Interpreting in Palliative Care: A Continuing Education Workshop

Offers a curriculum for a daylong course for interpreters about palliative care, including lesson plans, handouts, presentation slides, and videos

Sexismo ambivalente y acoso escolar en estudiantes de secundaria de tres Instituciones Educativas de San Juan de Lurigancho. Lima, 2017

La presente investigación tuvo como objetivo general establecer la relación que existe entre el sexismo ambivalente y acoso escolar en estudiantes de secundaria de tres Instituciones Educativas de San Juan de Lurigancho. Lima, 2017. La muestra estuvo conformada por 700 estudiantes, 353 hombres y 347 mujeres, que oscilan entre edades de 14 a 17 años, en la cual se empleó el diseño no experimental, de corte transversal y de tipo correlacional. Se utilizaron dos instrumentos para la recolección de datos con su respectiva validez y confiabilidad, los cuales fueron la Escala de Detección del Sexismo en Adolescentes (DSA) de Cuadrado, Recio y Ramos (2007), adaptado por Acosta (2015) y el Autotest Cisneros de Acoso Escolar de Piñuel y Oñate (2005) adaptado por Ucañán (2015). El procesamiento de datos se realizó a través del Paquete Estadístico para Ciencias Sociales SPSS 22 y para la contrastación de hipótesis se empleó el coeficiente de correlación Rho de Spearman encontrando un valor p<0.05; por lo tanto se afirma que existe correlación entre sexismo y acoso escolar, la cual es de tipo directa (r =0.143) lo cual quiere decir; aquellos estudiantes que poseen niveles mayores de sexismo, presentan mayores niveles de acoso escolar

El clima laboral en el área administrativa de la Dirección de Protección Especial de una entidad pública en Lima, período 2018.

Para el desarrollo del trabajo de investigación se tomó como antecedentes los trabajos nacionales de diversos autores tales como Chávez de la Universidad Inca Garcilaso de la Vega y Castillo de la Universidad Pontifica Universidad Católica del Perú. A nivel internacional se hizo referencia de trabajos provenientes de la Universidad Autónoma de Madrid, España y de la Universidad Central del Ecuador, entre otros. El objetivo del trabajo de tesis fue identificar las características del clima laboral y sus componentes: la motivación, el comportamiento grupal y el ambiente físico en el área administrativa de la Dirección de Protección Especial del Ministerio de la Mujer y Poblaciones Vulnerables en Lima, durante el periodo 2018. La metodología de investigación es de enfoque descriptivo con un diseño no experimental de alcance transversal o transeccional. En las conclusiones de la investigación se determinó la necesidad de una revisión integral de las responsabilidades y una mejora en el diseño de puestos de trabajo el cual debe ser dinámico y adaptable a las nuevas responsabilidades de los trabajadores. Los contratos de trabajo deberían incluir diversas escalas de bonificaciones y premios por desempeño, lo cual influiría positivamente en la motivación de los trabajadores.For the development of the research work, the national works of various authors such as Chávez from the Inca Garcilaso de la Vega University and Castillo from the Pontifical Catholic University of Peru were taken as background. At the international level, reference was made to works from the Autonomous University of Madrid, Spain and the Central University of Ecuador, among others. The objective of the thesis work was to identify the characteristics of the work environment and its components: motivation, group behavior and the physical environment in the administrative area of the Special Protection Directorate of the Ministry of Women and Vulnerable Populations in Lima, during the period 2018. The research methodology is of a descriptive approach with a nonexperimental design of cross-sectional or transectional scope. In the conclusions of the investigation, the need for a comprehensive review of responsibilities and an improvement in the design of jobs was determined, which must be dynamic and adaptable to the new responsibilities of the workers. Employment contracts should include various scales of bonuses and awards for performance, which would positively influence the motivation of workers.RímacInnovación en gestión, administración pública y privad

Photoperiod in aquaculture of the sea urchin Arbacia dufresnii (Echinodermata: Echinoidea): Effects on gamete production and maturity

Introduction: Photoperiod is, together with temperature and food availability, one of the main stimuli in the regulation of gametogenesis in a wide variety of species. Objective: To evaluate the effect of photoperiod on the production of mature gametes in cultured Arbacia dufresnii. Methods: An experiment was carried out with three varying light-dark regimes/treatments: constant light (24 h light), neutral photoperiod (12 h light, 12 h darkness), and constant darkness (24 h darkness). Twenty females were used in each treatment. All were induced to spawn and, ten randomly selected females from each treatment were induced to spawn again after 30 days. After 60 days, spawning was induced in the remaining females. The gametes were collected in filtered seawater, fixed in Davidson solution, quantified and measured per individual in triplicate in a Sedgewick-Rafter chamber. To determine maturation, fertilization success was evaluated 30 minutes after fertilization. Results: Our results showed that in the aquaculture system, after only two months, mature gametes were obtained, and in the neutral light regime there were 10 times more gametes than the number produced in wild sea urchins during the spawn¬ing period in question. We also found that with a greater exposure to light, a lower number of mature gametes was produced. Conclusions: This study suggests the viability of the production of mature gametes in a short period of time as regards Arbacia dufresnii.Fil: Sepúlveda, Lucas Roberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; Argentina. Universidad Nacional de la Patagonia "San Juan Bosco"; ArgentinaFil: Fernandez, Jimena Pía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; Argentina. Universidad Nacional de la Patagonia "San Juan Bosco"; ArgentinaFil: Vera Piombo, Mercedes. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; Argentina. Universidad Nacional de la Patagonia "San Juan Bosco"; ArgentinaFil: Chaar, Florencia Belén. Universidad Nacional de la Patagonia "San Juan Bosco". Facultad de Ciencias Naturales - Sede Puerto Madryn. Instituto Patagónico del Mar; ArgentinaFil: Rubilar Panasiuk, Cynthia Tamara. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; Argentina. Universidad Nacional de la Patagonia "San Juan Bosco"; Argentin

SSITA: Seal Serving Institutional Transformation Assessment: Excelencia in Education & Portland State University

In the Spring of 2022, Portland State University was invited to participate in Excelencia in Education’s pilot Seal Serving Institutional Transformation Assessment or SSITA. This SSITA report is a preliminary institutional assessment of Portland State University’s (PSU) efforts to intentionally serve Latiné students and advance degree completion. Between now and June 2023, a committee of faculty, staff, and students will lead the effort to complete a Seal of Excelencia application. We will reach out to all parts of the institution to gather additional information, data, and stories about how units serve our growing Latiné student population. The next round of Seal of Excelencia recipients are announced in the early fall of 2023

beta(2 -&gt; 1) chicory and beta(2 -&gt; 1)-beta(2 -&gt; 6) agave fructans protect the human intestinal barrier function in vitro in a stressor-dependent fashion

Dietary fibers such as fructans can protect the intestinal epithelial barrier integrity, but the mechanisms underlying this protection are not completely understood. We aimed to study the protective effect of β(2→1)-β(2→6) branched graminan-type fructans (GTFs) on gut epithelial barrier function that was disrupted by three different agents which impact the barrier function via different cellular mechanisms. The effects of GTFs were compared with those of linear β(2→1) inulin-type fructans (ITFs). T84 intestinal epithelial monolayers were incubated with GTFs and ITFs. Afterwards, the monolayers were challenged with the barrier disruptors calcium ionophore A23187, 12-myristate 13-acetate (PMA) and deoxynivalenol (DON). Transepithelial resistance was measured with an electric cell-substrate impedance sensing system. All fructans studied prevented the barrier disruption induced by A23187. ITF II protected from the disruptive effects of PMA. However, none of the studied fructans influenced the disruption induced by DON. As a measure of disruption-induced inflammation, interleukin-8 (IL-8) production by the intestinal epithelium was determined by ELISA. The production of IL-8 induced by A23187 was decreased by all fructans, whereas IL-8 production induced by DON decreased only upon pre-treatment with ITF II. None of the studied fructans prevented PMA induced IL-8 production. GTFs just like ITFs can influence the barrier function and inflammatory processes in gut epithelial cells in a structure-dependent fashion. These distinct protective effects are dependent on the different signaling pathways that lead to gut barrier disruption

Development and validation of an Opioid Attractiveness Scale: a novel measure of the attractiveness of opioid products to potential abusers

BACKGROUND: The growing trends in opioid abuse, assessment of the abuse liability of prescription opioid products, and growing efforts by the pharmaceutical industry to develop 'abuse-resistant' formulations highlight a need to understand the features that make one product more 'attractive' than another to potential abusers. We developed a scale to measure the 'attractiveness' of prescription opioids to potential abusers, and used the scale to measure the relative attractiveness of 14 opioid analgesic products. METHODS: First, the concept of attractiveness was empirically defined with a group of prescription opioid abusers and experts in opioid abuse using a process called Concept Mapping. Abuse liability consisted of two components: factors intrinsic to the drug formulation (e.g., speed of onset, duration) and factors extrinsic to drug formulation (e.g., availability, availability of alternatives, cost). A 17-item Opioid Attractiveness Scale (OAS) was constructed, focusing on factors intrinsic to the drug product. RESULTS: A total of 144 individuals participated in tests of validity and reliability. Internal consistency was excellent (Cronbach's α = 0.85–0.94). Drug rankings based on OAS scores achieved good inter-rater agreement (Kendall's W 0.37, p < 0.001). Agreement on drug OAS scores between the developmental sample and a confirmation sample was good (IntraClass Correlations [ICC] of 0.65–0.69). Global ratings of overall attractiveness of the 14 selected opioid products by substance abuse counselors corresponded with the rankings based on OAS ratings of the abuser group. Finally, substance abuse counselors completed the OAS, yielding a high level of correspondence with ratings by the abuser group (ICC = 0.83, p = 0.002). The OAS differentiated attractiveness among 14 selected pharmaceutical opioid products. OxyContin, Dilaudid, and Percocet were ranked highest (most attractive); Talwin NX and Duragesic were ranked lowest (least attractive). CONCLUSION: An initial examination of the psychometric properties of the OAS suggests that it is a valid and reliable scale. The OAS may be useful in providing important guidance on product features that are attractive to potential abusers

Hot topics, urgent priorities, and ensuring success for racial/ethnic minority young investigators in academic pediatrics.

BackgroundThe number of racial/ethnic minority children will exceed the number of white children in the USA by 2018. Although 38% of Americans are minorities, only 12% of pediatricians, 5% of medical-school faculty, and 3% of medical-school professors are minorities. Furthermore, only 5% of all R01 applications for National Institutes of Health grants are from African-American, Latino, and American Indian investigators. Prompted by the persistent lack of diversity in the pediatric and biomedical research workforces, the Academic Pediatric Association Research in Academic Pediatrics Initiative on Diversity (RAPID) was initiated in 2012. RAPID targets applicants who are members of an underrepresented minority group (URM), disabled, or from a socially, culturally, economically, or educationally disadvantaged background. The program, which consists of both a research project and career and leadership development activities, includes an annual career-development and leadership conference which is open to any resident, fellow, or junior faculty member from an URM, disabled, or disadvantaged background who is interested in a career in academic general pediatrics.MethodsAs part of the annual RAPID conference, a Hot Topic Session is held in which the young investigators spend several hours developing a list of hot topics on the most useful faculty and career-development issues. These hot topics are then posed in the form of six "burning questions" to the RAPID National Advisory Committee (comprised of accomplished, nationally recognized senior investigators who are seasoned mentors), the RAPID Director and Co-Director, and the keynote speaker.Results/conclusionsThe six compelling questions posed by the 10 young investigators-along with the responses of the senior conference leadership-provide a unique resource and "survival guide" for ensuring the academic success and optimal career development of young investigators in academic pediatrics from diverse backgrounds. A rich conversation ensued on the topics addressed, consisting of negotiating for protected research time, career trajectories as academic institutions move away from an emphasis on tenure-track positions, how "non-academic" products fit into career development, racism and discrimination in academic medicine and how to address them, coping with isolation as a minority faculty member, and how best to mentor the next generation of academic physicians

Efficacy and Safety of IncobotulinumtoxinA in Subjects Previously Treated with Botulinum Toxin versus Toxin-Naïve Subjects with Cervical Dystonia

Background: To determine whether botulinum toxin treatment history affected the outcomes of a study comparing the safety and efficacy of incobotulinumtoxinA with placebo in subjects with cervical dystonia (CD). Methods: This was a prospective, double‐blind, randomized, placebo‐controlled, multicenter trial in botulinum toxin‐treated or toxin‐naïve CD subjects. Subjects received a fixed dose of either 120 U or 240 U of incobotulinumtoxinA or placebo. The primary outcome measure was change from baseline to Week 4 in the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) total score. Treatment‐emergent adverse events (TEAEs) were also evaluated. This report represents a subgroup analysis of botulinum toxin‐treated or toxin‐naïve subjects. Results: Participants (N = 233; 38.6% toxin‐naïve) had a mean age of 52.8 years. IncobotulinumtoxinA significantly improved TWSTRS total scores from baseline to Week 4 in both dose groups versus placebo, and the improvement persisted through the end of the study (≤20 weeks). Both the previously toxin‐treated and toxin‐naïve subjects demonstrated significant improvements in TWSTRS total scores at Week 4 compared to baseline. The most frequent TEAEs in the incobotulinumtoxinA groups were dysphagia, neck pain, and muscular weakness, which were generally mild. TEAEs were more common in the 240 U group and toxin‐naïve subjects. Discussion: Overall, incobotulinumtoxinA was safe and effective in CD, regardless of toxin therapy history. A lower starting dose may be better tolerated among toxin‐naïve subjects without sacrificing efficacy

“Liderazgo Transformacional y Clima Laboral en Empresa de Actividades Tecnológicas”

El objetivo de este estudio es analizar el liderazgo Transformacional en una empresa de actividades tecnológicas y su impacto en el clima laboral. Este trabajo de investigación comprende tres objetivos específicos. En el primero, es definir la relación entre el liderazgo transformacional y el clima laboral. En el segundo, se busca hacer un diagnóstico del liderazgo y el clima laboral en la empresa. El último objetivo específico, es proponer recomendaciones y soluciones para potenciar el liderazgo y el clima laboral y sus implicancias de decisión de dicha organización. La metodología utilizada en este trabajo es de tipo cualitativo, porque trata de un estudio de caso en base a experiencias. Para su desarrollo, se recogió información a través de entrevistas de los trabajadores de la misma empresa. El principal hallazgo es que parte importante de un buen clima laboral es que el líder considere y explote las habilidades de cada miembro del equipo y los hagan sentir importantes, de esa manera aflore lo mejor de cada trabajador. La conclusión principal, es que la ausencia del liderazgo transformacional es un problema para el éxito empresarial, ya que influye de manera negativa en los procesos de sus actividades laborales, debido a la inestabilidad emocional de sus colaboradores. Motivo por el cual, el potencial del mismo personal se vería opacado y estancaría el logro de las metas compartidas con la empresa.The objective of this study is to analyze Transformational leadership in a technological activities company and its impact on the work environment. This research work includes three specific objectives. The first is to define the relationship between transformational leadership and the work environment. In the second, we seek to make a diagnosis of the leadership and work environment in the company. The last specific objective is to propose recommendations and solutions to enhance the leadership and work environment and its decision implications for said organization. The methodology used in this work is qualitative, because it is a case study based on experiences. For its development, information was collected through interviews with workers from the same company. The main finding is that an important part of a good work environment is that the leader considers and exploits the abilities of each team member and makes them feel important, thus bringing out the best in each worker. The main conclusion is that the absence of transformational leadership is a problem for business success, since it negatively influences the processes of its work activities, due to the emotional instability of its collaborators. For this reason, the potential of the same personnel would be overshadowed and the achievement of the goals shared with the company would stagnate.Trabajo de Suficiencia Profesiona