Evaluation of functional warm ischemia time during controlled donation after circulatory determination of death using normothermic regional perfusion (ECMO-TT): A prospective multicenter cohort study.

BACKGROUND: Controlled donation after circulatory determination of death (cDCD) seems an effective way to mitigate the critical shortage of available organs for transplant worldwide. As a recently developed procedure for organ retrieval, some questions remain unsolved such as the uncertainty regarding the effect of functional warm ischemia time (FWIT) on organs´ viability. METHODS: We developed a multicenter prospective cohort study collecting all data from evaluated organs during cDCD from 2017 to 2020. All the procedures related to cDCD were performed with normothermic regional perfusion. The analysis included organ retrieval as endpoint and FWIT as exposure of interest. The effect of FWIT on the likelihood for organ retrieval was evaluated with Relative distribution analysis. RESULTS: A total amount of 507 organs´ related information was analyzed from 95 organ donors. Median donor age was 62 years, and 63% of donors were male. Stroke was the most common diagnosis before withdrawal of life-sustaining therapy (61%), followed by anoxic encephalopathy (21%). This analysis showed that length of FWIT was inversely associated with organ retrieval rates for liver, kidneys, and pancreas. No statistically significant association was found for lungs. CONCLUSIONS: Results showed an inverse association between functional warm ischemia time (FWIT) and retrieval rate. We also have postulated optimal FWIT's thresholds for organ retrieval. FWIT for liver retrieval remained between 6 and less than 11 min and in case of kidneys and pancreas, the optimal FWIT for retrieval was 6 to 12 min. These results could be valuable to improve organ utilization and for future analysis.

Emotional intelligence, resilience and personality traits neuroticism and extraversion: predictive capacity in perceived academic efficacy.

BACKGROUND: Recent studies have shown the importance of promoting emotional intelligence and resilience, as well as knowing the personality (extraversion versus emotional instability or neuroticism) in both nursing students and nursing professionals, for better academic adherence, due to stressful situations derived from high academic and attendance requirements for healthcare practices in clinical settings. However, there is little research that analyzes the importance of the perceived academic effectiveness of university students and its relationship with the psychological variables of resilience, emotional intelligence and personality. OBJECTIVE: To analyse the relationships between perceived academic efficacy, emotional intelligence (EI), resilience and the personality factors of emotional instability and extraversion, as well as to observe the variables that predict perceived academic efficacy. MATERIALS AND METHODS: Cross-sectional study on a sample of 434 nursing students in Valencia (Spain) aged 17-54 (M = 21; SD = 0.320). They filled in standard tests on perceived academic efficacy, EI, resilience, emotional instability and extraversion. RESULTS: Perceived academic efficacy is closely and positively related to EI and resilience; and to a lesser extent to emotional instability, but negatively. The academic efficacy predictor variables were EI (global trait, well-being and sociability), resilience (social support and emotional regulation) and emotional instability (R2 of 0.201). CONCLUSIONS: Perceived academic efficacy is fundamentally related to EI and resilience positively, and to a lesser extent to emotional instability negatively, fundamentally via these factors: global trait, social support, well-being, problem-solving capacity. Nursing students' perception of academic efficacy is relevant for building professional skills and carrying out the nurse's role in organisations. So, it is necessary to promote training programs to increase the emotional intelligence and resilience of nursing students, aimed at promoting competence in professional practice.

Are women more empathetic than men? A longitudinal study in adolescence.

Since the 1970s there has been a growing interest in analysing sex differences in psychological variables. Empirical studies and meta-analyses have contributed evidence on the differences between male and female individuals. More recently, the gender similarities hypothesis has supported the similarity of men and women in most psychological variables. This study contributes information on women's greater empathic disposition in comparison with men by means of a longitudinal design in an adolescent population. 505 male and female adolescents aged between 13 and 16 years were evaluated at two different moments (grade 2 and grade 3, lower secondary education). They completed the Index of Empathy for Children and Adolescents by Bryant and the Interpersonal Reactivity Index by Davis. The results confirm a greater empathic response in females than in males of the same age, differences growing with age. The sizes of the effect estimated in the second evaluation (average age 14 years) are large for emotional empathy and medium for cognitive empathy.

Estilos de crianza en la adolescencia y su relación con el comportamiento prosocial / Rearing styles in adolescence: their realtion with prosocial behavior

The work shows two studies carried out with Spanish adolescents. The objective was to evaluate the relation between rearing styles, prosocial behaviour and empathy, aggressiveness, emotional instability and anger, from a double perspective. In one of these studies (N = 531), the rearing styles were evaluated by the mother and in the other one (N = 782) by the adolescents. The results indicate that prosocial behaviour is not well predicted by the mother's analysis of rearing style. A positive evaluation by the son or daughter, an interest and emotional support and coherence in the application of norms, constitutes the rearing style most related with empathy and with prosocial behaviour.

El trabajo muestra dos estudios realizados con adolescentes españoles cuyo objetivo es estudiar la relación entre los estilos de crianza, el comportamiento prosocial y la empatía, la agresividad, la inestabilidad emocional y la iradesde un doble planteamiento:en uno de los estudios (N = 531) la evaluación de los estilos de crianza la realiza la madre y en el otro (N = 782), los adolescentes. Los resultados indican que cuando es la madre quien evalúa los estilos de crianza, éstos alcanzan menor poder predictor en el comportamiento prosocial. La evaluación positiva del hijo/a, el apoyo emocional junto con la coherencia en la aplicación de las normas es el estilo de crianza más relacionado positivamente con la empatía y con el comportamiento prosocial.

Psychological processes and family variables as prosocial behavior predictors in a sample of Spanish adolescents.

A review of personal and family variables that regulate prosocial behavior is based on a sample of 1,433 Spanish adolescents (ages 9 to 13; 743 boys and 690 girls) who were assessed on the Prosocial Reasoning Objective Measure, the Physical and Verbal Aggression Scale, the Emotional Instability Scale, the State-Trait Anger Inventory, the Child's Report of Parental Behavior Inventory, the Prosocial Behavior Scale, and the Index of Empathy for Children and Adolescents. Discriminant analyses showed that empathy, self-control in anger-provoking situations, and affection in family relationships are the best predictors of prosocial behavior.

[Adaptation of Child's Report of Parent Behavior Inventory for a Spanish population]. / Adaptación del Child's Report of Parent Behavior Inventory a población española.

This study presented an adaptation in Spanish of the Child's Reports of Parental Behavior Inventory (CRPBI) . The CRPBI is an instrument that allows us to assess family discipline perceived by children in the relation with their mothers and with their fathers. It's considered a good instrument to assess the perceptions that children have of parent behavior. The Spanish adaptation has been carried out with a sample of 1,274 Spanish adolescents (males and females) from different educational centers of the Valencian Community (13-18 years). The results show that affect, support and control are the main dimensions in the perceived child rearing styles of parents in our population.