El tipo de evento traumático y su correlación con las comorbilidades ansiosas y depresivas en las víctimas que presentan un trastorno traumático.
Tesis Materias > Psicología Universidad Europea del Atlántico > Docencia > Trabajos finales de Máster Cerrado Español Según varios estudios, un 30% de las víctimas pueden ser objeto de aparición de una sintomatología traumáticas tras la exposición a un evento. El presente estudio porta sobre las posibles correlaciones entre la graduación de sintomatología apreciada en la víctima y el tipo de evento traumático tal como las agresiones físicas o los eventos accidentales. Los estudios actuales permitieron sobresaltar la variabilidad de aparición de los trastornos y las prevalencias sobre los diferentes eventos, mostrando una cierta relación entre ambos, además de las características propias de cada víctima. Los objetivos principales de la investigación se encuentran en la continuidad de los estudios sobre los trastornos traumáticos, estudiando su aparición y sus prevalencias en un primer tiempo, comprender los trastornos y su presencia según los tipos de eventos en un segundo tiempo, para terminar sobre posibles correlaciones entre las graduaciones de los eventos y las graduaciones de los trastornos de estrés agudo, estrés postraumático, de depresión mayor o de ansiedad generalizada apreciados en las víctimas. Elestudio se basa sobre la recopilación probabilística con los datos de 45 pacientes observados durante las practicas supervisadas presenciales en el servicio de psicología de la unidad médico- judiciaria de Montpellier, Francia. Los trastornos de estrés agudo, de estrés postraumático, de ansiedad generalizada y de depresión mayor estarán determinados a partir de los criterios diagnósticos establecidos por el Diagnostic and statistical manual of mental disorders, 5th ed. La muestra escogida permitió observar resultados interesantes en las prevalencias generales, las prevalencias sobre los géneros y las edades y también en las correlaciones elaboradas entre tipos de eventos particulares y las sintomatologías traumáticas graduadas. Se pudo demostrar que tal como en la mayoría de los estudios, las mujeres representan una grande parte de las víctimas pero que los hombres tienen prevalencias más elevadas en algunos de tipos de eventos tal como las agresiones físicas. En cuanto a las correlaciones establecidas, se pudo observar tres correlaciones significativas, respectivamente entre la graduación del trastorno de estrés postraumático y las violencias sexuales, las comorbilidades ansiosas y depresivas dentro de las violencias conyugales y dentro de los eventos accidentales. Las conclusiones principales se basan sobre los resultados de correlaciones obtenidos, permitiendo de avanzar que los diferentes tipos de eventos pueden ser correlacionados positiva o negativamente con los diferentes trastornos y la graduación de estos, permitiendo establecer pautas de apoyo eficientes para apoyar a las víctimas, añadiendo las características del evento como variable. metadata Soler Díaz, Laura mail laura.soler.diaz@live.fr (2022) El tipo de evento traumático y su correlación con las comorbilidades ansiosas y depresivas en las víctimas que presentan un trastorno traumático. Masters thesis, SIN ESPECIFICAR.
Texto completo no disponible.Resumen
Según varios estudios, un 30% de las víctimas pueden ser objeto de aparición de una sintomatología traumáticas tras la exposición a un evento. El presente estudio porta sobre las posibles correlaciones entre la graduación de sintomatología apreciada en la víctima y el tipo de evento traumático tal como las agresiones físicas o los eventos accidentales. Los estudios actuales permitieron sobresaltar la variabilidad de aparición de los trastornos y las prevalencias sobre los diferentes eventos, mostrando una cierta relación entre ambos, además de las características propias de cada víctima. Los objetivos principales de la investigación se encuentran en la continuidad de los estudios sobre los trastornos traumáticos, estudiando su aparición y sus prevalencias en un primer tiempo, comprender los trastornos y su presencia según los tipos de eventos en un segundo tiempo, para terminar sobre posibles correlaciones entre las graduaciones de los eventos y las graduaciones de los trastornos de estrés agudo, estrés postraumático, de depresión mayor o de ansiedad generalizada apreciados en las víctimas. Elestudio se basa sobre la recopilación probabilística con los datos de 45 pacientes observados durante las practicas supervisadas presenciales en el servicio de psicología de la unidad médico- judiciaria de Montpellier, Francia. Los trastornos de estrés agudo, de estrés postraumático, de ansiedad generalizada y de depresión mayor estarán determinados a partir de los criterios diagnósticos establecidos por el Diagnostic and statistical manual of mental disorders, 5th ed. La muestra escogida permitió observar resultados interesantes en las prevalencias generales, las prevalencias sobre los géneros y las edades y también en las correlaciones elaboradas entre tipos de eventos particulares y las sintomatologías traumáticas graduadas. Se pudo demostrar que tal como en la mayoría de los estudios, las mujeres representan una grande parte de las víctimas pero que los hombres tienen prevalencias más elevadas en algunos de tipos de eventos tal como las agresiones físicas. En cuanto a las correlaciones establecidas, se pudo observar tres correlaciones significativas, respectivamente entre la graduación del trastorno de estrés postraumático y las violencias sexuales, las comorbilidades ansiosas y depresivas dentro de las violencias conyugales y dentro de los eventos accidentales. Las conclusiones principales se basan sobre los resultados de correlaciones obtenidos, permitiendo de avanzar que los diferentes tipos de eventos pueden ser correlacionados positiva o negativamente con los diferentes trastornos y la graduación de estos, permitiendo establecer pautas de apoyo eficientes para apoyar a las víctimas, añadiendo las características del evento como variable.
| Tipo de Documento: | Tesis (Masters) |
|---|---|
| Palabras Clave: | Estrés agudo, Estrés postraumático, Comorbilidad Depresiva, Comorbilidad Ansiosa, Eventos traumáticos. |
| Clasificación temática: | Materias > Psicología |
| Divisiones: | Universidad Europea del Atlántico > Docencia > Trabajos finales de Máster |
| Depositado: | 10 May 2024 23:30 |
| Ultima Modificación: | 10 May 2024 23:30 |
| URI: | https://repositorio.uneatlantico.es/id/eprint/3192 |
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Introduction Cancer in older adults is often associated with functional limitations, geriatric syndromes, poor self-rated health, vulnerability, and frailty, and these conditions might worsen treatment-related side effects. Recent guidelines for patients with cancer during and after treatment have documented the beneficial effects of exercise to counteract certain side effects; however, little is known about the role of exercise during cancer treatment in older adults. Materials and Methods This is a multicentre randomised controlled trial in which 200 participants will be allocated to a control group or an intervention group (the sample size has been calculated to detect a clinical difference of 1 point in Short Physical Performance Battery (SPPB) score, assuming an α error of 0.05, a β error of 0.20, and a 10 % loss rate). Patients aged ≥70 years, diagnosed with any type of solid cancer and candidates for systemic treatment are eligible. Subjects in the intervention group are invited to participate in a 12-week supervised multicomponent exercise programme in addition to receiving usual care. Study assessments are conducted at baseline and three months. The primary outcome measure is physical function as assessed by the SPPB. Secondary outcome measures include comprehensive geriatric assessment scores (including social situation, basic and instrumental activities of daily living, cognitive function, depression, nutritional status, polypharmacy, geriatric syndromes, pain, and emotional distress), anthropometric characteristics, frailty status, physical fitness, physical activity, cognitive function, quality of life, fatigue, and nutritional status. Study assessments also include analysis of inflammatory, endocrine, and nutritional mediators in serum and plasma as potential frailty biomarkers at mRNA and protein levels and multiparametric flow cytometric analysis to measure immunosenescence markers on T and NK cells. Discussion This study seeks to extend our knowledge on exercise interventions during systemic anticancer treatment in patients over 70 years of age. Results from this research will guide the management of older adults during systemic treatment in hospitals seeking to enhance the standard of care.
Julia García-García mail , Ana Rodriguez-Larrad mail , Maren Martinez de Rituerto Zeberio mail , Jenifer Gómez Mediavilla mail , Borja López-San Vicente mail , Nuria Torrego Artola mail , Izaskun Zeberio Etxetxipia mail , Irati Garmendia mail , Ainhoa Alberro mail , David Otaegui mail , Francisco Borrego Rabasco mail , María M. Caffarel mail , Kalliopi Vrotsou mail , Jon Irazusta mail , Haritz Arrieta mail , Mireia Peláez mail mireia.pelaez@uneatlantico.es, Jon Belloso mail , Laura Basterretxea mail ,
García-García
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Background Post-kala-azar dermal leishmaniasis (PKDL) is a skin condition that can become a complication in about 15 % of patients who have had kala-azar. Despite its significance, treatment options for PKDL are still limited. This systematic review and meta-analysis aim to evaluate the efficacy of amphotericin B for this condition. Methods PubMed, Embase, Cochrane, and Web of Science databases were searched for randomized controlled trials (RCTs) that reported the efficacy of Liposomal Amphotericin B in the treatment of PKDL. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Events per 100 observations with 95 % confidence intervals were performed for outcomes. Results Nine studies with 639 patients were included, the treatment durations ranging from 7 to 60 days. The mean age ranged from 9.2 to 31.0 years, and 359 patients were male. The PKDL treatment with liposomal amphotericin B resulted in a cure rate of 91.36 % (95 % CI: 76.60-97.15). However, a relapse was observed in 11.42 % (95 % CI: 6.20-20.8) of patients. Adverse events were common, with hepatic enzyme elevation (ALT/AST) being the most frequent (61.75 %; 95 % CI: 21.81–90.33), followed by fever in 29.93 % of cases (95 % CI: 5.09–77.30). Among the more serious side effects, decreased serum potassium was observed in 19.27 % (95 % CI: 3.84–58.82), and increased serum creatinine, indicative of nephrotoxicity, occurred in 15.08 % (95 % CI: 3.97–43.27). Nausea or vomiting, although less severe, affected 12.36 % of patients (95 % CI: 4.81–28.25). Conclusions These findings highlight that while liposomal amphotericin B is a potent therapeutic option for PKDL, its administration requires careful management and clinical vigilance to optimize outcomes and minimize risks.
Deivyd Vieira Silva Cavalcante mail , Lilia Maria Lima de Oliveira mail , Noor Husain mail , Beatriz Ximenes Mendes mail , Ana Clara Felix de Farias Santos mail , Luciana Borrigueiro mail , Lyria de Oliveira Rosa mail , Christian Ndikuryayo mail , Sarah Soares Amorim mail , Lalit Mohan mail , Fabiana Castro Porto Silva Lopes mail ,
Cavalcante
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Background/Objectives: The growing integration of Artificial Intelligence (AI) and chatbots in health professional education offers innovative methods to enhance learning and clinical preparedness. This study aimed to evaluate the educational impact and perceptions in university students of Human Nutrition and Dietetics, regarding the utility, usability, and design of the E+DIEting_Lab chatbot platform when implemented in clinical nutrition training. Methods: The platform was piloted from December 2023 to April 2025 involving 475 students from multiple European universities. While all 475 students completed the initial survey, 305 finished the follow-up evaluation, representing a 36% attrition rate. Participants completed surveys before and after interacting with the chatbots, assessing prior experience, knowledge, skills, and attitudes. Data were analyzed using descriptive statistics and independent samples t-tests to compare pre- and post-intervention perceptions. Results: A total of 475 university students completed the initial survey and 305 the final evaluation. Most university students were females (75.4%), with representation from six languages and diverse institutions. Students reported clear perceived learning gains: 79.7% reported updated practical skills in clinical dietetics and communication were updated, 90% felt that new digital tools improved classroom practice, and 73.9% reported enhanced interpersonal skills. Self-rated competence in using chatbots as learning tools increased significantly, with mean knowledge scores rising from 2.32 to 2.66 and skills from 2.39 to 2.79 on a 0–5 Likert scale (p < 0.001 for both). Perceived effectiveness and usefulness of chatbots as self-learning tools remained positive but showed a small decline after use (effectiveness from 3.63 to 3.42; usefulness from 3.63 to 3.45), suggesting that hands-on experience refined, but did not diminish, students’ overall favorable views of the platform. Conclusions: The implementation and pilot evaluation of the E+DIEting_Lab self-learning virtual patient chatbot platform demonstrate that structured digital simulation tools can significantly improve perceived clinical nutrition competences. These findings support chatbot adoption in dietetics curricula and inform future digital education innovations.
Iñaki Elío Pascual mail inaki.elio@uneatlantico.es, Kilian Tutusaus mail kilian.tutusaus@uneatlantico.es, Imanol Eguren García mail imanol.eguren@uneatlantico.es, Álvaro Lasarte García mail , Arturo Ortega-Mansilla mail arturo.ortega@uneatlantico.es, Thomas Prola mail thomas.prola@uneatlantico.es, Sandra Sumalla Cano mail sandra.sumalla@uneatlantico.es,
Elío Pascual
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Objective: Children’s dietary choices are influenced by several factors, including parents’ modeling. The relation between parents’ psychosocial factors and their children’s level of adherence to the Mediterranean diet were explored. Methods: Food literacy, perceived barriers and enablers, and healthy-eating attitude following the Capability, Opportunity and Motivation (COM-B) model for behavioral change were evaluated in 2,011 participants in the DELICIOUS (UnDErstanding consumer food choices & promotion of healthy and sustainable Mediterranean Diet and LIfestyle in Children and adolescents through behavIOUral change actionS) project. Adherence to the Mediterranean diet was assessed through the KIDMED questionnaire. Beta coefficients and standard errors (SEs) were calculated through linear regression analyses. Results: Post-adjustment for potential confounding factors, results showed significant positive correlation between children’s adherence to the Mediterranean diet and parental food literacy [β (SE) = 0.180 (0.011)], perceived barriers and enablers [β (SE) = 0.135 (0.009)], and healthy-eating attitudes (divided into five constructs) [β (SE) = 0.069 (0.030), β (SE) = 0.037 (0.029), β (SE) = 0.162 (0.017), β (SE) = 0.147 (0.010), β (SE) = 0.158 (0.011)]. Individual dietary components of the Mediterranean diet were also associated with various psychosocial factors. Conclusion: These results confirm the importance of parental food literacy, perceived enablers and barriers to healthy-eating, health-eating attitude in their children’s adherence to the Mediterranean diet.
Sabrina Castellano mail , Wen Rui Choo mail , Alice Rosi mail , Tania Abril Mera mail , Francesca Scazzina mail , Francesca Giampieri mail francesca.giampieri@uneatlantico.es, Evelyn Frias-Toral mail , Osama Abdelkarim mail , Mohamed Aly mail , Achraf Ammar mail , Juancho Pons mail , Laura Vázquez-Araújo mail , Fernando Maniega Legarda mail , Lorenzo Monasta mail , Alessandro Scuderi mail , Nunzia Decembrino mail , Ana Mata mail , Adrián Chacón mail , Pablo Busó mail , Giuseppe Grosso mail ,
Castellano
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Enzymatic treatment shapes in vitro digestion pattern of phenolic compounds in mulberry juice
The health benefits of mulberry fruit are closely associated with its phenolic compounds. However, the effects of enzymatic treatments on the digestion patterns of these compounds in mulberry juice remain largely unknown. This study investigated the impact of pectinase (PE), pectin lyase (PL), and cellulase (CE) on the release of phenolic compounds in whole mulberry juice. The digestion patterns were further evaluated using an in vitro simulated digestion model. The results revealed that PE significantly increased chlorogenic acid content by 77.8 %, PL enhanced cyanidin-3-O-glucoside by 20.5 %, and CE boosted quercetin by 44.5 %. Following in vitro digestion, the phenolic compound levels decreased differently depending on the treatment, while cyanidin-3-O-rutinoside content increased across all groups. In conclusion, the selected enzymes effectively promoted the release of phenolic compounds in mulberry juice. However, during gastrointestinal digestion, the degradation of phenolic compounds surpassed their enhanced release, with effects varying based on the compound's structure.
Peihuan Luo mail , Jian Ai mail , Qiongyao Wang mail , Yihang Lou mail , Zhiwei Liao mail , Francesca Giampieri mail francesca.giampieri@uneatlantico.es, Maurizio Battino mail maurizio.battino@uneatlantico.es, Elwira Sieniawska mail , Weibin Bai mail , Lingmin Tian mail ,
Luo