Tras un estudio previo realizado en cuidadores profesionales de personas con demencia y otras enfermedades en centros residenciales en el que se comparó dos muestras en distintas comunidades autónomas, Murcia y Barcelona. Partiendo de los resultados obtenidos en los cuales el 13.3% de la muestra global presentaba un agotamiento emocional alto, un 54.8% un nivel de despersonalización alto y un 10% una baja realización personal, se procede a realizar un análisis de los niveles actuales en las tres dimensiones para estudiar su evolución. Del mismo modo, se evalúa si en la población de Lorca (Murcia) dichos niveles han podido verse afectados por el terremoto acaecido el 11 de mayo de 2011, para lo cual se ha llevado a cabo una evaluación de posibles síntomas de un Trastorno por Estrés Postraumático (TEP). Se ha procedido a la administración de las mismas pruebas de la última investigación (escala Maslach Burnout Inventory -MBI-y Encuesta elaborada ad hoc para Cuidadores Profesionales) junto a la escala SA-45 forma abreviada de la SCL-90 y la Escala de Gravedad de Síntomas del Trastorno de Estrés Postraumático. Los resultados obtenidos reflejan diferencias entre ambas poblaciones en diversas variables analizadas y arrojan luz acerca de las consecuencias y el impacto de una situación traumática en la población. Palabras clave: Burnout, estrés postraumático, cuidadores, demencias y estudio comparativo.Changes in levels of burnout in a comparative study in professional caregivers after a situation of post-traumatic stress. Following a previous study on professional caregivers of people with dementia and other diseases in residential, was decided to compare two residential centers of two different regions, Murcia and Barcelona. Based on the results of which 13.3% of the global sample had a high emotional exhaustion, 54.8% a high level of depersonalization and 10% a reduced sense of personal accomplishment, we proceed to an analysis of current levels in the three dimensions to study their evolution. Similarly, we assess whether in the town of Lorca (Murcia), these levels have been affected by the earthquake on May 11, 2011, for which it has conducted an evaluation of possible symptoms of PostTraumatic Stress Disorder (PTSD). We proceeded to the administration of the same tests of the latest research (Scale Maslach Burnout Inventory -MBI-and an ad hoc survey conducted for professional caregivers) and the Scale SA-45 which is the short form from the original SCL-90, and the Severity of Symptoms Scale of Posttraumatic Stress Disorder. The results show differences between the two populations in different variables and they shed light on the consequences and impact of a traumatic event in the sample.

A pilot installation was designed that simulates a surface treatment tank fitted with a push-pull ventilation system. The installation contained elements for measuring and controlling the operational variables (flow rate and tank temperature) and smoke generating equipment for injecting smoke through the holes of the push unit and from the tank surface. Visual observation and video recording of the flows involved meant it was possible to follow the qualitative behavior of the push flow rate along the tank surface and to identify any emissions not captured by the exhaust system. It was possible to differentiate the initial semifree push curtain, its impact with the tank surface, the wall jet that moved toward the exhaust, and its entrance into the exhaust. The methodology proposed is complemented by a quantitative technique for measuring the efficiency, using sulfur hexafluoride as tracer, which permits the causes and location of losses in the ventilation system to be determined.

ImportanceAmyloid positron emission tomography (PET) allows the direct assessment of amyloid deposition, one of the main hallmarks of Alzheimer disease. However, this technique is currently not widely reimbursed because of the lack of appropriately designed studies demonstrating its clinical effect.ObjectiveTo assess the clinical effect of amyloid PET in memory clinic patients.Design, Setting, and ParticipantsThe AMYPAD-DPMS is a prospective randomized clinical trial in 8 European memory clinics. Participants were allocated (using a minimization method) to 3 study groups based on the performance of amyloid PET: arm 1, early in the diagnostic workup (within 1 month); arm 2, late in the diagnostic workup (after a mean [SD] 8 [2] months); or arm 3, if and when the managing physician chose. Participants were patients with subjective cognitive decline plus (SCD+; SCD plus clinical features increasing the likelihood of preclinical Alzheimer disease), mild cognitive impairment (MCI), or dementia; they were assessed at baseline and after 3 months. Recruitment took place between April 16, 2018, and October 30, 2020. Data analysis was performed from July 2022 to January 2023.InterventionAmyloid PET.Main Outcome and MeasureThe main outcome was the difference between arm 1 and arm 2 in the proportion of participants receiving an etiological diagnosis with a very high confidence (ie, ≥90% on a 50%-100% visual numeric scale) after 3 months.ResultsA total of 844 participants were screened, and 840 were enrolled (291 in arm 1, 271 in arm 2, 278 in arm 3). Baseline and 3-month visit data were available for 272 participants in arm 1 and 260 in arm 2 (median [IQR] age: 71 [65-77] and 71 [65-77] years; 150/272 male [55%] and 135/260 male [52%]; 122/272 female [45%] and 125/260 female [48%]; median [IQR] education: 12 [10-15] and 13 [10-16] years, respectively). After 3 months, 109 of 272 participants (40%) in arm 1 had a diagnosis with very high confidence vs 30 of 260 (11%) in arm 2 (P < .001). This was consistent across cognitive stages (SCD+: 25/84 [30%] vs 5/78 [6%]; P < .001; MCI: 45/108 [42%] vs 9/102 [9%]; P < .001; dementia: 39/80 [49%] vs 16/80 [20%]; P < .001).Conclusion and RelevanceIn this study, early amyloid PET allowed memory clinic patients to receive an etiological diagnosis with very high confidence after only 3 months compared with patients who had not undergone amyloid PET. These findings support the implementation of amyloid PET early in the diagnostic workup of memory clinic patients.Trial RegistrationEudraCT Number: 2017-002527-21

Following a previous study on professional caregivers of people with dementia and other diseases in residential, was decided to compare two residential centers of two different regions, Murcia and Barcelona. Based on the results of which 13.3% of the global sample had a high emotional exhaustion, 54.8% a high level of depersonalization and 10% a reduced sense of personal accomplishment, we proceed to an analysis of current levels in the three dimensions to study their evolution. Similarly, we assess whether in the town of Lorca (Murcia), these levels have been affected by the earthquake on May 11, 2011, for which it has conducted an evaluation of possible symptoms of Post-Traumatic Stress Disorder (PTSD). We proceeded to the administration of the same tests of the latest research (Scale Maslach Burnout Inventory -MBI- and an ad hoc survey conducted for professional caregivers) and the Scale SA-45 which is the short form from the original SCL-90, and the Severity of Symptoms Scale of Posttraumatic Stress Disorder. The results show differences between the two populations in different variables and they shed light on the consequences and impact of a traumatic event in the sample.

Following a previous study on professional caregivers of people with dementia and other diseases in residential, was decided to compare two residential centers of two different regions, Murcia and Barcelona. Based on the results of which 13.3% of the global sample had a high emotional exhaustion, 54.8% a high level of depersonalization and 10% a reduced sense of personal accomplishment, we proceed to an analysis of current levels in the three dimensions to study their evolution. Similarly, we assess whether in the town of Lorca (Murcia), these levels have been affected by the earthquake on May 11, 2011, for which it has conducted an evaluation of possible symptoms of Post-Traumatic Stress Disorder (PTSD). We proceeded to the administration of the same tests of the latest research (Scale Maslach Burnout Inventory -MBI- and an ad hoc survey conducted for professional caregivers) and the Scale SA-45 which is the short form from the original SCL-90, and the Severity of Symptoms Scale of Posttraumatic Stress Disorder. The results show differences between the two populations in different variables and they shed light on the consequences and impact of a traumatic event in the sample.