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1.
Clín. salud ; 35(1): 21-26, Mar. 2024. tab
Artigo em Inglês | IBECS | ID: ibc-231079

RESUMO

Background: This preliminary study examined the mediating role of illness representations on health-related quality of life (HRQoL) between adherent and poorly adherent obstructive sleep apnea patients (OSA) to the automatic positive airway pressure (APAP) therapy. Method: A total of 185 patients were assessed on determinants of APAP treatment, illness representations, family coping, and self-efficacy, at T1 (prior to APAP treatment) and T2 (1 to 2 months with APAP treatment). Results: Regarding the determinants of APAP, adherent patients showed higher self-efficacy, outcome expectations, and decisional balance index, compared to poorly adherent patients. Adherent patients also showed higher family coping and HRQoL, but less threatening cognitive representations compared to poorly adherent patients. Illness cognitive and emotional representations mediated the relationship between self-efficacy/family coping and HRQoL, in adherent patients. Only illness cognitive representations mediated the relationship between self-efficacy and HRQoL in poorly adherent patients. Conclusions: The results highlight the importance of illness representations during OSA treatment in the promotion of adherence to APAP.(AU)


Antecedentes: Este estudio preliminar examina el papel mediador de la representación de la enfermedad en la calidad de vida relacionada con la salud (CVRS) entre pacientes con apnea obstructiva del sueño (AOS) observantes y poco observantes de la terapia de presión positiva automática en las vías respiratorias (APAP). Método: Se evaluó a un total de 185 pacientes sobre los determinantes del tratamiento APAP, las representaciones de la enfermedad, el afrontamiento familiar y la autoeficacia en T1 (antes del tratamiento APAP) y T2 (1 a 2 meses con tratamiento APAP). Resultados: En cuanto a los determinantes de la APAP, los observantes mostraron mayor autoeficacia, expectativas de resultados e índice de equilibrio decisional en comparación con los poco observantes. Los observantes también mostraron un mayor afrontamiento familiar y CVRS pero menos representaciones cognitivas amenazantes en comparación con los observantes deficientes. Las representaciones cognitivas y emocionales de la enfermedad mediaron la relación entre la autoeficacia/afrontamiento familiar y la CVRS en pacientes observantes. Solo las representaciones cognitivas de enfermedad mediaron la relación entre la autoeficacia y la CVRS en pacientes de baja observancia. Conclusiones: Los resultados destacan la importancia de las representaciones de la enfermedad durante el tratamiento de la AOS en la promoción de la adherencia a la APAP.(AU)


Assuntos
Humanos , Masculino , Feminino , Apneia Obstrutiva do Sono , Qualidade de Vida , Pressão Positiva Contínua nas Vias Aéreas , Autoeficácia , Avaliação de Sintomas/psicologia , Saúde Mental , Psicologia Clínica , Estudo de Prova de Conceito , Relações Familiares
2.
Av. odontoestomatol ; 39(2)abr.-jun. 2023. tab
Artigo em Espanhol | IBECS | ID: ibc-223397

RESUMO

Introducción: Debido al riesgo que conlleva la exposición a radiación ionizante, se han establecido los principios de protección radiológica, con el propósito de regular las actividades que involucran su uso. Uno de estos principios es la justificación de los exámenes, es decir, la indicación del examen cuando exista la posibilidad de que éste entregue información en beneficio del paciente. Esto implica que dicho examen se evalúe en cuanto a su rendimiento, de manera que exista evidencia que indique su capacidad de entregar la información necesaria para la indicación específica del paciente. Revisión: Para evaluar el rendimiento de los exámenes imagenológicos, con el fin de orientar su uso como herramienta diagnóstica en las distintas indicaciones odontológicas, se ha usado el modelo de Eficacia Diagnóstica descrito por Fryback y Thornbury en 1991.En odontología, el uso de la tomografía computarizada de haz cónico (TCHC) ha aumentado debido a sus ventajas como herramienta diagnóstica. Aún así, son pocas las investigaciones en altos niveles del modelo de Eficacia Diagnóstica -más relacionados con características aplicables al paciente--y muchas las investigaciones en bajos niveles -más relacionado con calidad técnica y de exactitud diagnóstica-. Conclusiones: La evidencia del rendimiento de la TCHC en bajos niveles puede generar una idea equivoca sobre sus indicaciones, dando la impresión de que cuenta con respaldo científico suficiente que justifica su uso. Es necesaria investigación enfocada en el beneficio de los pacientes con el uso de TCHC para las distintas indicaciones en odontología. (AU)


Introduction: Due to the risk of exposure to ionizing radiation, principles of radiation protection have been established, with the aimto regulate activities that involve the use of ionizing radiation. The principle of justification means that the indication of the exam must be associated to the possibility of providing information for the benefit of the patient. The indication of an exam that results in a benefit for the patient entails the evaluation of the exam in terms of its performance. This evaluation should demonstrate the exam has ability to deliver the necessary information for the specific need of the patient. Review: The Diagnostic Efficacy model, described by Fryback and Thornbury in 1991, is used to evaluate the performance of imaging tests, in order to guide its use as a diagnostic tool in different dental indications. In dentistry, the use of TCHC has increased due to the advantages as a diagnostic tool. Still, there are few investigations at high levels of the Diagnostic Efficacy model - related to characteristics that involve the patient - and many investigations at low levels - more related to technical quality and diagnostic accuracy. Conclusions: Evidence of the performance of CBCT at low levels generates a misunderstanding about its use, giving the impression that CBCT has sufficient scientific support to justify its use. Currently, the evaluation of the performance of the TCHC has focused on evaluating the lowest levels of this model, the image quality and the diagnostic precision, although evidence at this level remains limited. Research focusing on the benefit of patients with the use of CBCT for the different indications in dentistry is needed. (AU)


Assuntos
Humanos , Eficácia/métodos , Tomografia Computadorizada de Feixe Cônico , Odontologia/métodos , Diagnóstico Bucal/métodos , Estudo de Prova de Conceito , Odontologia/tendências , Diagnóstico por Imagem/métodos
3.
Reumatol. clín. (Barc.) ; 19(3): 143-149, Mar. 2023. graf, ilus, tab
Artigo em Inglês | IBECS | ID: ibc-217289

RESUMO

Introduction: There is a dearth of biomarkers in Idiopathic Inflammatory Myopathies (IIM) to recognize ongoing muscle inflammation and distinguish damage from activity. Since IIM is an autoantibody-mediated disease with tertiary lymphoid organogenesis reported in the diseased muscles, we aimed to study the peripheral blood T helper (Th) subset profiling as a plausible reflection of ongoing muscle inflammation. Methods: Fifty-six patients of IIM were compared with 21 healthy controls (HC) and 18 patients with sarcoidosis. Th1, Th17, Th17.1, and Treg cells were identified after stimulation assays (BD Biosciences). Myositis autoantibodies were tested by line immunoassay (Euroimmune, Germany). Results: All Th subsets were elevated in IIM as compared with HC. As compared to HC, PM had elevated Th1 and Treg while Th17 and Th17.1 populations were higher in OM. Patients with sarcoidosis had higher Th1 and Treg but lower Th17 population as compared to IIM {Th1(69.1% vs 49.65%, p<0.0001), {Treg (12.05% vs 6.2%, p<0.0001), {Th17 (2.49% vs 4.4%, p<0.0001)}. Similar results were obtained when sarcoidosis ILD was compared with IIM ILD with a higher Th1 and Treg population but lower Th17 population in the former. No difference in T cell profile was observed after stratification for MSA positivity, type of MSA, clinical features of IIM and disease activity. Conclusion: Th subsets in IIM are distinct from sarcoidosis and HC with a TH17 predominant paradigm, creating a case of exploring Th17 pathway and IL-17 blockers for the treatment of IIM. However, cell profiling cannot distinguish active from inactive disease limiting its predictive potential as a biomarker of activity in IIM.(AU)


Introducción: Hay una escasez de biomarcadores en las miopatías inflamatorias idiopáticas (MII) para reconocer la inflamación muscular en curso y distinguir el daño de la actividad. Dado que la MII es una enfermedad mediada por autoanticuerpos con organogénesis linfoide terciaria informada en los músculos enfermos, nuestro objetivo fue estudiar el perfil del subconjunto de linfocitos T helpers (Th) de sangre periférica como un reflejo plausible de la inflamación muscular en curso. Métodos: Se compararon 56 pacientes de MII con 21 controles sanos (CS) y 18 pacientes con sarcoidosis. Las células Th1, Th17, Th17.1 y Treg se identificaron después de los ensayos de estimulación (BD Biosciences). Los autoanticuerpos de miositis se analizaron mediante inmunoanálisis en línea (Euroimmune, Alemania). Resultados: Todos los subconjuntos de Th estaban elevados en las MII en comparación con los CS. En comparación con los CS, PM tenía Th1 y Treg elevados, mientras que las poblaciones de Th17 y Th17.1 eran más altas en OM. Los pacientes con sarcoidosis tenían una población Th1 y Treg más alta pero una población Th17 más baja en comparación con MII {Th1 (69,1% frente a 49,65%, p<0,0001), {Treg (12,05% frente a 6,2%, p<0,0001), {Th17 (2,49% frente a 4,4%, p<0,0001)}. Se obtuvieron resultados similares cuando se comparó la EPI de sarcoidosis con la EPI de las MII con una mayor población Th1 y Treg pero menor población Th17 en la primera. No se observaron diferencias en el perfil de células T después de la estratificación por positividad de MSA, tipo de MSA, características clínicas de las MII y actividad de la enfermedad. Conclusión: Los subconjuntos de Th en las MII son distintos de la sarcoidosis y los CS con un paradigma predominante TH17, lo que crea un caso de exploración de la vía Th17 y los bloqueadores de IL-17 para el tratamiento de las MII...(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Miosite , Células Th17 , Sarcoidose , Biomarcadores , Doenças Pulmonares Intersticiais , Músculos , Estudo de Prova de Conceito , Estudos de Casos e Controles
5.
Apunts, Med. esport (Internet) ; 57(214): 100378, April - June 2022. tab
Artigo em Inglês | IBECS | ID: ibc-206322

RESUMO

IntroductionThe aims of this study were 1) to assess if talented players can be identified within possession-based small-sided games (SSG), and 2) to determine if, decision making, physical, and time-motion characteristics correlated to success in a possession-based SSG.MethodsEight, highly-trained U10 soccer players (Mean ± SD; age: 10.3 ± 0.2 years; stature: 1.41 ± 0.04 m; body mass: 35.2 ± 3.3 kg) participated in this study. Six 4 vs 4 possession based SSG's were played. Time-motion characteristics were measured using micromechanical devices (MEMS). Countermovement jump, 10m and 30m speed tests were conducted. Participants were presented with 28 video clips of 5 versus 5 match-play sequences to assess decision-making ability.ResultsThe main finding of this study was a large significant relationship between Game Technical Scoring Chart (GTSC) and Total Points (TP) (r = 0.784, P <0.05). There were no significant correlations between the decision-making test and GTSC and TP. A significant and largely inverse correlation between decision-making and countermovement jump (r = -0.737, P <0.05) was observed.ConclusionsOur results demonstrate that the more talented players were also the most successful players in the possession based SSG. The players’ decision-making ability, however, did not influence their success in the SSG. (AU)


Assuntos
Humanos , Masculino , Criança , Exercício Físico , Futebol/tendências , 51572 , Aptidão , Estudo de Prova de Conceito
6.
Cir. Esp. (Ed. impr.) ; 100(3): 161-170, mar. 2022. ilus
Artigo em Espanhol | IBECS | ID: ibc-203009

RESUMO

El uso de un endoscopio de tubo rígido (RTE) a través de un dispositivo de cirugía laparoendoscópica de puerto único durante la cirugía endoscópica uniportal (EUS) está directamente relacionado con el efecto fulcro y la competencia física (entre cirujanos y a través del puerto).En un intento de separar el sistema de imagen del dispositivo cirugía laparoendoscópica de puerto único, se describe un proyecto escalonado (3 modelos) para ayudar a superar estos inconvenientes. ZEUS1, un nuevo dispositivo de sistema de imagen sin RTE para EUS, fue probado con éxito en cirugía EUS en un modelo porcino. Aún en investigación, ZEUS2 se convierte en una estructura cableada que sirve de base a una microcámara endoscópica intracavitaria con funciones de giro, inclinación y zoom. ZEUS3 contempla el aro interno del protector de herida quirúrgica como una corona de microcámaras. Son necesarios nuevos estudios para materializar los modelos ZEUS2 y ZEUS3 y confirmar su eficacia y seguridad (AU)


The use of a rigid tube endoscope (RTE) through a laparoendoscopic single site surgery device for intracavitary visualization during endoscopic uniportal surgery (EUS) is directly related to the fulcrum effect and physical competition (externally between surgeons and on instrumentation through the single port). These facts may have precluded a wider spread of EUS. In an attempt to separate the imaging system from the laparoendoscopic single site surgery device, a tiered project (3 models) that can help overcome these drawbacks is detailed. ZEUS1, a new non-RTE imaging system device for EUS was successfully tested in EUS surgery in a pig model. Still under investigation, ZEUS2 becomes a wired structure that serves as the basis for an endoscopic microcamera with intracavitary pan-tilt-zoom functions. ZEUS3 uses the inner ring of the surgical wound protector as a microchamber crown. Further studies are needed to materialize the ZEUS2 and ZEUS3 models and confirm their efficacy and safety (AU)


Assuntos
Animais , Masculino , Laparoscopia/métodos , Endoscopia/métodos , Estudo de Prova de Conceito , Gravação em Vídeo , Suínos
7.
Rev. Soc. Esp. Dolor ; 28(6): 311-318, Nov-Dic. 2021. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-227852

RESUMO

Introducción: La algometría de presión es un método válido para evaluar el sistema sensorial de transmisión del dolor en seres humanos, mediante pruebas como la sumación temporal y la modulación condicionada del dolor. El objetivo de este trabajo fue la realización de una experiencia preliminar en el Servicio de Anestesio­logía de nuestro Hospital Universitario, utilizando la algometría de presión como test sensorial cuantitativo. Metodología: En una primera etapa, se realizó un estudio transversal de caso y control, sin aleatorización, donde se midió el umbral de dolor a la presión por algometría de presión a 58 pacientes que consultaron en la policlínica preoperatoria. Dieciocho tenían algún tipo de dolor crónico (grupo con dolor) y 40 no tenían dolor (grupo sin dolor). En una segunda etapa, se realizó un estudio observacional a 36 voluntarios sanos, residentes de anestesiología. En 16 se estudió la sumación temporal y en 20 la modulación condicionada del dolor, en ambos casos utilizando la algometría de presión. La aplicación de presión con manguito en el brazo se utilizó como estímulo heterotópico. Ambas pruebas fueron medidas a nivel del músculo trapecio derecho. Resultados: En el grupo con dolor el valor del umbral de dolor a la presión fue menor que en el grupo sin dolor en todos los puntos evaluados. El valor del umbral de dolor a la presión promedio de las cuatro regiones analizadas en el grupo con dolor, resultó ser menor que en el grupo sin dolor, 32,7 ± 10 Newtons versus 42 ± 11,7 Newtons (p = 0,004). El umbral de dolor a la presión promedio resultó más bajo en pacientes de sexo femenino que en los de sexo masculino, 36,6 ± 9 Newtons versus 48 ± 11 Newtons (p = 0,001)...(AU)


Introduction: Pressure algometry is a valid method to evaluate the sensory system of pain transmission in humans, using tests such as temporal summation and conditioned modulation of pain. The objective of this work was to carry out a preliminary experience in the Anesthesiology Service of our University Hospital, using pressure algometry as a quantitative sensory test. Methodology: In a first stage, a cross-sectional case-control study was carried out, without randomization, where the pressure pain threshold was measured by pressure algometry in 58 patients who consulted in the preoperative evaluation visit. Eighteen had some type of chronic pain (pain group) and 40 had no pain (pain-free group). In a second stage, an observational study was carried out on 36 healthy volunteers, anesthesiology residents. Temporal summation was studied in 16 and conditioned modulation of pain in 20, in both cases using pressure algometry. The application of cuff pressure to the arm was used as a heterotopic stimulus. Both tests were measured at the level of the right trapezius muscle. Results: In the group with pain, the pressure pain threshold value was lower than in the group without pain in all the points evaluated. The pain threshold va­lue at the mean pressure of the four regions analyzed in the group with pain, turned out to be lower than in the group without pain, 32.7 ± 10 Newtons versus 42 ± 11.7 Newtons (p = 0.004). The mean pressu­re pain threshold was lower in female patients than in male patients, 36.6 ± 9 Newtons versus 48 ± 11 Newtons (p = 0.001). In the 20 healthy volunteers who underwent the conditioned modulation of pain test at the trapezius level, the pain threshold at the initial pressu­re was 63 ± 27 Newtons and the final pressure was 72 ± 28 Newtons, with an average increase of 9 Newtons (14.2 %)...(AU)


Assuntos
Humanos , Masculino , Feminino , Dor Crônica/tratamento farmacológico , Manejo da Dor/métodos , Anestesiologia , Medição da Dor/métodos , Estudo de Prova de Conceito , Estudos Transversais , Estudos de Casos e Controles , Dor/tratamento farmacológico
9.
Eur. j. psychol. appl. legal context (Internet) ; 13(1): 9-19, ene.-jun. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-201544

RESUMO

Cognitive Credibility Assessment (CCA) is a verbal lie detection tool consisting of several interview techniques. These techniques have been examined separately but never together. Reflecting the dynamic nature of CCA we combined several of the techniques (free recall followed by a model statement, followed by a reverse order instruction, and followed by a sketch instruction). We examined the new information provided after each stage of the interview and also compared the information provided in the initial recall with the information provided after the entire interview. A total of 47 truth tellers and 47 lie tellers went on a mission. Truth tellers were asked to report their mission truthfully, whereas lie tellers were requested to lie about several aspects of the mission. We measured the total units of information (total details) provided in the interview and the number of complications reported. The results indicate that the pre-registered hypothesis (Hypothesis 1) was supported for complications. Truth tellers reported more complications than lie tellers in each stage of the interview and the difference was more pronounced after the entire interview than after the free recall. As a conclusion, CCA was an effective lie detection method when complications were taken into account


La evaluación cognitiva de la credibilidad (ECC) es una herramienta verbal de detección de mentiras que incluye varias técnicas de entrevista. Dichas técnicas se han examinado por separado pero nunca juntas. Para reflejar el carácter dinámico de la ECC combinamos varias de las técnicas (recuerdo libre seguido de una declaración tipo, seguido de una instrucción de recuerdo en orden inverso, y de una instrucción para que hagan un sketch -esquema- durante la narración del evento). Analizamos la información nueva proporcionada tras cada etapa de la entrevista y también comparamos la información procedente del recuerdo inicial con la aportada por toda la entrevista. Un total de 47 sujetos que decían la verdad y 47 que mentían fueron enviados a una misión. A los participantes de la condición de testimonio verdadero se les pidió que informaran de su misión de modo veraz, mientras que los de la condición de mentira se les solicitó que mintieran sobre distintos aspectos de la misión. Se midió el total de unidades de información (detalles totales) de la entrevista y el número de complicaciones de las que se informaba. Los resultados mostraron que los participantes de la condición de verdad informaban de más detalles y complicaciones (hipótesis 1) en cada fase de la entrevista siendo las mayores diferencias tras la entrevista global que tras el recuerdo libre. En conclusión, la categoría complicaciones de la ECC es eficaz en la detección de la mentira


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Entrevista Psicológica/métodos , Valor Preditivo dos Testes , Revelação da Verdade , Detecção de Mentiras/psicologia , Cognição/classificação , Reprodutibilidade dos Testes , Rememoração Mental/classificação , Estudo de Prova de Conceito
11.
Apunts, Med. esport (Internet) ; 55(208): 120-127, oct.-dic. 2020. tab, graf, ilus
Artigo em Inglês | IBECS | ID: ibc-197955

RESUMO

INTRODUCTION: Exercise induces modifications in thermal homeostasis. The type of exercise may have a specific impact on skin temperature (Tsk). OBJECTIVE: To analyze and compare the behavior of Tsk in a resistance training between men and women and monitor the thermal recovery response. MATERIAL AND METHODS: Sixteen male and female adults (24.56±3.22 years old) underwent a resistance circuit training session. They performed 3 sets of 12 repetitions with 70-80% 1 RM for lat pulldown, leg press, and biceps arm curl exercises. Thermograms were taken in anterior and posterior body view at rest, 20min, and 24h after training. Tsk was measured in the body regions of interest corresponding to the brachial biceps, quadriceps, and upper back. ANOVA with Tukey's post hoc test was used to analyze Tsk changes among moments, and independent samples t-test was used to compare Tsk between males and females. RESULTS: At rest, women showed Tsk significantly lower than men. There was no significant Tsk change 20min after exercise. However, Tsk increased 24h after exercise in the upper back for men compared with baseline and in quadriceps for women compared with baseline and 20min after exercise (p < 0.05). CONCLUSION: The Tsk of women at rest is lower than that of men. A resistance circuit training session does not significantly change Tsk 20min after exercise, but it increases Tsk 24h after training in the upper back for men and quadriceps for women


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Termografia/instrumentação , Estudo de Prova de Conceito , Resistência Física/efeitos da radiação , Termografia/métodos , Treinamento de Força/métodos , Análise de Variância , Regulação da Temperatura Corporal , Músculo Esquelético/efeitos da radiação , Músculo Quadríceps/efeitos da radiação
12.
Rev. esp. cardiol. (Ed. impr.) ; 73(3): 248-254, mar. 2020. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-195367

RESUMO

La fibrosis intersticial miocárdica es un hallazgo constante en las cardiopatías estructurales que desarrollan insuficiencia cardiaca. Aunque la fibrosis facilita la progresión de la insuficiencia cardiaca, aún no se dispone de una estrategia terapéutica que la revierta. Probablemente, ello se deba al error de considerar la fibrosis intersticial miocárdica como una lesión homogénea y no como una lesión heterogénea en la que coexisten diferentes fenotipos. Hay que tener presente también que la heterogeneidad de la fibrosis intersticial miocárdica puede variar entre distintas cardiopatías. Por ello, el diagnóstico y el tratamiento de la fibrosis intersticial miocárdica suponen un verdadero desafío para la transición de un manejo convencional de la insuficiencia cardiaca a un manejo basado en los principios de la medicina de precisión. Como prueba de concepto, en este artículo revisamos cómo el fenotipado de pacientes con insuficiencia cardiaca atribuible a cardiopatía hipertensiva basado en las alteraciones histomoleculares principales de la fibrosis intersticial miocárdica permite identificar subgrupos de pacientes con características fisiopatológicas, clínicas y pronósticas diferentes. Además, discutimos la información disponible sobre el empleo de determinados biomarcadores circulantes y ciertos fármacos útiles para el diagnóstico no invasivo y el tratamiento personalizado, respectivamente, de dichos subgrupos de pacientes


Myocardial interstitial fibrosis is a constant pathological finding in structural heart diseases of various etiologies that evolve with heart failure. Although fibrosis facilitates heart failure progression, until now no therapeutic strategy has been developed that ensures its reversal. A possible explanation for this may lie in the vision of myocardial interstitial fibrosis as a homogeneous lesion instead of a heterogeneous lesion in which different phenotypes can be distinguished using appropriate criteria. In addition, the notion that the heterogeneity of myocardial interstitial fibrosis may be cardiac disease-specific must be also considered when approaching this entity. Therefore, we propose that myocardial interstitial fibrosis represents a true challenge for transitioning from usual care to biomarker-based personalized treatment and precision medicine in heart failure. As a proof-of-concept, in this review we discuss the phenotyping of myocardial interstitial fibrosis in patients with heart failure attributable to hypertensive heart disease based on its histomolecular alterations and provide evidence of the prognostic relevance of the resulting stratification. Furthermore, we discuss the available information on some circulating biomarkers and certain pharmacological agents useful for noninvasive identification and personalized treatment, respectively, of those phenotypes


Assuntos
Humanos , Biomarcadores/sangue , Insuficiência Cardíaca/terapia , Miocárdio/patologia , Medicina de Precisão/métodos , Colágeno Tipo I , Progressão da Doença , Fibrose , Insuficiência Cardíaca/sangue , Insuficiência Cardíaca/etiologia , Hipertensão/complicações , Fenótipo , Estudo de Prova de Conceito
13.
Interv. psicosoc. (Internet) ; 28(3): 119-130, dic. 2019. graf, tab
Artigo em Inglês | IBECS | ID: ibc-187442

RESUMO

This study analysed the effect of length of residence and place of origin on the social inclusion of immigrants. Social support, resilience, sense of community, and satisfaction with life were used as indicators of social inclusion. Previous studies on social inclusion of immigrants were predominantly of static nature. A synthetic cohort design that examines temporal effects in distinct cohorts was used to analyse the effect of time on levels of social inclusion. It was hypothesised that place of origin would moderate the positive effect of length of residence. The study was conducted in Málaga (Spain). The participants consisted of 2,374 immigrants from Africa (597), East Europe (565), Latin America (652), and Asia (560). The results suggest that length of residence has a positive effect on social inclusion and that shorter cultural distance facilitates the process of social inclusion, especially among Latin American immigrants. However, the moderating effects of place of origin only reached statistical significance for satisfaction with life. A multidimensional and dynamic approach is needed to fully understand the process involved in the social inclusion of immigrants. This is based on the assumption that the positive effect of length of residence is not linear in the short term but manifests over the long term


Se analizan los efectos del tiempo de residencia y la procedencia en la inclusión social de los inmigrantes. El apoyo social, la resiliencia, el sentido de comunidad y la satisfacción vital se utilizan como indicadores de inclusión social. Estudios previos sobre la inclusión social de los inmigrantes se caracterizan por su naturaleza estática. A través de un diseño de cohorte sintético se comprueba si el tiempo favorece la inclusión social. Se propone que la procedencia modera la influencia positiva del tiempo de residencia. El estudio se realiza en Málaga y participan 2,374 inmigrantes procedentes de África (597), Europa del Este (565), Latinoamérica (652) y Asia (560). Los resultados muestran que el tiempo de residencia influye de forma positiva incrementando las dimensiones de inclusión social y la cercanía cultural favorece el proceso de inclusión social, especialmente en los inmigrantes latinos, aunque los efectos moderadores de la procedencia han sido solo significativos para la satisfacción vital. Los hallazgos sugieren adoptar un enfoque multidimensional y dinámico para comprender el proceso de inclusión social de los inmigrantes, asumiendo que el efecto positivo del tiempo de residencia no es lineal a corto plazo, sino que se manifiesta a largo plazo


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Emigrantes e Imigrantes/psicologia , Apoio Social , Estilo de Vida , Sociedade Receptora de Migrantes , Resiliência Psicológica , Etnicidade/psicologia , Estudo de Prova de Conceito
15.
Rev. esp. enferm. dig ; 111(3): 223-227, mar. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-189829

RESUMO

Background: bioelectrical impedance analysis is a technique for the determination of the hydropic component. The hydropic component, determined by blood volume, could be a reflection of the hemodynamic situation. This study aimed to evaluate the usefulness of peripheral bioelectrical impedance analysis (BIA) for the prediction of hemodynamic changes in large-volume paracentesis and prognosis. Methods: this was a proof-of-concept prospective study of 14 patients with liver cirrhosis and refractory ascites. Peripheral bioimpedance was measured three times using a portable device, IVOL(R), before and after large-volume paracentesis, at different frequencies (5, 10, 20, 50, 100 and 200 kHz). Consequently, resistance, reactance and phase angle were obtained, both pre- and post-paracentesis (the difference between them was defined as Δ). Results: the mean age of patients was 62.2 +/- 9.6 years, the Child-Pugh was 8.4 +/- 1.3 and the MELD score was 15.2 +/- 3.9. A direct correlation between the extraction of ascitic fluid and Δresistance (10 kHz [r = 0.722; n = 12; p = 0.008], 20 kHz [r = 0.658; n = 12; p = 0.020] and 50 kHz [r = 0.519; n = 14; p = 0.057]) was observed. The presence of edema was related to lower values of both pre-paracentesis resistance (10 Hz [23.9 +/- 8 vs 32.2 +/- 4; p = 0.043]) and phase angle (5 kHz [-1.9+/- 2.8 vs 5.9 +/- 7.3; p = 0.032]). Pre-paracentesis phase angle was directly correlated with the decline in blood pressure after paracentesis at lower frequencies (5 kHz [r = 0.694; n = 13; p = 0.008] and 10 kHz [r = 0.661; n = 13; p = 0.014]). Lower frequencies of Δphase-angle impacted on patient prognosis (5 kHz [-8.6 +/- 5 vs -2.5 +/- 2.7; p = 0.021]), patients with Δphase-angle 5 kHz > -4 had a higher rate of mortality (83.3% [5/6] vs 0% [0/6]; logRank 7.306, p = 0.007). Δresistance values were associated with overt HE at six months (10 kHz [4.9 +/- 2.5 vs -0.4 +/- 4.7; p = 0.046]). Conclusions: in conclusion, a significant correlation between peripheral impedance and hemodynamic changes was found. Impedance was also significantly related to prognosis and overt hepatic encephalopathy


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Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Ascite/fisiopatologia , Cirrose Hepática/fisiopatologia , Paracentese/métodos , Hemodinâmica/fisiologia , Estudos Prospectivos , Edema/etiologia , Impedância Elétrica , Frequência Cardíaca/fisiologia , Estudo de Prova de Conceito
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