Prevalencia del síndrome metabólico en una población de niños obesos en el País Vasco, su relación con la resistencia a la insulina, las adipoquinas y grhelina

274 p. : graf.

Impact of depressive symptoms on subjective well-being: the importance of patient-reported outcomes in schizophrenia

Objective: The subjective experience of psychotic patients toward treatment is a key factor in medication adherence, quality of life, and clinical outcome. The aim of this study was to assess the subjective well-being in patients with schizophrenia and to examine its relationship with the presence and severity of depressive symptoms. Methods: A multicenter, cross-sectional study was conducted with clinically stable outpatients diagnosed with schizophrenia. The Subjective Well-Being under Neuroleptic Scale - short version (SWN-K) and the Calgary Depression Scale for Schizophrenia (CDSS) were used to gather information on well-being and the presence and severity of depressive symptoms, respectively. Spearman's rank correlation was used to assess the associations between the SWN-K total score, its five subscales, and the CDSS total score. Discriminative validity was evaluated against that criterion by analysing the area under the curve (AUC). Results: Ninety-seven patients were included in the study. Mean age was 35 years (standard deviation = 10) and 72% were male. Both the total SWN-K scale and its five subscales correlated inversely and significantly with the CDSS total score (P < 0.0001). The highest correlation was observed for the total SWN-K (Spearman's rank order correlation [ rho] = -0.59), being the other correlations: mental functioning (-0.47), social integration (-0.46), emotional regulation (-0.51), physical functioning (-0.48), and self-control (-0.41). A total of 33 patients (34%) were classified as depressed. Total SWN-K showed the highest AUC when discriminating between depressive severity levels (0.84), followed by emotional regulation (0.80), social integration (0.78), physical functioning and self-control (0.77), and mental functioning (0.73). Total SWN-K and its five subscales showed a significant linear trend against CDSS severity levels (P < 0.001). Conclusion: The presence of moderate to severe depressive symptoms was relatively high, and correlated inversely with patients' subjective well-being. Routine assessment of patient-reported measures in patients with schizophrenia might reduce potential discrepancy between patient and physician assessment, increase therapeutic alliance, and improve outcome.

Dieta de la nutria (Lutra lutra) en un tramo fluvial : variación estacional.

Se estudió la dieta de la nutria (Lutra lutra Linnaeus 1758) mediante análisis de restos fecales, en un tramo del río Nela (Burgos), un afluente del Ebro, durante tres distintas épocas de un año (Octubre, Diciembre y Abril). La presencia de cada presa se expresó en porcentaje de peso seco con respecto al total. Se comprobó que la dieta de la nutria se compone principalmente de cangrejo señal Pacifastacus leniusculus Dana, 1852 (88,99 ± 21,52%), seguida por peces (8,23 ± 21,15%), siendo las demás presas (insectos, anfibios, moluscos y materia vegetal) poco importantes, por lo que la mayor parte de la investigación se centró en estos dos tipos de presas. Se encontraron diferencias significativas en la composición de la dieta en octubre (Cangrejo: 97,2 ± 3,72%; Pez: 0,94 ± 2,88%), diciembre (Cangrejo: 67,68 ± 32,13%; Pez: 27,03 ± 33,77%) y abril (Cangrejo: 97,25 ± 3,62%; Pez: 1,06 ± 1,38%), siendo diciembre la época en la que mayor diversidad presentó su dieta. Las estimaciones de número de cangrejos ingeridos fueron apoyadas por un análisis de las piezas reconocibles de los mismos, para estimar el número mínimo de individuos presentes en un excremento. Por otro lado, se estimaron, a partir de medidas de arcos faríngeos, cleitros y opérculos encontrados en los excrementos, la longitud y el peso estimados de los peces que componían su dieta, como Parachondrostoma miegii (Steindachner, 1866), Gobio gobio Linnaeus, 1758 y Luciobarbus graellsii (Steindachner, 1866), Phoxinus phoxinus Linnaeus, 1758 y Alburnus alburnus Linnaeus, 1758, siendo estos dos últimos las especies dominantes en las muestras de peces (P. phoxinus: 52,3%, N= 45; A. alburnus: 32,5%).