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1.
Proc Biol Sci ; 291(2020): 20232768, 2024 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-38565154

RESUMEN

Prior research on metacommunities has largely focused on snapshot surveys, often overlooking temporal dynamics. In this study, our aim was to compare the insights obtained from metacommunity analyses based on a spatial approach repeated over time, with a spatio-temporal approach that consolidates all data into a single model. We empirically assessed the influence of temporal variation in the environment and spatial connectivity on the structure of metacommunities in tropical and Mediterranean temporary ponds. Employing a standardized methodology across both regions, we surveyed multiple freshwater taxa in three time periods within the same hydrological year from multiple temporary ponds in each region. To evaluate how environmental, spatial and temporal influences vary between the two approaches, we used nonlinear variation partitioning analyses based on generalized additive models. Overall, this study underscores the importance of adopting spatio-temporal analytics to better understand the processes shaping metacommunities. While the spatial approach suggested that environmental factors had a greater influence, our spatio-temporal analysis revealed that spatial connectivity was the primary driver influencing metacommunity structure in both regions. Temporal effects were equally important as environmental effects, suggesting a significant role of ecological succession in metacommunity structure.


Asunto(s)
Agua Dulce , Estanques , Clima , Análisis Espacio-Temporal , Ecosistema
2.
J Phycol ; 55(3): 714-729, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30900746

RESUMEN

Increases in ultraviolet radiation (UVR), a negative global change factor, affect aquatic primary producers. This effect is expected to be modulated by other global change factors, and to be different for populations adapted to different environments. A common garden experimental approach using freshwater green macroalgae, the cosmopolitan charophyte species Chara hispida and C. vulgaris, allowed us to test whether the beneficial increases in water temperature (T) and nitrate concentration (N) mitigate negative UVR effects. Also, whether these interactions would be not only species-specific but also according to the origin of the population; therefore, two populations of each species were used: one from a coastal wetland and the other from a mountain lake. Two factorial-design experiments were performed: (i) the presence and absence of UVR × lower and higher T × four populations, and (ii) the presence and absence of UVR × lower and higher N × four populations. Response variables were: growth, morphometry, UVR-protective compounds, photosynthetic pigments, and stoichiometric composition. There were consistent response patterns in the key variables that represent different organization levels. Our main results showed that both warming and, to a lesser extent, the increase in nutrients ameliorated the negative effects of UVR on the molecular processes involved in acclimation to UVR, and that such a mitigating effect depended on the different phenotypic plasticity of each species and each ecotype. The coastal populations, being from a more variable environment, were more resilient than the mountain populations, mainly because of changes in growth and morphology.


Asunto(s)
Carofíceas , Algas Marinas , Ecotipo , Fotosíntesis , Rayos Ultravioleta
3.
Ecology ; 104(1): e3835, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36199222

RESUMEN

The metacommunity concept provides a theoretical framework that aims at explaining organism distributions by a combination of environmental filtering, dispersal, and drift. However, few works have attempted a multitaxon approach and even fewer have compared two distant biogeographical regions using the same methodology. We tested the expectation that temperate (mediterranean-climate) pond metacommunities would be more influenced by environmental and spatial processes than tropical ones, because of stronger environmental gradients and a greater isolation of waterbodies. However, the pattern should be different among groups of organisms depending on their dispersal abilities. We surveyed 30 tropical and 32 mediterranean temporary ponds from Costa Rica and Spain, respectively, and obtained data on 49 environmental variables. We characterized the biological communities of bacteria and archaea (from the water column and the sediments), phytoplankton, zooplankton, benthic invertebrates, amphibians and birds, and estimated the relative role of space and environment on metacommunity organization for each group and region, by means of variation partitioning using generalized additive models. Purely environmental effects were important in both tropical and mediterranean ponds, but stronger in the latter, probably due to their larger limnological heterogeneity. Spatially correlated environment and pure spatial effects were greater in the tropics, related to higher climatic heterogeneity and dispersal processes (e.g., restriction, surplus) acting at different scales. The variability between taxonomic groups in the contribution of spatial and environmental factors to metacommunity variation was very wide, but higher in active, compared with passive, dispersers. Higher environmental effects were observed in mediterranean passive dispersers, and higher spatial effects in tropical passive dispersers. The unexplained variation was larger in the tropical setting, suggesting a higher role for stochastic processes, unmeasured environmental factors, or biotic interactions in the tropics, although this difference affected some actively dispersing groups (insects and birds) more than passive dispersers. These results, despite our limitations in comparing only two regions, provide support, for a wide variety of aquatic organisms, for the classic view of stronger abiotic niche constraints in temperate areas compared with the tropics. The heterogeneous response of taxonomic groups between regions also points to a stronger influence of regional context than organism adaptations on metacommunity organization.


Asunto(s)
Ecosistema , Estanques , Animales , Invertebrados/fisiología , Organismos Acuáticos , Zooplancton
4.
PLoS One ; 11(2): e0149505, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26900916

RESUMEN

The alternating climate between wet and dry periods has important effects on the hydrology and therefore on niche-based processes of water bodies in tropical areas. Additionally, assemblages of microorganism can show spatial patterns, in the form of a distance decay relationship due to their size or life form. We aimed to test spatial and environmental effects, modulated by a seasonal flooding climatic pattern, on the distribution of microalgae in 30 wetlands of a tropical dry forest region: the Pacific coast of Costa Rica and Nicaragua. Three surveys were conducted corresponding to the beginning, the highest peak, and the end of the hydrological year during the wet season, and species abundance and composition of planktonic and benthic microalgae was determined. Variation partitioning analysis (as explained by spatial distance or environmental factors) was applied to each seasonal dataset by means of partial redundancy analysis. Our results show that microalgal assemblages were structured by spatial and environmental factors depending on the hydrological period of the year. At the onset of hydroperiod and during flooding, neutral effects dominated community dynamics, but niche-based local effects resulted in more structured algal communities at the final periods of desiccating water bodies. Results suggest that climate-mediated effects on hydrology can influence the relative role of spatial and environmental factors on metacommunities of microalgae. Such variability needs to be accounted in order to describe accurately community dynamics in tropical coastal wetlands.


Asunto(s)
Hidrología , Microalgas/fisiología , Clima Tropical , Humedales , Geografía , Océano Pacífico , Fitoplancton/fisiología
5.
Clin Infect Dis ; 39(2): 240-7, 2004 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-15307034

RESUMEN

Echographically measured thicknesses of perirenal and subcutaneous fat, as well as serum metabolic and anthropometric parameters, were evaluated in 74 human immunodeficiency virus-infected patients receiving highly active antiretroviral therapy (HAART), 22 of whom were HAART-naive at baseline, who were followed-up for 27 months to detect predictive factors of lipodystrophy. Perirenal fat diameter (PRFD) at baseline differed in HAART-naive and HAART-experienced patients (P<.001), and it was the best predictor of lipodystrophy changes after 12 months of follow-up in the HAART-naive patients (hazard ratio, 7.34; 95% confidence interval, 1.18-45.49; P=.032). In addition, HAART-experienced patients in whom lipodystrophy improved had thinner baseline perirenal fat than those in whom lipodystrophy did not improve (P=.04). A PRFD of >2.6 mm at baseline or >4.9 mm during receipt of HAART suggested lipodystrophy predisposition. PRFD correlated significantly with other metabolic and anthropometric parameters. Echographically measured PRFD is associated with lipodystrophy and could be used as an early predictor of this syndrome in treatment-naive patients starting HAART.


Asunto(s)
Tejido Adiposo/diagnóstico por imagen , Fármacos Anti-VIH/uso terapéutico , Terapia Antirretroviral Altamente Activa/efectos adversos , VIH-1 , Síndrome de Lipodistrofia Asociada a VIH/diagnóstico por imagen , Síndrome de Lipodistrofia Asociada a VIH/fisiopatología , Adulto , Fármacos Anti-VIH/efectos adversos , Pesos y Medidas Corporales , Femenino , Infecciones por VIH/tratamiento farmacológico , Síndrome de Lipodistrofia Asociada a VIH/inducido químicamente , Síndrome de Lipodistrofia Asociada a VIH/metabolismo , Humanos , Riñón , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios Prospectivos , Ultrasonografía
6.
Aquat Toxicol ; 144-145: 1-10, 2013 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-24121158

RESUMEN

Microcystins (MCs) are produced by cyanobacteria in aquatic environments and adversely affect macrophytes at very high concentrations. However, the effects of MC on macrophytes at concentrations of environmental relevance are largely unknown. The main objective of this study was to analyze the allelopathic effects of MC-LR at natural concentrations (1, 8 and 16 µg MC-LR/L) on five charophyte species (Chara aspera, C. baltica, C. hispida, C. vulgaris and Nitella hyalina) and the angiosperm Myriophyllum spicatum. Macrophyte specimens were obtained from a restored area located in Albufera de València Natural Park, a protected coastal Mediterranean wetland. Two different experiments were conducted involving (i) the addition of MC-LR to natural sediment to evaluate its effects on seed germination and (ii) the addition of MC-LR to water cultures of macrophytes to evaluate its effects on growth and metabolic functions. In water, the MC-LR concentration decreased by 84% in two weeks; the loss was not significant in sediment. The first seedlings (all C. hispida) emerged from the wetland sediment following a delay of a few days in the presence of MC-LR. The germination rates in 8 and 16 µg MC-LR/L treatments were 44% and 11% of that occurring in the absence of MC, but these differences disappeared over time. The final density was 6-7 germlings/dm(3). Final germling length was unaffected by MC-LR. Rotifers (Lecane spp.) emerging from the natural sediment during the experiment were favored by MC-LR; the opposite pattern was observed in the cladoceran Daphnia magna. The growth rates of C. vulgaris, C. baltica and N. hyalina were unaffected by MC exposure, whereas those of C. hispida and C. aspera were reduced in the MC treatments relative to the control treatment. The concentration of chlorophyll-a and the in vivo net photosynthetic rate were lower in the presence of MC-LR, even at the lowest concentration, for all of the characeans tested. M. spicatum was sensitive to the presence of MC-LR in the culture medium; the growth and chlorophyll-a concentrations were reduced. Therefore, environmentally relevant concentrations of MC might induce important changes in macrophyte meadows and the structure of the associated plankton community. Synchrony or delay in the processes evaluated here in response to environmentally relevant concentrations of cyanobacteria MC exudates can enhance understanding of the turning point to alternative states and the point of no return in eutrophicated shallow lakes.


Asunto(s)
Carofíceas/efectos de los fármacos , Germinación/efectos de los fármacos , Magnoliopsida/efectos de los fármacos , Microcistinas/toxicidad , Carofíceas/crecimiento & desarrollo , Carofíceas/metabolismo , Sedimentos Geológicos/química , Toxinas Marinas , Pigmentos Biológicos/metabolismo , Contaminantes Químicos del Agua/toxicidad , Humedales
7.
Arq Bras Oftalmol ; 76(2): 126-8, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23828476

RESUMEN

We report an atypical case of granular corneal dystrophy recurrence after deep anterior lamellar keratoplasty. We describe clinical features, histopathological analysis of the lamellar graft specimen and DNA analysis results. The slit-lamp examination and histopathological findings from the graft specimen indicated the confinement of the typical deposits of granular corneal dystrophy deep in the graft interface area. This localization is atypical, since in most cases recurrences in grafts tend to be initially superficial and situated in the epithelial or subepithelial corneal layers. Molecular genetic analysis revealed an already described mutation and a new intronic variant. The unusual localization and timing of this recurrence of granular corneal dystrophy after deep anterior lamellar keratoplasty suggests that corneal stromal keratocytes may play a role in the formation of granular deposits.


Asunto(s)
Distrofias Hereditarias de la Córnea/genética , Trasplante de Córnea , Adulto , Distrofias Hereditarias de la Córnea/patología , Sustancia Propia/patología , Femenino , Humanos , Mutación , Recurrencia , Factor de Crecimiento Transformador beta/genética
8.
Gac. méd. espirit ; 20(3): 101-111, set.-dic. 2018.
Artículo en Español | CUMED | ID: cum-77908

RESUMEN

RESUMEN Fundamento: La educación médica en el siglo XXI exige de un estudiante capaz de captar las conexiones entre las diferentes asignaturas para dar solución a determinada problemática y puedan integrar aquello que se les enseñó aisladamente en las asignaturas. Objetivo: Describir procedimientos generales de las asignaturas de Anatomía Patológica, Microbiología y Genética para elaborar tareas integradoras que contribuyan al desarrollo de la independencia cognoscitiva de los estudiantes de la carrera Medicina. Desarrollo: Se exponen las características de las tareas docentes integradoras y los procedimientos para su elaboración a partir de la determinación de los nodos interdisciplinarios entre las asignaturas de Anatomía Patológica, Microbiología y Genética. Conclusiones: Los procedimientos que se presentan para la elaboración de las tareas docentes integradoras, orientan metodológicamente la actividad del profesor para desarrollar la independencia cognoscitiva de los estudiantes de la carrera Medicina (AU)


ABSTRACT Background: In the 21st century, medical education requires a student capable of understanding the relations among the different subjects in order to solve a certain problem and integrate everything taught in isolation in all of them. Objective: To describe general procedures in the Pathological Anatomy, Microbiology and Genetics subjects to elaborate integrative tasks that contribute to the development of the cognitive independence in Medicine students. Development: The characteristics of the integrating teaching tasks and the procedures for their elaboration from the determination of the interdisciplinary nodes among the Pathological Anatomy, Microbiology and Genetics subjects are exposed. Conclusions: The procedures presented for the elaboration of the integrating teaching tasks, methodologically guide the teacher´s activity to develop the cognitive independence in Medicine students (AU)


Asunto(s)
Humanos , Prácticas Interdisciplinarias , Educación Médica/métodos
9.
Gac. méd. espirit ; 20(3): 101-111, set.-dic. 2018.
Artículo en Español | LILACS | ID: biblio-989850

RESUMEN

RESUMEN Fundamento: La educación médica en el siglo XXI exige de un estudiante capaz de captar las conexiones entre las diferentes asignaturas para dar solución a determinada problemática y puedan integrar aquello que se les enseñó aisladamente en las asignaturas. Objetivo: Describir procedimientos generales de las asignaturas de Anatomía Patológica, Microbiología y Genética para elaborar tareas integradoras que contribuyan al desarrollo de la independencia cognoscitiva de los estudiantes de la carrera Medicina. Desarrollo: Se exponen las características de las tareas docentes integradoras y los procedimientos para su elaboración a partir de la determinación de los nodos interdisciplinarios entre las asignaturas de Anatomía Patológica, Microbiología y Genética. Conclusiones: Los procedimientos que se presentan para la elaboración de las tareas docentes integradoras, orientan metodológicamente la actividad del profesor para desarrollar la independencia cognoscitiva de los estudiantes de la carrera Medicina.


ABSTRACT Background: In the 21st century, medical education requires a student capable of understanding the relations among the different subjects in order to solve a certain problem and integrate everything taught in isolation in all of them. Objective: To describe general procedures in the Pathological Anatomy, Microbiology and Genetics subjects to elaborate integrative tasks that contribute to the development of the cognitive independence in Medicine students. Development: The characteristics of the integrating teaching tasks and the procedures for their elaboration from the determination of the interdisciplinary nodes among the Pathological Anatomy, Microbiology and Genetics subjects are exposed. Conclusions: The procedures presented for the elaboration of the integrating teaching tasks, methodologically guide the teacher´s activity to develop the cognitive independence in Medicine students.


Asunto(s)
Prácticas Interdisciplinarias , Educación Médica/métodos
10.
PLoS One ; 8(10): e77338, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24146980

RESUMEN

Ecological systems may occur in alternative states that differ in ecological structures, functions and processes. Resilience is the measure of disturbance an ecological system can absorb before changing states. However, how the intrinsic structures and processes of systems that characterize their states affects their resilience remains unclear. We analyzed time series of phytoplankton communities at three sites in a floodplain in central Spain to assess the dominant frequencies or "temporal scales" in community dynamics and compared the patterns between a wet and a dry alternative state. The identified frequencies and cross-scale structures are expected to arise from positive feedbacks that are thought to reinforce processes in alternative states of ecological systems and regulate emergent phenomena such as resilience. Our analyses show a higher species richness and diversity but lower evenness in the dry state. Time series modeling revealed a decrease in the importance of short-term variability in the communities, suggesting that community dynamics slowed down in the dry relative to the wet state. The number of temporal scales at which community dynamics manifested, and the explanatory power of time series models, was lower in the dry state. The higher diversity, reduced number of temporal scales and the lower explanatory power of time series models suggest that species dynamics tended to be more stochastic in the dry state. From a resilience perspective our results highlight a paradox: increasing species richness may not necessarily enhance resilience. The loss of cross-scale structure (i.e. the lower number of temporal scales) in community dynamics across sites suggests that resilience erodes during drought. Phytoplankton communities in the dry state are therefore likely less resilient than in the wet state. Our case study demonstrates the potential of time series modeling to assess attributes that mediate resilience. The approach is useful for assessing resilience of alternative states across ecological and other complex systems.


Asunto(s)
Biodiversidad , Ecosistema , Fitoplancton , Inundaciones , Geografía , Modelos Teóricos , Estaciones del Año , España
11.
Index enferm ; 23(1/2): 106-110, ene.-jun. 2014.
Artículo en Español | IBECS (España) | ID: ibc-186930

RESUMEN

Objetivo principal: Analizar los cuidados administrados por matronas a mujeres en su embarazo en el siglo XVII transmitidos a través de los manuales escritos por las mismas parteras. Metodología: Metodología cualitativa, desde la hermenéutica y la historia cultural a través de técnicas etnográfico-narrativas mediante la lectura de cinco manuales (1609-1710), categorizando los textos siguiendo el modelo dialéctico de construcción-deconstrucción. Resultados principales: Obtuvimos como resultados la identificación de cuidados impregnados en creencias populares y el modo en que estos evolucionaron hacia la ciencia a través del diagnóstico, consejos higiénico-dietéticos, controles antenatales y atención a patologías. Conclusión principal: Concluimos que las matronas del siglo XVII se cohesionaron gracias al elemento estructural de los manuales en torno a valores de respeto a la fisiología de las mujeres y serán germen de una partería humanizada que les otorga identidad como colectivo profesional


Objective: Analyze managed care by midwives in pregnancy in the seventeenth Century and transmitted through the manual written by the same midwives. Methods: Qualitative methodology from hermeneutics and cultural history through ethnographic techniques and the reading of five manuals (1609-1710) and categorizing the texts with the dialectical model construction-deconstruction. Results: Our results were the identification of care impregnated popular beliefs and how they evolved toward science through diagnosis, hygiene and dietary advice, antenatal checks and attention to pathologies. Conclusions: We conclude that midwives of seventeenth-Century cohered through to the structural element of the manuals around values of respect for women's physiology and will be seed for a humanized midwifery and give them identity as a professional group


Asunto(s)
Humanos , Historia del Siglo XVII , Historia del Siglo XVIII , Historia de la Enfermería , Partería/historia , Europa (Continente) , Investigación Cualitativa
12.
Arq. bras. oftalmol ; 76(2): 126-128, mar.-abr. 2013. ilus
Artículo en Inglés | LILACS | ID: lil-678181

RESUMEN

We report an atypical case of granular corneal dystrophy recurrence after deep anterior lamellar keratoplasty. We describe clinical features, histopathological analysis of the lamellar graft specimen and DNA analysis results. The slit-lamp examination and histopathological findings from the graft specimen indicated the confinement of the typical deposits of granular corneal dystrophy deep in the graft interface area. This localization is atypical, since in most cases recurrences in grafts tend to be initially superficial and situated in the epithelial or subepithelial corneal layers. Molecular genetic analysis revealed an already described mutation and a new intronic variant. The unusual localization and timing of this recurrence of granular corneal dystrophy after deep anterior lamellar keratoplasty suggests that corneal stromal keratocytes may play a role in the formation of granular deposits.


É relatado um caso atípico de recorrência de distrofia corneana granular após transplante lamelar anterior profundo. São descritas as características clínicas, a análise histopatológica do espécime do enxerto lamelar e os resultados de análises de DNA. O exame com lâmpada de fenda e a análise histopatológica do espécime do enxerto demonstram o confinamento dos depósitos típicos da distrofia corneana granular profundamente, na área de interface do enxerto. Esta localização é atípica, uma vez que, na maioria dos casos de recidivas em enxertos, estes tendem a ser no início localizados superficialmente, nas camadas epiteliais ou subepitelial da córnea. A análise genética molecular revelou uma mutação já descrita e uma nova variante intrónica. A localização incomum e o tempo de aparecimento da presente recorrência da distrofia corneana granular após transplante lamelar anterior profundo sugere que ceratócitos do estroma corneano possam desempenhar algum papel na formação dos depósitos granulares.


Asunto(s)
Adulto , Femenino , Humanos , Trasplante de Córnea , Distrofias Hereditarias de la Córnea/genética , Distrofias Hereditarias de la Córnea/patología , Sustancia Propia/patología , Mutación , Recurrencia , Factor de Crecimiento Transformador beta/genética
13.
Environ Monit Assess ; 125(1-3): 9-17, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16957857

RESUMEN

This study evaluates whether the size structure of seston (the sum of living and nonliving particles in the water column) reflects the effects of fish on wetland water quality. Using enclosures, we measured water quality and zooplankton community structure in the presence and absence of two fish species with distinct foraging strategies [benthivorous carp (Cyprinus carpio) and planktivorous mosquitofish (Gambusia holbrooki)]. Seston collected from the enclosures was counted and sized automatically with a Coulter counter, and the size structure in the range of 1-60 microm was modelled using the underlying Pareto distribution of particles. Only Cyprinus contributed to a loss of water quality (increased nutrient levels, algal and non-algal turbidity, hypoxia), while both fish species changed zooplankton community composition compared to fishless controls. However, these changes were not reflected in parameters [goodness of fit (r (2)) and parameter c (slopes)] of Pareto models. Multivariate statistics suggest that seston size structure responded more to environmental gradients related to water depth but the relationships were also weak. Our overall result contrasts with the regulation of size spectra constructed from living organisms. Although seston integrates many structural and functional features of the water column, the lack of strong relationships between Pareto model parameters and water quality suggests that a size-based approach to characterise seston structure has a limited potential for assessing biota-mediated effects in wetlands in a straightforward manner.


Asunto(s)
Carpas/metabolismo , Ciprinodontiformes/metabolismo , Contaminantes Químicos del Agua/análisis , Humedales , Animales , Estudios de Evaluación como Asunto , Modelos Teóricos , Tamaño de la Partícula , Especificidad de la Especie , Zooplancton/metabolismo
14.
Environ Microbiol ; 6(4): 364-76, 2004 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15008814

RESUMEN

The eel and human pathogen Vibrio vulnificus serovar E (biotype 2) is seldom isolated from natural waters, although it can survive in sterilized artificial seawater microcosms for years. The main objective of the present study was to investigate whether aquatic microbiota can limit its survival and recovery from water samples. A set of preliminary experiments of survival in microcosms containing natural seawater and water from eel farms showed that the persistence of this pathogen was mainly controlled by grazing, and secondarily by bacterial competition. The bacterial competition was further analysed in artificial seawater microcosms co-inoculated with selected virulent serovar E (VSE) strains and potential competitors. Competitors included V. vulnificus biotype 1 isolates and strains of selected species that can grow on the selective media designed for V. vulnificus isolation from water samples. Evidences of bacterial competition that was detrimental for VSE recovery were recorded. Thus, some species produced a deleterious effect on VSE strains under starvation, and others were able to use the resources more efficiently under nutrient input. These results suggest that an overgrowth of more efficient competitor bacteria in conventional media used for isolation of V. vulnificus could mask the recovery of VSE strains and explain the scarcity of reports on the isolation of this human and eel pathogen from natural waters.


Asunto(s)
Anguilas/microbiología , Agua de Mar/microbiología , Vibrio vulnificus/fisiología , Microbiología del Agua , Animales , Ecosistema , Humanos , Factores de Tiempo
15.
Matronas prof ; 13(2): 35-42, abr.-jun. 2012. ilus, tab
Artículo en Español | IBECS (España) | ID: ibc-107104

RESUMEN

Objetivo: Describir las características y la evolución de la incapacidad temporal (IT) por contingencia común en las matronas del Hospital Universitario «Virgen de la Arrixaca», y su relación con determinadas variables sociodemográficas y laborales. Personas/material y método: Se realizó un estudio observacional, descriptivo, retrospectivo y transversal de las IT de 85 matronas en los años 2009-2010. Se analizó la relación de edad, sexo, estabilidad laboraly turno con el número de episodios, duración de la IT y número de horas de trabajo perdidas. Se obtuvieron los índices recomendados de la Organización Internacional del Trabajo (OIT).Resultados: Se produjeron un total de 120 episodios de IT, con una duración de 1.561 días y 7.222 horas reales de trabajo perdidas. La duración media de los episodios fue de 13 días. Se observó una relación entre la edad y estabilidad laboral con el número de IT y horas perdidas; también entre la estabilidad y la duración en días de la IT. Se obtuvo un índice de frecuencia superior en 2009 (74,11) y un índice de duración media superior en 2010 (15,71), lo que indica un mayor índice de gravedad (10,54 días/48,25 horas) y tasa de absentismo (2,9) en 2010. Conclusiones: El perfil de la matrona asociado a los procesos de IT es el de una mujer con estabilidad laboral (fija, interina y otras condiciones) y de mayor edad. El patrón tipo de IT es de corta duración, pero con gran pérdida de horas reales y mayor presencia en los meses fríos. Se observa un incremento en los índices de duración y de gravedad y en la tasa de absentismo en 2010 con respecto a 2009, aunque los resultados se acercan a la media aceptada por la OIT (AU)


Objective: To describe the characteristics and evolution of temporary incapacity (TI) due to common diseases in midwives working at "Virgende la Arrixaca" University Hospital ant its relation to certain social, demographic and occupational indicators. Staff/material and methodology: An observational, descriptive, retrospective, cross-sectorial study was carried out in 85 cases of TI in midwives in 2009-2010. Age, sex, job stability and day/night shifts were analyzed related to the number of TI episodes, the TI length (number ofdays) and the number of lost working hours. Rates according to the International Labour Organization recommendations were obtained. Results: There were 120 episodes of TI with a length of 1,561 days and a total amount of 7,222 lost working hours. Each episode took 13 days on average. The study showed that age and job-stability variables were related to the number of TI episodes and to the total amount of lost working hours. Job stability and episodes length were also observed to be related. The frequency index was higher in 2009 (74.11), as the length index was higher in 2010 (15.71). This means a higher severity index (10.54 days/48.25 hours) and a higher absenteeism rate (2.9) in 2010. Conclusions: The midwife profile in a situation of temporary incapacity is linked to elder women with job stability (permanent contract, interim and other). TI episodes are short in length, but they mean an important amount of lost working hours. Episodes are more likely to happen in wintertime. An increase in length index, severity index and absenteeism rate is observed in 2010 over 2009. Despite all, results agree with the International Labour Organization recommended data (AU)


Asunto(s)
Humanos , Absentismo , Ausencia por Enfermedad/estadística & datos numéricos , Partería , Factores de Riesgo , Índice de Severidad de la Enfermedad , Salud Laboral
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