Validation of rubric-based evaluation for bachelor's theses in a food science and technology degree.

An effective evaluation of a bachelor's thesis (BT) needs the use of valid tools such as rubrics. There are few studies providing a validation of rubrics for these theses and even fewer in the academic field of food science and technology; hence the aim of this study was to validate a rubric for the assessment of relevant competencies in the BT. Ninety-seven students presented their thesis and 56 teachers participated as members of the committees. The degree of relevance, suitability, and clarity of the rubrics were assessed as well as the relationship between student perception and academic performance and the congruence between the teacher's and students' evaluations. The content validity index and intraclass correlation coefficient (ICC) were calculated. Students had a moderate level of knowledge about rubrics, but they mostly agreed with the premise that the rubrics are an accurate tool to assess the quality of BTs. Teacher's and student's marks mostly aligned. No significant relationship was found between the positive perception of rubric's validity and the final grades. Regarding clarity, suitability, and relevance as perceived by teachers, the used rubrics were highly valued. The ICC of criteria indicated that the rubrics were valid in the studied terms. Hence, the validation of a food science and technology degree BT assessment system based on a rubric has been achieved. Supporting Information PRACTICAL APPLICATION: The conclusions drawn from this research could enable teachers at other universities to use this methodology for validating their rubrics for bachelor's theses. Furthermore, they could use this validated rubric to evaluate projects presented at their respective institutions.

Derrame pleuropulmonar tuberculoso en época de COVID-19 / Tuberculous pleuropulmonary effusion in COVID-19 time

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Significado y problematización de la violencia familiar en profesionales en instituciones de justicia: un estudio comparado de Mérida (México) y Córdoba (Argentina) / Significance and problematization of family violence of professionals in justice institutions: a comparative study of Merida (Mexico), and Cordoba (Argentina) / Significado e problematização da violência familiar nos profissionais nas instituições da justiça: um estudo comparado de Mérida (México) e de Córdoba (Argentina)

Resumen El objetivo es analizar los significados y problematización de la violencia familiar por parte de profesionales y servidores públicos que trabajan en los sistemas de justicia en áreas de primer nivel de contacto con las víctimas en la ciudad de Mérida, Yucatán, México, y de Córdoba, Argentina. Este informe busca interrelacionar elementos a través del enfoque de la construcción social de la realidad, en la que dichas construcciones de lo real influyen en la forma como interpretamos y percibimos nuestro entorno. La metodología fue de corte cualitativo y de tipo exploratorio para la recolección de información, la cual consistió en entrevistas semiestructuradas a diez personas de diferentes instituciones, pertenecientes a ambas ciudades. A partir de los resultados se pudo apreciar que ambas ciudades coinciden con la significación de la violencia familiar como problema de carácter social, en donde las instituciones de justicia no han contado con los elementos plenos para procurar a las víctimas, y en particular se evidenciaron dimensiones afectivas en los profesionales, en las cuales se reflejaron aspectos como frustración y desgaste por el hecho de estar inmersos en el contexto de trabajo, con limitantes en atención a las víctimas de violencia familiar. A modo de conclusión y como componentes diferenciales entre ambas ciudades, se evidencia la formación profesional, la referencia a la ética, sobre la cual se basa la atención de casos, y la narrativa empática hacia las víctimas.

Abstract The objective here is to analyze the meanings and problematization of family violence by professionals and public servants working for justice systems in areas of first contact level with victims in the cities of Mérida, Yucatán, Mexico, and Córdoba, Argentina. This report seeks to interrelate elements through the approach of the social construction of reality where said constructions of what is real have an influence on the way we can interpret and perceive our environment. The methodology chosen was of a qualitative and exploratory type for the compilation of information consisting of semi-structured interviews to ten people from different institutions belonging in both cities. And from the results it could be inferred that both cities coincide with the significance of family violence as a problem of social nature where the institutions of justice have not yet had the full elements needed to procure help to victims; and, particularly, affective dimensions in professionals on which some aspects like frustration and exhaustion reflected by the fact of being immersed in the working context with limitations in due care owed to family violence victims. As a conclusion, and as the differential components between both cities, professional formation and the reference to ethics on which attention given to cases is based as well as the empathic narrative towards victims are evidenced.

Resumo O objetivo é analisar os significados e problematização da violência familiar por parte dos profissionais e dos empregados públicos que trabalham nos sistemas da justiça nas áreas de primeiro nível do contato com as vítimas na cidade de Mérida, Yucatan, México, e de Córdoba, Argentina. Este relatório procura relacionar elementos através da abordagem da construção social da realidade, em que estas construções do real influem no jeito de interpretarmos e percebermos nosso entorno. A metodologia foi do corte qualitativo e do tipo exploratório para a coleta de informação, que consistiu em entrevistas semiestruturadas a dez pessoas de instituições diferentes, que pertencem a ambas as cidades. A partir dos resultados pôde-se apreciar que ambas as cidades concordam com o significado da violência familiar como o problema do caráter social, onde as instituições da justiça não têm os elementos plenos para procurar as vítimas, e particularmente dimensões afetivas individuais nos profissionais foram demonstrados, e nessas dimensões os aspectos como a frustração e desgaste foram refletidos pelo fato de estar imersos no contexto do trabalho, com limitantes na atenção as vítimas da violência familiar. Como conclusão e como componentes diferenciais entre ambas as cidades, demonstra-se a formação profissional, a referência à ética, sobre a qual a atenção dos casos e a narrativa empática para as vítimas é baseada.

Viviendo con un estoma digestivo: la importancia del apoyo familiar / Living with a digestive stoma: the importance of family support

Objetivo principal: Describir la relación y participación de la familia percibida por personas con estomas digestivos. Metodología: Estudio cualitativo descriptivo con 21 personas con estomas digestivos de las provincias de Málaga y Granada (España). La selección se hizo siguiendo los criterios de adecuación y diversidad mediante un muestreo intencional. La recogida de datos se realizó a través de entrevistas semiestructuradas. Se realizó un análisis del contenido, obteniéndose como categoría central el apoyo familiar. Resultados principales: Para las personas ostomizadas la familia se convierte en un recurso terapéutico esencial a lo largo de todo el proceso. Que el entorno familiar acepte esta nueva situación es fundamental para favorecer el reencuentro de la persona con su nueva realidad corporal. La implicación familiar en el proceso de aprendizaje de los cuidados desde el inicio es fundamental para la consecución de la autonomía. Contar con la aceptación y el apoyo de la pareja influye positivamente en el restablecimiento de las relaciones sexuales. Conclusión principal: La familia se convierte en un recurso terapéutico esencial a lo largo de todo el proceso, desde la toma de decisión acerca de la realización de la ostomía y durante el proceso de aceptación y adaptación del estoma (AU)

Objective: The aim of this study was to describe the family participation through the illness of people with digestive stomas. Methods: A descriptive qualitative study was carried out with 21 people with a digestive stoma living in the provinces of Malaga and Granada (Spain). The selection of informants was done through an intentional sampling, accordingly to the criteria of suitability and diversity. Data were collected by semi-structured interviews. The content analysis yielded a main category: family support. Results: For ostomized people the family turns into a key therapeutic resource along the whole process. The fact of families" acceptance of this new situation is essential for the process of patient"s reconciliation with his/her own corporal reality. The family implication in the process of care learning from the beginning is very important for achieving autonomy. The couple"s acceptance and support has a positive influence for recovering sexual relations (AU)

Reflexiones sobre el borrador del programa formativo de la especialidad de Enfermería en Cuidados Médico-Quirúrgicos / Reflections on the draft of the Nursing in Medical-Surgical Care speciality training program

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Gestión compartida de la demanda asistencial en Atención Primaria: ¿una oportunidad para enfermería? / Shared care-demand management in Primary Care: an opportunity for nursing staff?

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Un paso adelante / A step forward

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Continuous dopaminergic stimulation: clinical aspects and experimental bases.

In patients with Parkinson disease, pulsatile administration of dopaminergic drugs is associated with motor fluctuations and dyskinesias. By contrast, treatments that provide more continuous dopaminergic stimulation are associated with less intense motor complications. This can be achieved by using drugs with longer half-lives, delayed release formulations, and routes of administration that permit continuous delivery. The mechanisms by which different modes of dopaminergic treatment (pulsatile or continuous) determine the motor response are not fully understood. However, the use of experimental models of parkinsonism has helped understand the motor complications associated with pulsatile dopamine replacement. These studies have provided important insights into the biochemical and molecular changes in the basal ganglia in response to continuous stimulation. In addition, these models have facilitated the development of new treatments that may stabilize the motor response and the biochemical alterations in the basal ganglia to provide more efficient forms of continuous dopaminergic stimulation in patients with Parkinson disease.

[Development and validation of a new questionnaire to assess health care satisfaction and the device in stomized patients: espejo questionnaire]. / Cuestionario espejo. Valorar la satisfacción de pacientes ostomizados con la atención sanitaria y el dispositivo.

OBJECTIVES: To develop a questionnaire to measure the satisfaction of stomatised patients with healthcare professionals and with the stomal device. METHODS: An initial review of the literature was performed and in meetings with experts, the most relevant items were selected. In a pilot study with patients that had been recently stomatised (three months from intervention), the comprehensibility and discriminatory ability of each item was tested. Items were eliminated on the grounds of frequent "no response" or low correlation with others on the provisional scale (determined by means of Cronbach's alpha). RESULTS: Following meetings with experts, 12 items were eliminated by reason of irrelevance or low frequency of use. Subsequently by means of administration of the questionnaire to a sample of 72 patients, five more items were selected for elimination. An analysis of the 13 items that remained confirmed an acceptable level of reliability (Cronbach's alpha of 0.917) and also the significant differences in the global scores between the patients who have had stoma for more than three months (higher satisfaction) and patients who had been recently stomatised. The items in the questionnaire referred to aspects of easy and comfort of use of the stoma, as well as satisfaction with information received and interaction with healthcare professionals from the point of view of the patient. CONCLUSIONS: This is the first questionnaire to measure satisfaction with healthcare professionals and the stomal device from the perspective of the stomatised patient. In a subsequent study the other properties of the measurement tool (validity responsiveness and longitudinal validation) will be evaluated.

Missing pieces in the Parkinson's disease puzzle.

Parkinson's disease is a neurodegenerative process characterized by numerous motor and nonmotor clinical manifestations for which effective, mechanism-based treatments remain elusive. Here we discuss a series of critical issues that we think researchers need to address to stand a better chance of solving the different challenges posed by this pathology.

Presynaptic parkinsonism in multiple system atrophy mimicking Parkinson's disease: a clinicopathological case study.

We describe the clinicopathological findings in a patient aged 63 years at death who, at age 55 years, developed levodopa-responsive parkinsonism with no atypical features. A diagnosis of idiopathic Parkinson's disease (PD) was made. During the clinical course, fluctuations and dyskinesias appeared. Eight years after onset, he was successfully treated with subthalamic nucleus stimulation but died 3 weeks postoperatively from pulmonary embolus. Brain autopsy showed marked neuronal loss and gliosis in the substantia nigra and locus coeruleus, and, to a much lesser extent, in the basis pontis, inferior olivary nuclei, and cerebellar cortex. Striatum was normal. There were numerous oligodendroglial and neuronal cytoplasmic inclusions and neuropil threads, the highest density being localized in the pons and cerebellar white matter. No Lewy bodies were observed. We conclude that nigral, presynaptic parkinsonism may occur in multiple system atrophy, which even in the long run can be indistinguishable from PD. Putaminal preservation accounts for good response to both levodopa therapy and subthalamic nucleus stimulation.