El objetivo principal de esta investigación fue conocer los niveles de burnout en deportistas y la relación de este síndrome con la personalidad desde el Modelo de los Cinco Factores de Costa y ...McCrae, añadiendo asimismo la resiliencia. La muestra estuvo constituida por 141 hombres y mujeres. Se utilizaron el IBD-R, NEO-FFI, Escala de Resistencia, e IPAQ para registrar y medir las variables anteriormente mencionadas. Los resultados apuntaron a que los participantes presentaban niveles moderados en todas las dimensiones del burnout. Además, ser hombre estaba asociado a mayores niveles de burnout, así como estar federado, participar en un deporte individual y pasar un mayor número de horas de entrenamiento. La edad no resultó ser una variable influyente en el padecimiento de este síndrome. Asimismo, los resultados indicaron un patrón de personalidad vulnerable del Modelo de los Cinco Factores, consistente en altos niveles de neuroticismo y bajos niveles de responsabilidad, amabilidad, apertura y extraversión. Por último, la resiliencia también fue una variable protectora del burnout.
Background: No studies have been published to date which analyze the degree of compliance with the no-smoking laws in Spanish schools, hence we have undertaken to ascertain the degree of compliance ...with the official no-smoking legislation at schools and the impact this is having on the percentage of students who smoke. Method: A survey was conducted among 3,050 Spanish school principals, who were queried regarding different aspects of compliance of the official no-smoking legislation at their schools and regarding the main characteristics of the smoking at the same. Results: Eighty point nine percent (80.9%) of the school principals surveyed stated that compliance with the law is compulsory at their schools, and 64.9% have posted non-smoking signs. Eight-two point two percent (82.2%) of the schools at which compliance with the law is compulsory are said to be educating to counter smoking, and 64.8% of the schools at which this legislation is not compulsory. The school principals surveyed estimate that 5.9% of teachers smoke in the presence of the students at the schools where the legislation is compulsory, and that 12.9% do so at those schools where the laws are not observed. At the schools where students are educated to counter smoking, they believed that 19% of the students have tried smoking, as compared to the 31% they believe have done so at the schools where no education to counter smoking is provided (p<0.001). Conclusions: Observance of the laws currently in force is insufficient. As those in charge of ensuring that the official non-smoking laws are observed at their schools, school principals must demand that these laws be obeyed, given that this measure is effective for improving the overall functioning of the schools and for lowering the percentages of students and teachers who smoke.
Fundamento: No se dispone de estudios que analicen el cumplimiento de la legislación antitabaco en los centros escolares españoles, por lo que nos propusimos conocer el grado de cumplimiento de la legislación oficial anti-tabaco en dichos centros y la influencia que ello tiene sobre el porcentaje de alumnos fumadores. Método: Se realizó una encuesta entre 3.050 directores de centros educativos españoles, a los que se les preguntó sobre diversos aspectos del cumplimiento de la legislación oficial anti-tabaco en los centros y sobre las principales características del consumo de tabaco en los mismos. Resultados: El 80,9% de los directores afirman que en sus centros se exige el cumplimiento de la legislación y el 64,9% disponen de carteles que advierten de la prohibición de fumar. Afirman impartir enseñanzas anti-tabaco el 82,2% de los centros en los que se exige la legislación y en el 64,8% de los centros en los que esta legislación no se exige. Creen que el porcentaje de profesores que fuman ante los alumnos es del 5,9% en los centros en que se exige la legislación y del 12,9% en los que no se cumple. En los centros donde se imparten enseñanzas anti-tabaco creen que han probado el tabaco el 29% de los alumnos, frente al 31% que creen lo han hecho en los centros donde no se imparten estas enseñanzas (p<0,001). Conclusiones: El cumplimiento de la legislación es insuficiente. Los directores de los centros educativos, como encargados de velar por el cumplimiento de la legislación oficial anti-tabaco en sus centros, deben exigir el cumplimiento de esta legislación, ya que esta medida es eficaz para mejorar el funcionamiento global de los centros y para reducir los porcentajes de alumnos y profesores fumadores.
Fundamento: No se dispone de estudios que analicen el cumplimiento de la legislación antitabaco en los centros escolares españoles, por lo que nos propusimos conocer el grado de cumplimiento de la ...legislación oficial anti-tabaco en dichos centros y la influencia que ello tiene sobre el porcentaje de alumnos fumadores. Método: Se realizó una encuesta entre 3.050 directores de centros educativos españoles, a los que se les preguntó sobre diversos aspectos del cumplimiento de la legislación oficial anti-tabaco en los centros y sobre las principales características del consumo de tabaco en los mismos. Resultados: El 80,9% de los directores afirman que en sus centros se exige el cumplimiento de la legislación y el 64,9% disponen de carteles que advierten de la prohibición de fumar. Afirman impartir enseñanzas anti-tabaco el 82,2% de los centros en los que se exige la legislación y en el 64,8% de los centros en los que esta legislación no se exige. Creen que el porcentaje de profesores que fuman ante los alumnos es del 5,9% en los centros en que se exige la legislación y del 12,9% en los que no se cumple. En los centros donde se imparten enseñanzas anti-tabaco creen que han probado el tabaco el 29% de los alumnos, frente al 31% que creen lo han hecho en los centros donde no se imparten estas enseñanzas (p<0,001). Conclusiones: El cumplimiento de la legislación es insuficiente. Los directores de los centros educativos, como encargados de velar por el cumplimiento de la legislación oficial anti-tabaco en sus centros, deben exigir el cumplimiento de esta legislación, ya que esta medida es eficaz para mejorar el funcionamiento global de los centros y para reducir los porcentajes de alumnos y profesores fumadores.
Newborn Screening Programs (NSP) in Spain were born in the city of Granada in 1968. Till the 1980s, they were developed around the so-called "National Plan for Preventing Subnormality", covering up ...to 30% of the Spanish newborns. From 1982, when the health system management was transferred to the different autonomous regions, the NSP began to expand, and the bases to transform them into an organized and multidisciplinary activity, integrated and coordinated from the National Health System were settled. Despite this expansion, it is not until the 1990s when their coverage reaches almost 100% newborns in Spain. NSP grew up asymmetrically across the different autonomous regions. In 2005 and 2006 the scientific societies SEQC (Spanish Society of Clinical Chemistry) and AECNE (Spanish Society of Newborn Screening), coordinated by the Health Promotion Area of the General Directorate of Public Health, gathered together the necessary information to elaborate a report on the NSP in Spain addressed to the Interterritorial Council of the National Health System. In July 2013, that Council approved the seven diseases that should be part of each region newborn screening panel, being the first step towards the NSP harmonization in Spain. Currently, the NSP include between 8 and 29 diseases in their panels, thus more still more efforts are needed in order to achieve a higher uniformity.
This article present the project developed in 2011 by units and training centers from all public universities in Catalonia. The project is devised towards the quality improvement of the higher ...education system and of the activity undertaken by the faculty at the university. In order to achieve these objectives, it focuses on the identification of teaching skills, defined by the academic community through training programs specifically designed for this purpose. Taking the implementation of the European Higher Education as starting point, the project intends to analyze the skills considered to belong by nature to the teaching task, as well as to define the necessary procedures to acquire, develop and evaluate them through training. At the same time it seeks to identify models, strategies, tools and resources. To this identification process we will make the necessary bibliographical research, in which the criteria of teaching excellence will allow us to select a representative sample of teachers. The selection will be performed through a survey and its quality will be validated by experts. The primary objective of the project shown here is basically to contribute to the quality training of university teachers, allowing the acquisition, development and evaluation of the skills considered essential by the academic community, in order to properly undertake their professional tasks, defined as: interpersonal, methodology, communication, planning and management of teaching, teamwork and innovation
Este artículo presenta el proyecto desarrollado durante el año 2011 por las unidades y centros de formación de las universidades públicas catalanas. El proyecto se orienta a la mejora de la calidad del sistema de educación superior y de la actividad del profesorado universitario mediante planes de formación específicamente diseñados con esta finalidad, centrándose primeramente en la identificación de competencias docentes definidas por la comunidad académica. Partiendo del contexto de implementación del Espacio Europeo de Educación Superior se identifican aquellas competencias propias de la función docente, para que posteriormente puedan ser adquiridas, desarrolladas y evaluadas mediante la formación, identificando modelos, estrategias, instrumentos y recursos que lo permitan. El proceso de identificación de las competencias docentes del profesorado universitario se ha desarrollado partiendo de una revisión bibliográfica del estado del arte, para posteriormente ser modificada y validada por grupos de discusión conformados por expertos en competencias y formación docente. Losresultados de identificación de dichas competencias han sido finalmente refrendados mediante una encuesta respondida por una muestra representativa de la comunidad académica de las ocho universidades públicas catalanas. El objetivo fundamental del proyecto que aquí presentamos no es otro que el de contribuir a una formación de calidad del profesorado universitario, que permita la adquisición, desarrollo y evaluación de las competencias que, como docente, gran parte de la comunidad académica considera que debe poseer para el ejercicio de su labor profesional, definidas como: interpersonal, metodológica, comunicativa, de planificación y gestión de la docencia, de trabajo en equipo y de innovación
Protection, promotion and support to the breastfeeding is considered as an area of priority in public health care and as a determining factor of child and maternal health. The use of good practice ...guides improves health outcomes and patients safety. The aim of study was to assess the impact on breastfeeding of a Guide of Good Clinic Practices about breastfeeding in the Mother and Child Center of the Virgen de las Nieves University Hospital in Granada.
Cross-sectional descriptive study. Mothers and newborns attended from 2015 to 2018 were studied. Process and outcome variables were considered to perform a descriptive and bivariate analysis for the comparison between years.
The rate of exclusive breastfeeding at discharge went from 58.3% to 72.2%. Significant differences were found for the first intake of exclusive breastfeeding in eutocic births and in C-sections, from 90.8% to 93.2% in the first and from 21.7% to 60% in the second. Improvements were detected in the assessment of intake, postnatal education and onset and duration of skin-to-skin contact.
Postnatal protocolized actions carried out by health professionals, such as the assessment of the intake of breastfeeding and postnatal education, were effective for the establishment of breastfeeding. The first moment of skin-to-skin contact and its duration are aspects to be reinforced for effective support.
Observational cohort studies and a secondary prevention trial have shown an inverse association between adherence to the Mediterranean diet and cardiovascular risk. We conducted a randomized trial of ...this diet pattern for the primary prevention of cardiovascular events.
In a multicenter trial in Spain, we randomly assigned participants who were at high cardiovascular risk, but with no cardiovascular disease at enrollment, to one of three diets: a Mediterranean diet supplemented with extra-virgin olive oil, a Mediterranean diet supplemented with mixed nuts, or a control diet (advice to reduce dietary fat). Participants received quarterly individual and group educational sessions and, depending on group assignment, free provision of extra-virgin olive oil, mixed nuts, or small nonfood gifts. The primary end point was the rate of major cardiovascular events (myocardial infarction, stroke, or death from cardiovascular causes). On the basis of the results of an interim analysis, the trial was stopped after a median follow-up of 4.8 years.
A total of 7447 persons were enrolled (age range, 55 to 80 years); 57% were women. The two Mediterranean-diet groups had good adherence to the intervention, according to self-reported intake and biomarker analyses. A primary end-point event occurred in 288 participants. The multivariable-adjusted hazard ratios were 0.70 (95% confidence interval CI, 0.54 to 0.92) and 0.72 (95% CI, 0.54 to 0.96) for the group assigned to a Mediterranean diet with extra-virgin olive oil (96 events) and the group assigned to a Mediterranean diet with nuts (83 events), respectively, versus the control group (109 events). No diet-related adverse effects were reported.
Among persons at high cardiovascular risk, a Mediterranean diet supplemented with extra-virgin olive oil or nuts reduced the incidence of major cardiovascular events. (Funded by the Spanish government's Instituto de Salud Carlos III and others; Controlled-Trials.com number, ISRCTN35739639.).
Prospective studies in non-Mediterranean populations have consistently related increasing nut consumption to lower coronary heart disease mortality. A small protective effect on all-cause and cancer ...mortality has also been suggested. To examine the association between frequency of nut consumption and mortality in individuals at high cardiovascular risk from Spain, a Mediterranean country with a relatively high average nut intake per person.
We evaluated 7,216 men and women aged 55 to 80 years randomized to 1 of 3 interventions (Mediterranean diets supplemented with nuts or olive oil and control diet) in the PREDIMED ('PREvención con DIeta MEDiterránea') study. Nut consumption was assessed at baseline and mortality was ascertained by medical records and linkage to the National Death Index. Multivariable-adjusted Cox regression and multivariable analyses with generalized estimating equation models were used to assess the association between yearly repeated measurements of nut consumption and mortality.
During a median follow-up of 4.8 years, 323 total deaths, 81 cardiovascular deaths and 130 cancer deaths occurred. Nut consumption was associated with a significantly reduced risk of all-cause mortality (P for trend<0.05, all). Compared to non-consumers, subjects consuming nuts>3 servings/week (32% of the cohort) had a 39% lower mortality risk (hazard ratio (HR) 0.61; 95% CI 0.45 to 0.83). A similar protective effect against cardiovascular and cancer mortality was observed. Participants allocated to the Mediterranean diet with nuts group who consumed nuts>3 servings/week at baseline had the lowest total mortality risk (HR 0.37; 95% CI 0.22 to 0.66).
Increased frequency of nut consumption was associated with a significantly reduced risk of mortality in a Mediterranean population at high cardiovascular risk.Please see related commentary: http://www.biomedcentral.com/1741-7015/11/165.
Clinicaltrials.gov. International Standard Randomized Controlled Trial Number (ISRCTN): 35739639. Registration date: 5 October 2005.
Independently of total caloric intake, a better quality of the diet (for example, conformity to the Mediterranean diet) is associated with lower obesity risk. It is unclear whether a brief dietary ...assessment tool, instead of full-length comprehensive methods, can also capture this association. In addition to reduced costs, a brief tool has the interesting advantage of allowing immediate feedback to participants in interventional studies. Another relevant question is which individual items of such a brief tool are responsible for this association. We examined these associations using a 14-item tool of adherence to the Mediterranean diet as exposure and body mass index, waist circumference and waist-to-height ratio (WHtR) as outcomes.
Cross-sectional assessment of all participants in the "PREvención con DIeta MEDiterránea" (PREDIMED) trial.
7,447 participants (55-80 years, 57% women) free of cardiovascular disease, but with either type 2 diabetes or ≥ 3 cardiovascular risk factors. Trained dietitians used both a validated 14-item questionnaire and a full-length validated 137-item food frequency questionnaire to assess dietary habits. Trained nurses measured weight, height and waist circumference.
Strong inverse linear associations between the 14-item tool and all adiposity indexes were found. For a two-point increment in the 14-item score, the multivariable-adjusted differences in WHtR were -0.0066 (95% confidence interval, -0.0088 to -0.0049) for women and -0.0059 (-0.0079 to -0.0038) for men. The multivariable-adjusted odds ratio for a WHtR>0.6 in participants scoring ≥ 10 points versus ≤ 7 points was 0.68 (0.57 to 0.80) for women and 0.66 (0.54 to 0.80) for men. High consumption of nuts and low consumption of sweetened/carbonated beverages presented the strongest inverse associations with abdominal obesity.
A brief 14-item tool was able to capture a strong monotonic inverse association between adherence to a good quality dietary pattern (Mediterranean diet) and obesity indexes in a population of adults at high cardiovascular risk.
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