Inteligencia emocional y estrategias de afrontamiento al estrés en personal de salud

Objetivo: Determinar la relación entre inteligencia emocional y las estrategias de afrontamiento al estrés en trabajadores asistenciales de un Hospital de Tercer Nivel de Atención durante el 2021. Material y método: Se realizó un estudio transversal analítico. Se utilizó dos encuestas: El test de COPE, el cual mide cómo afrontar el estrés y el Inventario de Coeficiente emocional de Bar-On, que mide el nivel de inteligencia emocional. La variable principal fue el afrontamiento al estrés; la independiente, la inteligencia emocional. Resultados: Se trabajó un total de 290 trabajadores asistenciales. La inteligencia emocional se correlacionó significativamente de manera positiva (Pearson = 0.6003) con el afrontamiento al estrés. Las estrategias de afrontamiento al estrés con mayor media fueron planificación, reinterpretación positiva y crecimiento, afrontamiento religioso. Estas estrategias tuvieron una correlación positiva con la inteligencia emocional, estas correlaciones fueron 0.5271, 0.5200 y 0.2051, respectivamente. Para el análisis de regresión múltiple, se observó que el promedio de puntos del Test de BarOn aumentó en 0.261 puntos por cada punto que incrementa el TEST de COPE (coef. = 0,261; IC95%: 0.215 - 0.307); ello ajustado por todas las covariables de interés. Conclusión: Existe una relación entre la inteligencia emocional y el afrontamiento al estrés; también, se encontró relación con las estrategias de afrontamiento al estrés.

Objective: To determine the relationship between emotional intelligence and stress coping strategies in health care workers of a Third Level of Care Hospital during 2021. Methods: An analytical cross-sectional study was carried out. Two surveys were used: the COPE test which measures how to cope with stress and the Bar-On Emotional Coefficient Inventory which measures the level of emotional intelligence. The main variable was coping with stress. The independent variable was emotional intelligence. Results: A total of 290 health care workers were worked. Emotional intelligence was significantly positively correlated (Pearson = 0.6003) with stress coping. The stress coping strategies with the highest mean were planning, positive reinterpretation and growth, and religious coping. These strategies had a positive correlation with emotional intelligence, these correlations were 0.5271, 0.5200 and 0.2051 respectively. For the multiple regression analysis, it was observed that the average BARON test score increased by 0.261 points for each point increase in the COPE TEST (coefficient = 0.261; 95%CI: 0.215 - 0.307); adjusted for all covariates of interest. Conclusion: There is a relationship between emotional intelligence and stress coping. A relationship was also found with stress coping strategies.

Queratoquiste Odontogénico en un Paciente con Displasia Cleidocraneal: reporte de un Caso / Odontogenic Keratocyst in a Patient with Cleidocranial Dysplasia: case Report

RESUMEN: La displasia cleidocraneal (DCC), es un trastorno autosómico dominante poco común, que involucra principalmente a los huesos que se osifican por vía membranosa; afectando el cierre de fontanelas craneales y el desarrollo de las clavículas, además de anomalías dentales y vertebrales. El objetivo de este manuscrito fue reportar el caso de una paciente con DCC que presentó un queratoquiste odontogénico (QQO) intrasinusal. Presentamos el caso de una paciente de 81 años, diagnosticada en su niñez con DDC, que consultó por un desajuste protésico y molestias en relación a la zona del seno maxilar derecho. Clínicamente se observó desajuste de la prótesis y aumento de volumen de márgenes poco definidos en la zona maxilar derecha, color rosa coral; que se extendía por todo el margen hemimaxilar derecho hasta el fondo de vestíbulo; doloroso a la palpación, con un mes de evolución. Se solicitó CBCT, con el que se pudo verificar la presencia de un desarrollo tumoral de contenido similar a dentículos, ubicado en la totalidad del seno maxilar derecho; extendiéndose hasta el piso de la cavidad nasal y orbitaria. Se estableció la hipótesis diagnóstica de "odontoma compuesto". Se le intervino quirúrgicamente, bajo anestesia general, realizándose una excisión de la lesión; la que era de márgenes definidos, con cambios de coloración en tonos oscuros, con la inclusión de tres piezas dentarias; de aspecto maligno. Se logró enucleación completa, dejando remanente óseo limpio. La pieza fue enviada a estudio histopatológico. En informe histopatológico, describió la presencia de una lesion quistica con pared compatible con queratoquiste.

ABSTRACT: Cleidocranial dysplasia (CCD) is an uncommon autosomal dominant disorder that mainly involves bones that ossify via the membrane, affecting the closure of cranial fontanels and the development of the clavicles, as well as presenting dental and vertebral anomalies. The aim of this manuscritpt was to report a case of a patient with CCD who presented an intrasinusal odontogenic keratocyst.We present an 81-year-old female patient, diagnosed with this syndrome in childhood, who comes to our service for a prosthetic misalignment and discomfort of the right maxillary sinus area. Clinically, there was a mismatch of the prosthesis and an increase in the volume of undefined margins under it, coral pink color, which extended all over the right hemimaxillary margin to the bottom of the vestibule, painful on palpation, with a one month evolution. A CBCT was requested, which revealed the presence of a tumor development with content similar to denticles, located in the entire right maxillary sinus, extending to the floor of the nasal and orbital cavity. The diagnostic hypothesis of "compound odontoma" was established. The patient was operated on in the central ward, under general anesthesia performing the excisional biopsy of the lesion, which showed changes in coloration in dark tones, with defined edges, with the inclusion of three teeth showing malignancy aspects. Complete enucleation was achieved, leaving tumor-free clean bone remnant. In a histopathological report, the presence of a keratocyst wall was described, which is not very compatible given the appearance of the lesion, the presence of the dental pieces included in it, and the behavior of the lesion.

Cáncer de próstata, el problema del diagnóstico: ¿es la resonancia multiparamétrica de próstata la solución? / Prostate cancer, the problem of diagnosis: is multiparametric prostate magnetic resonance imaging the solution?

Junto con un aumento sostenido en la incidencia de cáncer de próstata en los países desarrollados ha habido un cambio en el enfrentamiento diagnóstico en estos pacientes. El diagnóstico tradicional basado en la medición del antígeno prostático específico y la biopsia randomizada ha mostrado tener muchas falencias ya que sobre-diagnostica cánceres no significativos y sub-diagnostica cánceres clínicamente significativos. La resonancia magnética de próstata multiparamétrica ha demostrado ser útil ya que disminuye este tipo de falencias. En este artículo se revisará la historia de la resonancia magnética de próstata y del PI-RADS, con el objeto de revisar el rendimiento de estos métodos y sus indicaciones actuales.

Along with a sustained increase in the incidence of prostate cancer in developed countries, there has been a change in the diagnostic approach in these patients. The traditional diagnosis based on the measurement of the specific prostate antigen and randomized biopsy has shown to have many shortcomings as it leads to overdiagnosis of non-significant cancers and underdiagnosis of clinically significant cancers. The multiparametric prostate magnetic resonance imaging has proven to be useful since it diminishes these shortcomings. In this article we will review part of the history of prostate magnetic resonance imaging and PI-RADS, in order to review the performance of these methods and their current indications.

Prevalence of diabetic retinopathy in India: The All India Ophthalmological Society Diabetic Retinopathy Eye Screening Study 2014.

Aim: The aim of this study is to ascertain the prevalence of diabetic retinopathy (DR) in diabetic patients across the nation and attempt to establish history‑based risk factors. Materials and Methods: A cross‑sectional study of diabetic patients was conducted as an initiative of the All India Ophthalmological Society from 14th November to 21st November 2014. Known diabetics were evaluated voluntarily by members of the society at 194 centers using a structured protocol provided by the society for examination. The results were evaluated to ascertain the prevalence of DR in the population studied and to establish relation with gender, age, and history‑based risk factors such as duration of diabetes, insulin use, and other end‑organ disease using the Chi‑square test. Results: A total of 6218 known diabetics were screened. Totally, 5130 data entry forms were considered suitable for further evaluation. About 61.2% were males, 88.6% were between 40 and 80 years of age, almost two‑thirds of the patients were from the west and south zones, and over half had diabetes more than 5 years. The data set was predominantly urban 84.7% and 46.1% had no family history. DR prevalence in the entire data set was 21.7%. Prevalence was more in males (P = 0.007), diabetics more than 5 years (P = 0.001), those above 40 years (P = 0.01), insulin users (P = 0.001), and history of vascular accidents (P = 0.0014). Significantly 22.18% of patients detected with DR had a vision of 6/18 or better in the worse eye. Conclusion: The study reiterated the findings of earlier regional studies on a pan Indian scale and put data in perspective.