Procesos oncológicos y afectación de la imagen corporal

El cáncer es una enfermedad de elevada incidencia que puede desencadenar diferentes modificaciones que afectan a la autopercepción de la imagen corporal y comprometer la calidad de vida del individuo. Objetivos: Analizar los cambios corporales que se derivan del proceso oncológico y de los tratamientos aplicables. Por otro lado, se pretende averiguar cómo repercuten dichos cambios en la calidad de vida del paciente, identificar las consecuencias psicológicas y analizar las posibles intervenciones enfermeras. Material y métodos: Revisión de la literatura a través de la consulta de diferentes bases de datos. Resultados: La localización del tumor es un factor atribuible a la afectación de la imagen corporal, siendo los tumores más visibles los que comportan un mayor impacto en el individuo. Por otro lado, los diferentes tratamientos antineoplásicos así como la propia progresión del proceso tumoral conllevan, en muchos casos, cambios importantes en la apariencia física del paciente que afectan a su bienestar psicológico. La enfermera tiene un papel primordial en la identificación y manejo de problemas relacionados con la imagen corporal de los pacientes oncológicos. Establecer una relación terapéutica basada en la confianza, ofrecer apoyo emocional, así como orientar sobre posibles recursos para disminuir el impacto de los cambios físicos, son algunas de las intervenciones que este colectivo puede realizar para mejorar la autoestima y facilitar la aceptación de la nueva imagen corporal. Conclusiones: Los cambios corporales derivados del proceso neoplásico o sus tratamientos provocan un fuerte impacto emocional en el paciente y alteran su calidad de vida. Por este motivo, es aconsejable la aplicación de medidas dirigidas a favorecer la adaptación del paciente a su nueva apariencia física, a través de una atención integral y personalizada. Palabras clave: imagen corporal, cáncer, cirugía, quimioterapia, calidad de vida, anorexia-caquexia.

On the Use of a Test to Exhaustion Specific to Tennis (TEST) with Ball Hitting by Elite Players

PURPOSE: We aimed to a) introduce a new Test to Exhaustion Specific to Tennis (TEST) and compare performance (test duration) and physiological responses to those obtained during the 20-m multistage shuttle test (MSST), and b) determine to which extent those variables correlate with performance level (tennis competitive ranking) for both test procedures. METHODS: Twenty-seven junior players (8 males, 19 females) members of the national teams of the French Tennis Federation completed MSST and TEST, including elements of the game (ball hitting, intermittent activity, lateral displacement), in a randomized order. Cardiorespiratory responses were compared at submaximal (respiratory compensation point) and maximal loads between the two tests. RESULTS: At the respiratory compensation point oxygen uptake (50.1 +/- 4.7 vs. 47.5 +/- 4.3 mL.min-1.kg-1, p = 0.02), but not minute ventilation and heart rate, was higher for TEST compared to MSST. However, load increment and physiological responses at exhaustion did not differ between the two tests. Players' ranking correlated negatively with oxygen uptake measured at submaximal and maximal loads for both TEST (r = -0.41; p = 0.01 and -0.55; p = 0.004) and MSST (r = -0.38; P = 0.05 and -0.51; p = 0.1). CONCLUSION: Using TEST provides a tennis-specific assessment of aerobic fitness and may be used to prescribe aerobic exercise in a context more appropriate to the game than MSST. Results also indicate that VO2 values both at submaximal and maximal load reached during TEST and MSST are moderate predictors of players competitive ranking.

Educación en Valores y Diferencia Sexual: Realidad y políticas educativas en el contexto español

Este artículo analiza para el contexto español las políticas promovidas en los últimos años por el gobierno conservador del partido popular y los cambios que conllevaron la entrada en vigor, en el 2002, de la Ley de Calidad de la Enseñanza. Los mismos no parecen garantizar la igualdad de oportunidades para las mujeres, pues nos encontramos ante una Ley cuya finalidad es buscar respuestas a los cambios tecnológicos y los criterios de mercado, llegando a afirmarse que las reformas educativas son necesarias para la “revisión, ajuste y mejora”, siendo la “calidad” el mecanismo para “el logro de cotas más elevadas de progreso social y económico”. A pesar de que la exposición de motivos de la Ley alude al bienestar individual y social –sin explicitar abiertamente el significado que les otorga-, los planteamientos neoliberales de las economías capitalistas se insertan en el discurso y se habla, como se ha indicado, de la necesidad de ajustes que en estas perspectivas no garantizan el avance en la lucha contra la exclusión y la discriminación, dificultando el encuentro de las diferencias, de lo femenino y de lo masculino. El nuevo gobierno socialista, surgido de las elecciones celebradas en el pasado mes de marzo de 2004, forzosamente debe plantear una transición educativa que necesita de medidas urgentes, atrevidas y transformadoras.

Faculty and Student Perspectives Toward Open Courseware, and Open Access Publishing: Some Comparisons Between European and North American Populations

Instructor and student beliefs, attitudes and intentions toward contributing to local open courseware (OCW) sites have been investigated through campus-wide surveys at Universidad Politecnica de Valencia and the University of Michigan. In addition, at the University of Michigan, faculty have been queried about their participation in open access (OA) publishing. We compare the instructor and student data concerning OCW between the two institutions, and introduce the investigation of open access publishing in relation to open courseware publishing.

La búsqueda de factores protectores del fracaso escolar en niños en situación de riesgo mediante un estudio de casos

The aim of this article is to introduce one of the approaches of research that we consider may contribute to find useful knowledge for prevention of school failure. This approach is in some studies called the study of risk and resilience. The word resilience refers to the capacity of individuals to endure adverse events in their vital experience, without long-term negative or disrupting consequences in their development or socialisation. We present a review of studies that have been carried out with this approach. Then it will be exemplified with a research that intended to identify protective factors of the risk of school failure in at risk adolescents. By means of a qualitative case study approach, this research has allowed us to approach some personal, educational and social factors that seem to have a certain relevance as protective factors of the risk of school failure

Emprego de nebulizador pneumático de ICP-MS como câmara de diluição em sistemas de injeção em fluxo para determinações multielementares

An automatic dispenser based on a flow-injection system used to introduce sample and analytical solution into an inductively coupled plasma mass spectrometer through a spray chamber is proposed. Analytical curves were constructed after the injection of 20 to 750 µL aliquots of a multielement standard solution (20.0 µg L-1 in Li, Be, Al, V, Cr, Mn, Ni, Co, Cu, Zn, As, Se, Sr, Ag, Cd, Ba, Tl, Pb) and the acquisition of the integrated transient signals. The linear concentration range could be extended to ca. five decades. The performance of the system was checked by analyzing a NIST 1643d reference material. Accuracy could be improved by the proper selection of the injected volume. Besides good precision (r.s.d. < 2%), the results obtained with the proposed procedure were closer to the certified values of the reference material than those obtained by direct aspiration or by injecting 125 µL of several analytical solutions and samples.

Accounting for adsorption and desorption in Lattice Boltzmann simulations

We report a Lattice-Boltzmann scheme that accounts for adsorption and desorption in the calculation of mesoscale dynamical properties of tracers in media of arbitrary complexity. Lattice Boltzmann simulations made it possible to solve numerically the coupled Navier-Stokes equations of fluid dynamics and Nernst-Planck equations of electrokinetics in complex, heterogeneous media. With the moment propagation scheme, it became possible to extract the effective diffusion and dispersion coefficients of tracers, or solutes, of any charge, e.g., in porous media. Nevertheless, the dynamical properties of tracers depend on the tracer-surface affinity, which is not purely electrostatic and also includes a species-specific contribution. In order to capture this important feature, we introduce specific adsorption and desorption processes in a lattice Boltzmann scheme through a modified moment propagation algorithm, in which tracers may adsorb and desorb from surfaces through kinetic reaction rates. The method is validated on exact results for pure diffusion and diffusion-advection in Poiseuille flows in a simple geometry. We finally illustrate the importance of taking such processes into account in the time-dependent diffusion coefficient in a more complex porous medium.

Inmigración, crisis económica y discursos radiofónicos: hacia un lenguaje excluyente

Los medios de comunicación juegan un rol fundamental en la percepción social del proceso migratorio y de las minorías étnicas. A través del análisis de un conjunto de emisiones de Catalunya Radio, RAC1 y la COPE, el estudio que presentamos pretende determinar si el discurso radiofónico se fundamenta en un lenguaje inclusivo que contribuye a la cohesión social, o bien promueve un sobredimensionamiento de los conflictos contribuyendo a extender la xenofobia. Coincidiendo con la crisis, el lenguaje excluyente se consolida y se extiende en los medios. El análisis desarrollado evidencia el uso de conceptos y estrategias discursivas que remiten, por una parte, al racismo moderno y, por otra, al lenguaje del odio, siendo frecuentes las imprecisiones, la invisibilidad u homogeneización de determinados colectivos, la contraposición nosotrosellos o enfoques basados en el conflicto que enfatizan las diferencias étnicas.

Entendendo estrutura molecular com a molécula de hidrogênio ionizada

In this paper a general view about the modern molecular structure theory is developed discussing the ionized hydrogen molecule. We introduce some necessary approximation methods for the electronic and nuclear spectra study adopting a systematic approach. In addition though, we have performed calculations in order to illustrate these methods.

Rationing problems with payoff thresholds

An extension of the standard rationing model is introduced. Agents are not only identi fied by their respective claims over some amount of a scarce resource, but also by some payoff thresholds. These thresholds introduce exogenous differences among agents (full or partial priority, past allocations, past debts, ...) that may influence the final distribution. Within this framework we provide generalizations of the constrained equal awards rule and the constrained equal losses rule. We show that these generalized rules are dual from each other. We characterize the generalization of the equal awards rule by using the properties of consistency, path-independence and compensated exemption. Finally, we use the duality between rules to characterize the generalization of the equal losses solution.

Microcalorimetria: uma técnica aplicável ao estudo do diauxismo da Saccharomyces cerevisiae

In this work we first introduce the reader to the basic concepts of biology, bioenergetics and biochemistry, concerning the area of cell biology. Then we explain what diauxism is and an example of this phenomenon, applied to S. cerevisiae, is presented. Finally, thermograms obtained by microcalorimetry, from S. cerevisiae that undergo diauxism, are discussed from a biochemical point of view.

Generalized three-sided assignment markets: consistency and the core

A class of three-sided markets (and games) is considered, where value is generated by pairs or triplets of agents belonging to different sectors, as well as by individuals. For these markets we analyze the situation that arises when some agents leave the market with some payoff To this end, we introduce the derived market (and game) and relate it to the Davis and Maschler (1965) reduced game. Consistency with respect to the derived market, together with singleness best and individual anti-monotonicity axiomatically characterize the core for these generalized three-sided assignment markets. These markets may have an empty core, but we define a balanced subclass, where the worth of each triplet is defined as the addition of the worths of the pairs it contains. Keywords: Multi-sided assignment market, Consistency, Core, Nucleolus. JEL Classification: C71, C78

Projecte d'aplicació de dispositius mòbils Android : seguiment de pacients a distància

El projecte consisteix en una aplicació per a realitzar el seguiment de pacients a distància, evitant així desplaçaments innecessaris al centre de salut. Està format per una pàgina web, on el personal sanitari gestiona el sistema, i una aplicació Android, que és la que fa servir el pacient. El personal sanitari introdueix la medicació, les visites o les tasques periòdiques a fer pel pacient al sistema. El pacient consulta la informació en l’aplicació del seu mòbil, rebent avisos de recordatori i amb la possibilitat enviar respostes als formularis creats per el personal sanitari de manera periòdica.

La Gastronomía de México: identidad cultural desvalorada en el ámbito del turismo mexicano

Los objetivos de este trabajo son, en primer lugar, determinar si la gastronomía mexicana es considerada como producto relevante dentro de la gama del turismo cultural ofertado por México al mundo. En segundo lugar, indicar el puesto ocupado por la gastronomía mexicana en el conjunto de elementos considerados como turismo cultural ofertado por México al mundo. Y en tercer lugar, dar a conocer el grado de utilización que tienen las páginas Web de turismo de las entidades federativas de México

Estudo do estado fundamental de aglomerados de silício via redes neurais

We introduce a global optimization method based on the cooperation between an Artificial Neural Net (ANN) and Genetic Algorithm (GA). We have used ANN to select the initial population for the GA. We have tested the new method to predict the ground-state geometry of silicon clusters. We have described the clusters as a piling of plane structures. We have trained three ANN architectures and compared their results with those of pure GA. ANN strongly reduces the total computational time. For Si10, it gained a factor of 5 in search speed. This method can be easily extended to other optimization problems.