El Departamento de Psiquiatría y Salud Mental del Hospital Central de la Defensa «Gómez Ulla» durante la pandemia por SARS-CoV-2 / The Department of Psychiatry and Mental Health of the Military Hospital «Gómez Ulla» during the SARS-CoV-2 pandemic

En el presente trabajo se exponen las medidas estructurales y logísticas, así como la práctica clínica planificada, para poder responder a la pandemia producida por el virus SARS-CoV-2 en el Departamento de Psiquiatría y Salud Mental del Hospital Central de la Defensa «Gómez Ulla». La planificación de la función asistencial se dividió en cinco grupos: los pacientes psiquiátricos ingresados en la Unidad de Hospitalización Breve; los pacientes con patología psiquiátrica ingresados en otros Servicios diferentes de Psiquiatría; los pacientes ambulatorios atendidos en Consultas Externas; los familiares de los pacientes ingresados por la COVID-19; el personal sanitario del Hospital Central de la Defensa «Gómez Ulla». En función de las necesidades de estos grupos asistenciales se realizó una planificación integral de la atención a los mismos. Durante el periodo 14 de marzo al 30 de mayo el 13% del grupo de profesionales del departamento de psiquiatría y salud mental, presentó síntomas moderados- graves de COVID-19; el 19% de los pacientes psiquiátricos ingresados en la unidad de hospitalización fueron COVID19 positivos, no falleciendo ninguno. El 74% de las interconsultas realizadas fueron sobre pacientes ingresados por COVID-19 que presentaron mayoritariamente cuadros confusionales de diversa intensidad o psicosis secundarias al uso de fármacos en el tratamiento activo del COVID-19. Se hicieron 4.185 llamadas a familiares, de las cuales el 14% (n=575) fueron a demanda de los propios familiares. Se hicieron más de 200 videollamadas y se mantuvo de forma telemática el 100% de las consultas externas

In this work the structural and logistical measures are exposed, as well as the planned clinical practice, to be able to respond to the pandemic caused by the virus SARS-CoV-2 in the Department of Psychiatry and Mental Health of the Central Defense Hospital «Gómez Ulla». The planning of the care function was divided into five groups: psychiatric patients admitted to the Brief Hospitalization Unit; patients with psychiatric pathology admitted to other different Psychiatric Services; outpatients treated in Outpatient Consultations; the relatives of the patients admitted by COVID-19; the health personnel of the Central Defense Hospital «Gómez Ulla». Based on the needs of these care groups, comprehensive care planning was carried out. During the period March 14 to May 30, 13% of the staff presented moderate-severe symptoms of COVID-19; 19% of the psychiatric patients admitted to the hospitalization unit were COVID19 positive, none of whom died. 74% of the inter-consultations carried out were on patients admitted for COVID-19 who presented mostly confusional symptoms of varying intensity or psychosis secondary to the use of drugs in the active treatment of COVID-19. 4.185 calls were made to family members, of which 14% (n = 575) were at the request of the family members themselves. More than 220 video calls were made and 100% of the external consultations were kept online

Nutritional, Health, and Technological Functionality of Lupin Flour Addition to Bread and Other Baked Products: Benefits and Challenges.

Lupin is an undervalued legume despite its high protein and dietary fiber content and potential health benefits. This review focuses on the nutritional value, health benefits, and technological effects of incorporating lupin flour into wheat-based bread. Results of clinical studies suggest that consuming lupin compared to wheat bread and other baked products reduce chronic disease risk markers; possibly due to increased protein and dietary fiber and bioactive compounds. However, lupin protein allergy has also been recorded. Bread quality has been improved when 10% lupin flour is substituted for refined wheat flour; possibly due to lupin-wheat protein cross-linking assisting bread volume and the high water-binding capacity (WBC) of lupin fiber delaying staling. Above 10% substitution appears to reduce bread quality due to lupin proteins low elasticity and the high WBC of its dietary fiber interrupting gluten network development. Gaps in understanding of the role of lupin flour in bread quality include the optimal formulation and processing conditions to maximize lupin incorporation, role of protein cross-linking, antistaling functionality, and bioactivity of its γ-conglutin protein.

Prejubilación activa: demandas, necesidades e intereses de las personas prejubiladas de la minería asturiana / Active early retirement: the demands, needs and interests of persons taking early retirement from the mining industry in Asturias (Spain)

Objetivos: detectar y analizar las demandas, necesidades e intereses de las personas prejubiladas de la minería asturiana como consecuencia de su salida anticipada del trabajo. Material y métodos: se desarrollaron 3 líneas de estudio: a) investigación de corte cualitativo dirigida a analizar la jubilación anticipada en Asturias en la que se utilizaron las técnicas de la entrevista en profundidad y el grupo de discusión; b) talleres grupales para prejubilados de la minería, y c) registro de un cuestionario de intereses. Resultados: la prejubilación en la minería presenta aspectos que son vividos de manera muy positiva, como la ganancia en salud y seguridad, pero también aparecen demandas derivadas de la falta de habilidades personales para la planificación de un nuevo ritmo cotidiano, así como de la falta de rol social. Respecto a las necesidades identificadas, unas hacen referencia a una dimensión individual (preparación para afrontar una nueva situación, formación para adquirir habilidades que permitan ocupaciones significativas y saludables) y otras tienen que ver con una dimensión grupal como la necesidad de encuentro colectivo y de roles que impliquen reconocimiento social. Los intereses detectados (formación, ocio y voluntariado) se agrupan en: nuevas tecnologías, comunicación social, apoyo social, artesanía, salud, medio ambiente y tradición. Conclusiones: los procesos de prejubilación deben ir acompañados de una intervención psicosocial de índole preventiva que contemple diferentes aspectos: preparación a la nueva situación, formación en habilidades que permitan ocupaciones significativas y la promoción de hábitos saludables y la canalización de este colectivo hacia actividades sociales de relevancia para la comunidad

Objectives: to detect and analyse the demands, needs and interests of persons taking early retirement from the mining industry in Asturias. Material and methods: three lines of investigation were developed: a) qualitative research to analyse early retirement in Asturias, which employed the techniques of in-depth interview and group discussion, b) group workshops for individuals taking early retirement from the mining industry, and c) a register of a questionnaire about interests. Results: there are certain aspects to early retirement from mining that were viewed as highly positive, for example, better health and safety. However, demands also arise caused by a lack of personal skills to enable reorganisation of a new rhythm of daily life, as well as the absence of a social role. Some of the needs identified were related to the individual (preparation for coping with a new situation, training to acquire skills leading to healthy, meaningful occupation). Others were more at the group level, such as the need for collective meetings and for roles that involve social acknowledgement. The interests detected (training, leisure time and voluntary work) were grouped as follows: new technologies, social communication, social support, handicrafts, health, environment and tradition. Conclusions: early retirement processes should be linked to psychological and social preventive action dealing with issues such as preparation for a new situation, training in skills to enable meaningful occupation and healthy habits, and channelling of this collective towards social activities of significance to the community