Ana Garcia

The COVID-19 pandemic has impacted medical care in many ways; previously, a patient would enter a hospital and had an approximate idea of what would happen upon his admission, the physician informed them about it, but in the last two years this scenario has changed. Therefore, our aim was to identify if bioethical principles are present in the physician–patient relationship and the effect of these in the health care provided, through an observational and descriptive study where patients answered the validated ReMePaB questionnaire that measures the presence of bioethical principles in the physician–patient relationship, on the seventh day of their hospital stay and 24 h after discharge, during the period from 1 August to 5 November 2020. In autonomy, an improvement in the score was observed in the second application compared to the first measurement; in the principle of non-vulnerability, the same scenario was observed for the first and second measurements, respectively. In the principles of beneficence, dignity, and justice, no statistically significant differences were observed. Considering the presence or absence of bioethical aspects in health care in this pandemic creates an area of opportunity to know the feelings of the patient during the care received and to maintain what is done well and improve those aspects that can be improved.

En este artículo se presenta un análisis crítico de la novela El amor en los tiempos del cólera, del escritor colombiano Gabriel García Márquez, basado en las categorías o aspectos que propician la narración de los acontecimientos pasados. A partir de la hipótesis de que la obra constituye una evocación del pasado o, en otras palabras, un viaje a los recuerdos, se analizan los siguientes aspectos con el fin de determinar cómo la narración de las experiencias se construye a partir de ellos: la narración, que incluye al narrador y las técnicas narrativas; los detonadores gracias a los cuales se efectúa la rememoración; el contexto cotidiano en el que se introducen; la representación del tiempo y del espacio y las relaciones entre los personajes.

Despite the various perceptual-motor deficits documented in strabismus, there is a paucity of studies evaluating visual illusions in patients with strabismus. The aim of this study was to examine how the illusionary perception occurs in children/adolescents with strabismus with referral for surgery to correct ocular deviations. A controlled cross-sectional study was carried out in which 45 participants with strabismus and 62 healthy volunteers aged 10–15 years were evaluated. The behavioral response to three geometric illusions [Vertical-Horizontal illusion, Müller-Lyer illusion and Ponzo illusion] and respective neutral stimuli regarding the estimation of image size and response time were measured using the Method of Adjustment. To analyze the influence of secondary factors: type of ocular deviation ; amount of eye deviation; presence of amblyopia and stereopsis, a one-way ANOVA was performed. Among the tested illusions, children with strabismus showed greater susceptibility and response time to Ponzo’s illusory images. Children with strabismus and preserved stereopsis, on the other hand, showed similar susceptibility and response time to control group patients to the Ponzo illusion. Patients with amblyopia showed overcorrection in the estimate of non-illusory Ponzo images. Children with horizontal ocular deviation associated with vertical deviation showed higher susceptibility to vertical adjustment images for the Müller-Lyer illusion. Individuals with strabismus tended to overcorrect the length of the straight-line segment adjusted for non-illusory images when testing non-illusory images in the Müller-Lyer test, as well as for the neutral images in the Vertical-Horizontal test. The findings indicated impairment in the perception of geometric illusions and neutral figures, especially for the Ponzo illusion test by children with strabismus. As the behavioral response to illusory images may indirectly reflect the visual and morphofunctional alterations present in these individuals, we suggest that the investigation of visual illusory perception can be used as a new research strategy in the field of investigating the visual function in strabismus.

Fundamentación: la educación integral del estudiante de Medicina incluye el desarrollo de las habilidades comunicativas y lingüísticas en idioma Inglés, que le posibiliten mantenerse informado y comunicarse en medios anglófonos. La prensa escrita es un medio de información que permite que los estudiantes reflexionen, valoren, interpreten y se comuniquen. Objetivo: Contribuir al desarrollo de las habilidades lingüísticas y comunicativas con la prensa escrita en clases de inglés. Método: Se realizó un estudio pre-experimental que consistió en elaborar ejercicios a partir de la utilización de artículos de la prensa escrita relacionados con medicina y salud pública, como medios de enseñanza. El estudio se realizó con 40 estudiantes del quinto año de Medicina y 15 profesionales matriculados en un curso de posgrado de la Facultad de Ciencias Médicas de Mayabeque. Resultados: La información sobre aspectos de medicina y salud pública publicados en la prensa y los hábitos de lectura de la prensa de los estudiantes del quinto año era baja antes de la intervención y después de la puesta en práctica de la experiencia mejoró significativamente. Los resultados de los cuatro cortes evaluativos muestran la eficacia de la experiencia, por cuanto el desarrollo de las habilidades se comportó de manera ascendente. Conclusiones: Este sistema de trabajo facilitó la motivación de las clases, se desarrollaron habilidades lingüísticas y comunicativas y sirvió de base para fomentar el trabajo educativo, aumentó el vocabulario general y técnico de los estudiantes. Foundation: the medical students’ integral education includes the development of linguistic and communicative abilities in the English language, in such a way, they have the possibility to be informed and communicate properly in English-speaking contexts. The printing press is a means of information which allows them to reflect, valuate interpretate and communicate properly. Objective: to contribute to the development of linguistic and communicative abilities with the printing press in the English lessons Method: it was carried out a pre-experimental study which consisted in the elaboration of exercises related to the content of medical articles taken from the printing press. The study was carried out with 40 5th year medical students and 15 health professionals registered for a post graduated course of English in the Faculty of medicine from Mayabeque. Results: the information concerning medicine and public health published in the printing press and the 5th year medical students reading habits before putting into practice the didactic experience were low. Meanwhile, it improved considerably after its implementation. The results of the four evaluative breaks show the effectiveness of the didactic experience. The development of reading abilities was increased. Conclusions: this system of work facilitated motivation during the learning activities, linguistic and communicative abilities were developed considerably; it served as a base to promote educative work, and to increase the students general and technical vocabulary

BackgroundScientific literature on posttraumatic growth after terrorist attacks has primarily focused on persons who had not been directly exposed to terrorist attacks or persons who had been directly exposed to them, but who were assessed few months or years after the attacks.MethodsWe examined long-term PTG in 210 adults directly exposed to terrorist attacks in Spain a mean of 29.6 years after the attacks. The participants had been injured by a terrorist attack or were first-degree relatives of people who had been killed or injured by a terrorist attack. They completed diagnostic measures of emotional disorders and measures of PTSD and depression symptomatology, optimism, and PTG.ResultsMultiple regression analyses revealed gender differences and a positive linear relationship between PTG and cumulative trauma after the terrorist attack. Some PTG dimensions were significantly associated with PTSD symptomatology, these associations being linear, not curvilinear. However, PTG was not associated with depression symptomatology, diagnosis of emotional disorders, age, elapsed time since the attack, or optimism. In comparison with survivors assessed 18 years after the 1995 Oklahoma City bombing, Spanish victims of terrorism showed higher levels of appreciation of life, but lower levels of relating to others and spiritual change.ConclusionThe findings underscore the influence of gender on PTG and provide support to the hypothesis that some emotional distress may be a necessary condition of PTG. Future studies on PTG after terrorist attacks should take into consideration the characteristics of the terrorist attack itself and the contexts of violence and threat in which it occurred. The political, social, and cultural characteristics of the community affected by it and the profile and characteristics of other traumatic events suffered after the attack should also be taken into account in further research.

En este artículo se presenta una revisión de los diferentes enfoques de enseñanza de la ecuación de segundo grado para Educación Secundaria que se conjetura serían necesarios con el fin de aumentar la calidad del aprendizaje con el rigor y el tratamiento requerido, resaltando el valor de este tópico en sí mismo y de sus aplicaciones. Además, se aportan los resultados de un estudio descriptivo exploratorio realizado sobre los conocimientos de la ecuación de segundo grado de alumnado de Enseñanza Secundaria para finalmente extraer la conclusión de que su conocimiento no quedó consolidado y se precisa hacer cambios.

The main objective of this work is to examine the prevalence of psychopathy in the general adult population from the main currently existing theoretical perspectives of psychopathy, using for this purpose the five-factor or Big Five model as a common language that allows the comparison and integration of the personality traits considered as defining psychopathy by these different perspectives. The NEO Personality Inventory-Revised was applied to a sample of 682 adults of the general Spanish population. The prevalence of clinical and subclinical psychopathy was calculated according to six different definitions of these two constructs based on Hare’s, Lilienfeld’s, triarchic, and DSM-5-hybrid models, and the simultaneous presence of a minimum number of personality traits that differed from the sample mean by one standard deviation. Prevalence rates for the different definitions were consistently low, indicating that the prevalence of clinical psychopathy in the general Spanish population is around 0.55%, and that of subclinical psychopathy is around 1.65%. There were no significant sex differences in the prevalence of psychopathy. These results question the alarmist claims that warn about the existence in society of a very high number of people with psychopathy who can cause many social, economic, physical, and psychological damage to others.

The objective of this work was to construct and validate an instrument for assessing resilience to suicide attempts in a Spanish clinical population that has made a previous attempt, and to verify its efficacy for predicting future suicide reattempts at 6 months. For the construction of a Scale of Resilience to Suicide Attempts the theoretical-rational strategy was used. The constructed SRSA-18 consisted of 18 items and 3 subdimensions, had high internal consistency and a high positive correlation with the Suicide Resilience Inventory-25, SRI-25, and to a lesser extent with general resilience scales such as the Connor-Davidson Resilience Scale, CD-RISC and the Resilience Scale of 14 items, RS-14. Additionally, a specific SRSA-18 score predicted future suicide reattempts 6 months after the first attempt. This new scale assesses in a brief and rapid way, through protective factors rather than risk factors, the level of resilience to the suicide attempt in specific clinical subpopulations in hospital emergency services, being able to prevent suicide reattempts with higher lethality.

La literatura en América Latina ha representado, a partir de la segunda mitad del siglo XX, uno de los temas que más preocupan a la sociedad latinoamericana: la heterogeneidad de las culturas que buscan incorporar la modernidad y los avances tecnológicos a las tradiciones y a la cultura popular, lo cual genera la concepción de una identidad en conflicto. En este ensayo se analiza cómo está representado el “sujeto heterogéneo”, término propuesto por Cornejo Polar, en la primera parte de la novela El zorro de arriba y el zorro de abajo, de José María Arguedas, a través del estudio de los diferentes narradores empleados en la narración de la novela propiamente dicha y en los fragmentos del diario del autor, con el propósito de demostrar cómo influye la narración en el proceso de ficcionalización y en la representación de la identidad en conflicto. Para este ensayo se recurre a los teóricos Antonio Cornejo Polar en el texto Escribir en el aire, y Néstor García Canclini en la obra Culturas híbridas. Estrategias para entrar y salir de la modernidad.

La obra literaria creada en el destierro por los españoles tuvo ciertos caracteres esenciales que le llevan a formar parte de una tendencia distinta, a no ligarse a los movimientos literarios coetáneos que se manifestaban en la península. La lírica fue el género más influenciado por la situación que los exiliados estaban experimentando, razón por la que sus textos pueden dividirse en periodos, con diferentes rasgos, dependientes de la situación histórica que experimentaban: Segunda Guerra Mundial, final de la guerra y afianzamiento del Franquismo, etc. Entre los muchos autores exiliados, Luis Cernuda fue uno de los más reconocidos, donde los rasgos de la poética del destierro estaban presentes, de una forma velada, trágica y sucinta, como era propio de toda su producción.

El presente trabajo aborda el estudio de la nupcialidad de una localidad rural cacereña durante la segunda mitad del siglo XVIII y la primera del siglo XIX. Teniendo en cuenta que esta variable permite un acercamiento a la realidad económica, social y demográfica de la población, hemos analizado los diversos componentes y factores que inciden en ella con el fin de comprobar cómo influyeron las crisis demográficas y económicas en los patrones normales observados de esta variable. This paper is about the study of the marriage of a rural village of Caceres during the second half of the eighteenth century and the first one of the nineteenth century. Given that this variable allows an approach to the economic, social and demographic situation of the population, we have analyzed the diverse components and factors that affect in it, in order to verify how the demographic and economic crisis influenced in the normal patterns this variable.