Self-Perception of Inclusion in an Inclusive Choir: An Analysis Using the Scale for the Assessment of Inclusion (SAI).

Inclusion promotes equal opportunities, and aims to eliminate discrimination, by ensuring full access, participation, and representation for all individuals in society, with music playing a crucial role in addressing this global challenge, and fostering positive and inclusive change. The aim of this study is to identify perceptions of inclusive culture, policies, values, and practices in one specific inclusive choir in Spain. The sample consisted of 135 members, ranging from 18 to 79 years of age, of which 22.2% have recognised disabilities. All of them filled in the adapted Scale for the Assessment of Inclusion (SAI) form. The results show that, regardless of gender, age, and length of participation in the choir, their members share positive perceptions of the inclusiveness of its values, policies, practices, and culture. However, perceptions vary across the groups surveyed, and are generally more favourable among participants with a disability, those without a university education, or those aged 26 or over. It is found that people who participate in an inclusive choir, in which music is the mediating resource, perceive a high level of inclusion that allows them to feel they belong to a group where diversity, equality, and the promotion of people are respected. The findings are analysed, considering the importance of conducting multidimensional evaluations that include all members of an organisation.

Clinical Factors Associated With Long-Term Benefit in Patients With Metastatic Renal Cell Carcinoma Treated With Axitinib: Real-World AXILONG Study.

BACKGROUND: Axitinib monotherapy obtained approval in pre-treated mRCC patients and recently in combination with pembrolizumab or avelumab in the first-line setting. However, patient profiles that may obtain increased benefit from this drug and its combinations still need to be identified. PATIENTS AND METHODS: Retrospective multicentre analysis describing clinical characteristics associated with axitinib long-responder (LR) population by comparing two extreme-response sub-groups (progression-free survival [PFS] ≥9 months vs. disease progression/refractory patients [RP]). A multivariate logistic-regression model was used to analyse clinical factors. Efficacy and safety were also analysed. RESULTS: In total, 157 patients who received axitinib in second or subsequent line were evaluated (91 LR and 66 RP). Older age at start of axitinib and haemoglobin levels > LLN were independent predictive factors for LR in multivariate analyses. In LR patients, median (m) PFS was 18.1 months, median overall survival was 36.0 months and objective response rate (ORR) was 45.5%. In 59 LR patients receiving axitinib in second-line, mPFS was 18.7 months, mOS was 44.8 months and ORR was 43.9%. mOS was significantly longer in second line compared to subsequent lines (44.8 vs. 26.5 months; P = .009). In LR vs. RP, mPFS with sunitinib in first-line was correlated with mPFS with axitinib in second-line (27.2 vs. 10.9 months P < .001). The safety profile was manageable and consistent with known data. CONCLUSIONS: This study confirms the long-term benefits of axitinib in a selected population, helping clinicians to select the best sequential approach and patients who could obtain a greater benefit from axitinib.

Prevalencia de desnutrición en personas mayores institucionalizadas en España: un análisis multicéntrico nacional / Prevalence of malnutrition in Spanish institutionalized older people: a multicentric nationwide analysis

Introduction: Deficient nutritional status has important implications on vulnerable people’s health status, such as those with chronic diseases or older people in situation of dependency. Objective: To examine SAR quavitae centers users’ nutritional status at admission. Material and Methods: Health, cognitive and functional status of people admitted to any company centers during 2012 was studied. Nutritional status was assessed using the short version of the Mini Nutritional Assessment. Finally, an analysis was performed to identify the most influential variables on the sample’s nutritional status. Results: Clinical records of 4,297 admissions were analyzed. The average age was 82.08 years and 66.1% were women with high comorbidity. At admission, 30.4%of the sample was in malnutrition and 49.4% at risk of malnutrition. A higher prevalence of malnutrition is found in women, in those coming from an acute care hospitalor its outpatient clinics, with worse functional and cognitive status and those with chronic conditions such as dementia, cerebrovascular disease or dysphagia .Conclusions: As demonstrated by the study results, people admitted to SARquavitae nursing homes presenta high clinical complexity. Comprehensive assessments are needed that allow establishing specific care plans for people with complex care needs in nursing homes (AU)

Introducción: Un estado nutricional deficitario tiene importantes consecuencias en la salud de los colectivos en situación de especial vulnerabilidad, como las personas con enfermedades crónicas o personas mayores en situación de dependencia. Objetivo: Conocer el estado nutricional al ingreso de usuarios en centros SARquavitae. Material y Método: Se estudió el estado de salud, cognitivo y funcional de las personas que ingresaron durante el año 2012 en algún centro de la compañía. El estado nutricional fue evaluado mediante la versión corta del Mini Nutritional Assessment. Asimismo, se realizó un análisis para conocer las variables con mayor influencia en el estado nutricional de la muestra objeto de estudio. Resultados: Se analizaron las historias clínicas de 4.297 ingresos. La edad media fue de 82,08 años. Un 66,1% eran mujeres con una alta pluripatología. Al ingreso, un 30,4% de la muestra se encuentra en situación de desnutrición y un 49,4% en riesgo de desnutrición. Se observa una mayor prevalencia de desnutrición en mujeres, en aquellas personas que son derivadas por un hospital de agudos o por sus consultas externas, con peor estado funcional y cognitivo y en aquellas con procesos patológicos como demencia, enfermedades cerebrovasculares o disfagia. Conclusiones: Los resultados de este estudio ponen de manifiesto la alta complejidad clínica de las personas que ingresan en los centros residenciales estudiados, evidenciando la necesidad de realizar valoraciones integrales que permitan establecer planes de cuidados específicos para los perfiles atendidos (AU)

[Prevalence of malnutrition in Spanish institutionalized older people: a multicentric nationwide analysis]. / Prevalencia de desnutrición en personas mayores institucionalizadas en España: un análisis multicéntrico nacional.

INTRODUCTION: Deficient nutritional status has important implications on vulnerable people's health status, such as those with chronic diseases or older people in situation of dependency. OBJECTIVE: To examine SARquavitae centers users' nutritional status at admission. MATERIAL AND METHODS: Health, cognitive and functional status of people admitted to any company centers during 2012 was studied. Nutritional status was assessed using the short version of the Mini Nutritional Assessment. Finally, an analysis was performed to identify the most influential variables on the sample's nutritional status. RESULTS: Clinical records of 4,297 admissions were analyzed. The average age was 82.08 years and 66.1% were women with high comorbidity. At admission, 30.4% of the sample was in malnutrition and 49.4% at risk of malnutrition. A higher prevalence of malnutrition is found in women, in those coming from an acute care hospital or its outpatient clinics, with worse functional and cognitive status and those with chronic conditions such as dementia, cerebrovascular disease or dysphagia. CONCLUSIONS: As demonstrated by the study results, people admitted to SARquavitae nursing homes present a high clinical complexity. Comprehensive assessments are needed that allow establishing specific care plans for people with complex care needs in nursing homes.

Introducción: Un estado nutricional deficitario tiene importantes consecuencias en la salud de los colectivos en situación de especial vulnerabilidad, como las personas con enfermedades crónicas o personas mayores en situación de dependencia. Objetivo: Conocer el estado nutricional al ingreso de usuarios en centros SARquavitae. Material y Método: Se estudió el estado de salud, cognitivo y funcional de las personas que ingresaron durante el año 2012 en algún centro de la compañía. El estado nutricional fue evaluado mediante la versión corta del Mini Nutritional Assessment. Asimismo, se realizó un análisis para conocer las variables con mayor influencia en el estado nutricional de la muestra objeto de estudio. Resultados: Se analizaron las historias clínicas de 4.297 ingresos. La edad media fue de 82,08 años. Un 66,1% eran mujeres con una alta pluripatología. Al ingreso, un 30,4% de la muestra se encuentra en situación de desnutrición y un 49,4% en riesgo de desnutrición. Se observa una mayor prevalencia de desnutrición en mujeres, en aquellas personas que son derivadas por un hospital de agudos o por sus consultas externas, con peor estado funcional y cognitivo y en aquellas con procesos patológicos como demencia, enfermedades cerebrovasculares o disfagia. Conclusiones: Los resultados de este estudio ponen de manifiesto la alta complejidad clínica de las personas que ingresan en los centros residenciales estudiados, evidenciando la necesidad de realizar valoraciones integrales que permitan establecer planes de cuidados específicos para los perfiles atendidos.