De la respuesta a la locura, a la locura como respuesta

Se presenta el caso clínico de una mujer de cuarenta años de edad que es atendida en el Servicio de Urgencias (por recomendación de su hija) al contactar con su difunto cuñado, y sentirlo 'como si estuviera dentro de ella'. La paciente comentó que el fallecido le había trasmitido que deseaba que su viuda rehiciera su vida de pareja y familiar. Durante la observación psicopatológica se aprecia, entre otros datos, verbalizaciones de ideas de perjuicio. La hija de la paciente especifica reiteradamente que existía una asociación entre la toma de tratamiento anticonceptivo con dispositivo intrauterino hormonal (levonorgestrel) y síntomas premórbidos (caracterizados por apatía, abulia y abandono parcial de sus tareas cotidianas). Se planteó el diagnóstico diferencial entre un trastorno psicótico de debut o un trastorno disociativo, a descartar una posible inducción del tratamiento hormonal. La evolución clínica y el conocimiento de la situación vital de la paciente permitirá discernir el cuadr

Effect of a dietary intervention based on the mediterranean diet on the quality of life of patients recovered from depression: analysis of the PREDIDEP randomized trial

Introduction: There is substantial evidence supporting that improving diet quality leads to improved healthrelated quality of life (HRQoL). Our major aim was to assess the effectiveness of a Mediterranean diet–based nutritional intervention to improve HRQoL in the context of a secondary prevention trial of depression. Secondarily to assess its effectiveness among adults aged 60 or more years. Methods: The PREDIDEP study is a 2-year multicentre, randomized, single-blinded nutritional trial. At baseline and at 1-year and 2-year follow-up, SF-36 health survey questionnaire was collected to evaluate participants' HRQoL (total and specific range for each of the 8 dimensions: 0 to 100 points). Mixed effect linear models were used to assess changes in HRQoL according to adherence to the Mediterranean diet. The trial was registered at ClinicalTrials.gov NCT03081065. Results: After 2 years of intervention, the Mediterranean Diet intervention group compared to control group (without nutritional intervention, only usual clinical care) showed an improvement in some dimensions of HRQoL such as Mental Health (7.22; 95 % CI = 2.22–12.22) (between-group difference: 6.79; 95 % CI − 0.14–13.73, p = 0.055); Vitality (9.51; 95 % CI = 4.00–15.03) (between-group difference: 9.00; 95 % CI 1.75–16.25, p = 0.020); Mental Summary Component (2.83; 95 % CI = 0.55–5.11) (between-group difference: 1.17; 95 % CI = − 1.96–4.30, p = 0.462); and General Health (10.70; 95 % CI = 5.58–15.81) (between-group difference: 6.20; 95 % CI = − 0.89–13.28, p = 0.086). Similar results were observed for participants aged 60 or more years. Conclusion: The intervention based on Mediterranean diet in patients with previous depression seems to be effective in improving HRQoL, especially the mental dimensions. This effect is also observed among participants aged 60 or more years.This study was externally funded by the Spanish Ministry of Science and Innovation (Carlos III National Health Institute-ISCIII), PI16/01274

De la respuesta a la locura, a la locura como respuesta

Se presenta el caso clínico de una mujer de cuarenta años de edad que es atendida en el Servicio de Urgencias (por recomendación de su hija) al contactar con su difunto cuñado, y sentirlo 'como si estuviera dentro de ella'. La paciente comentó que el fallecido le había trasmitido que deseaba que su viuda rehiciera su vida de pareja y familiar. Durante la observación psicopatológica se aprecia, entre otros datos, verbalizaciones de ideas de perjuicio. La hija de la paciente especifica reiteradamente que existía una asociación entre la toma de tratamiento anticonceptivo con dispositivo intrauterino hormonal (levonorgestrel) y síntomas premórbidos (caracterizados por apatía, abulia y abandono parcial de sus tareas cotidianas). Se planteó el diagnóstico diferencial entre un trastorno psicótico de debut o un trastorno disociativo, a descartar una posible inducción del tratamiento hormonal. La evolución clínica y el conocimiento de la situación vital de la paciente permitirá discernir el cuadr

A comparison of robotic walking therapy and conventional walking therapy in individuals with upper versus lower motor neuron lesions: A randomized controlled trial

To compare a walking reeducation program with robotic locomotor training plus overground therapy (LKOGT) to conventional overground training (OGT) in individuals with incomplete upper motor neuron (UMN) or lower motor neuron (LMN) injuries having either traumatic or nontraumatic nonprogressive etiology.2.565 JCR (2014) Q1, 7/64 Rehabilitation, 14/81 Sport sciencesUE

Effectiveness and safety of a glutaraldehyde-modified, L-tyrosine-adsorbed and monophosphoryl lipid A-Adjuvanted allergen immunotherapy in patients with allergic asthma sensitized to olive pollen: A retrospective, controlled real-world study.

Allergy to olive pollen is one of the primary causes of allergic asthma in Spain. Even though allergen immunotherapy (AIT) has shown clinical benefits in patients sensitized to different allergens, studies in asthmatic patients sensitized to olive pollen are insufficient. To assess the effectiveness and safety of an ultra-short course of AIT with an L-tyrosine-adsorbed and monophosphoryl lipid A-adjuvanted olive pollen and olive/grass pollen extract (Pollinex Quattro®) in patients with allergic asthma in the real-world setting. Retrospective, controlled study including patients with asthma, with and without allergic rhinitis, caused by sensitization to olive pollen from 11 centers in Spain. Patients received out-of-season (October-March) treatment with AIT in addition to their pharmacological treatment (active group) or pharmacological treatment (control group). Effectiveness variables, including unscheduled visits to the healthcare center, emergency room admissions, symptoms of asthma and rhinitis (following GEMA and ARIA classifications, respectively), and use of medication to treat asthma and rhinitis during the subsequent pollen season were compared between treatment groups. Of 131 study patients, 42 were treated with their usual asthma medication (control group) and 89 were treated with AIT (active group), either Pollinex Quattro® 100% olive pollen (n = 43, 48.3%) or 50% olive pollen/50% grass pollen (n = 46, 51.7%). Patients' demographic and clinical characteristics were similar between groups. The mean (SD) number of unscheduled visits to a healthcare center and emergency room admissions due to allergy symptoms was 2.19 (1.40) and 0.43 (0.63) in the control group, and 1.09 (1.25) and 0.11 (0.51) in the active group (P = 0.001 and P = 0.006, respectively). Severity and control of asthma symptoms remained unchanged (P = 0.347 and P = 0.179, respectively), rhinitis type improved (P = 0.025), and severity remained unchanged in the active compared to the control group. The use of short-acting beta-agonists and inhaled corticosteroids to treat asthma symptoms decreased in the active vs. the control group (P = 0.001 and P = 0.031, respectively). Twelve (13.5%) and two (2.2%) patients in the active group experienced local adverse reactions (edema, swelling, erythema, hives, pruritus, and heat), and systemic adverse reactions (hypertensive crisis and low-grade fever) to AIT, respectively; none was serious. AIT with Pollinex Quattro® specific for olive pollen and olive/grass pollens resulted in reduced visits to the healthcare center and emergency room and the use of asthma medication during the pollen season, indicating that this treatment was safe and effective in treating asthma in patients sensitized to these pollens

The CAVITY project: The spatially resolved stellar population properties of galaxies in voids

International audienceThe Universe is shaped as a web-like structure, formed by clusters, filaments, and walls that leave large low number-density volumes in between named voids. Galaxies in voids have been found to be of a later type, bluer, less massive, and to have a slower evolution than galaxies in denser environments (filaments and walls). However, the effect of the void environment on their stellar population properties is still unclear. We aim to address this question using 118 optical integral field unit datacubes from the Calar Alto Void Integral-field Treasury surveY (CAVITY), observed with the PMAS/PPaK spectrograph at the 3.5 m telescope at the Calar Alto Observatory (Almería, Spain). We fitted their spectra from 3750 Å to 7000 Å with the non-parametric full spectral fitting code STARLIGHT to estimate their stellar population properties: stellar mass, stellar mass surface density, age, star formation rate (SFR), and specific star formation rate (sSFR). We analysed the results through the global properties, assessing the behaviour of the whole galaxy, and the spatially resolved information, by obtaining the radial profiles from the 2D maps up to the 2 half-light radius of each stellar population property. The results were examined with respect to their morphological type and stellar mass. Then, we compared them with a control sample of galaxies in filaments and walls, selected from the CALIFA survey and analysed following the same procedure. To make a fair comparison between the samples, we selected a twin filament galaxy for each void galaxy of the same morphological type and closest stellar mass, to match the void galaxy sample as much as possible in morphology and mass. Key findings from our global and spatially resolved analysis include void galaxies having a slightly higher half-light radius (HLR), lower stellar mass surface density, and younger ages across all morphological types, and slightly elevated SFR and sSFR (only significant enough for Sas). Many of these differences appear in the outer parts of spiral galaxies (HLR > 1), where discs are younger and exhibit a higher sSFR compared to galaxies in filaments and walls, indicative of less evolved discs. This trend is also found for early-type spirals, suggesting a slower transition from star-forming to quiescent states in voids. Our analysis indicates that void galaxies, influenced by their surroundings, undergo a more gradual evolution, especially in their outer regions, with a more pronounced effect for low-mass galaxies. We find that below a certain mass threshold, environmental processes play a more influential role in galactic evolution.Key words: techniques: spectroscopic / galaxies: evolution / galaxies: fundamental parameters / galaxies: star formation / galaxies: stellar conten

La retórica y el debate como herramientas de aprendizaje

Convocatoria proyectos de innovación de Extremadura 2019/2020Se describe un proyecto llevado a cabo en el IES San Fernando (Badajoz) surgido del Departamento de Filosofía que tiene como objetivo principal mejorar las habilidades comunicativas del alumnado. Se pretendía que supieran hablar, transmitir ideas y opiniones, saber escuchar, compartir posturas, rebatir y estar preparados para cambiar de opinión. Otros objetivos del trabajo fueron: transmitir una visión de sociedad que se basa en el diálogo constructivo a través de una interacción respetuosa, rigurosamente fundamentada, reflexiva e inclusiva; lograr en los alumnos el desarrollo del pensamiento crítico y conseguir que comprendan la información que reciben, las inferencias y que sean capaces de evaluarla y generar nuevas propuestasExtremaduraES

ENGIU: Encuentro Nacional de Grupos de Investigación de UNIMINUTO.

El desarrollo del prototipo para el sistema de detección de Mina Antipersona (MAP), inicia desde el semillero ADSSOF perteneciente al programa de Administración en Seguridad y Salud en el trabajo de la UNIMINUTO, se realiza a partir de un detector de metales que emite una señal audible, que el usuario puede interpretar como aviso de presencia de un objeto metálico, en este caso una MAP. La señal audible se interpreta como un dato, como ese dato no es perceptible a 5 metros de distancia, se implementa el transmisor de Frecuencia Modulada FM por la facilidad de modulación y la escogencia de frecuencia de transmisión de acuerdo con las normas y resolución del Ministerio de Comunicaciones; de manera que esta sea la plataforma base para enviar los datos obtenidos a una frecuencia establecida. La idea es que el ser humano no explore zonas peligrosas y buscar la forma de crear un sistema que permita eliminar ese riesgo, por otro lado, buscar la facilidad de uso de elementos ya disponibles en el mercado