ABSTRACT
This paper describes the clinical case of a patient diagnosed with diffuse large B-cell lymphoma with splenic involvement, focusing on the role of abdominal ultrasound (US) in this context. The patient experienced dyspepsia and progressive asthenia over several months so an abdominal US was performed. The US showed multiple heterogeneous and hypoechogenic focal splenic lesions together with a moderate left pleural effusion. Lymphoma was suspected due to these findings and the diagnosis was then confirmed with the performance of a CT scan and a biopsy that revealed the presence of a diffuse large B-cell lymphoma with metastatic disease. Chemotherapy containing rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone was administered and the patient is currently on clinical remission. This study highlights the role of abdominal ultrasound as a useful technique in the non-invasive assessment of this entity, considering an appropriate clinical context and mainly after detecting multiple hypoechogenic splenic lesions in the US.
ABSTRACT
A study was conducted on how emotional intelligence and compassion fatigue (CF) interact in social workers. The hypothesis was that social workers with higher emotional intelligence were less likely to suffer/develop CF. A sample of 264 subjects was selected from among 2,014 active social workers in Seville (Spain). They were administered a sociodemographic questionnaire (α = .710), the Emotional Intelligence Questionnaire-Short Form (α = .790), and the Compassion Fatigue Scale (α = .770). Authors carried out a reliability analysis (Cronbach's alpha), a frequency study, contingency tables, a Pearson-type correlations analysis, a linear regression analysis, and analysis of variance-type significance tests (with values between p = .001 and p = .005). The social workers who participated in this study presented high emotional intelligence, yet high rates of CF were found. Specifically, the lower the social worker's manifest level of emotional intelligence, the greater the suffering of CF. Overall, social workers with higher emotional intelligence were less likely to suffer or develop CF.
Subject(s)
Burnout, Professional , Compassion Fatigue , Humans , Compassion Fatigue/psychology , Social Workers , Burnout, Professional/psychology , Reproducibility of Results , Social Work , Emotional Intelligence , Surveys and Questionnaires , EmpathyABSTRACT
El presente artículo se basa en una investigación que ha tenido como objetivo analizar lascaracterísticas de los Sistemas de Gestión de la Calidad implantados en los Centros de PersonasMayores en España. Su hipótesis principal ha sido que los Sistemas de Gestión de la Calidadimplantados en España no miden en su totalidad todos los aspectos relacionados con la atenciónde calidad. Para ello, se ha utilizado el instrumento CALCERIS001 (marca registrada M3706458)que, a través de un cuestionario de 24 variables (Alfa de Cronbach de .830), ha recogidoinformación del personal de Centros de Personas Mayores en el territorio español (N=359). Losresultados han puesto de manifiesto que la implantación de estos Sistemas de Gestión de laCalidad se ha traducido en una mejora de la calidad efectiva para estos centros y al mismo tiempose recoge que estos modelos se basan principalmente en aspectos médico-sanitarios y deorganización y gestión de los recursos humanos quedando en un segundo plano aspectos como las relaciones interpersonales y las necesidades educativas. Los autores de artículo abogarán porun sistema basado en un Modelo de Calidad Integrada, que abarque todas las dimensionesposibles.(AU)
This article is based on an investigation that has aimed to analyze the characteristics ofthe Quality Management Systems implemented in the Centers for the Elderly in Spain. Its mainhypothesis has been that the Quality Management Systems implemented in Spain do not fullymeasure all aspects related to quality care. To do this, the CALCERIS001 instrument (registeredtrademark M3706458) has been used which, through a questionnaire of 24 variables (Cronbach'sAlpha of .830), has collected information from the staff of Centers for the Elderly in Spanishterritory (N = 359). The results have shown that the implementation of these Quality ManagementSystems has resulted in an effective quality improvement for these centers and at the same timeit is stated that these models are mainly based on medical-health and organizational aspects andhuman resource management, with aspects such as interpersonal relationships and educationalneeds. The authors of the article will advocate for a system based on an Integrated Quality Model,which covers all possible dimensions.(AU)
Este artigo baseia-se numa investigação que tem como objectivo analisar ascaracterísticas dos Sistemas de Gestão da Qualidade implementados nos Centros para Idosos emEspanha. A sua principal hipótese tem sido que os Sistemas de Gestão da Qualidadeimplementados em Espanha não medem completamente todos os aspectos relacionados com oscuidados de qualidade. Para este fim, foi utilizado o instrumento CALCERIS001 (marca registadaM3706458) que, através de um questionário de 24 variáveis (Cronbach's Alpha de .830), recolheuinformações do pessoal dos Centros para Idosos em Espanha (N=359). Os resultadosdemonstraram que a implementação destes Sistemas de Gestão da Qualidade resultou numamelhoria efectiva da qualidade destes centros e, ao mesmo tempo, mostra-se que estes modelosse baseiam principalmente em aspectos médicos-saúde e organização e gestão de recursoshumanos, deixando em segundo plano aspectos como as relações interpessoais e necessidadeseducativas. Os autores do artigo defendem um sistema baseado num Modelo Integrado deQualidade, que cobre todas as dimensões possíveis.(AU)
