Enfermedad por virus Ébola y seguridad de las/los estudiantes de enfermería: experiencia de cooperación institucional en una práctica formativa de simulación / The Ebola virus and nursing student safety: experience of institutional cooperation in simulation training

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Ureteral inverted papilloma: laparoscopic distal ureterectomy and boari flap.

OBJECTIVE: To report a case of ureteral inverted papilloma (IP) with laparoscopic resolution. METHODS: We report the case of a 30-year-old male patient who consulted for asymptomatic hematuria with the radiological finding of a filling defect at the distal right ureter. Ureteroscopy biopsy was not diagnostic, so laparoscopic ureterectomy with a Boari flap technique was performed. The pathology report showed a ureteral inverted papilloma. CONCLUSION: Laparoscopic ureteral replacement by Boari flap is a safe surgical alternative for defects in the distal ureter with the advantages of a minimally invasive procedure.

Papiloma invertido ureteral: ureterectomía distal y flap de Boari laparoscópico / Ureteral inverted papilloma: laparoscopic distal ureterectomy and boari flap

OBJETIVO: Presentar un caso de Papiloma Invertido (PI) ureteral con resolución laparoscópica mediante la confección de Flap Boari. MÉTODOS: Presentamos un paciente varón de 30 años de edad que consultó por hematuria asintomática con único hallazgo de defecto de repleción a nivel del tercio distal del uréter derecho. Debido a biopsia ureteroscopica no concluyente, se realizó una ureterectomía distal con neoimplante vesico-ureteral con técnica de Flap Boari laparoscópico. El informe histopatológico informó un papiloma invertido ureteral .CONCLUSIÓN: El reemplazo ureteral laparoscópico con Flap de Boari es una alternativa quirúrgica segura para defectos del uréter medio y distal con las ventajas de un procedimiento mínimamente invasivo (AU)

OBJECTIVE: To report a case of ureteral inverted papilloma (IP) with laparoscopic resolution. METHODS: We report the case of a 30-year-old male patient who consulted for asymptomatic hematuria with the radiological finding of a filling defect at the distal right ureter. Ureteroscopy biopsy was not diagnostic, so laparoscopic ureterectomy with a Boari flap technique was performed. The pathology report showed a ureteral inverted papilloma. CONCLUSION: Laparoscopic ureteral replacement by Boari flap is a safe surgical alternative for defects in the distal ureter with the advantages of a minimally invasive procedure (AU)

Influencia de los modelos de gestión en la calidad de vida profesional del personal cuidador en residencias de mayores de Albacete / Influence of management models on the quality of professional life of the personal carer in old people's homes in albacete (Spain)

Objetivo. Determinar la relación entre los tipos de gestión en residencias de mayores (público, privado, mixto e inglés) y la calidad de vida profesional (CVP) del personal de enfermería. Método. Estudio transversal descriptivo entre el personal de enfermería (n=389) de las 7 residencias sociosanitarias de Albacete ciudad. Se emplea un cuestionario autoadministrado con variables sociodemográficas y una escala validada (CVP-35) que mide la CVP a través de 35 preguntas (escala de 1 a 10, del nivel más bajo al más alto), que se agrupan en tres dimensiones. Resultados. La tasa de respuesta fue del 66,32% (n=258). Se obtiene una CVP de 4,98 (desviación estándar [DE]=2,32). La percepción de “cargas de trabajo” fue de 5,89 (DE=1,59), “motivación intrínseca” de 8,07 (DE=1,46) y “apoyo directivo” de 4,55 (DE=1,70). La CVP se correlaciona positivamente con “apoyo directivo” y “motivación intrínseca” y negativamente con “carga de trabajo”. No existen diferencias estadísticamente significativas con las variables sociolaborales. Por modelos de gestión, las cargas de trabajo son mayores en el modelo mixto que en el privado (6,15/5,49), la motivación intrínseca presenta puntuaciones menores en el modelo privado que en el mixto (6,95/8,37) y el inglés (6,95/8,56) y el apoyo directivo es menor en el mixto que en el inglés (4,20/5,03) y en el privado (4,20/5,11). Conclusiones. La CVP de los profesionales es media-baja. Esto podría indicar la necesidad de un cambio cultural organizativo basado en la participación y la motivación más allá de las dimensiones estructurales, aumentando el apoyo directivo y reforzando la motivación intrínseca como favorecedora en la resolución de conflictos(AU)

Objective. Determine if there is any relationship between different management models (public, private, mixed and English) and the quality of professional life (QPL) of the nursing staff. Method. A cross-sectional descriptive among the geriatric nursing staff (n=389) from the 7 geriatric homes in the city of Albacete. Using a questionnaire which included sociodemographic variables, along with a validated scale (QPL −35.), which measures quality of professional life using 35 questions (1 to 10 scale, from lower to higher degree). Results. With a response rate of 66.33%, the QPL average value was 4.98 (standard deviation [SD]=2.32). Perception of “workload” achieved 5.89 (SD=1.59), “intrinsic motivation” 8.07 (SD=1.46) and “management support” 4.55 (SD=1.70.). The QPL is positively related to variables such as “management support” and “intrinsic motivation” and negatively with “workload”. There are no statistically significant differences, with the work and social variables. Comparing management models, there were slightly significant differences between workload in private models than mixed ones (6.95/8.37), intrinsic motivation has lower results in private than mixed (6.95/8.37) and English (6.95/8.56). Management support is lower in mixed than English (4,20/5,03) and private (4,20/5,11). Conclusions. The QPL of our professionals is low-medium. Our data could show the need of a cultural management change based on participation and motivation, being necessary to increase the level of management support to reinforce intrinsic motivation, in order to help resolve conflicts(AU)

[Influence of management models on the quality of professional life of the personal carer in old people's homes in Albacete (Spain)]. / Influencia de los modelos de gestión en la calidad de vida profesional del personal cuidador en residencias de mayores de Albacete.

OBJECTIVE: Determine if there is any relationship between different management models (public, private, mixed and English) and the quality of professional life (QPL) of the nursing staff. METHOD: A cross-sectional descriptive among the geriatric nursing staff (n=389) from the 7 geriatric homes in the city of Albacete. Using a questionnaire which included sociodemographic variables, along with a validated scale (QPL -35.), which measures quality of professional life using 35 questions (1 to 10 scale, from lower to higher degree). RESULTS: With a response rate of 66.33%, the QPL average value was 4.98 (standard deviation [SD]=2.32). Perception of "workload" achieved 5.89 (SD=1.59), "intrinsic motivation" 8.07 (SD=1.46) and "management support" 4.55 (SD=1.70.). The QPL is positively related to variables such as "management support" and "intrinsic motivation" and negatively with "workload". There are no statistically significant differences, with the work and social variables. Comparing management models, there were slightly significant differences between workload in private models than mixed ones (6.95/8.37), intrinsic motivation has lower results in private than mixed (6.95/8.37) and English (6.95/8.56). Management support is lower in mixed than English (4,20/5,03) and private (4,20/5,11). CONCLUSIONS: The QPL of our professionals is low-medium. Our data could show the need of a cultural management change based on participation and motivation, being necessary to increase the level of management support to reinforce intrinsic motivation, in order to help resolve conflicts.

[Benign adrenal schwannoma]. / Shwannoma benigno suprarrenal.

OBJECTIVE: We report a new case of benign retroperitoneal schwannoma arising from the adrenal gland. METHODS: 53 year old male with history of moderate benign prostatic hyperplasia under alpha blocker therapy who referred right flank discomfort for two months prior to last visit, without any other symptoms; radiologic examination with Ultrasound and CT scan and preoperative endocrine study were suggestive of non functioning adrenal tumour which was surgically extirpated. RESULTS: Anatomopathological report showed a benign juxta-adrenal schwannoma. CONCLUSIONS: It is an uncommon retroperitoneal tumour. The presence of cystic changes within a retroperitoneal tumour is relatively frequent in schwannomas and may suggest its diagnosis. The case we report did not have cystic structures.

Shwannoma benigno suprarrenal / Bening adrenal schuwannoma

Objetivo: Aportamos un nuevo caso de Schwannoma benigno retroperitoneal de localización suprarrenal.Método: Varón de 53 años diagnosticado de HBP moderada en tratamiento con alfa-bloqueantes. Refiere en la última revisión molestias en flanco derecho de dos meses de evolución sin otra sintomatología acompañante; la evaluación radiológica mediante ECO y TAC, y el estudio endocrino preoperatorio sugirieron tumor adrenal no funcionante que se extirpó quirúrgicamente RESULTADOS: El estudio histopatológico informó que se trataba de un Schwannoma benigno yuxta adrenal.Conclusiones: Es un tumor retroperitoneal poco frecuente.La existencia de cambios quísticos en un tumor retroperitoneal es relativamente frecuente en los Schwannomas y puede sugerir el diagnóstico. En el caso que presentamos no existían estructuras quísticas (AU)