Proyecto EMI (Español para Mujeres Inmigrantes): Una propuesta alternativa.

Sin resume

Innovación digital en el aula de matemáticas: desarrollo de materiales docentes como apoyo en la enseñanza

La propuesta que se presenta forma parte de un proyecto de innovación docente, vinculado al servicio de producción e innovación digital de la Universidad de Salamanca, desarrollado en el curso 2015-16. En la asignatura de Matemáticas, cuyos contenidos tratan sobre Geometría y su didáctica, se generaron vídeos teórico prácticos, centrados en el recurso didáctico de la papiroflexia

Role of Empathy and Lifelong Learning Abilities in Physicians and Nurses Who Work in Direct Contact with Patients in Adverse Working Conditions

This research and the APC were funded by Fundacion Rioja Salud, reference funds FPBIO-2022.Empathy and lifelong learning are two professional competencies that depend on the four principles of professionalism: humanism, altruism, excellence, and accountability. In occupational health, there is evidence that empathy prevents work distress. However, in the case of lifelong learning, the evidence is still scarce. In addition, recent studies suggest that the development of lifelong learning varies in physicians and nurses and that it is sensitive to the influence of cultural stereotypes associated with professional roles. This study was performed with the purpose of determining the specific role that empathy and lifelong learning play in the reduction in occupational stress. This study included a sample composed by 40 physicians and 40 nurses with high dedication to clinical work in ambulatory consultations from a public healthcare institution in Paraguay. Somatization, exhaustion, and work alienation, described as indicators of occupational stress, were used as dependent variables, whereas empathy, lifelong learning, gender, discipline, professional experience, civil status, and family burden were used as potential predictors. Three multiple regression models explained 32% of the variability of somatization based on a linear relationship with empathy, lifelong learning, and civil status; 73% of the variability of exhaustion based on a linear relationship with empathy, somatization, work alienation, and discipline; and 62% of the variability of work alienation based on a linear relationship with lifelong learning, exhaustion, and discipline. These findings indicate that empathy and lifelong learning play important roles in the prevention of work distress in physicians and nurses. However, this role varies by discipline.Fundacion Rioja Salu

Inter-Professional Collaboration and Occupational Well-Being of Physicians Who Work in Adverse Working Conditions

Inter-professional collaboration, empathy and lifelong learning, components of medical professionalism, have been associated with occupational well-being in physicians. However, it is not clear whether this role persists in adverse working conditions. This study was performed to assess whether this is the case. These three abilities, and the self-perception of somatization, exhaustion and work alienation, were measured in a sample of 60 physicians working in a hospital declared to be in an institutional emergency. A multiple regression model explained 40% of the variability of exhaustion, with a large effect size (Cohen’s-f 2 = 0.64), based on a linear relationship with teamwork (p = 0.01), and more dedication to academic (p < 0.001) and management activities (p < 0.003). Neither somatization nor alienation were predicted by empathy or lifelong learning abilities. Somatization, exhaustion, or alienation scores either explained empathy, inter-professional collaboration or lifelong learning scores. These findings indicate that, in adverse working environments, physicians with a greater sense of inter-professional collaboration or performing multi-task activities are more exposed to suffering exhaustion.Fundación Rioja Salu

The informal social support for autonomy and dependence in pain inventory Spanish version

Social support plays a crucial role in the quality of life of people with chronic pain. The Informal Social Support for Autonomy and Dependence in Pain Inventory assesses two functions of received social support: the promotion of autonomy and the promotion of dependence. The aim of this cross-sectional study was to adapt this instrument for its use in the Spanish population. The sample comprised 256 individuals with chronic pain. Participants were recruited through two local associations of people with fibromyalgia, a physiotherapy unit and a hospital pain unit. The data were collected in Spain between October 2018 and January 2020. The structure of the questionnaire was analysed using confirmatory factor analysis, average variance extracted, composite reliability and internal consistency indexes, and inter-correlations between the scales. The criterion-related validity of the instrument was analysed by investigating its relationship with pain intensity, positive and negative affect, daily functioning, activity impairment, wellbeing and satisfaction with life. The structure with the best fit had four related factors: emotional social support for the promotion of autonomy; instrumental social support for the promotion of autonomy; emotional social support for the promotion of dependence and instrumental social support for the promotion of dependence. The scales showed adequate internal consistency. An association was found between higher levels of instrumental social support for the promotion of dependence and higher levels of pain-related disability and decreased daily functioning. An association was also found between the promotion of autonomy and increased satisfaction with life. The Spanish version of the inventory shows appropriate psychometric properties. In the setting of disability prevention, this instrument is useful in assessing the support relationships between people with chronic pain and their relatives.info:eu-repo/semantics/publishedVersio

Perioperative management in thoracic surgery.

Thoracic surgery has undergone significant advances in recent years related to anesthetic and surgical techniques and the prevention and management of complications related to the procedure. This has allowed improvements in patient clinical outcomes in surgeries of this kind. Despite the above, thoracic surgery, especially related to pulmonary resection, is not without risk, and is associated to considerable morbidity and mortality. Fast track or enhanced recovery after anesthesia protocols, minimally invasive surgery, and intraoperative anesthetic management improve the prognosis and safety of thoracic surgery. Patients in the postoperative period of major thoracic surgery require intensive surveillance, especially the first 24–72h after surgery. Admission to the ICU is especially recommended in those patients with comorbidities, a reduced cardiopulmonary reserve, extensive lung resections, and those requiring support due to life-threatening organ failure. During the postoperative period, intensive cardiorespiratory monitoring, proper management of thoracic drainage, aggressive pain control (multimodal analgesia and regional anesthetic techniques), nausea and multimodal rehabilitation are key elements for avoiding adverse events. Medical complications include respiratory failure, arrhythmias, respiratory infections, atelectasis and thromboembolic lung disease. The most frequent surgical complications are hemothorax, chylothorax, bronchopleural fistula and prolonged air leakage. The multidisciplinary management of these patients throughout the perioperative period is essential in order to ensure the best surgical outcomes.post-print512 K

Interactions, star formation and extended nebulae in SDSS type 2 quasars at 0.3<~ z <~ 0.6

We present long-slit spectroscopy and imaging data obtained with FORS2 on the Very Large Telescope of 13 optically selected type 2 quasars at z~0.3-0.6 from the original sample of Zakamska et al. (2003). The sample is likely to be affected by different selection biases. We investigate the evidence for: a) mergers/interactions b) star formation activity in the neighborhood of the quasars and c) extended emission line regions and their nature. Evidence for mergers/interactions is found in 5/13 objects. This is a lower limit for our sample, given the shallowness of most of our continuum images. Although AGN photoionization cannot be totally discarded, line ratios consistent with stellar photoionization are found in general in companion galaxies/knots/nuclei near these same objects. On the contrary, the gas in the neighborhood of the quasar nucleus shows line ratios inconsistent with HII galaxies and typical of AGN photoionized nebulae. A natural scenario to explain the observations is that star formation is ongoing in companion galaxies/knots/nuclei, possibly triggered by the interactions. These systems are, therefore, composite in their emission line properties showing a combination of AGN and star formation features. Extended emission line regions (EELRs) have been found in 7/13 objects, although this fraction might be higher if a complete spatial coverage around the quasars was performed. The sizes vary between few and up to 64 kpc. In general, the EELRs apparently consist of an extended nebula associated with the quasar. In at least one case the EELR is associated with ionized tidal features.Comment: Accepted for publication in MNRAS. 19 pages, 30 figure

Bosonization on the lattice: the emergence of the higher harmonics

A general and transparent procedure to bosonize fermions placed on a lattice is presented. Harmonics higher than $k_F$ are shown to appear in the one-paticle Green function, due to the compact character of real electron bands. Quantitative estimations of the role of these higher harmonics are made possible by the bosonization technique presented here.Comment: Pages: 15 (REVTEX 3.0) plus 4 postscript figures appended at the end of the tex