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Perfil de los adolescentes entre 14 y 21 años que acudieron a un servicio de urgencias con intoxicación etílica aguda en 2017
Get PDFObjective: To study the profile and characteristics of the adolescent who visited the emergency room with diagnosis of acute ethyl intoxication (AEI) and the kind of attention received during their stay.
Methodology: Retrospective descriptive study of the patients between 14 and 21 years old who visited the emergency service of the General Hospital of Asturias during 2017 with a principal or secondary diagnosis of AEI.
Results: A total of 85 patients were attended due to AEI, out of which 54,1% were female and 45,9% were male, having an average age of 17,65 years old. Based on these data, no difference could be found gender-wise in any of the parameters evaluated. 75,3% of patients were attended in the emergency service during the weekend and 80% did it during the night shift (22:00h to 8:00h). 76,5% of patients were given a care priority level 3 (urgent attention within 60 minutes). 78,8% of patients attended the hospital by ambulance. 75,3% of patients had a single AEI diagnostic. The average alcohol poisoning was 201,49 mg/dl. 95,3% of patients was released from the hospital with an average stay of 4:56h.
Conclusions: the profile of the patients that attended the service corresponded to a teenager with AEI only, that attended the service in ambulance during the weekend, in the night shift and that required surveillance and control of symptoms derived from excessive alcohol intake prior being released from hospital.Objetivo principal: estudiar el perfil y las características de los adolescentes que acudieron a un servicio de urgencias con diagnóstico de intoxicación etílica aguda (IEA) y el tipo de atención recibida durante su estancia.
Material y métodos: Estudio descriptivo observacional retrospectivo de los pacientes entre 14 y 21 años, que acudieron al servicio de urgencias del Hospital Central de Asturias con diagnóstico principal o secundario de IEA durante el año 2017.
Resultados: Se atendieron 85 pacientes por IEA, el 54,1% fueron mujeres y el 45,9% varones, con una edad media de 17,65. No se encontraron diferencias significativas en cuanto al sexo en ningún parámetro de los estudiados. El 75,3% acudieron el fin de semana (viernes, sábado y domingo), el 80% en turno de noches (22:00h a 8:00h). Al 76,5% se le asignó una prioridad asistencial de nivel 3 (atención “urgente” antes de 60 minutos). El 78,8% acudieron al centro en ambulancia. El 75,3% acudió con IEA como único diagnóstico. La alcoholemia media fue 201,49 mg/dL que corresponde a una IEA moderada. La estancia media en urgencias fue de 4,56h.
Conclusiones: El perfil del paciente que visitó nuestro servicio fue un adolescente con IEA exclusivamente, que acudió en ambulancia, durante el fin de semana en el turno de noche y que precisó vigilancia y control de síntomas derivados del consumo excesivo de alcohol antes del alta médica
Para cantar alborada. La percepción emocional de la poesía gallega en la música vocal de Fernando Buide.
Get PDFFernando Buide del Real (1980), Compostelan composer, pianist and organist, was trained at Carnegie Mellon University in Pittsburgh and awarded Ph.D. by Yale University. He has been winner of several awards -such as Harry Archer (2006), Michael Friedmann (2012) and the AEOS-BBVA Competition (2013), with his work Fragmentos del Satiricón. His music, mostly has been played not only in the USA, England, Italy but also performed by the most important Spanish orchestras. Due to the wide range of its catalog, with more than 30 compositions, it has been preferred to focus this paper on vocal music -i.e. texts in Galician. What we are trying to find out, is whether his inspiration in Galician poetry is one of the main features of his compositional style, throughout an aesthetic analysis of four of his works. The methodology will be based on personal interviews with the composer himself. A biographical outline will be highlighted to disseminate the work of this musician, who is in absolute compositional rate and has a good grip on the audience and critics.Este trabajo está divido en dos grandes capítulos. El primero es un acercamiento a la vida de Fernando Buide y a su música, con tres epígrafes: un bosquejo biográfico con un recorrido por su formación musical, las influencias musicales que configuran su estilo compositivo y sus influencias extramusicales, arquitectura y literatura. El segundo capítulo consiste en una aproximación analítíca, desde el punto de vista estético, de cuatro de sus obras vocales: Llingua de Escuma (2011), Medea (2012), Pasaxes (2016) y Dous Cantares (2016). Se añade un listado del resto de las obras que componen su catálogo de música vocal. La metodología se ha basado en entrevistas personales con el propio compositor, ya que apenas existe bibliografía sobre su vida y obra. Por tanto, con este trabajo se pretende dar a conocer las obras de un joven compositor, en lengua gallega con técnicas contemporáneas, y contribuir a la difusión del Patrimonio musical español
Substance Use and Gambling Patterns Among Adolescents: Differences According to Gender and Impulsivity
Get PDFEste artículo (Martínez-Loredo, V., Grande-Gosende, A., Fernández-Artamendi, S., Secades-Villa, R., & Fernández-Hermida, J. R. (2019). Substance use and gambling patterns among adolescents:Differences according to gender and impulsivity. Journal of Gambling Studies, 35(1),63-78. doi:10.1007/s10899-018-09824-x) se ciñe a una política de derechos de autor de la revista que impide su difusión en otro portal diferente al de Journal of Gambling Studies. La versión de la editorial
está disponible únicamente para usuarios con suscripción de pago a la revista en el
siguiente enlace: http://dx.doi.org/10.1007/s10899-018-09824-x
Puede visualizarse la versión post-print del artículo publicado en Journal of Gambling Studies.Although alcohol, tobacco and cannabis are the most prevalent drugs used by adolescents, gambling is a growing concern due to its increasing popularity. To date there have
been few studies exploring the existing patterns of concurrent use of drugs and gambling
in adolescents. This study aims to identify subpopulations of adolescents using diferent
substances and gambling activities, to explore gender diferences and to examine impulsivity as a predictor of class membership. A cross-sectional survey was carried out in 22
high-schools, and 1644 adolescents were assessed (54.1% males; mean age=15.21 years,
SD = .75). Participants reported their last-year frequency of using alcohol, tobacco and
cannabis, as well as bingo, poker, other casino games, sports betting, lottery, scratch tickets and electronic gaming machines. Problem drinking was evaluated with the Rutgers
Alcohol Problems Index, and gambling severity with the South Oaks Gambling Scale for
Adolescents. Impulsivity was assessed using a Delay Discounting task, the Barratt Impulsiveness Scale and the Impulsive Sensation-Seeking Scale. Based on a latent class model
of drugs and gambling activities, four subpopulations of males and fve of females were
found. General impulsivity and sensation seeking were the most consistent predictors of
class membership. These novel fndings support the need to consider specifc groups of
adolescents engaging in diferent patterns of addictive behaviors when implementing selective prevention strategies
"Umbrales" de la antología: autoría y género en las poéticas de Ernestina de Champourcin y Josefina de la Torre
Get PDFThe objective of this article is to analyze the poetics composed by Spanish womenwriters that are included in poetry anthologies in the 20
th
century. These paratexts, in which the authorsdescribe their ideas about poetic creation, are fundamental for the comprehension of the anthology asa book and they constitute a key document for the self-representation of Spanish women writers. Forthat purpose, I recur to recent works developed around the question of the author in the francophone context, with the works of Jose-Luis Diaz, Dominique Maingueneau, Jérôme Meizoz or Ruth Amossy at the forefront, and to the feminist literary theory that during decades has been focused on the relationship between gender and authorship. Finally, I study from this point of view the poetics byErnestina de Champourcin and Josefina de la Torre included in
Poesía española. Antología (Los contemporáneos)
(1934) by Gerardo Diego.Programa Severo Ochoa (referencia PA-17-PF-BP16126) de Ayudas predoctorales para la investigación y la docencia del Gobierno del Principado de Asturias.El objetivo de este artículo es proponer un análisis de las «poéticas» compuestas porescritoras españolas e incluidas en antologías poéticas publicadas en el siglo
XX
. Estos paratextos, enlos que las autoras exponen sus ideas sobre la creación poética, constituyen un fragmento fundamentalpara la construcción del sentido de la antología en tanto que libro y un documento de gran relevanciaa la hora de estudiar los procesos de autorrepresentación llevados a cabo por las poetas. Para ello, serecurre a las recientes investigaciones que se han desarrollado en torno a la figura del autor desde elámbito francófono de la mano de especialistas como José-Luis Diaz, Dominique Maingueneau oJérôme Meizoz, y a la teoría literaria feminista que, desde hace décadas, se ha ocupado de las relacionesentre género y autoría. Finalmente, se analizan las poéticas de Ernestina de Champourcin y Josefinade la Torre incluidas en
Poesía española. Antología (Los contemporáneos)
(1934) de Gerardo Diego
El género y la enfermería. Estado de la cuestión
Get PDFIntroduction: The equality of women and men is only possible from social and political
commitments, the laws contribute to accelerate the processes of change.
Objective: To analyze the status of the incorporation of the gender perspective in the nursing degree in Spain.
Methodology: Analytical, reviewing, first of all, the scientific literature, the legislation on this matter, the institutional production and, later, the teaching programs of public universities.
Results: The incorporation of the gender perspective in the nursing degree is still uneven and scarce, only 25% of the public centers have added it in the 2018-2019 academic year.
Discussion: If we ask about the causes of this state of affairs, we find that there is no legal obligation, but recommendations. So it remains to the voluntariness of the rectoral teams to implement it or not.
Conclusions: To achieve real and effective equality between women and men also in the
field of health, a firm legislative and academic commitment is required. A professional competition can not be executed if it has not been previously acquired.Introducción: La igualdad de mujeres y
hombres solo es posible a partir de compromisos sociales y políticos, las leyes
contribuyen a acelerar los procesos de
cambio.
Objetivo: Analizar el estado de la incorporación de la perspectiva de género
en el grado en enfermería en España.
Metodología: Analítica, revisando, en
primer lugar, la literatura científica, la legislación al respecto, la producción institucional y, posteriormente, los programas docentes de las universidades públicas.
Resultados: La incorporación de la
perspectiva de género en el grado en
enfermería es todavía desigual y escasa,
solo el 25% de los centros públicos la ha
agregado en el curso 2018-2019.
Discusión: Si nos preguntamos por las
causas de este estado de la cuestión, encontramos que no existe obligatoriedad
legal, sino recomendaciones. Así que
queda a la voluntariedad de los equipos
rectorales el implementarla o no.
Conclusiones: Para lograr la igualdad
real y efectiva entre mujeres y hombres
también en el ámbito de la salud, se requiere de un firme compromiso legislativo y académico. No se puede ejecutar una competencia profesional si no se ha
adquirido previamente
Preconcentration and sensitive determination of the anti-inflammatory drug diclofenac on a paper-based electroanalytical platform
Get PDFThis work describes the development of a paper-based platform for highly sensitive detection of diclofenac. The quantification of this anti-inflammatory drug is of importance in clinical (e.g. quality- and therapeutic control) and environmental (e.g. emerging contaminant determination) areas. The easy-to-handle platform here described consists of a carbon-ink paper-based working electrode and two metallic wires, provided by a gold-plated standard connector, as reference and counter electrodes. The porous paper matrix enables the preconcentration of the sample, decoupling sample and detection solutions. Thus, relatively large sample volumes can be used, which significantly improves the sensitivity of the method. A wide dynamic range of four orders of magnitude, between 0.10 and 100 µM, was obtained for diclofenac determination. Due to the predominance of adsorption at the lowest concentrations, there were two linear concentration ranges: one comprised between 0.10 and 5.0 µM (with a slope of 0.85 µA µM-1) and the other between 5.0 and 100 µM (with a slope of 0.48 µA µM-1). A limit of detection of 70 nM was achieved with this simple device. The platform provided accurate results with an RSD of ca. 5%. It was applied for diclofenac quantification in spiked tap water samples. The versatility of this design enabled the fabrication of a multiplexed platform containing eight electrochemical cells that work independently. The low cost, small size and simplicity of the device allow on-site analysis, which is very useful for environmental monitoring.The authors would like to thank the EU and FCT / UEFISCDI / FORMAS for funding, in the frame of the collaborative international consortium REWATER financed under the ERA-NET Cofund WaterWorks 2015 Call. This ERA-NET is an integral part of the 2016 Joint Activities developed by the Water Challenges for a Changing World Joint Programme Initiative (Water JPI). This work was also supported by the EU (FEDER funds throught COMPETE) and FCT (project FOODnanoHEALTH, Portugal2020, Norte-01-0145-FEDER-000011 and project UID/QUI/50006/2013) and by the Spanish Ministry of Economy and Competitiveness (MINECO, project CTQ2014-58826-R). Estefanía Costa Rama thanks the Government of Principado de Asturias and Marie Curie-Cofund Actions for the post-doctoral grant “Clarín-Cofund” ACA17-2
Placental metal concentrations and birth outcomes: The Environment and Childhood (INMA) project
Get PDFObjective: To examine the association of placental levels of arsenic (As), cadmium (Cd), mercury (Hg), lead (Pb), manganese (Mn), and chromium (Cr) with birth outcomes (birth weight, length, and head circumference, low birth weight [LBW], gestational age, preterm delivery, and small for gestational age [SGA]) in mother-child pairs from the Environment and Childhood (INMA) Project in Spain.
Methods: Metal concentrations were measured in placenta tissue samples randomly selected from five INMA
cohorts. Data on birth outcomes were obtained from medical records. Associations were assessed in a sub-sample of 327 mother-infant pairs by regression models adjusted for confounding factors and for all metals simultaneously. Effect modification by sex was also evaluated.
Results: Elevated placental Cd levels (> 5.79 vs. 99.6 vs.<56.1 ng/g) were associated with reduced birth length (−0.68 cm, 95%CI=−1.33; −0.04, p-trend=0.02) and slightly increased gestational age (0.35 weeks, 95%CI=−0.07; 0.77, p-trend=0.08) in the global sample. As and Pb were detected in few placentas (27% and 13%, respectively) and were not associated with any studied birth outcome.
Conclusions: Data suggest that in utero exposure to Cd, Hg, and Cr could adversely affect fetal growth, whereas Mn and Cr appear to have a positive effect on gestational age. Given the relatively small number of subjects, sexspecific associations should be interpreted with caution.Instituto de Investigación Sanitaria del Principado de Asturia
Evaluación de la estrategia de atención al parto normal. Asturias, 2017-2018
No full textComunicación científica (póster) en el congreso de la Sociedad Española de Epidemiología de 2019. Análisis de la implementación de la Estrategia Nacional de Atención al Parto Normal del Sistema Nacional de Salud en Asturias
Obstrucción intestinal inusual
Get PDFThe small intestine volvulus is a rare entity in adultsCentro de Salud Las Vegas Corvera de Asturias. Hospital Universitario San Agustín de Avilés. SESPA41º Congreso Nacional Semergen 2019 Atención Primaria, espacio de SaludEl vólvulo del intestino delgado es una entidad poco frecuente en adulto
Familias + Activas: Enfermería Familiar y Comunitaria ante el reto de la atención a la Obesidad Infantil en Atención Primaria.
Get PDFThe increase in the prevalence of childhood obesity to be among the countries with the worst data in our environment has coincided in time with the development of primary health care. A critical analysis of the errors that have been able to facilitate this tendency is imposed, not to address the socio-cultural determinants as a whole, the lack of orientation to the health promotion of the health system and the scarce application of intervention methodologies in The family environment is key to understanding some of the aspects to be corrected to try to be more effective from new innovative programs. It justifies and presents the contents of the program "Families + active" that from a multidisciplinary approach shared of childhood obesity, the consideration of the socio-cultural and psychosocial determinants, along with more innovative approaches in the Area of nutritional education and promotion of physical activity and health, aims to renew the approach of the attention to families of children diagnosed with childhood obesity to optimize the role that family and community nursing professionals can develop in the field of health services.El aumento de la prevalencia de la obesidad infantil situándonos entre los países con los peores datos de nuestro entorno, ha coincidido en el tiempo con el desarrollo de la Atención Primaria de Salud. Se impone un análisis crítico de los errores que han podido facilitar esta tendencia: no abordar los determinantes socioculturales en su conjunto, la falta de orientación a la promoción de salud del sistema de salud y la escasa aplicación de metodologías de intervención en el ámbito familiar son claves para entender algunos de los aspecto a subsanar para intentar ser más eficaces desde nuevos programas innovadores. Se justifican los contenidos del programa “Familias + Activas” que considera desde un abordaje multidisciplinar compartido de la obesidad infantil los determinantes socioculturales y psicosociales, junto con una atención más innovadora en el ámbito de la educación nutricional y promoción de actividad física y salud. Además, pretende renovar el abordaje de la atención a las familias de niñas y niños diagnosticados de obesidad infantil para optimizar el papel que los profesionales de Enfermería Familiar y Comunitaria pueden desarrollar en el ámbito de los servicios de salud