Prefrontal symptomatology in People with Amyotrophic lateral Sclerosis: Clinical Utility and Psychometric Properties of Prefrontal Symptoms Inventory (PSI)

The Amyotrophic Lateral Sclerosis (ALS) is a multisystemic disorder. It is considered a neuromuscular disease but also involves cognitive (executive functions, social cognition, attention, memory and language), emotional or behavior changes in over 50% of the reported cases and to of frontotemporal diagnosis lobar degeneration of behavioral variant in up to 15% of the cases. For this reason, the presence of cognitive and motivational problems was analysed in a Spanish sample of ALS patients through the prefrontal symptoms inventory (PSI) to determine applicability in this disease STI. A sample of 31 patients with a potential ALS or definitive diagnostic criteria according to El Escorial was used. Obtained results ISP were compared with a sample of 31 healthy people in the same proportions of gender, age and education level. Obtained results showed a not significant difference between the two populations in the motivational factor problems, related to the depression symptomatology frequently associated with ALS. A significant positive correlation between age at diagnosis and the scale of the motivational problems was observed, with a not significant trend related to problems in the executive control and in social the behavior control and with the age at diagnosis, in the same sense with age at diagnosis. Therefore, it can be concluded that, despite the results obtained, emotional and behavioral deficits in ALS patients and symptoms related to frontotemporal dementia (among others, anosognosia or lack of consciousness symptoms) could have interfered in patient perception about their symptomatology

Malformación de Arnold-Chiari y siringomielia en atención primaria. A propósito de un caso / Arnold-Chiari malformation and syringomyelia in primary care. A case report

Dentro del equipo de atención primaria las enfermedades raras, por sus características epidemiológicas y en ocasiones por la inespecificidad de los síntomas, suponen una dificultad en la asistencia diaria. Presentamos un caso de malformación de Arnold-Chiari en un paciente varón joven con síntomas insidiosos iniciales (cervicalgia y cefaleas suboccipital) que consulta ante la aparición de nueva sintomatología (parestesias, debilidad muscular y dolor cervicobraquial y lumbar irradiado y cefaleas tras esfuerzos moderados) (AU)

Rare diseases, due to their epidemiological characteristics, and sometimes to the non-specific symptoms, are difficult to diagnose routinely at Primary Care Level. A case is presented of Arnold Chiari malformation in a young male patient with early insidious presentation (neck pain and sub-occipital headaches) consulting due to the emergence of new symptoms (paresthesias, muscular weakness, cervicobrachial and radiating lumbar pain, and headaches after mild exertion) (AU)

Teorías y modelos en la práctica enfermera. ¿Un binomio imposible? / Theories and models in clinical nursing practice. An impossible relationship?

Introducción. En las últimas décadas la Enfermería española ha sufrido numerosos cambios que han contribuido en mayor o menor medida al desarrollo de la disciplina. No obstante sigue existiendo en la actualidad una barrera que dificulta y retrasa este desarrollo: la ecuación compuesta por teoría y práctica. Desarrollo del tema. Son diversos los factores que influyen en la retroalimentación entre estos dos elementos, y que repercuten en el crecimiento que experimenta la propia Enfermería. Estamos en la actualidad en un periodo de inflexión en el que es necesario imbricar de una forma efectiva estas dos vertientes, y todo ello con un doble objetivo: aplicar a la práctica diaria los modelos teóricos existentes y disponibles, y fundamentar las decisiones clínicas en evidencias científicas que respalden nuestras actuaciones. Con todo ello se pretende que la Enfermería utilice su corpus propio de conocimientos y sea capaz de nutrirse y de aprovecharlos para su desarrollo en todos sus ámbitos competenciales. Conclusiones: En estos momentos la Enfermería se halla inmersa en un complejo proceso de reconceptualización de la propia disciplina, y se abre un abanico de posibilidades que deberán ir acompañadas inevitablemente de la asunción de ciertos desafíos para los cuales será necesario estar correctamente formados (AU)

Introduction: In the last few decades, Spanish Nursing has suffered several changes that have contributed to a lesser or greater extent to the development of this discipline. However, today there is still a barrier that hinders and delays this development: the equation consisting of theory and practice. Development of the subject. There are several factors which influence the feedback between these two elements and have an impact on the growth that nursing itself undergoes. Nowadays, we are in a period of inflection in which it is necessary to combine both aspects with a dual objective: to put into daily practice the current theoretical models which are available and to base the clinical decisions on scientific evidence which can support our proceedings. Moreover, it is intended that nursing uses its own corpus of knowledge to learn and profit from it in order to develop in all its areas. Conclusions: Nowadays, nursing is immersed in a complex process of conceptualization of its own discipline. There is a wide range of possibilities which must inevitably be accompanied by the acceptance of certain challenges for which individuals must be trained (AU)

[Arnold-Chiari malformation and syringomyelia in primary care. A case report]. / Malformación de Arnold-Chiari y siringomielia en atención primaria. A propósito de un caso.

Rare diseases, due to their epidemiological characteristics, and sometimes to the non-specific symptoms, are difficult to diagnose routinely at Primary Care Level. A case is presented of Arnold Chiari malformation in a young male patient with early insidious presentation (neck pain and sub-occipital headaches) consulting due to the emergence of new symptoms (paresthesias, muscular weakness, cervicobrachial and radiating lumbar pain, and headaches after mild exertion).