproximación inicial teórica, centrada en los constructos psicológicos de rendimiento cumbre, patrones de alto desempeño y flow. Igualmente se expone una investigación experimental con diseño ex post facto cuyo objetivo es estudiar la calidad de la experiencia en distintos colectivos profesionales y universitarios y explorar las relaciones entre el constructo flow y otras variables psicológicas afines: afecto positivo, bienestar psicológico, autoeficacia, autoconcordancia, absorción, placer e interés intrínseco. La muestra está compuesta por 294 sujetos, profesionales sanitarios y estudiantes universitarios. Los resultados obtenidos muestran altas correlaciones con las variables afines al flow y que algunas de estas, son capaces de predecir parte de la varianza del mismo, del placer y de la absorción. Estos resultados se pueden considerar interesantes para delimitar la naturaleza del flow y sus relaciones con otros constructos afines.To optimize personal, academic or professional performance and remain competitive amid standards of excellence, both in personal life and at work, can be a gratifying challenge or lead to stress and a negative impact on a person's health and overall productivity. It is interesting, however, with the development of social and emotional intelligence, to consider that in professional and academic spheres it is possible to aspire to optimal performance not only without generating negative health outcomes but actually increasing personal satisfaction and psychological wellbeing. This revision presents an initial research and theoretical approximation to the hypothesis concentrating on psychological constructs of optimal attainment, high performance standards and flow. It also presents an experimental research with ex post facto design whose goal is to study the quality of the experience in different professional and university groups and explore the relations between the flow construct and other related psychological variables: positive fondness, psychological wellness, self-efficacy, self-concordance, absorption, pleasure and intrinsic interest. The sample consists of 294 subjects, health professionals and university students. The results obtained show high correlations with the variables related to flow, and some of these are able to predict part of its variance, in pleasure and in absorption. These results can be considered interesting in order to determine the nature of flow in different professionals and its relationship with other related constructs

Comorbidities in Chilean patients with psoriasis: a Global Healthcare Study on Psoriasis

Background: Psoriasis is a chronic inflammatory skin disease associated with several important medical comorbidities. There are scant data available on the comorbidities of patients with psoriasis in South America. Aim: To examine the comorbidity profile of adult patients with psoriasis in Chile and its association with severity of psoriasis. Methods: This was a multicentre, cross-sectional study involving 16 hospitals and clinics in Chile, which used a 48-item questionnaire to study clinician- and patient-reported outcomes and comorbidities. Inferential analyses were performed by psoriasis severity, using Fisher exact test, Student t-test and multivariable logistic regression. Results: In total, 598 adult patients with psoriasis were included (51.1% male; mean age 49.2 ± 15.1 years); 48.5% mild and 51.4% moderate to severe; Psoriasis Area and Severity Index 11.6 ± 11.5; body surface area 14.7 ± 18.2%. Plaque psoriasis was the most common phenotype (90.2%), followed by guttate (13.4%). Psoriatic arthritis occurred in 27.3% of patients. Comorbidities were reported in 60.2% of all patients with psoriasis. Frequent concomitant diseases were obesity (25.3%), hypertension (24.3%), Type 2 diabetes mellitus (T2DM) (18.7%), dyslipidaemia (17.4%), metabolic syndrome (16.7%) and depression (14.4%). After adjustment, significant associations were found between moderate to severe psoriasis and obesity, T2DM and nonalcoholic fatty liver disease (NAFLD) compared with mild psoriasis. Conclusions: We report a large study of comorbidities, including depression, dyslipidaemia, T2DM and NAFLD, in people with psoriasis in Chile. The prevalence of comorbidities with psoriasis in Chile appears similar to that found in Western countries, and emphasizes the importance of assessing patients with psoriasis for risk factors for and presence of, comorbid disease in a multidisciplinary setting

Association of a single nucleotide polymorphism combination pattern of the Klotho gene with non-cardiovascular death in patients with chronic kidney disease

Chronic kidney disease (CKD) is associated with an elevated risk of all-cause mortality, with cardiovascular death being extensively investigated. However, non-cardiovascular mortality represents the biggest percentage, showing an evident increase in recent years. Klotho is a gene highly expressed in the kidney, with a clear influence on lifespan. Low levels of Klotho have been linked to CKD progression and adverse outcomes. Single nucleotide polymorphisms (SNPs) of the Klotho gene have been associated with several diseases, but studies investigating the association of Klotho SNPs with noncardiovascular death in CKD populations are lacking. The main aim of this study was to assess whether 11 Klotho SNPs were associated with non-cardiovascular death in a subpopulation of the National Observatory of Atherosclerosis in Nephrology (NEFRONA) study (n ¼ 2185 CKD patients). After 48 months of follow-up, 62 cardiovascular deaths and 108 non-cardiovascular deaths were recorded. We identified a high non-cardiovascular death risk combination of SNPs corresponding to individuals carrying the most frequent allele (G) at rs562020, the rare allele (C) at rs2283368 and homozygotes for the rare allele (G) at rs2320762 (rs562020 GG/AG þ rs2283368 CC/CT þ rs2320762 GG). Among the patients with the three SNPs genotyped (n ¼ 1016), 75 (7.4%) showed this combination. Furthermore, 95 (9.3%) patients showed a low-risk combination carrying all the opposite genotypes (rs562020 AA þ rs2283368 TT þ rs2320762 GT/TT). All the other combinations [n ¼ 846 (83.3%)] were considered as normal risk. Using competing risk regression analysis, we confirmed that the proposed combinations are independently associated with a higher fhazard ratio [HR] 3.28 [confidence interval (CI) 1.51-7.12]g and lower [HR 6 × 10- (95% CI 3.3 × 10--1.1 × 10-)] risk of suffering a non-cardiovascular death in the CKD population of the NEFRONA cohort compared with patients with the normal-risk combination. Determination of three SNPs of the Klotho gene could help in the prediction of non-cardiovascular death in CKD

Slavery and the african cultural legacy in the Caribbean

Con autorización de la editorial para este libro.[EN] The purpose of this book is to raise awareness among a wide audience of one of the most significant and shameful phenomena for humanity, as was the enslavement of over twelve and a half million Africans who were brought to America and forced to work and live as slaves. Many countries participated in the slave trade at different times and withvaried intensity (Great Britain, Portugal, France, Spain, Denmark, Netherlands, Germany, United States...).[ES] El propósito de esta obra es dar a conocer a un público amplio uno de los fenómenos de mayor trascendencia y vergüenza para la humanidad como fue la esclavización de más de doce millones y medio de africanos que fueron trasladados a América, obligados a trabajar y vivir como esclavos. Muchos países participaron en la trata de esclavos en distintos momentos y con diferente intensidad (Gran Bretaña, Portugal, Francia, España, Dinamarca, Países Bajos, Alemania, Estados Unidos…).Connected Worlds: The Caribbean, Origin of Modern World. This project has received funding from the European Union´s Horizon 2020 research and innovation programme under the Marie Sklodowska Curie grant agreement Nº 823846. This project is directed by professor Consuelo Naranjo Orovio, Institute of History-CSIC.Peer reviewe

Microwave-induced fast crystallization of amorphous hierarchical anatase microspheres

The fabrication of hierarchical anatase microspheres with potential photocatalytic properties eventually comprises a consolidation step in which a high degree of crystalline order is typically achieved through conventional electric heating treatments. This however entails a substantial reduction in the specific surface area and porosity of the powders, with the consequent deterioration in their photocatalytic response. Here, we have tested the employ of microwave heating as an alternative energy-saving sintering method to promote fast crystallization. The results obtained suggest that under the microwave radiation, the TiO(2) hierarchical structures can effectively crystallize in a drastically reduced heating time, allowing the specific surface area and the porosity to be kept in the high values required for an improved photocatalytic performance