Estudio comparativo del sindrome de burnout en una muestra multiocupacional ecuatoriana

Desde que se iniciaron los estudios sobre el síndrome de burnout hasta la actualidad se ha visto que cualquier profesión puede padecerlo ya sea en sus tres manifestaciones o iniciar con alguna de ellas, su inclusión como enfermedad relacionada con el trabajo pone de manifiesto la necesidad de su abordaje de forma integral, toda vez que tiene nexos con múltiples patologías mentales y biológicas subsecuentes.  El objetivo de esta investigación fue comparar su forma de presentación en diferentes ocupaciones para diseñar un conjunto de intervenciones personalizadas que se aplicaron durante un año y medir el impacto inicial de estas, por lo que tuvo un diseño longitudinal de dos años con alcance descriptivo. Se utilizó el instrumento Maslach Burnout Inventory (MBI) y se encontró una prevalencia de entre 3,99 y 48,12. En las comparaciones realizadas se evidenció significancia estadística entre las diferentes manifestaciones y las cohortes estudiadas. Las acciones de promoción de la salud alcanzaron a un 82,48% de personas, de quienes acudieron a tratamiento psicológico, el 52,91% recibió el alta y el 93,38% de los diagnósticos médicos que se otorgaron a los que necesitaron este tipo de atención, confirman lo encontrado en la literatura. Sobre el impacto del programa aplicado, se observó disminución significativa del síndrome, sobre todo en las manifestaciones realización profesional y despersonalización. Se requiere complementar este estudio con otras variables de tipo ambiental y sociodemográfico, pero se sugiere la permanencia de las intervenciones sobre factores relacionados con el burnout y el trabajo personalizado en sus manifestaciones

Estudio sísmico de la corteza superior en Isla Decepción (Antártida)

In this work, results from 4 refraction/wide angle seismic profiles, acquired in 2002 during the GEODEC-MAR cruise across Deception Island volcanic interior; have allowed us to determine the upper crustal structure. According to P-wave velocity-depth model obtained, a four layer structure have been observed. The first and the second layers correspond to the sedimentary cover (1.8-2.8 and 3.5-3.6 km s'1 respectively). The third one is interpreted as the crystalline basement (4.0-4.9 km s'1). The fourth layer is separated in two zones which indicate two types of crust: type 1-5.5 km s type 11-6.0 km s'1, the contact between both zones could be related with a fracture zone across Deception Island

Morfotectónica de Jalisco y Oaxaca (1), México

La transmisión de esfuerzos, desde la zona de interacción convergente de placas en el Pacífico hacia el interior continental, ha determinado la actual configuración del plano morfotectónico del entorno mexicano. Ese proceso ha producido dos importantes zonas de deformación transversales, Puerto Vallarta y Oaxaca. Aplicando la metodología de Rantsman (1979) se ha determinado en el territorio emergido un mismo patrón morfoestructural y morfotectónico con ciertas modificaciones en Puerto Vallarta. Para la zona centro-oeste mexicana se distinguen 6 bloques, 29 microbloques, 6 alineamientos principales y 4 intersecciones principales de alineamientos. Estos elementos se ajustan a las zonas de mayor actividad y deformación neotectónica (~38000 km2), con un eje principal NO-SE. La misma técnica se aplicó a la región de Oaxaca, adyacente a Tehuantepec, donde hay 8 bloques, 25 microbloques, 8 alineamientos principales y 14 intersecciones principales de alineamientos. Este conjunto tiene una zona de deformación (~40000 km2) con eje principal E-O. El análisis de la sismicidad, las fracturas, los alineamientos, los cuerpos volcánicos y las velocidades de convergencia de las placas con los modelos obtenidos, permite considerar un movimiento de rotación anti-horario, vinculado a la microplaca Rivera para Puerto Vallarta; mientras que en Oaxaca existe un ajuste frontal en la convergencia directa de la placa Cocos, donde no hay rotación

At the beginnings of the funerary Megalithism in Iberia at Campo de Hockey necropolis

[EN] The excavations undertaken at the Campo de Hockey site in 2008 led to the identification of a major Neolithic necropolis in the former Island of San Fernando (Bay of Cadiz). This work presents the results of the latest studies, which indicate that the site stands as one of the oldest megalithic necropolises in the Iberian Peninsula. The main aim of this work is to present with precision the chronology of this necropolis through a Bayesian statistical model that confirms that the necropolis was in use from c. 4300 to 3800 cal BC. The presence of prestige grave goods in the earliest and most monumental graves suggest that the Megalithism phenomenon emerged in relation to maritime routes linked to the distribution of exotic products. We also aim to examine funerary practices in these early megalithic communities, and especially their way of life and the social reproduction system. As such, in addition to the chronological information and the Bayesian statistics, we provide the results of a comprehensive interdisciplinary study, including anthropological, archaeometric and genetic data.We wish to express our gratitude to Antonio Saez Espligares (Historical Museum of San Fernando) and Lourdes Lorenzo (Figlina, s.l.) for their support during the archaeological excavation. This research was conducted in the framework of the following research projects: "Analysis of prehistoric societies from the Middle Palaeolithic to the Late Neolithic at both sides of the Strait of Gibraltar: relations and contacts", funded by the State Research Agency (SRA) and the European Regional Development Fund (ERDF). Ref.: HAR2017-87324-P. (2018-2021). "Analisis interdisciplinar para el conocimiento del poblamiento humano de la Bahia de Cadiz durante la Prehistoria Reciente (VI-II milenios a.n.e.)", funded by 2014-2020 ERDF Operational Programme and the Department of Economy, Knowledge, Business and University of the Regional Government of Andalusia. Ref.: FEDER-UCA18-106917 (2020-2023). "Analisis de los isotopos de oxigeno en conchas y de los isotopos estables de oxigeno y carbono en huesos humanos en el poblado neolitico insular de Campo de Hockey (San Fernando, Cadiz)", authorised and funded by CEIMAR. Ref.: CEIJ-015 (2018-2019). Eduardo Molina Piernas acknowledges co-funding from European Social Fund (D1113102E3) and Junta de Andalucia

Distribution and outcomes of a phenotype-based approach to guide COPD management: Results from the CHAIN cohort

Rationale: The Spanish guideline for COPD (GesEPOC) recommends COPD treatment according to four clinical phenotypes: non-exacerbator phenotype with either chronic bronchitis or emphysema (NE), asthma-COPD overlap syndrome (ACOS), frequent exacerbator phenotype with emphysema (FEE) or frequent exacerbator phenotype with chronic bronchitis (FECB). However, little is known on the distribution and outcomes of the four suggested phenotypes. Objective: We aimed to determine the distribution of these COPD phenotypes, and their relation with one-year clinical outcomes. Methods: We followed a cohort of well-characterized patients with COPD up to one-year. Baseline characteristics, health status (CAT), BODE index, rate of exacerbations and mortality up to one year of follow-up were compared between the four phenotypes. Results: Overall, 831 stable COPD patients were evaluated. They were distributed as NE, 550 (66.2%); ACOS, 125 (15.0%); FEE, 38 (4.6%); and FECB, 99 (11.9%); additionally 19 (2.3%) COPD patients with frequent exacerbations did not fulfill the criteria for neither FEE nor FECB. At baseline, there were significant differences in symptoms, FEV1 and BODE index (all p<0.05). The FECB phenotype had the highest CAT score (17.1±8.2, p<0.05 compared to the other phenotypes). Frequent exacerbator groups (FEE and FECB) were receiving more pharmacological treatment at baseline, and also experienced more exacerbations the year after (all p<0.05) with no differences in one-year mortality. Most of NE (93%) and half of exacerbators were stable after one year. Conclusions: There is an uneven distribution of COPD phenotypes in stable COPD patients, with significant differences in demographics, patient-centered outcomes and health care resources use

New GOLD classification: Longitudinal data on group assignment

Rationale: Little is known about the longitudinal changes associated with using the 2013 update of the multidimensional GOLD strategy for chronic obstructive pulmonary disease (COPD). Objective: To determine the COPD patient distribution of the new GOLD proposal and evaluate how this classification changes over one year compared with the previous GOLD staging based on spirometry only. Methods: We analyzed data from the CHAIN study, a multicenter observational Spanish cohort of COPD patients who are monitored annually. Categories were defined according to the proposed GOLD: FEV1%, mMRC dyspnea, COPD Assessment Test (CAT), Clinical COPD Questionnaire (CCQ), and exacerbations-hospitalizations. One-year follow-up information was available for all variables except CCQ data. Results: At baseline, 828 stable COPD patients were evaluated. On the basis of mMRC dyspnea versus CAT, the patients were distributed as follows: 38.2% vs. 27.2% in group A, 17.6% vs. 28.3% in group B, 15.8% vs. 12.9% in group C, and 28.4% vs. 31.6% in group D. Information was available for 526 patients at one year: 64.2% of patients remained in the same group but groups C and D show different degrees of variability. The annual progression by group was mainly associated with one-year changes in CAT scores (RR, 1.138; 95%CI: 1.074-1.206) and BODE index values (RR, 2.012; 95%CI: 1.487-2.722). Conclusions: In the new GOLD grading classification, the type of tool used to determine the level of symptoms can substantially alter the group assignment. A change in category after one year was associated with longitudinal changes in the CAT and BODE index

Now, the part of intuition. Research, Art and Creation, 2018

Catálogo de Exposición del Máster en Investigación en Arte y Creación de la UCM. Muestra celebrada del 25 de septiembre al 10 de octubre de 2018 en la Sala de Exposiciones de la Facultad de Bellas Artes. C / Pintor el Greco 2, Ciudad Universitaria. 28040 Madrid. Comisariado de Javier Mañero Rodicio.Exhibition catalog of the Master in Art and Creation Research of the UCM. September 25 to October 10, 2018 in the Exhibition Hall of the Faculty of Fine Arts. C / Pintor El Greco 2, University City. 28040 Madrid. Curated by Javier Mañero Rodicio.Fac. de Bellas ArtesFALSEFacultad de Bellas Artes. Universidad Complutense de Madrid.pu

Association Between Preexisting Versus Newly Identified Atrial Fibrillation and Outcomes of Patients With Acute Pulmonary Embolism

Background Atrial fibrillation (AF) may exist before or occur early in the course of pulmonary embolism (PE). We determined the PE outcomes based on the presence and timing of AF. Methods and Results Using the data from a multicenter PE registry, we identified 3 groups: (1) those with preexisting AF, (2) patients with new AF within 2 days from acute PE (incident AF), and (3) patients without AF. We assessed the 90-day and 1-year risk of mortality and stroke in patients with AF, compared with those without AF (reference group). Among 16 497 patients with PE, 792 had preexisting AF. These patients had increased odds of 90-day all-cause (odds ratio [OR], 2.81; 95% CI, 2.33-3.38) and PE-related mortality (OR, 2.38; 95% CI, 1.37-4.14) and increased 1-year hazard for ischemic stroke (hazard ratio, 5.48; 95% CI, 3.10-9.69) compared with those without AF. After multivariable adjustment, preexisting AF was associated with significantly increased odds of all-cause mortality (OR, 1.91; 95% CI, 1.57-2.32) but not PE-related mortality (OR, 1.50; 95% CI, 0.85-2.66). Among 16 497 patients with PE, 445 developed new incident AF within 2 days of acute PE. Incident AF was associated with increased odds of 90-day all-cause (OR, 2.28; 95% CI, 1.75-2.97) and PE-related (OR, 3.64; 95% CI, 2.01-6.59) mortality but not stroke. Findings were similar in multivariable analyses. Conclusions In patients with acute symptomatic PE, both preexisting AF and incident AF predict adverse clinical outcomes. The type of adverse outcomes may differ depending on the timing of AF onset.info:eu-repo/semantics/publishedVersio