Emotions and music through an innovative project during compulsory secondary education.

This article presents the results and main conclusions of a quasi-experimental study after the implementation of an innovative project extended as a multi-year programme, called 'MusMotion', applied in compulsory secondary education, which is based on the relationship between music and emotions, as well as its effects on the academic performance of adolescents. The research analysed and tested an educational innovation project that improves students' academic performance, as well as the classroom climate between teachers and students (N = 444). A key strand of this research concerns the use of music to support students' emotional development and awareness. As we will explain, the results of this research have shown positive outcomes that have direct implications for pedagogy and classroom practice. The results confirm that there is a relationship between emotions and students' academic performance, and the innovative educational programme MusMotion can help to improve students' academic performance and the classroom climate by improving their state of mind. Educational systems, through the management of emotions via music, could help many children who today may have difficulty with their emotions.

[The use of renal ultrasound for adult acute pyelonephritis]. / Uso de la ecografía en la pielonefritis aguda del adulto.

OBJECTIVES: To evaluate the need to perform renal ultrasound (US) in adult patients with acute pyelonephritis (APN). METHODS: A Review of the bibliography in the data bases PubMed and Cochrane Collaboration about the use of the ultrasonography in the evaluation and diagnosis of APN. RESULTS: Thirty-seven papers were found, but only 5 fulfilled the requirements for analysis. Four hundred and sixty three patients diagnosed of APN were revised, 449 (977) of whom got US. Between 171 ultrasonographic findings, only in 52 (11.5%) cases US findings changed initial diagnosis to complicated APN that could lead to surgery. CONCLUSION: The low incidence of ultrasonographic findings does not justify the practice of renal US to every patient with APN. In patients with persistent fever longer than 72 hours, antecedents of anomalies of the urinary tract, antecedents of renal lithiasis, pregnancy, atypical clinic or diabetes mellitus, there is a higher incidence of pathological US findings that justify a change in the therapeutic approach. Further prospective clinical studies are needed to confirm these conclusions.

Uso de la ecografía en la pielonefritis aguda del adulto / The use of renal ultrasound for adult acute pyelonephritis

Objetivo: Evaluar la necesidad de la realización de una ecografía en los pacientes adultos afectos de una pielonefritis aguda (PNA). Métodos: Revisión de la bibliografía existente en las bases de datos PubMed y Cochrane Collaborattion sobre el uso de la ecografía para valoración y diagnóstico de PNA. Resultados: Se encontraron 37 textos de los cuales únicamente cumplían requisitos para su análisis 5. En total se analizaron 463 pacientes de los cuales a 449 (97%) se le realizó una ecografía por el diagnóstico de PNA. De los 171 hallazgos ecográficos, únicamente en 52 (11.5%) cambiaba el diagnóstico a PNA complicada con posibilidad de tratamiento quirúrgico. Conclusion: La baja incidencia de hallazgos ecográficos no justifica su realización a todo paciente con PNA. En los pacientes con fiebre persistente más de 72 horas (h), antecedentes de anomalías de la vía urinaria, antecedentes de litiasis renal, gestación, clínica atípica o diabetes mellitus, existe una mayor incidencia de hallazgos patológicos en la ecografía que justifiquen un cambio de actitud terapéutica. Hacen falta estudios bien diseñados para confirmar estas conclusiones (AU)

Objectives: To evaluate the need to perform renal ultrasound (US) in adult patients with acute pyelonephritis (APN). Methods: A Review of the bibliography in the data bases PubMed and Cochrane Collaboration about the use of the ultrasonography in the evaluation and diagnosis of APN. Results: Thirty-seven papers were found, but only 5 fulfilled the requirements for analysis. Four hundred and sixty three patients diagnosed of APN were revised, 449 (97%) of whom got US. Between 171 ultrasonographic findings, only in 52 (11.5%) cases US findings changed initial diagnosis to complicated APN that could lead to surgery. Conclusion: The low incidence of ultrasonographic findings does not justify the practice of renal US to every patient with APN. In patients with persistent fever longer than 72 hours, antecedents of anomalies of the urinary tract, antecedents of renal lithiasis, pregnancy, atypical clinic or diabetes mellitus, there is a higher incidence of pathological US findings that justify a change in the therapeutic approach. Further prospective clinical studies are needed to confirm these conclusions (AU)

Clinical significance of abdominal lymphadenopathy in chronic liver disease.

The possibility of assessing the relationship of ultrasound (US)-detected abdominal lymphadenopathy with etiology, biochemical findings, and histologic data in patients with chronic liver disease was evaluated. US examination of the upper abdomen was performed in 321 consecutive patients with various chronic liver disorders and 56 control patients. The prevalence of lymphadenopathy in chronic liver disease was 38%. This prevalence varied according to etiology of liver disease, from 50% in chronic hepatitis C virus (HCV) to less than 10% in alcoholic cirrhosis and hepatitis B-virus (HBV)-related chronic liver disease. Patients with lymphadenopathy showed significantly higher serum levels of AST and ALT, as well as greater histopathological severity on liver biopsy specimens. In anti-HCV positive patients, there were no differences in the prevalence of lymphadenopathy according to HCV genotypes, whereas lymphadenopathy occurred less frequently in responders to interferon therapy than in nonresponders.