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Este artículo es fruto de una experiencia interuniversitaria, internacional y transdisciplinar, llevada a cabo el curso 2021-2022 en la Universidad de Lleida con la colaboración de la Universidad de Zaragoza, en la que participaron también otros colectivos e instituciones, sobre África Joven: arte y diáspora. En ella se llevaron a cabo dos Seminarios, un Seminario teórico-práctico con alumnado del Grado de Educación Social sobre el objeto artístico negroafricano como referencia del pluralismo cultural, y un Seminario Internacional con tres ponencias sobre arte, resiliencia y rehumanización donde se trató de la música, el baile y la oralidad como terapia resiliente en las tradiciones africanas y afrodiaspóricas; además, una iniciativa sobre el Top Manta, que es la marca del proyecto comercial del Sindicato Mantero y, por último, una propuesta práctica para intervenir desde el contexto artístico en colectivos en riesgo, es decir, se realizaron tres propuestas combinadas con una exposición sobre Máscaras negroafricanas titulada "Aprender a ver lo invisible".

La Universidad Tecnol��gica Empresarial de Guayaquil, ha experimentado un acelerado crecimiento en respuesta a demandas del entorno y nuevas tendencias educativas basadas en virtualidad, lo cual ha derivado en la incorporaci��n de profesionales en diferentes campos y diversificaci��n de la matricula estudiantil. En tal contexto, se pretende identificar la cultura organizacional actual y deseada para la Universidad, fundamentada en valores y principios declarados, su relaci��n con la situaci��n ��ulica y desarrollo institucional. Se utiliza la encuesta OCAI y Denison, aplicada de manera aleatoria a 125 miembros de la universidad, junto con entrevistas y grupos focales, bajo criterios espec��ficos para seleccionar a los informantes. Los resultados muestran que el perfil cultural de esta Universidad es una mezcla de los cuatro ���arquetipos��� culturales, con un puntaje mayor para la cultura de mercado; mientras que el perfil deseado es el adhocr��tico, pero sin presentar discrepancia considerable con los valores actuales. La valoraci��n cualitativa sugiere que esta cultura organizacional es asumida por la comunidad en general, concret��ndose en buen clima de convivencia entre docentes y alumnos. Se concluye, que la mezcla del perfil cultural puede haber otorgado flexibilidad ante los cambios del entorno, resultando en una imagen positiva de la trayectoria de desarrollo institucional.

Objective To evaluate the responsiveness in terms of correlation of the Hospital Universitario La Princesa Index (HUPI) comparatively to the traditional composite indices used to assess disease activity in rheumatoid arthritis (RA), and to compare the performance of HUPI-based response criteria with that of the EULAR response criteria. Methods Secondary data analysis from the following studies: ACT-RAY (clinical trial), PROAR (early RA cohort) and EMECAR (pre-biologic era long term RA cohort). Responsiveness was evaluated by: 1) comparing change from baseline (Delta) of HUPI with Delta in other scores by calculating correlation coefficients; 2) calculating standardised effect sizes. The accuracy of response by HUPI and by EULAR criteria was analyzed using linear regressions in which the dependent variable was change in global assessment by physician (Delta GDA-Phy). Results Delta HUPI correlation with change in all other indices ranged from 0.387 to 0.791); HUPI's standardized effect size was larger than those from the other indices in each database used. In ACT-RAY, depending on visit, between 65 and 80% of patients were equally classified by HUPI and EULAR response criteria. However, HUPI criteria were slightly more stringent, with higher percentage of patients classified as non-responder, especially at early visits. HUPI response criteria showed a slightly higher accuracy than EULAR response criteria when using Delta GDA-Phy as gold standard. Conclusion HUPI shows good responsiveness in terms of correlation in each studied scenario (clinical trial, early RA cohort, and established RA cohort). Response criteria by HUPI seem more stringent than EULAR's., Our study was supported by grants RD16/0012/0011 and PI14/00442 from the Ministerio de Economia y Competitividad (Instituto de Salud Carlos III; Spain) and cofunded by the Fondo Europeo de Desarrollo Regional (FEDER). Data from ACT-RAY clinical trial were kindly provided by Hoffmann-La Roche Ltd. No financial support was received from Hoffmann-La Roche Ltd Data from EMECAR and PROAR cohorts were provided by the Spanish Society of Rheumatology. No financial support was received from the Spanish Society of Rheumatology. None of these institutions played any role in the analysis or interpretation of data, nor were they involved in the writing of the manuscript. Roche and Sociedad Espanola de Reumatologia were involved in the collection of data from ACT-RAY, and EMECAR and PROAR, respectively. However, these funders had no role in study design, analysis, decision to publish, or preparation of the manuscript.

This trial aimed to evaluate the safety and efficiency of a common and simplified protocol for the surveillance of cardiac implantable electronic devices based on remote monitoring (RM) in patients with pacemakers (PMs) and implantable cardiac defibrillators (ICDs) for at least 24 months.

Introduction: The elderly are considered vulnerable population by the senescence process, which puts them at high risk of morbidity and mortality. Several studies indicate a high prevalence of malnutrition in the elderly in the community and in hospital admissions, so the main purpose of this study is to compare the nutritional status of the elderly persons in both settings, located in Lisbon. Methods: The screening tool Mini Nutritional Assessment (MNA®), body mass index (BMI), arm circumference (AC), arm muscle area (AMA) and C-reactive protein (CRP) were used to assess nutritional status. Based on MNA® questions, food and water intake were evaluated. Results: A total of 99 elderly were evaluated (57.6% in hospital and 42.4% in the community). A higher level of inflammation was observed in hospital, according to CRP levels. It was reported a lower intake in the hospital for the number of meals (15% less), portions of fruit and vegetables (10.5% less), protein intake (33.4% less) and water intake (44.3% less). In the hospital, BMI indicated that 26.7% of the elderly were malnourished whilst in the community it was observed to be 20%. 43.9% had a form of malnutrition in the hospital and 45% in the community when AMA was evaluated. MNA® detected 63.1% of patients were malnourished or at risk of malnutrition in the hospital and 62% in the community. Overall the elderly revealed worse nutritional status is in hospital. The results suggest the need to regularly assess nutritional status allowing to identify and decrease complications associated with malnutrition, regardless of where the elderly are to remain. info:eu-repo/semantics/publishedVersion

Introduction: Aging is characterized by physiological, social and psychological changes that compromise food intake and nutritional status. To ensure good nutritional status it’s crucial to assess the nutritional status through a validated tool and evaluate the food intake, which is the purpose of this study. Methods: An analytical, observational, transversal, correlational and quantitative study was conducted. The elderly’s assessment and characterization was done by the application of Mini Nutritional Assessment (MNA), arm circumference (AC), laboratory parameters and 24 hours recall. Results: In the study, 42 elderly people were assessed, from which 26 women. By applying the MNA_Long Form® (MNA_LF®) 0 were undernourished, 26 (62%) at risk of desnutrition and 16 (38%) eutrophic. By applying the body mass index (BMI) 2 (5%) undernourished, 6 (15%) at risk of desnutrition, 7 (17%) eutrophic e 26 (63%) overweight. By the AC 19 (45%) exhibit depletion of lean body mass, 20 (48%) good nutritional state and 3 (7%) excess of body fat. The 24 hours recall indicated low intake of macronutrients and of some micronutrients (vitamins A, D, and E, folate, potassium, calcium, and magnesium) and high intake of sodium and phosphorus. The AC correlated with IMC (r = 0,61; p = 0) and MNA_LF (r = 0,45; p = 0,003). The IMC correlated with the presence of dyslipidemia (r = 0,41; p = 0,01), diabetes mellitus (r = 0,45; p = 0,003) and arterial hypertension (r = 0,375; p = 0,02). Key conclusions: The population being studied showed a high prevalence of malnutrition, a similar percentage of risk of desnutrition and overnutrition, and a deficit of food intake, as seen in other Portuguese studies about the elderly in the community. info:eu-repo/semantics/publishedVersion

Glycemic and lipidic profiles might be influenced by several factors. The influence of the age group in the most extensively evaluated lipidic and glycemic parameters is more or less well-accepted. To verify this empirical notion, 996 human subjects aged between 21 and 90 years from different localities were characterized according to age. To assess lipid profile, total cholesterol and cholesterol associated with lipoprotein fractions (low-density lipoprotein cholesterol and high-density lipoprotein cholesterol) and triglycerides were determined. Regarding glycemic profile, glucose, and glycated hemoglobin were measured. The majority of the population had values of lipidic parameters fit into the reference values, presenting low or moderate risk for developing cardiovascular disease. Blood glucose was often far above the desirable, but this can be devalued due to the HbA1c values, which were overwhelmingly located in the normal range. The categorization of data in different age groups did not allow defining statistically significant differences. Despite the discriminant linear model was presented, the results indicate that age group did not act as a strong discriminant factor. Somehow unexpectedly, the most significant differences were found among the different localities, which tended to show a similarity according with their latitude. Furthermore, there were no significant correlations in the parameters associated with lipidic profile, but there was a direct correlation between glucose levels and HbA1c (glycemic parameters).

Este estudo pretende compreender o fenómeno da indigência educativa nas crianças do circo que frequentam a escola primária. A sua aprendizagem é irregular, interrompida e baseada na reconstrução sucessiva e dolorosa de relações, conduzindo ao abandono escolar precoce. A metodologia de investigação foi dual, qualitativa e quantitativa. A população-alvo é formada pelos empresários de todos os circos portugueses, os seus artistas com filhos na escola primária, essas crianças, e os seus professores, em escolas que acolheram alunos itinerantes, na Regão de Lisboa e Oeste. A solução proposta é um misto de ensino presencial móvel, com reforço de aprendizagem em ambiente virtual, e eventual itinerância escolar voluntária. Isso significa uma adaptação do ano lectivo à temporada de circo, transformando a variável crítica ‘tempo escolar’ num recurso mobilizável para uma educação inclusiva.

La Escala de Actitudes Alimentarias (EAT-40) y un cuestionario de Imagen Corporal fueron administrados a un grupo de 220 adolescentes de la provincia de La Coruña. Con este trabajo intentamos examinar la relación entre las actitudes alimentarias de una muestra de adolescentes españoles y una serie de variables determinantes en el estudio de los trastornos alimentarios como son el sexo, el peso, la percepción corporal propia, la satisfacción corporal, así como la preocupación por el peso y la dieta. Los sujetos que se autopercibían obesos, aquellos que se habían sometido a dietas restrictivas en algún momento de sus vidas para adelgazar y concretamente, a dietas frecuentes, obtuvieron puntuaciones superiores en la escala de conductas alimentarias. El hecho de que la población más afectada sea la femenina subraya el importantísimo papel de la cultura occidental y los modelos corporales esbeltos en la estimulación y el mantenimiento de los trastornos alimentarios The Eating Attitude test (EAT) and a self-report questionnaire measuring body image were administrated to 220 adolescents from La Coruña (Spain). The purpose of this study was to examine the relationship between eating attitudes and other variables such as sex, body weight, body self-evaluation, body satisfaction as well as being worried about one’s weight and diet. Those subjects who perceived themselves as obese, those who have been on restrictive diets in order to lose weight anytime during their life and those who were on frequent diets showed higher scores on the EAT. The fact that the girls are the most affected group underlies the significant role of the Occidental culture and the slenderness in the origin and maintenance of the Eating Disorders SI

The neuroregulation of growth hormone (GH) secretion and the state of the adipose tissue reserves are closely related. GH exerts lipolytic actions on the adipose tissue and low body weight enhances secretion of GH while obesity is associated with reduced levels of GH and blocked release of GH when challenged by all stimuli. The mediators of the regulation exerted by the adipose tissue on the GH/insulin-like growth factor-I axis are not fully understood, but in the last few years two relevant factors have emerged--free fatty acids (FFA) and the adipocyte-produced hormone leptin. FFA and GH integrate a classical feedback loop and a rise in FFA blocks GH secretion. This action is rapid, dose-related and exerted at the pituitary level with no evident hypothalamic participation. A pharmacological reduction in FFA enhances secretion of GH and eliminates the GH blockade of obesity and Cushing's syndrome. The discovery of leptin has expanded our knowledge of the way in which the adipose tissue participates in some neuroendocrine actions. Obesity is associated with elevated levels of serum leptin while undernutrition and fasting lead to low leptin. In fasted rats, the pattern of GH pulsatility is eliminated with a near absence of spontaneous peaks, but the administration of leptin by the intracerebroventricular (i.c.v.) route restores the altered pattern. When fed rats receive antileptin antibodies i.c.v the normal pattern is reversed to an absence of pulses, reminiscent of the fasting state. These results are the first demonstration that, at least in experimental animals, leptin is a relevant factor in GH regulation. Leptin has no direct pituitary action and its action at the hypothalamic level appears to be mediated by neuropeptide Y, being the final step in a reduction in the somatostatin tone. On the other hand, the action of GH on leptin levels seems to be tenuous in humans, but in the near future it will be possible to investigate the action of leptin on human GH. As the hypothalamic neuroregulation of GH secretion in humans is unlike that in the rat, a crucial point for elucidation will be the actions, if any, and the mechanisms by which leptin participates in GH regulation in humans, as well as its alterations in disease states.