[Motivations and emotional experiences of the first hospital multidisciplinary team trained to care for people with Ebola in Andalusia, Spain (2014-2016)]. / Motivaciones y experiencias emocionales del primer equipo multidisciplinario hospitalario entrenado para atender casos de Ébola en Andalucía (2014-2016).

OBJECTIVE: The Hospital Universitario Virgen del Rocío (HUVR) of Seville was chosen as the reference Andalusian site to treat possible cases of Ebola. After the health alert (WHO, 2014), a voluntary group of healthcare and non-healthcare professionals was set up, which, after being trained, treated a possible case. In this light, the aim is to understand the motivations and emotional experiences of this group and to identify the facilitators of and obstacles to its operation. METHOD: Qualitative, interpretative and phenomenological study. Observation unit: professional team of the HUVR trained to treat Ebola cases. Analysis units: teamwork, motivations and emotions. Three interviews with key informants were conducted, as well as three discussion groups involving 23 of the 60 team members (2014-2016). A content analysis of the motivations, emotions and elements affecting the team's operation was conducted with QSRNUDISTVivo10. VALIDITY: data sources, techniques and disciplinary perspectives were triangulated. The results were presented to the team, which duly agreed with the findings. RESULTS: Training, professional responsibility, professional self-esteem, risk appetite or loyalty to the leader stood out as motivations to voluntarily join the team. Emotional experiences evolved from fear and stress to self-pressure control, while essential elements for the team's operation were found to be calmness and confidence based on training and teamwork. Family, source department, resources, communication media and emotional management were facilitators of or obstacles to the team's success. CONCLUSION: An understanding of the key motivational and influential factors may be important in the management of effective and successful multidisciplinary teams during health alerts.

Intervención familiar en padres con psicosis durante la crianza de los hijos / Family interventions in parents with psychosis along parenting

Criar a un hijo significa ayudarle a desarrollarse y a convertirse en un adulto física y mentalmente sano, adaptado al medio en el que vive. Las dificultades ante la crianza de un hijo son las mismas para los progenitores sanos que para los que padecen una psicosis, pero estos últimos presentan problemas añadidos, ya que la enfermedad y sus síntomas pueden hacer que tengan mayores dificultades en detectar y atender las necesidades del hijo. Está demostrado que entre los hijos de psicóticos existe una mayor vulnerabilidad a padecer trastornos mentales que entre la población general, y muestran tasas más altas de alteraciones de la conducta y de las emociones. Hay una serie de factores que pueden disminuir el riesgo que corren estos niños de sufrir trastornos: recibir unos cuidados básicos adecuados, saber que su padre/madre está enfermo, conocer la enfermedad y expresar sus miedos y temores. Apoyar a los padres en su rol parental y realizar psicoeducación con el niño son indispensables en la ayuda a estas familias, y la labor de la enfermera es primordial en estas intervenciones

Raising a child means helping him to develop and to become a physically and mentally healthy adult, adapted to the environment in which he lives. The difficulties with raising a child are the same for healthy parents than for those with psychosis, but the latter have additional problems, because the disease and its symptoms can cause them to have more difficulties in detecting and addressing the needs of the child. It is known that offspring of parents with psychosis is more vulnerable to suffer from mental disorders than general population and shows higher rates of behavioral and emotional disorders. There are a number of factors that can decrease this risk for these children: receive adequate basic care, knowing that his father / mother is sick, knowing the disease and express their fears and qualms. Supporting parents in their parenting role and performing psychoeducation with the child are essential in helping these families, and the work of the nurse is essential in these interventions

Ambient air levels and health risk assessment of benzo(a)pyrene in atmospheric particulate matter samples from low-polluted areas: application of an optimized microwave extraction and HPLC-FL methodology.

A new methodology involving a simple and fast pretreatment of the samples by microwave-assisted extraction and concentration by N2 stream, followed by HPLC with fluorescence detection, was used for determining the concentration of benzo(a)pyrene (BaP) in atmospheric particulate matter (PM10 fraction). Obtained LOD, 1.0 × 10(-3) ng/m(3), was adequate for the analysis of benzo(a)pyrene in the samples, and BaP recovery from PAH in Fine Dust (PM10-like) certified reference material was nearly quantitative (86%). The validated procedure was applied for analyzing 115 PM10 samples collected at different sampling locations in the low-polluted area of Extremadura (Southwest Spain) during a monitoring campaign carried out in 2011-2012. BaP spatial variations and seasonal variability were investigated as well as the influence of meteorological conditions and different air pollutants concentrations. A normalized protocol for health risk assessment was applied to estimate lifetime cancer risk due to BaP inhalation in the sampling areas, finding that around eight inhabitants per million people may develop lung cancer due to the exposition to BaP in atmospheric particulates emitted by the investigated sources.

Evaluation of spatial and temporal variations in marine sediments quality using multivariate statistical techniques.

Spatial and temporal variations of sediment quality in Matanzas Bay (Cuba) were studied by determining a total of 12 variables (Zn, Cu, Pb, As, Ni, Co, Al, Fe, Mn, V, CO3²â», and total hydrocarbons (THC). Surface sediments were collected, annually, at eight stations during 2005-2008. Multivariate statistical techniques, such as principal component (PCA), cluster (CA), and lineal discriminant (LDA) analyses were applied for identification of the most significant variables influencing the environmental quality of sediments. Heavy metals (Zn, Cu, Pb, V, and As) and THC were the most significant species contributing to sediment quality variations during the sampling period. Concentrations of V and As were determined in sediments of this ecosystem for the first time. The variation of sediment environmental quality with the sampling period and the differentiation of samples in three groups along the bay were obtained. The usefulness of the multivariate statistical techniques employed for the environmental interpretation of a limited dataset was confirmed.

Tumor neuroectodérmico primitivo (tumor de Askin) en la pared torácica / Primitive neuroectodermal tumour (Askin tumour) in the chest wall

No disponible

Discusión y revisión de la bibliografía a partir de un caso de un varón joven con síndrome de Down y trombosis venosa cerebral / Discussion and review of the literature following the case of a young man with Down’s syndrome and cerebral venous thrombosis

Discusión y revisión de la bibliografía a partir de un caso de un varón joven con síndrome de Down (SD) y trombosis venosa cerebral (TVC). Caso clínico. Varón de 27 años que comienza con cefalea, vómitos y hemiparesia izquierda. Tras encontrarse hallazgos en la neuroimagen compatibles con trombosis venosa cerebral, se inició tratamiento anticoagulante, con una evolución clínica favorable. Discusión. Los pacientes con SD están predispuestos a la aparición de ictus embólicos secundarios a cardiopatías congénitas; sin embargo, las causas de TVC en el SD son inciertas, teniendo probablemente un origen multifactorial. Hasta la fecha hay dos casos publicados de TVC en pacientes con SD (AU)

This review and discussion of the current literature is based on the case of a young man with Down’s syndrome (DS) and cerebral venous thrombosis (CVT). Clinical case. Twenty-seven-year-old male who presented with headache, vomiting and left hemiparesis. After finding signs consistent with cerebral venous thrombosis on neuroimaging, anticoagulant treatment was started, and eventuated in a favorable clinical outcome. Discussion. DS patients are predisposed to the occurrence of embolic stroke secondary to congenital heart disease. However, the causes of CVT in DS are uncertain, but probably have a multifactorial origin. There are to date two published cases of CVT in patients with DS (AU)

Determination of trace and major elemental profiles in street dust samples by fast miniaturized ultrasonic probe extraction and ICP-MS.

A simple, fast and miniaturized ultrasonic probe assisted protocol for acid extraction of trace and major elements from street dust samples, prior to final determination by ICP-MS, has been optimized and validated by standard reference materials and applied during an urban air quality monitoring campaign. 15 mg samples were treated for 3 min with 1 mL concentrated HNO(3)-HCl (1:3, v/v) extracting solution, by a 1mm diameter titanium sonotrode connected to a 200 W and 24 kHz ultrasonic device at 80% amplitude. After centrifugation, the extracts were assayed by ICP-MS with good recoveries for the certified elements. Statistical analysis of real sample results by cluster analysis allowed the correct grouping of the samples according to the influence of traffic and construction/demolition activities. Correlation of street dust and PM10 elemental profiles showed the potential applicability of the proposed analytical protocol as a simple and effective way for urban air quality monitoring.

From the Phylogeny of the Satyrinae Butterflies to the Systematics of Euptychiina (Lepidoptera: Nymphalidae): History, Progress and Prospects

We review the various proposals of evolutionary and classification schemes for Satyrinae and particularly Euptychiina butterflies, assessing progress and prospects of research for the group. Among the highlights is the proposal to include Morphini, Brassolini and Amathusiini as part of Satyrinae. Although it is clear that this hypothesis requires further investigation, phylogenetic studies recently conducted recover this clade as part of Satyrinae with high support. The phylogenetic analyses for Euptychiina carried out to date recover the monophyly of the group and have identified a variety of genera as non-monophyletic. Further work is necessary to resolve the position of the subtribe and the evolutionary relationships of several genera.

Linfangioleiomiomatosis pulmonar / Lymphangioleiomyomatosis

La linfagioleiomiomatosis (LAM) es una enfermedad rara, progresiva y sistemática de etiología desconocida, que afecta al parénquima pulmonar y sistema linfático. Indice principalmente en mujeres con edades reproductivas (..) (AU)

Lymphangioleiomyomatosis is a rare progressive disease of unknown atiology which affects the lungs (..) (AU)

Secuestro broncopulmonar intralobar del lóbulo inferior derecho: reporte de tres casos / Intralobar broncopulmonary sequestration of the right lower lobe: report of three cases

Presentamos una serie de tres pacientes con secuestros pulmonares intralobares del lóbulo inferior derecho, correlacionándolos con la clínica, los hallazgos histológicos de los pacientes sometidos a cirugía y los hallazgos radiológicos en pacientes tratados mediante embolización, una alternativa actual en el tratamiento de esta entidad (AU)

A series of three patients is presented with intralobar pulmonary sequestration of the right lower lobe, correlating with the clinical and histological findings of patients undergoing surgery and the radiological findings in patients treated by arterial embolization, the current alternative in the treatment of this problem (AU)

Análisis de la prevalencia y riesgo de caries dental en dientes temporales de escolares sujetos al régimen de fluoruro sistémico y tópico / Analysis of the prevalence and risk of dental caries in deciduous teeth from schoolchildren subjected to systemic and topical fluoride regimens

El propósito del estudio fue determinar la relación existente entre el ceo y la aplicación periódica y constante de medidas preventivas basadas en fluoruro tópico. El examen fue desarrollado en 520 niños de 6 a 12 años que presentaron consentimiento informado, residentes desde su nacimiento en Cd. Nezahualcóyotl, Estado de México, y que estuvieron sujetos tanto al Programa de Fluoruración de la Sal, como a los diversos programas preventivos locales para caries dental basados en fluoruro. El proceso estadístico incluyó la determinación de la Prevalencia y Riesgo de Caries que fue de 63.84% y de 0.20 respectivamente. Por otra parte, el ceo promedio para el total de la población fue de 2.34. El riesgo de caries no presenta ninguna variación en los niños de primero a sexto grado y el número de aplicaciones profesionales o de autoaplicaciones de fluoruro no tiene influencia sobre el riesgo de caries.

The purpose of this study was to determine the relationship between dmft with periodic and constant applications of preventive measures based on topic fluoride. The screen was on 520 6-12-year old children who had signed informed consent; life-long residents since birth in Nezahualcoyotl City, State of Mexico and were subject not only to the Salt Fluoridation Program, but also to the different dental caries local preventive programs based on fluoride. The statistical process included also the determination of Prevalence and Caries Risk of temporary teeth; 63.84% and 0.20 respectively. Likewise, average dmft to the total population was 2.34. The Caries Risk does not show any variation between the 1st-6th degree scholar children and the number of professional or self fluoride applications does not have any influence on the caries risk score.

Sistemas de asistencia médica urgente : Concepto y elementos / Urgent medical assistance systems : Concept and elements

En este trabajo se expone la constitución de un sistema de asistencia médica urgente, definiendo sus funciones, sus componentes y el perfíl del personal que lo integra (AU)

Centro Coordinador de Urgencias : Componentes / Emergency Coordinating Center : Components

En este artículo se expone una revisión de los diversos elementos que pueden constituir un Centro de Coordinación de Urgencias, haciendo especial referencia en los aspectos de personal y en algunas consideraciones técnicas (AU)