RESUMO
Frustration is a negative state triggered by unexpected reward loss with behavioral, emotional and motivational components. Frustration Intolerance (FI) has been considered a vulnerability marker for psychopathology, its impact being modulated by personality dimensions. In this study, the relationship between FI and personality dimensions was analyzed in 640 undergraduate students. The reduced version of the Revised NEO Personality Inventory and the Sensitivity to Punishment and Sensitivity to Reward Questionnaire assessed personality dimensions. The Investigative Scale of Tolerance to Frustration, the Frustration Discomfort Scale, and the Frustrative Nonreward Responsiveness Scale assessed the behavioral, emotional and motivational components of FI, respectively. Descriptive, reliability, Pearson and partial correlation analyses were conducted. Regardless of the frustration component assessed, FI consistently and positively correlated with Neuroticism, Sensitivity to Punishment and Sensitivity to Reward. The relationship between FI and other personality dimensions seemed to be dependent on the particular FI assessment instrument used and on the corresponding component involved: Behavioral FI correlated positively with Extraversion and negatively with Openness and Agreeableness, whereas the relationship between these personality dimensions and emotional and motivational FI was not so clear. Therefore, a systematic analysis of the components of FI seems to be necessary to understand its relationship with personality
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Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Frustração , Determinação da Personalidade , Transtornos da Personalidade/psicologia , Inventário de Personalidade/estatística & dados numéricos , Punição/psicologia , Neuroticismo/classificação , Recompensa , Psicometria/instrumentação , Luto , Testes Psicológicos/estatística & dados numéricos , Estudantes/psicologiaRESUMO
El objetivo de este estudio fue describir la localización anatómica, el tipo y la gravedad de las lesiones ocurridas en las competiciones oficiales de las ligas de verano masculinas (2005-2015) de Lucha Leonesa. Al objeto de realizar un análisis más profundo, se tuvo en cuenta, el perfil del luchador. Se produjeron un total de 401 lesiones, siendo los luchadores de mayor nivel los que menos número de lesiones sufrieron. Las contusiones fueron las lesiones más frecuentes (41,4%) pero entre las graves fueron los esguinces (42,3%). Los miembros inferiores fueron la localización más frecuente en el total de lesiones (38,2%) y entre las graves (45,4%). La rodilla, el tórax y el hombro acumulaban casi la mitad de las lesiones y el 68% de las lesiones graves. Los resultados obtenidos sugieren que las características de las lesiones que se pueden observar en la lucha leonesa son similares a las de otros deportes de combate
This study aimed at describing the anatomical location, type and severity of the sport injuries observed during the Leonese Wrestling "masculine summer leagues" official tournaments (2005-2015). The wrestlers profile was taken into account as a way to achieve a deep analysis. A total of 401 injuries were registered. The best wrestlers were the ones that suffered the least number of injuries. Contusions were the type of injuries more frequently registered (41.4%), while sprains were the most common cause of severe injury (42.3%). The most frequent anatomical location affected and the one in which a great number of severe injuries occurred were the lower limbs (38.2% and 45.4%). The knee, thorax, and shoulder accounted for almost half of the total injuries and represented 68% of the severe injuries. The obtained results suggest that Leonese Wrestling show a similar injury pattern to the one observed in other combat sports
Assuntos
Humanos , Adolescente , Luta Romana/lesões , Traumatismos em Atletas/prevenção & controle , Traumatismos em Atletas/epidemiologia , Contusões/epidemiologia , Fratura Avulsão/epidemiologia , Luta Romana/classificação , Luta Romana/legislação & jurisprudência , 28599 , Declaração de Helsinki , Traumatismos do Joelho/epidemiologia , Lesões do Ombro/epidemiologiaRESUMO
Objetivo: España presenta unas de las tasas más elevadas de incidencia y mortalidad por cáncer de vejiga del mundo. El presente estudio tiene por objeto conocer la incidencia, tendencia y distribución geográfica del cáncer de vejiga en el área de salud de León. Material y métodos: Fueron incluidos los casos nuevos de cáncer de vejiga (CIE-188) del registro hospitalario de tumores del Centro Asistencial Universitario de León, entre 1996-2010 con residencia en el ASL. Se calcularon las incidencias brutas trienales y ajustadas a población mundial y europea. Como denominador se utilizaron los datos del INE de población desagregada por sexo y grupos quinquenales de edad de residentes en municipios del ASL. Para el análisis de la distribución espacial se estimaron los riesgos relativos (RR) municipales suavizados mediante el ajuste del modelo de Besag, York y Mollié y sus probabilidades posteriores de que los RR fuesen > 1 (PP), utilizando métodos bayesianos. Resultados: Se incluyeron 1.573 casos. Las tasas estandarizadas a población europea ascendieron de 20,8 (1996-98) a 33,1 (2006-2008) casos nuevos por 100.000 hombres y de 1,9 a 5,9 en las mujeres. No se observaron diferencias de interés en la distribución municipal de las incidencias. Conclusiones: Las tasas de incidencia observadas son elevadas en el contexto europeo. Se observan tendencias ascendentes en hombres y especialmente relevantes en mujeres
Objective: Spain is a country where bladder cancer incidence and mortality rates are some of the highest in the world. The aim of this study is to know the incidence, trends and geographical distribution of bladder cancer in the health area of León. Material and methods: the new cases of bladder cancer (CIE-188) in patients residing in the health area of León and registered in the Hospital Tumor Registry of the Centro Asistencial Universitario in León (Spain) between 1996-2010 were included in this study. Triennial crude incidence and adjusted incidence rates to the worldwide and European population were calculated. Population data of the municipalities of Leon (Spain) were obtained from National Institute of Statistic of Spain (INE, Instituto Nacional de Estadística). Data were disaggregated by sex-groups and five-year age groups. Spatial distribution of smoothed municipal relative risks (RR) of bladder cancer was carried out using a Besag, York and Mollié model. Bayesian model were used to calculate the posterior probability (PP) of RR greater than one. Results: 1.573 cases were included. Incidence rates standardized to European population increased among men from 20,8/100.000 (1996-98) to 33,1/100.000 (2006-2008) and among women these rates increased from 1,9/100.000 to 5,9/100.000 for the same period of time. No relevant differences were found in the municipal distribution of the incidences. Conclusions: bladder cancer incidence rates are high in the European context. Rising trends in incidence in both sexs, particularly in women are observed
Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Masculino , Feminino , Pessoa de Meia-Idade , Neoplasias da Bexiga Urinária/epidemiologia , Exposição Ambiental , Incidência , Distribuição por Idade e Sexo , Registros de Doenças/estatística & dados numéricos , Espanha/epidemiologiaRESUMO
Objetivos: Valorar las características fenotípicas y genotípicas de los pacientes incluidos en el Registro Andaluz de la poliposis adenomatosa familiar, la relación genotipo/fenotipo y el impacto del Registro en la frecuencia de cáncer colorrectal de los familiares registrados. Material y métodos: Estudio descriptivo de 77 pacientes con PAF, pertenecientes a 33 familias, incluidos en una base de datos centralizada a la que tienen acceso los responsables de los hospitales participantes, previa firma de cartas de confidencialidad. Todos los estudios genéticos se realizan en el Servicio de Inmunología de nuestro Hospital. Resultados: 77 pacientes registrados (50,6% varones): 31 probandos, edad media: 32 años (13-51) y 46 familiares afectos, edad media 21,8 años (6-55). Estudio genético informado en 68/77 con resultado positivo en 92,6%. Cáncer colorrectal al diagnóstico en diez probandos (32,2%) y 2 familiares afectos (4,3%), diferencia estadísticamente significativa (p < 0,05). Se observó afectación de tramos altos en 30/61 (49%), tumor desmoides en 7/77 (9,1%) e hipertrofia del epitelio pigmentario de la retina en 23/35 (65,7%). El 86,7% de los pacientes con esta alteración mostraron mutaciones entre los codones 454 y 1.019, relación estadísticamente significativa (p < 0,05). Conclusiones: El Registro Andaluz ha permitido ofrecer el diagnóstico genético en todas las familias afectas independientemente de su provincia de origen, mejorar el cribado, iniciar medidas preventivas precozmente y disminuir la frecuencia de cáncer colorrectal al diagnóstico en los familiares afectos registrados. La relación de la hipertrofia congénita del epitelio pigmentario de la retina con determinadas mutaciones es la única relación feno-genotípica con significación estadística(AU)
Objective: To evaluate the phenotype and genotype characteristic of patients included in the Andalusian Registry for familial adenomatous polyposis, the genotype/phenotype correlation and the impact of Registry in the frequency of colorectal cancer of registered. Material and methods: A descriptive study of 77 patients with FAP belonging to 33 families, included in a centralized database visited by the physicians of the hospitals taking part in the present study, on prior signing of confidentiality letters. All genetic studies were carried out in the Immunology Service of our institution. Results: We have included in our study 77 patients of 33 families; 31 probands with a mean age of 32 years (13-51) and 46 relatives at risk with a mean age of 21.8 years (6-55). Genetic study informed in 68/77 with positive result in 92.6%. Ten probands showed colorectal cancer (CRC) at the time of diagnosis (32.2%). Only two affected relatives showed CRC at diagnosis (4.3%), a statistically significant difference (p < 0.05). Gastrointestinal involvement was observed in 30/61 (49%), desmoid tumors in 7/77 (9.1%) and congenital hypertrophy of the retinal pigment epithelium in 23/55 (65.7%). 86.7% of patients with this alteration showed mutations between codons 454 and 1019, with a statistically significant correlation ((p< 0.05). Conclusions: The registry has facilitated the genetic diagnosis for all affected families disregard their province of origin. It has also improved the screening of affected relatives and has made it possible to take preventive measures immediately, therefore diminishing the incidence of CRC at diagnosis in registered affected relatives. The correlation between congenital hypertrophy of the retinal pigment epithelium with some mutations is the only phenotypic- genotypic correlation with statistical significance(AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Polipose Adenomatosa do Colo/epidemiologia , Polipose Adenomatosa do Colo/genética , Neoplasias Colorretais/epidemiologia , Aconselhamento Genético/métodos , Fibroma Desmoplásico/complicações , Anastomose Cirúrgica/métodos , Programas de Rastreamento/métodosRESUMO
El drenaje biliar endoscópico mediante la colangiopancreatografíaretrógrada endoscópica (CPRE) es una alternativaterapéutica aceptada para las obstrucciones biliares malignas,que no está exenta de complicaciones. La perforación esuna de éstas, aunque mucho menos frecuente (menos de 1%)que la pancreatitis (5,4%) o la hemorragia (2%). Presentamos2 casos de perforación duodenal tras la colocación deuna prótesis biliar por CPRE. En ambos casos, se tratabade un colangiocarcinoma hiliar extenso, la clínica relacionadacon la perforación fue de inicio temprano, horas despuésde la colocación de la prótesis, y la tomografía computarizadajunto a la laparotomía confirmaron el diagnóstico de lacomplicación. Creemos que el mecanismo por el cual se produjola perforación fue por fijación proximal de la prótesispor el tumor. Ésta aumentaba la intensidad del trauma distalproducido por el segmento intraduodenal e impedía laadaptación de la prótesis al peristaltismo intestinal. Unabuena medida de prevención sería un adecuado ajuste de lalongitud de la prótesis respecto al extremo proximal de la estenosisbiliar
Endoscopic biliary drainage through endoscopic retrogradecholangiopancreatography (ERCP) is a widely accepted therapeuticoption in malignant biliary obstructions. However,the procedure is not free of complications. Perforation is onepossible complication although it is much less frequent (lessthan 1%) than pancreatitis (5.4%) or hemorrhage (2%). Wepresent 2 cases of duodenal perforation after placement of abiliary prosthesis through ERCP. Both patients had extensive hilar cholangiocarcinoma. Onset of symptoms of perforationoccurred a few hours after placement of the prosthesisand the diagnosis was confirmed by computed tomographyand laparotomy. We believe that the mechanism throughwhich perforation occurred was proximal adhesion of theprosthesis to the tumor. This increased the intensity of distaltrauma produced by the intraduodenal segment, preventingadaptation of the prosthesis to intestinal peristalsis. A goodpreventive measure would consist of correctly adjusting thelength of the prosthesis in relation to the proximal end ofthe biliary stenosis
