Locus de control de la salud, actitud religiosa y espiritualidad en adultos mayores / Health locus of control, religious attitude and spirituality in older adults

Objetivo: valorar la relación del locus de control de la salud con la actitud religiosa y la espiritualidad en adultos mayores mexicanos. Materiales y métodos: estudio correlacional de corte transversal en una muestra de 101 adultos mayores de centros gubernamentales de asistencia social en México. Para evaluar las variables de estudio se utilizó la Escala de Locus de Control en Salud, el Índice de Espiritualidad y la Escala de Actitud Religiosa, además de un cuestionario para las variables sociodemográficas. La recolección de datos fue realizada por psicólogas previa firma del consentimiento informado. Se realizaron análisis descriptivos para las variables de estudio, y para evaluar la relación entre el locus de control de la salud con la actitud religiosa y la espiritualidad se realizaron dos análisis: una correlación de Pearson y la razón de momios. Resultados: la correlación del locus de control de la salud en su dimensión otros poderosos tiene una correlación baja pero estadísticamente significativa con la actitud religiosa (r = ,278, p < ,01) y no tiene una correlación con la espiritualidad, así, un nivel alto de actitud religiosa hace más probable que los adultos mayores tengan un locus de control de la salud otros poderosos a un nivel alto (Ψ = 2,71, 1,154 - 6,394). Conclusión: a medida que la actitud religiosa tiene un nivel más alto, el empoderamiento de la salud en los adultos mayores mexicanos tiene mayor probabilidad de ser menor.. (au)

Objective: to assess the relationship of health locus of control with religious attitude and spirituality in a group of Mexican elders. Materials and methods: cross-sectional correlational study in a sample of 101 older adults from government social assistance centers in Mexico. To evaluate the study variables, the Locus of Control in Health Scale, the Spirituality Index and the Religious Attitude Scale were used; in addition to a questionnaire for sociodemographic variables. Data collection was carried out by psychologists after signing the informed consent. Descriptive analyzes were carried out for the study variables and to evaluate the relationship between health locus of control with religious attitude and spirituality, two analyzes were carried out: a Pearson correlation and the odds ratio. Results: the correlation of health locus of control in its dimension powerful others has a low but statistically significant correlation with religious attitude (r = ,278, p <,01) and does not have a correlation with spirituality, thus, a high level of religious attitude makes it more likely that older adults have a powerful others health locus of control at a high level (Ψ = 2,71, 1,154 ­ 6,394). Conclusion: as religious attitude has a higher level, health empowerment in Mexican older adults is more likely to be lower..(Au)

Ileocecal endometriosis: diagnosis and management.

OBJECTIVE: Ileocecal endometriosis is rare. Symptoms range from no symptoms, cramps, vomiting, to acute intestinal obstruction. Our objective was to review our cases, clarify, and resume its most appropriate management focusing on the factors to determine diagnosis. This is a retrospective study by revision of medical charts of all ileal endometriosis cases of our unit from 2006 to 2014. CASE REPORT: Seven cases were found; three (43%) had previous endometriosis laparoscopic diagnosis, four (57%) had partial bowel obstruction episodes, three (43%) had chronic pelvic pain, and one developed acute intestinal obstruction in postoperative ileostomy closure. In three (43%), the diagnosis was made with magnetic resonance imaging (MRI) and double contrast barium enema, in one (14%) only with MRI, and the other three (43%) during surgery. All patients underwent resection of the ileum and evolved favorably. CONCLUSION: Variability in symptoms hinders diagnosis. The gold standard for diagnosis is MRI, but clinical suspicion optimizes imaging test diagnosis. Segmental resection should be indicated in the majority of the cases.

Nitrogen requirements of commercial wine yeast strains during fermentation of a synthetic grape must.

Nitrogen deficiencies in grape musts are one of the main causes of stuck or sluggish wine fermentations. Currently, the most common method for dealing with nitrogen-deficient fermentations is adding supplementary nitrogen (usually ammonium phosphate). However, it is important to know the specific nitrogen requirement of each strain, to avoid excessive addition that can lead to microbial instability and ethyl carbamate accumulation. In this study, we aimed to determine the effect of increasing nitrogen concentrations of three different nitrogen sources on growth and fermentation performance in four industrial wine yeast strains. This task was carried out using statistical modeling techniques. The strains PDM and RVA showed higher growth-rate and maximum population size and consumed nitrogen much more quickly than strains ARM and TTA. Likewise, the strains PDM and RVA were also the greatest nitrogen demanders. Thus, we can conclude that these differences in nitrogen demand positively correlated with higher growth rate and higher nitrogen uptake rate. The most direct effect of employing an adequate nitrogen concentration is the increase in biomass, which involves a higher fermentation rate. However, the impact of nitrogen on fermentation rate is not exclusively due to the increase in biomass because the strain TTA, which showed the worst growth behavior, had the best fermentation activity. Some strains may adapt a strategy whereby fewer cells with higher metabolic activity are produced. Regarding the nitrogen source used, all the strains showed the better and worse fermentation performance with arginine and ammonium, respectively.