ABSTRACT Objective: Reinforce and demonstrate the importance of identifying, knowing and attending to all the factors related to biofilms, which we find in practically all chronic wounds. Methodology: It is a case of a Intensive Care Unit patient with invasive mechanical ventilation. During weaning, he presents exacerbated delirium that requires mechanical restraint, which produced a category III friction lesion, evolving in a very aggressive way towards the repeated presentation of biofilm. Results: After an ineffective first approach, we established a cure in a humid environment and proceeded to apply all the most current care indicated in the management of wounds with the presence of biofilm. We got complete closure in four weeks. Conclusions: It is necessary to understand what a biofilm means for a wound and for a patient. If this is not achieved, we can never address it categorically and effectively.

RESUMEN Objetivo: Reforzar y demostrar lo importante que es identificar, conocer y atender todos los factores relacionados con las biopelículas que nos encontramos en, prácticamente, todas las heridas crónicas. Metodología: Se trata del caso de una paciente de intensivos, con ventilación mecánica invasiva. Durante el destete, presenta cuadro de delirio exacerbado que precisa contención mecánica, que produjo una lesión por fricción de categoría III, que evolucionó de manera muy agresiva hacia la presentación reiterada de biofilm. Resultados: Tras un primer abordaje poco eficaz, instauramos cura en ambiente húmedo y procedimos a aplicar todos los cuidados más actuales indicados en el manejo de heridas con presencia de biofilm. Conseguimos cierre completo en 4 semanas. Conclusiones: Se hace necesario entender qué significa una biopelícula para una herida y para un paciente. Si esto no se consigue, jamás podremos abordarla de manera categórica y eficaz.

Oral contraceptives, also known as birth control pills (PAs from now on), have been available on the world market for five decades. At present, the use of PA is massifier worldwide, being consumed by more than 100 million women on the planet. In recent years, in Latin America has been detected a dramatic increase in the use of oral contraceptives, and Chile is not the exception. In this sense, it is probable that the increase in the consumption of PAs in Chile is linked to the increase of women who decide to pursue higher studies and to develop professional careers. Concurrently, a wide field of research has been focused on the physiological and psychological effect of the consumption of oral contraceptives on human behavior, being mating behavior one of the main topics of research. However, in Chile as in most Latin American countries there is a lack of studies on the implications of the consumption of oral contraceptives on human behavior. In the present study, we investigated in a group of 164 university young women (Mean ± Standard Deviation: 19.27± 2.88 years) of Chile the impact of the use of oral contraceptives on mating behavior. Accordingly, we have applied a validated psychometric test to assessed mate value, one of the more relevant components of mating behavior i.e., the Mate Value Questionnaire. Mate value can be defined as a construct that incorporates a number of physical, psychological, and social dimensions that are related to an individual's ability to find, attract, and successfully retain a partner. This questionnaire is composed by 22 items and 7 subscales that are answered in a Likert Scale of 7 values. The Mate Value Questionnaire showed a high reliability (α = .85). According with previous studies that showed a decrease in sexual satisfaction and desire on women that consume oral contraceptives, we predicted a decrease of mating behavior and, then, a decrease on Mate Value for those women that use oral contraceptives. This effect was expected for all subscales of this questionnaire with the exception of relationship history subscale since women that consume oral contraceptives reported to have more diverse sexual partners on previous studies. The results show differences between women who use oral contraceptives (n = 87 women: 19.60 ± 2.89 years) in comparison to those who do not (n = women: 18.90 ± 2.84 years). However, the differences were, in general, opposed to our expectations being the consumers of oral contraceptives who presented the highest values of the general index of the Mate Value Questionnaire, and, concretely, for the subscales of relationship history, views of the opposite sex, and looks. In addition, we have failed into found any differences between groups in subscales that were not associated to physical appearance, such as wealth, sociality and fear of failure. The results suggest that the use of hormonal contraceptives does not modify the social and parental behavior of the women, although their use seems to be associated with a greater self-perception of attractiveness and greater diversity in sexual life. This study provides new information that will increase the understanding and discussion about the hypothetical effect that would or would not, the consumption of the PA on the pairing behavior. It is important to point out that the field of research on changes in the sexual preferences of women, derived from hormonal states, is in an important discussion process. Therefore, we believe that it is critical to carry out research in the future in order to elucidate the real robustness of this phenomenon, improving our understanding about the behavioral effects of consuming oral contraceptives.

Durante los últimos años en Chile se ha detectado una masificación en el uso de anticonceptivos orales. Sin embargo, en Chile y al igual que en casi todos los países latinoamericanos prácticamente no se han investigado sus implicancias sobre la conducta humana. Específicamente, este estudio evaluó el impacto del uso de estos anticonceptivos sobre la conducta de emparejamiento en un grupo de 164 mujeres jóvenes universitarias, con una media de edad igual a 19 años y provenientes de cuatro universidades chilenas. Para ello se utilizó la adaptación chilena del Cuestionario de Componentes del Valor de Pareja que está compuesto por 22 ítems que se responden en una escala Likert de siete valores. Los resultados señalan diferencias entre las mujeres que consumen píldoras anticonceptivas (PA) y las que no lo hacen. Las consumidoras presentan los mayores valores del índice general del cuestionario sobre los componentes del valor de pareja y las subescalas de historia de relaciones de pareja, apreciación desde el sexo opuesto y apariencia. Estos resultados indican que las mujeres consumidoras de la PA se autoperciben y creen que el sexo contrario las evalúa como atractivas y muestran una vida sexual más diversificada, no mostrando diferencias en los otros aspectos relevantes para el valor de pareja no vinculados centralmente al atractivo físico. En definitiva, los resultados parecen indicar que el consumo de anticonceptivos hormonales no modifica la conducta social y parental de las mujeres, aunque su uso parece estar asociado con una mayor autopercepción de atractivo y mayor diversidad sexual.

In this paper we present some findings from the UBACyT Research Project in progress: "Contemporary subjectivation modes: amorous, erotic, conjugal and parental diversities in urban middle sectors" in CABA. It belongs to Chair I of Group Theory and Techniques. This study was conducted using the "Recursive Problematization Methodology", both for the design of inquiry instruments that allows capturing the production of heterogeneity at the moment in which it takes place, as well as for reading surveyed material, which can host diversity and allow the intellection of operating modes in the logic of diversity. The field work was done using the productions of meaning arising from a) individual interviews; b) the Group Productions held by students of the Faculty of Psychology of the UBA of the Chair I of Theory and Techniques of Groups; c) workshops proposed in the framework of the UBANEX extension project of the same chair; And d) the pride parades LGBTTIQ made in Buenos Aires. The analysis of this material made visible significations and practices regarding the discrimination of the sexual diversities. Among the findings, we will present a particular insistence: the ways in which discrimination appears around amorous, erotic and conjugal diversities. Specifically, how in the stories of violence situations are not always meant as such and even less as situations of discrimination even though they all speak of the non-acceptance of "difference." We also observe that when discrimination is exercised by a family member it does not seem to be meant as such. Finally, we note that these findings coexist with widespread acceptance of the laws of equal marriage and gender identity. From these findings we have been able to visualize some strategies of inequality of the differences of the sexual diversities, starting from account of diverse lines of significances referred to the discriminations, avoiding not to homogenize what it is heterogeneous

En este texto se presentan algunas lecturas del material producido en el proyecto de Investigación UBACyT de la Cátedra I de Teoría y Técnica de Grupos de la UBA: "Modos de subjetivación contemporáneos: diversidades amorosas, eróticas, conyugales y parentales en sectores medios urbanos" en C.A.B.A. Este estudio se realizó utilizando la Metodología de Problematización Recursiva, tanto para la construcción de instrumentos de indagación que permitan captar la producción de heterogénesis en el momento en que acontece, como para la lectura del material relevado, que permita alojar la diversidad e inteligir los modos en que operan las lógicas de la diversidad. El trabajo de campo se realizó utilizando las producciones de sentido surgidas a partir de a) entrevistas individuales; b) las Jornadas de Producciones Grupales realizadas por estudiantes de la Facultad de Psicología de la U.B.A. de la Cátedra I de Teoría y Técnicas de Grupos; c) talleres propuestos en el marco del proyecto de Extensión de UBANEX de dicha cátedra; y d) las marchas por el orgullo LGBTTIQ realizadas en Buenos Aires. El análisis de este material permitió poner en visibilidad significaciones y prácticas respecto de la discriminación de las diversidades sexuales. Entre lo hallado, presentaremos una particular insistencia: los modos en que aparece la discriminación en torno a las diversidades amorosas, eróticas y conyugales. Específicamente cómo en los relatos de situaciones de violencia no siempre son significadas como tales y menos aún como situaciones de discriminación aunque todas ellas hablen de la no aceptación de "la diferencia". Asimismo observamos que cuando la discriminación es ejercida por un familiar pareciera no ser significada como tal. Por último mencionamos que estos hallazgos coexisten con una amplia aceptación a las leyes del matrimonio igualitario e identidad de género. A partir de estos hallazgos hemos podido visibilizar algunas estrategias de desigualación de las diferencias de las diversidades sexuales, a partir de dar cuenta de diversas líneas de significaciones referidas a las discriminaciones, con el recaudo de no homogenizar aquello que es heterogéneo

ABSTRACT Introduction: Hip fracture is one of the main causes of hospitalization in the elderly and is associated to several risk factors. Objective: To determine the factors associated to hip fractures in patients aged over 65 years in ¨Dr Salvador Allende¨ hospital in 2013. Methods: A case-control, analytical, observational and epidemiological study was carried out in patients with hip fracture. Selected demographic and clinical variables were taken into consideration. Summary statistical methods and odds ratio were used to estimate risk, and the logistic regression to assess the confounding factors. Results: The study included 196 cases and 392 controls. The variables associated to hip fracture were age OR: 1.9; 95% CI: 1.3 - 2.9; p= 0.001); race (OR: 4,2; 95% CI: 2.3 - 7.6; p= 0.000); APP of hip fracture (OR: 4.1; IC 95%: 1.5- 11.1; p= 0.005) of falls (OR: 2.2; 95% CI: 1.1 - 4.3; p= 0.020); blood hypertension (OR: 2.6; 95% CI: 1.7 - 4.1; p= 0.000); present consumption of antihypertensive drugs (OR: 4.4; 95% CI: 1.5 - 12.8; p= 0.007), and antiangina drugs (OR: 0.1; 95% CI: 0.1 - 0.9; p= 0.027). Conclusions: Age, race, history of hip fracture, falls, blood hypertension, and present consumption of antihypertensive drugs were the variables statistically associated to increased risk of hip fractures. The consumption of anti-angina drugs acts as protective factor.

RESUMEN Introducción: La fractura de cadera es una de las principales causas de ingreso en ancianos y la misma está asociada a varios factores de riesgo. Objetivo: Determinar los factores asociados a la fractura de cadera en pacientes mayores de 65 años en el hospital Dr. Salvador Allende en el año 2013. Método: Se realizó un estudio epidemiológico observacional analítico de casos y controles. Los casos fueron los pacientes con fractura de cadera. Se consideraron variables demográficas y clínicas seleccionadas. Se emplearon métodos estadísticos descriptivos y la razón de ventajas para estimar el riesgo así como regresión logística para valorar los factores de confusión. Resultados: El estudio incluyó 196 casos y 392 controles. Las variables asociadas con fractura de cadera fueron: edad (OR: 1,9; IC 95 %: 1,3 - 2,9; p= 0,001); color de la piel (OR: 4,2; IC 95 %: 2,3 - 7,6; p= 0,000); APP de: fractura de cadera (OR: 4,1; IC 95 %: 1,5- 11.1; p= 0,005); de caídas (OR: 2,2; IC 95 %: 1,1 - 4,3; p= 0,020); de HTA (OR: 2.6; IC 95 %: 1,7 - 4,1; p= 0,000); consumo actual de: antihipertensivos (OR: 4,4; IC 95 %: 1,5 - 12,8; p= 0,007), y antianginosos (OR: 0,1; IC 95 %: 0,1 - 0,9; p= 0,027). Conclusiones: La edad, el color de la piel, los antecedentes de fractura de cadera, de caídas, de hipertensión arterial y el consumo actual de antihipertensivos fueron los factores que se relacionaron con riesgo aumentado de fracturas. El consumo de antianginosos se comportó como factor protector.

ABSTRACT Hermetism, a behavior that isolates ant colonies, was studied in the laboratory between two ant species in Chile, Camponotus morosus Smith and Linepithema humile Mayr. Ants from five nests of C. morosus and L. humile were used, transferring ten individuals per nest of one of the colonies to receiving nests of the other. Conducts, including antennal exploration (AE), mandible opening (MO), dorsal flexion of the abdomen (DFA), biting (Bi), ventral flexion of the abdomen (VFA), fight (Fi), transport of the intruder ant (TI), moving backwards (MB), and death (De) were recorded during ten min, with ten replicates. The times of occurrence ± SD of each event were analyzed with the Student t test. The events AE, MO, DFA, and MB had a short latency time in receiving L. humile, while C. morosus presented lesser latency for the events Bi, VFA, and Fi. When analyzing by χ2 the frequency of occurrence of each event per species, AE and MO were similar in both species, and in aggression and rejection events like DFA, Bi, VFA, Fi, MB, TI, and De, there were greater frequencies of observations in C. morosus that in L. humile. From these results, C. morosus is a more hermetic ant than L. humile.

RESUMEN Se estudió en laboratorio el hermetismo, un comportamiento de aislación entre colonias entre dos especies de hormigas en Chile, Camponotus morosus Smith y Linepithema humile Mayr. Se utilizaron hormigas desde cinco nidos de C. morosus y L. humile, y se transfirieron diez individuos por nido desde una de las colonias hacia nidos receptores de la otra. Las conductas se grabaron durante 10 min, incluyendo exploración con las antenas (EA), abertura mandibular (AM), flexión dorsal del abdomen (FDA), mordedura (Mo), flexión ventral of del abdomen (FVA), vuelo (Vu), transporte de la hormiga intrusa (TI), retroceso (Re) y muerte (Mu), con diez repeticiones El tiempo de desarrollo ± DS de cada evento se analizó con el test t de Student. Los eventos EA, AM, FDA y Re tuvieron un tiempo de latencia corto al recibir a L. humile, mientras que C. morosus presentó menor latencia en los eventos Mo, FVA y Vu. Al analizar mediante χ2 la frecuencia de ocurrencia de cada evento, EA y AM fueron similares en ambas especies, y en los evento de agresión y rechazo como FDA, Mo, FVA, Vu, Re, TI y Mu hubo mayor frecuencia de observaciones en C. morosus que en L. humile. Con estos resultados, C. morosus es una hormiga más hermética que L. humile.

Background: Golimumab is a TNF-blocking agent indicated as a second-line therapy in ulcerative colitis. Purpose: To research the effectiveness and safety of golimumab in patients with ulcerative colitis in clinical practice. Methods: Retrospective study of the effectiveness and safety of golimumab in patients with ulcerative colitis. All patients received golimumab 200 mg subcutaneously at week 0, and golimumab 100 mg subcutaneously at week 2. After the induction treatment, each patient received 50 mg sc. every 4 weeks in patients with body weight less than 80 kg, and 100 mg every 4 weeks in patients with body weight greater than or equal to 80 kg. Results: Study of a group of 23 ulcerative colitis patients, 7 of whom were naive to any anti-TNF therapy, and 16 patients who had previously been treated with an anti-TNF agent other than golimumab (non-naive patients). The average treatment time with golimumab was 14.3 weeks. Globally, withdrawal of corticosteroids was observed in 74% of cases. Clinical response was observed in 85.5% of patients who had not received biological treatment previously, and in patients who had previously received biological treatment the response rate was 75%. Conclusions: In this short study, golimumab seems to be an alternative treatment in naive and non-naive anti-TNF ulcerative colitis patients. It is also a safe therapy, given that there were no adverse effects in the patients studied.

Objective: Emphasize how important it is not to cease to generate knowledge and training on the management of wounds. Methodology: The situation presented is a patient suffering from a traffic accident that causes an acute wound, which becomes chronic wound, with three months' duration, without reaching healing. Various therapies that do not become successful, to what the patient and family consultation with our unit apply. Results: Proceed to adjust the treatment, establishing moist wound healing, depending on when "TIME" in which we live. We got full closure in less than four weeks. Conclusions: We must continue working on the line in place the right to approach any injuries techniques, and we must insist on efforts to disseminate continuously to, thus providing quality care to our patients.

Objetivo: recalcar lo importante que es no cesar de generar conocimiento y formación sobre el manejo de las heridas. Metodología: la situación presentada es la de una paciente que padece un accidente vial que causa una herida aguda, que pasa a convertirse en herida crónica, con 3 meses de evolución, sin haber llegado a la curación. Se aplican diversas terapias que no llegan a ser exitosas, ante lo que la paciente y su familia consultan con nuestra unidad. Resultados: procedemos a reajustar el tratamiento, instaurando cura en ambiente húmedo, según el momento "TIME" en que nos encontramos. Conseguimos cierre completo en menos de 4 semanas. Conclusiones: debemos seguir trabajando en la línea de instaurar las técnicas adecuadas para el abordaje de cualquier herida, y debemos insistir en el empeño de divulgarlas de manera continua para, de esta manera, prestar unos cuidados de calidad a nuestros pacientes.

Introducción: La fibromialgia es una enfermedad crónica, caracterizada por dolor musculoesquelético asociado a otros síntomas. Se desconoce su etiología, el diagnóstico es clínico y los tratamientos sintomáticos. El cómo afrontan los pacientes este dolor y su diagnóstico parece influir sobre su evolución y tratamiento. Objetivo: Evaluar el efecto de la catastrofización y ansiedad ante el dolor, sobre la capacidad funcional y el consumo de fármacos de los pacientes con fibromialgia. Materiales y métodos: Estudio transversal de 50 pacientes con fibromialgia, citados en reumatología desde el 1 de enero hasta el 31 de marzo de 2014 y voluntarios de la Asociación de Enfermos de Fibromialgia de Asturias. Se registraron variables clínico-epidemiológicas, Cuestionario de Impacto de la Fibromialgia abreviado (CIF), Escala de Catastrofización Ante el Dolor (PCS-SP) y Escala de Síntomas de Ansiedad Ante el Dolor (PASS-20). Resultados: La correlación de Spearman entre PCS-SP y PASS-20 fue de 0,67 (p < 0,001), entre CIF y PASS-20 de 0,27 (p = 0,05) y entre CIF y PCS-SP de 0,03, sin significación estadística. La correlación con el consumo de fármacos fue: con PASS-20 0,41 (p = 0,003), con PCS-SP 0,49 (p<0,001) y con CIF 0,32 (p = 0,024). El coeficiente de correlación desde el inicio de los síntomas fue: -0,21 (p = 0,14) con CIF, -0,16 (p = 0,26) con PCS y -0,25 (p = 0,08) con PASS-20. Conclusiones: Los niveles de ansiedad y catastrofización se encuentran fuertemente asociados entre sí, sin embargo, ambos muestran una asociación débil con la capacidad funcional. Puntuaciones altas en las 3 escalas supusieron un aumento del consumo de fármacos. Con mayor tiempo de evolución de la fibromialgia parece disminuir el nivel de ansiedad, la catastrofización y la repercusión funcional.

Introduction: Fibromyalgia is a chronic disease characterized by musculoskeletal pain asso-Fibromyalgia ciated with other symptoms. Its aetiology is unknown, diagnosis is clinical and treatments Fatigue chronic syndrome are symptomatic. How patients face the diagnosis and pain and how it appears to influence Pain management their evolution and treatment. Objective: To evaluate the effect of catastrophising and anxiety to pain regarding functional Catastrophising ability and consumption of drugs in patients with fibromyalgia. Material and methods:Cross-sectional study of 50 patients fibromyalgia cited in rheumato- logy from January 1 to March 31 of 2014 and volunteers of the Association of Patients with Fibromyalgia Asturias. Clinical and epidemiological variables, Fibromyalgia Impact Questionnaire abbreviated (FIQ), Pain Catastrophising Scale (PCS) and Pain Anxiety Symptoms Scale (PASS-20) were recorded. Results: The Spearman correlation between PCS-SP and PASS-20 was 0.67 (p < .001) between CIF and PASS-20 0.27 (p = .05) and between CIF and PCS-SP 0.03 meaningless statistics. The correlation with the consumption of drugs was: with PASS-20 0.41 (p = .003), with PCS-SP 0.49 (p < .001) and with CIF 0.32 (p = .024). The correlation coefficient from the onset of symptoms was: -0.21 (p = .14) with CIF, -0.16 (p = .26) with PCS and -0.25 (p = .08) with PASS-20. Conclusions: The levels of anxiety and catastrophising are strongly associated with each other, but both show a weak association with functional capacity. High scores on three scales represented an increase in consumption of drugs. A longer history of fibromyalgia appears to decrease the level of anxiety, catastrophising and functional impact.

A Escala Revisada de Apego Adulto é uma medida de apego relacional com três dimensões: proximidade, dependência e ansiedade. No Estudo 1, traduzimos a escala e a aplicamos em uma amostra de 420 universitários, visando avaliar sua confiabilidade. Estimamos ainda o critério de validade da escala mediante comparação com medidas de auto-percepção e afetividade. Os resultados do Estudo 1 apoiam a consistência interna inicial de duas das dimensões do apego, porém a da dependência foi mais baixa do que o esperado (α = 0,62). Realizamos uma análise fatorial confirmatória que não atingiu um ajuste convergente, indicando dois itens da dimensão de dependência como problemáticos. No Estudo 2, reformulamos os itens problemáticos do Estudo 1, e aplicamos a nova versão da escala em 81 participantes. Os resultados das duas AFC subsequentes mostraram um ajuste adequado da escala e um incremento da consistência interna com a nova redação (α > 0,73), a qual substituiu a expressão "depender dos demais" por "conseguir ajuda dos demais". Dessa forma, conseguimos não só efetuar uma adaptação dos três construtos da escala, como também encontramos evidências da sua validação por meio da comparação com as outras escalas.

The Adult Attachment Revised Scale is a measure of relationship attachment that contains three dimensions: closeness, dependence and anxiety. In Study 1, the scale was translated and applied to a sample of 420 university students in order to assess reliability. In addition, the scale criterion validity was estimated through measures of self-perception and affectivity. The results of Study 1 supported the internal consistency of two dimensions of attachment, but dependence was lower than expected (α = .62). A confirmatory factor analysis was conducted and failed to reach a convergent fit, thus demonstrating that two of the items in dependence were considered problematic. In Study 2, difficult items in Study 1 were reworded and the new version of the scale was applied to 81 participants. The results of two subsequent CFAs showed adequate fit of the scale and increased internal consistency with this new wording (α > .73), which replaced the expression "depend on others" by "getting help from others", which is a better construct representation of the meaning of dependence in the context of attachment closeness. Therefore, not only did we adapt the three dimensions of the attachment scale, but also provided evidence of its validity related to locally adapted instruments.

Studies evaluating the health-related quality of life (HRQOL) in living kidney donors find it comparable to the general population or greater, regardless of the time since transplant. Objective: To assess the HRQOL of the living kidney donors and to analyse the aspects related to the donation process. Methods: We contacted by telephone with all living kidney donors performed at the Hospital Universitario Central de Asturias, and those who wanted to participate completed the SF-36 v.2 questionnaire. Donation process, sociodemographic and clinical variables were collected. Results: Out of the 29 donors, 25 were women (age 52 ± 11). Two receivers rejected the graft and one donor died. 41% were spouses, 28% mothers, 24% brothers and 7% brother in law. Mean pre-transplant creatinine was 0.71 ± 0.11 mg/dL; and at discharge 1.05 ± 0.22 mg/ dL. 55% suffered some adverse effect, with abdominal pain and discomfort as the most common. Although no statistical differences between laparoscopic and lumbotomy were found, the latter had a more prolonged hospital stay (7±2 vs. 5±1 days; p = 0.015). Scores on the HRQL questionnaire were similar to those of the general population in all dimensions and 100% return to donate. Conclusions: Post-transplant donors´ HRQL was comparable to that of the general population. On the other hand donors do not regret the decision to donate regardless of the suffering side effects or results of transplantation at the receiver.

Los diversos estudios que evalúan la calidad de vida relacionada con la salud (CVRS) de los donantes de vivo renales encuentran que es comparable a la de la población general, o superior, independientemente del tiempo desde del trasplante. Objetivo: Evaluar la CVRS de los donantes de vivo renales y analizar aspectos relacionados con el proceso de la donación. Material y Métodos: Se contactó telefónicamente con los donantes de trasplantes renales de vivo realizados hasta este momento en el Hospital Universitario Central de Asturias, y a los que quisieron participar se les auto-administró el Cuestionario de salud SF-36 versión 2. A su vez se recogieron variables sobre la donación, sociodemográficas y clínicas. Resultados: De los 29 donantes, 25 fueron mujeres (edad 52±11). Dos receptores perdieron el trasplante y un donante falleció. El 41% fueron cónyuges, el 28% madres, el 24% hermanos y el 7% cuñados de los receptores. La creatinina pre-trasplante fue 0,71±0,11 mg/dL y al alta 1,05±0,22 mg/dL. El 55% sufrieron algún efecto adverso siendo dolores abdominales y molestias en la herida los más habituales, y aunque no se encontraron diferencias estadísticas entre laparoscopia y lumbotomía, estos últimos tuvieron un ingreso más prolongado 7±2 vs 5±1 días (p=0,015). Las puntuaciones en el cuestionario de CVRS fueron similares a las de la población general en todas las dimensiones y el 100% volverían a donar. Conclusiones: La CVRS de los donantes post-trasplante fue comparable a la población general. Por otro lado los donantes no se arrepienten de la decisión de donar independientemente de los efectos secundarios sufridos o los resultados del trasplante en el receptor.

Background: Early HIV (human immunodeficiency virus) diagnosis optimizes therapies aimed at reducing viral load, increasing survival, lowering health costs and reducing the number of people infected with the virus. In Chile, despite widespread and readily available HIV testing, infected people continue to get tested in a late fashion and are usually diagnosed in advanced stages of the disease. Aim: To determine the elements that facilitate or impede a timely HIV testing and to evaluate how to improve the access to HIV testing. Material and Methods: Descriptive, in-depth interviews to 30 participants with unknown serology, 15 participants diagnosed at AIDS stage and 15 health care professionals working at a primary healthcare settings. Results: Users and professionals formulated three suggestions to improve timely access to ELISA test for HIV diagnosis. Namely, to inform users and professionals about the characteristics of the disease and diagnostic test, to offer fast and easy access to HIV testing, and to train the whole healthcare team about obtaining informed consent for testing. Conclusions: These recommendations should be implemented at healthcare centers to attain a timely HIV diagnosis.

Objective: To evaluate professional quality of life in our clinical governance model by comparing differences according to the time since the model's implementation (1-3 years) and the setting (primary or hospital care). Methods: A cross-sectional descriptive study was performed. The 35-item, anonymous, self-administered Professional Quality of Life Questionnaire, with three additional questions, was applied. A minimum sample size for each clinical governance unit/area (CGU/CGA) was calculated. Descriptive, univariate and bivariate analyses were performed using the 35 items separately. The subscales of "management support", "workload" and "intrinsic motivation" were used as dependant variables, and the setting and time since implementation of the CGU/CGA as independent variables. Results: Of the study population of 2572 professionals, 1395 (54%) responded (67% in primary care and 51% in hospital care). A total of 87% had been working for 5 years or more in their positions. Thirty-three percent had worked for less than a year in clinical governance. The item with the highest score was job training (8.39 ± 1.42) and that with the lowest was conflicts with peers (3.23 ± 2.2). Primary healthcare professionals showed better results in management support and quality of life at work and hospital professionals in workload. The clinical governance model obtained the best scores at 3 years and the worst at 1 year. These differences were especially favorable for clinical governance in hospitals: professionals working longer perceived a lower workload and more intrinsic motivation and quality of life. Conclusions: A longer time working in the clinical governance model was associated with better perception of professional quality of life, especially in hospital care.

Objetivo: Analizar la calidad de vida profesional en el modelo de gestión clínica de Asturias y comprobar si hay diferencias en los centros donde el modelo lleva implantado más tiempo o en función del ámbito asistencial (atención primaria o especializada). Métodos: Se aplicó el CVP-35 (35 preguntas), anónimo y autocumplimentado, con tres preguntas adicionales. Se realizó un análisis descriptivo, univariado y bivariado, de las preguntas por separado y según las subescalas "Apoyo directivo" (AD), "Cargas de trabajo" (CT) y "Motivación intrínseca" (MI), siendo las principales variables independientes el ámbito asistencial y el tiempo como unidad o área de gestión clínica. Resultados: De la población de estudio, 2572 profesionales, respondieron 1395 (54%) (el 67% en primaria y 51% en especializada). El 87% llevaba 5 años o más en su puesto. Para el 33% era su primer año en gestión clínica. El ítem con mayor puntuación fue la capacitación para el trabajo (8,39 ± 1,42) y el más bajo los conflictos con los compañeros (3,23 ± 2,2). Primaria obtiene resultados más altos en AD y calidad de vida en el trabajo, y especializada en CT. Respecto a la gestión clínica, las mejores puntuaciones se obtienen en las de 3 años y las peores en las de primer año. Las diferencias son especialmente favorables a la gestión clínica en especializada: las que más tiempo llevan perciben menos CT y más MI y calidad de vida. Conclusiones: Llevar más tiempo en el modelo de gestión clínica se asocia con mejores percepciones en la calidad de vida profesional, sobre todo en atención especializada.