Academic literature on the topic 'Antecedent genres'
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Journal articles on the topic "Antecedent genres"
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Kang, Beom-Mo. "The Grammar and Use of Korean Reflexives." International Journal of Corpus Linguistics 6, no. 1 (December 17, 2001): 134–50. http://dx.doi.org/10.1075/ijcl.6.1.06kan.
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This paper discusses the relationship between grammar as linguistic knowledge, as envisaged in Generative Grammar, and usage, the result of performance. In concrete, I analyze the use of Korean reflexives ‘caki’, ‘casin’, and ‘cakicasin’ by examining the occurrences of these reflexives in a 5-million-word Korean corpus, taken from a 10-million-word Korean corpus which is called “KOREA-1 Corpus”, compiled at Korea University (H. Kim and B. Kang 1996). This corpus is composed of various genres of Korean texts including 10% of spoken material. From the KWIC concordances of accusative forms of these reflexives, ‘cakilul, casin-ul, cakicasin-ul’, I examined whether a reflexive has a local antecedent or a long-distance antecedent. The result is that ‘caki’ is almost even in having local and long-distance antecedents, but ‘casin’ has more and ‘cakicasin’ has much more local antecedents. I also examined the thematic roles of the local antecedents of reflexives, which shows that ‘casin’ has relatively more Experiencer antecedents than ‘caki’ has, although in both cases Agent antecedents dominate. The outcome of this frequency analysis suggests that a tendency (probably not yet grammaticalized), or degree of “naturalness” is real and can be captured in the usage data provided that we have a sizable amount of material which can be handled in an efficient way as provided by the corpus linguistic method of the present day. At the least, the result of such an investigation can provide a solid base from which further theorizing may proceed.
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Kuzmina, Jana. "Intertextuality and Interdiscursivity in Information Technologies Organisational Discourse." Baltic Journal of English Language, Literature and Culture 5 (June 5, 2015): 75–89. http://dx.doi.org/10.22364/bjellc.05.2015.07.
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The paper reflects the results of the cross-sectional empirical research exploring the network of written genres in information technologies organisations. The theoretical basis for this research has been grounded in the English for Specific Purposes and the New Rhetoric genre schools. The empirical research method is a case study, discourse and frequency analysis. Firstly, semi-structured interviews with IT professionals from Latvia, Estonia, Belarus and Western Russia aimed to identify the recurrent genres pertinent to the domain were conducted. Secondly, the analysis of constitutive and manifest intertextual relations in the documents in question was performed. The obtained results highlight the significance of the social context and professional practice for conducting discourse analysis in the domain in order to uncover constitutive intertextual relations. They reveal that the genres in the network have hierarchical interdiscursive relations, with the system architecture being the dominating one. The linguistic means of manifest intertextual relations do not show high variation and indicate to the genres precedent or antecedent in the chronological chain.
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Rachul, Christen. "Digesting Data: Tracing the Chromosomal Imprint of Scientific Evidence Through the Development and Use of Canadian Dietary Guidelines." Journal of Business and Technical Communication 33, no. 1 (September 9, 2018): 26–59. http://dx.doi.org/10.1177/1050651918798683.
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The Eating Well With Canada’s Food Guide (CFG), which represents Canada’s official dietary guidelines, is designed to address high rates of obesity and diet-related chronic disease in Canada. This article presents a qualitative study of the social and ideological actions that the CFG performs. The study draws on the concepts of antecedent genres and uptake from rhetorical genre studies, applying them in a multimodal analysis of the CFG and interviews with the CFG’s producers and registered dietitians (RDs) who work with vulnerable populations. Findings reveal that scientific representations play a profound role in the social and ideological actions that the CFG performs. The author demonstrates how representations of scientific evidence from nutrition science, as exemplified in the concept of the Food Guide Serving, are taken up by the CFG and, in turn, how these scientific representations influence RDs’ use of the CFG and dominate, rather than facilitate, discussions about healthy eating. The study suggests that the CFG, instead of being an enabling resource, is a limiting document: It limits who can make healthier food choices and how such choices can be made.
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Sanchez, Diana R., and Markus Langer. "Video Game Pursuit (VGPu) Scale Development: Designing and Validating a Scale With Implications for Game-Based Learning and Assessment." Simulation & Gaming 51, no. 1 (November 3, 2019): 55–86. http://dx.doi.org/10.1177/1046878119882710.
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Background. Recent research on game-based assessment and training demonstrates growing interest in how individual differences affect game-based outcomes. However, there is still a lack of clarity about the variables that affect important game-based outcomes and issues with measurement approaches regarding these variables (e.g., no validation of scales). This study develops a model where video game pursuit (VGPu) is measured as an antecedent to entering the gaming cycle. We propose that VGPu-related antecedents lead to a feedback loop where engaging in the game cycle affects game-related outcomes which again affect the antecedents of re-entering the game cycle. Moreover, we validate a measure of VGPu and provide construct as well as criterion validity evidence. Methods. Within three studies ( N = 716) we develop and validate the VGPu scale - a psychometrically sound measure of intentions to pursue video games. Using Amazon’s MTurk (Studies 1, 2), participants responded to the VGPu items and we conducted exploratory and confirmatory factor analyses showing that VGPu consists of a general latent VGPu factor with four subfactors (Intentional Game Play, Generalized Game Self-Efficacy, Enjoyment of Games, Prone to Game Immersion). In Study 3, students responded to the VGPu items, to items examining construct validity, and played three video games from different genres to assess criterion-related validity of game performance and game reactions. Results. Results demonstrate construct and criterion-related validity showing that VGPu correlates with other game-related scales and predicts game performance and game reactions. Discussion. The findings demonstrate the value of the VGPu scale for research and practice because pursuing video games seems to be an important variable for predicting how individuals perform and react to game-based activities. Finally, we discuss implications for future research and practice in the realm of game-based assessment and training.
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Camara de Landa, Enrique. "An Andean Musical Structure That Defies Borders." European Journal of Musicology 20, no. 1 (April 10, 2022): 229–42. http://dx.doi.org/10.5450/ejm.20.1.2021.229.
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In many existing repertoires of traditional music in the South American Andean area a type of melodic structure that seems to refer to a common antecedent can be detected, even though its adaptation to the various genres is manifested through musical variants. The comparative analysis of these expressions (some belonging to the heptatonic modal and tonal systems of European origin and other that are typical of the anhemitonic pentatonic Andean system) allows a possible influence of the latter on the former to be hypothesized. This proposal aims to advance in this direction and will try to highlight one of the characteristics that give cohesion to musical expressions from a cultural area affected by processes of transculturation and identity affirmation. To achieve new knowledge about this phenomenon one has to analyze both the musical structures and the implications of its use in repertoires emerging at different times and in different circumstances, linked to the search and affirmation of an Andean cultural identity through organized sound.
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Chen, Weiying, and Jacqueline Evers-Vermeul. "Expressing conditionality in Mandarin." Chinese Language and Discourse 8, no. 1 (September 21, 2017): 95–126. http://dx.doi.org/10.1075/cld.8.1.06che.
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Abstract After a broad overview of Mandarin Chinese conditionality marking, this paper presents a corpus-based analysis of two conditional connectives, rúguǒ and zhǐyào (both translatable as ‘if’), from a syntactic and a cognitive perspective. We examine their use in narrative and informative texts along four parameters: clause order, position of the connective within the clause, domain, and counterfactuality. For all parameters, the two connectives displayed robust profiles across genres. Both connectives preferred an antecedent-consequent clause order. They displayed flexibility in their position, behaving like adverbs, with rúguǒ showing a stronger preference for the pre-subject position than zhǐyào. In terms of domains, zhǐyào has a stronger preference for content conditionals than rúguǒ, which is also frequently used in the epistemic domain. In our data, only rúguǒ was used meta-metaphorically and in counterfactuals. We argue that both connectives can be translated with ‘if’, but zhǐyào also matches ‘so/as long as’.
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Fisher, Richard, Chris J. van Staden, and Glenn Richards. "Watch that tone." Accounting, Auditing & Accountability Journal 33, no. 1 (September 16, 2019): 77–105. http://dx.doi.org/10.1108/aaaj-10-2016-2745.
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Purpose The purpose of this paper is to investigate: how dimensions of tone vary across different forms of corporate accountability narrative; the impact of tone on readability; and the determinants of tone, including consideration of its use in impression management. Design/methodology/approach Using a multi-year sample of listed companies, the authors measure dimensions of tone across multiple narrative types within the annual report and standalone corporate social responsibility report. Statistical analysis is used to investigate variations of tone across narrative type, each dimension’s influence on readability and the role of antecedent factors. Findings Analysis reveals that dimensions of tone vary significantly across narrative types (genres) suggesting that tonal patterns form part of the specific stylistic conventions of each genre. Tone is found to be a significant determinant of readability. Little evidence of obfuscation using tone was found, while disclosure type is the most salient determinant of tone. Practical implications The study illuminates latent or underlying disclosure norms that can facilitate the identification of “exceptional” cases that do not conform with expected tonal patterns of a particular narrative type and may warrant closer inspection by preparers, auditors or regulators. The issues raised regarding the clarity and balance of textual disclosures highlight the challenges in regulating corporate narratives. Originality/value This study highlights that tone is a more nuanced and layered concept than suggested by much of the prior literature. Further, tone ought to be considered in studies examining textual complexity.
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Phungsoonthorn, Tipnuch, and Peerayuth Charoensukmongkol. "Antecedents and outcomes associated with a sense of place toward the organization of Myanmar migrant workers in Thailand." Equality, Diversity and Inclusion: An International Journal 39, no. 2 (December 17, 2019): 195–218. http://dx.doi.org/10.1108/edi-06-2019-0177.
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Purpose The purpose of this paper is to examine some of the antecedents and outcomes associated with a sense of place (SOP) on the part of Myanmar migrant workers working in Thailand toward their place of work. The transformational leadership of top management and diversity climate were selected as the antecedent variables, whereas turnover intention was selected as the outcome variable. Belongingness theory and social identity theory were used as the theoretical foundation to support the roles of these variables. Design/methodology/approach Survey data were collected from Myanmar migrant workers working at two factories in Thailand (n=736). Partial least squares regression was used for the data analysis. Findings The results support a negative linkage between SOP and turnover intention. The positive contribution of transformational leadership of top management and diversity climate to SOP was also supported. Moreover, diversity climate was found to partially mediate the positive contribution of transformational leadership of top management to SOP. Finally, the analysis found that the linkage between diversity climate and SOP was positively moderated by the length of stay of the Myanmar migrant workers in the organization. Originality/value This study provides new evidence showing that SOP also matters for foreign migrant workers in terms of developing emotional attachment to the workplace outside their home country and that these workers were less likely to leave the workplace although they were a culturally minority group in the organization. This research also provides new evidence concerning the role of the transformational leadership of top management and workplace climate, which were antecedents of an SOP toward the organization.
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Artemeva, Natasha, and Janna Fox. "Awareness Versus Production: Probing Students’ Antecedent Genre Knowledge." Journal of Business and Technical Communication 24, no. 4 (June 11, 2010): 476–515. http://dx.doi.org/10.1177/1050651910371302.
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Malcomson, Hettie. "The ‘routes’ and ‘roots’ ofdanzón: a critique of the history of a genre." Popular Music 30, no. 2 (May 2011): 263–78. http://dx.doi.org/10.1017/s0261143011000067.
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AbstractIn this article, I examine the history of a genre that spans several continents and several centuries. I bring together material from Mexico, Cuba, France and the UK to create anew, expand upon and critique the ‘standard’ histories of danzón narrated by Mexico's danzón experts (and others). In these ‘standard’ histories, origins and nationality are key to the constitution of genres which are racialised and moralised for political ends. Danzón, its antecedents and successors are treated as generic equivalents despite being quite different. From the danzón on, these genres are positioned as being the products of individual, male originators (and their nations). ‘Africa’ is treated as a conceptual nation, and ‘Africanness’ as something extra which racialises hegemonic European music-dance forms. Political leanings and strategies determine whether these music-dance forms are interpreted, adopted or co-opted as being ‘black’ or ‘white’.
Dissertations / Theses on the topic "Antecedent genres"
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Evans, Clifford D. "LIFE GOALS: ANTECEDENTS IN GENDER BELIEFS AND EFFECTS ON GENDER-STEREOTYPICAL CAREER INTEREST." Oxford, Ohio : Miami University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1153327423.
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Davis, Francine. "Antecedents and Consequents of Gender Role Conflict: An Empirical Test of Sex Role Strain Analysis." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1392046090.
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Voegel, Luke. "ANTECEDENTS OF ENTREPRENEURIAL INTENTION: EXAMINING THE IMPACT OF GENDER IDENTITY, GRIT, THE DARK TRIAD, AND BARRIERS TO ENTREPRENEURSHIP." OpenSIUC, 2017. https://opensiuc.lib.siu.edu/dissertations/1458.
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Entrepreneurs play a vital role in the modern day economy. Knowing what causes an individual to become an entrepreneur has fostered much attention in academic literature, but not enough of the research has looked into individual level variables that could cause an individual to have an entrepreneurial intention. This study addresses this need in research by utilizing the Theory of Planned Behavior to investigate entrepreneurial intention. Not all entrepreneurs are alike. Some entrepreneurs are motivated by financial gains while others are motivated by social concerns. The individual characteristics of entrepreneurs may not be identical, but it is believed that there are similarities. This current study uses a self-report survey approach to examine the potential impact that barriers to entry into entrepreneurship will have upon an individual’s commercial and social entrepreneurial intention. This study will also examine the moderating effect of gender identity, grit, and the Dark Triad of personality upon the previously established relationship of the three TPB antecedents to intention and commercial and social entrepreneurial intention.
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Hoover, Jessica. "Let's Bump Up the Lights: Exploring "The Carol Burnett Show" as a Cultural Antecedent to Feminist Media Studies." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc1538695/.
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This thesis argues that textual and historical analysis of The Carol Burnett Show reveals that the program utilized slapstick, women's comedy and feminist humor to create comedic parodies of television commercials, melodramas and women's films, and soap operas. Their television commercial parodies reflect Second Wave feminist critiques of media advertising contemporary with the program. Comparison of the work of early feminist film theorists and media critics to the program's parodies of film and soap opera reveal an interest in texts that address a female audience and that The Carol Burnett Show was making similar critiques to feminist media scholars in the years before it became a field of inquiry.
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Hoover, Jessica. "Let's Bump Up the Lights: Exploring The Carol Burnett Show as a Cultural Antecedent to Feminist Media Studies." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1538695/.
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This thesis argues that textual and historical analysis of The Carol Burnett Show reveals that the program utilized slapstick, women's comedy and feminist humor to create comedic parodies of television commercials, melodramas and women's films, and soap operas. Their television commercial parodies reflect Second Wave feminist critiques of media advertising contemporary with the program. Comparison of the work of early feminist film theorists and media critics to the program's parodies of film and soap opera reveal an interest in texts that address a female audience and that The Carol Burnett Show was making similar critiques to feminist media scholars in the years before it became a field of inquiry.
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Dunn, Samuel James. "Reconceiving a Necessary Evil: Teaching a Transferable FYC Research Paper." BYU ScholarsArchive, 2013. https://scholarsarchive.byu.edu/etd/3633.
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The place of the research paper in first-year composition (FYC) courses is often debated in composition forums. Many argue that the a-disciplinary nature of FYC doesn't allow instructors to teach the research paper in a way that will be transferable to disciplinary writing tasks, while others say that it is possible, as long as we have a thorough understanding of the kinds of writing tasks students will face in the disciplines and specifically teach writing skills that will be transferable. To identify these more generalizable writing skills to be emphasized, I interviewed 14 professors at Brigham Young University from different disciplines about the research papers they teach within their upper-division disciplinary courses and the kinds of researching and writing skills they expect students to have mastered before enrolling in these courses. I collated the results of the interviews and categorized 22 skills into four categories: writing process knowledge, genre knowledge, rhetorical knowledge, and researching knowledge, finding correlation between the 22 skills I identified with skills identified by both John Bean and Carra Leah Hood, lending credence to the value of my identified skills as worthwhile to be focused on in FYC. I draw on Amy Devitt's idea that the school genres we teach in FYC are antecedent genres to assert that teaching a research paper in FYC outside of the constraints of any one discipline can provide a viable and valuable learning experience, provided that it is taught with an emphasis on these writing skills that are most valued across the disciplines, and provided it is taught as a step along the way to later mastery of disciplinary genres.
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Naqvi, Tazeen Zehra. "Recipe Of Crucibles : The major antecedents that contributes in shaping the crucibles of Pakistani women to become a successful leader." Thesis, Linnéuniversitetet, Institutionen för organisation och entreprenörskap (OE), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-43768.
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Successful leadership is the dream of all the students of leadership for which various elements including personality, skills, vision etc. are mentioned by various scholars and researchers, but what is interesting to acknowledge is that all these elements are a manifest of the moment that alter the identity of an ordinary person into a successful leader. These moments are known to be called crucible of leadership.Crucible has a strong connection to the leadership but the mystery of what shapes these crucibles is an ever going process of research and narration. The fascination with studying the recipe of crucible is built on the foundation of my own crucible of leadership that shaped my skills and vision. Considering that, I decided to explore the recipe of crucible for what is close to me and for which I have the most knowledge about, I was ascertain to produce an informative piece of document for the readers with good authenticity and reality in my work. For this purpose I chose to explore the recipe of crucible for Pakistani female leaders.In the crucible of leadership, one of the most important element that plays role is the antecedents of a life story that builds a way to crucible and successful leadership. Thus, my focus of this study was to explore and narrate such antecedents that are the prime source of crucible of leadership for successful Pakistani female leaders. In order to do so, I had to get deep knowledge of the personal life of Pakistani female leaders, which I did by studying their biographies and testimonial accounts building a theory of antecedents as recipe of crucible through the approach of grounded theory.My qualitative analysis and sound coding, suggested a theory that, the most essential antecedents that hasn’t change in generation for Pakistani female leadership are the family antecedents (education, gender equality and a strong belief on principles) and social antecedents (lack of social acceptance), participating highest in shaping the crucible. Whereas, religion is a supportive antecedent but is not significantly impacting the crucible of leadership, as is widely perceived in the world. Furthermore, I concluded my study with highlighting the factor of patriarchy and role expectancy as the major hindrance in the successful female leadership in Pakistan.
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Nguyen, Cuong. "Three essays on antecedents and determinants of entrepreuneurial intention among business students in Vietnam : toward an integrated theory." Thesis, Paris 1, 2019. http://www.theses.fr/2019PA01E069.
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La question de recherche de cette thèse est : « Quels sont les déterminants intrinsèques et extrinsèques impactant la décision de devenir entrepreneurs (intention et mise en oeuvre) chez les étudiants en gestion au Vietnam ? ». Cette thèse comprend trois essais qui appliquent une approche de méthodes mixtes séquentielles. La structure de cette thèse comprend une boucle d'analyse quantitative pour trois essais et une boucle d'analyse qualitative pour le dernier essai. Le premier essai comprend deux parties. Partie IA : Cette partie examine l'intention entrepreneuriale des étudiants en commerce au Vietnam en appliquant la théorie du comportement planifié (Ajzen, 1991). Partie IB : cette partie est consacrée à l’étude de l'intention chez les étudiants en commerce international dans le contexte vietnamien au moment où le pays devient membre du Partenariat transpacifique (TPP), maintenant appelé Accord global et progressif pour le partenariat transpacifique (CPTPP).Le deuxième essai examine l’impact des facteurs démographiques, l’exposition antérieure au travail indépendant et les antécédents familiaux sur l’esprit d’entreprise des étudiants en commerce vietnamiens. Le troisième essai est une étude qualitative des facteurs qui influencent les intentions d’entreprendre des étudiants en gestion et des propriétaires de petites entreprises. En résumé, des recommandations pour les décideurs politiques et les éducateurs en entrepreneuriat sont discutéesThe research question of this thesis: “ What intrinsic and extrinsic determinants impact upon the decision (intent and agency) of business students in Vietnam to become entrepreneurs? ". This thesis includes three essays which apply a sequential mixed-methods approach. The structure of this thesis includes a loop of quantitative analysis for three essays and a loop of qualitative analysis for the last essay. The first essay consists of two parts: part I-A and part I-B. Part I-A essay investigates the entrepreneurial intention among business students in Vietnam by applying the theory of planned behaviour (TPB) (Ajzen, 1991). Part I-B essay investigates the entrepreneurial intention among international business students in Vietnamese business context as the country becomes a member of The Trans-Pacific Partnership (TPP) and now it is so-called the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP). The second essay investigates the impact of demographic factors, prior exposure to self-employment and family background on the entrepreneurial intention of Vietnamese business students. The third essay is a qualitative study of factors that influence entrepreneurial intentions among business students and small business owners. In summary, recommendations for entrepreneurial policy makers and entrepreneurial educators are discussed
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Alalawi, Esam Ismaeel. "Workplace perceived gender discrimination in the Bahraini banking sector : a case analysis of Islamic and conventional banks." Thesis, Brunel University, 2017. http://bura.brunel.ac.uk/handle/2438/14734.
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This qualitative study explores the interrelationship between perceived gender discrimination and its antecedents and consequences while examining the concept of the glass ceiling that presents some barriers to the career advancement of Bahraini female workers in the banking sector. The study examines female bankers’ perception of the existence of both gender discrimination and the glass ceiling concept in this sector. It first examines the factors that cause such phenomena at three different levels namely societal, institutional and individual. The study then verifies the effects of some identified antecedents i.e. whether they foster or lower the perceived gender discrimination and how such effects happen. Furthermore, the study examines the same factors to ascertain if they are barriers that hinder women’s career advancement or enablers that support their advancement as there is a lack of empirical studies on the effect of the factors of the three mentioned levels to women’s career advancement especially in non-western context (Tlaiss, 2010; Hejase et al., 2013; Yokkongdi & Benson, 2005). The study also examines the consequences of perceived gender discrimination that occurs at the individual level. Some previous studies related to this research topic adopted the quantitative approach, hence; this is a qualitative based research that examines the perception of the respondents whose experiences and opinions expound the context. This led to understanding subjective areas such as respondents’ emotions and experiences that address the nature of perceived gender discrimination and the concept of glass ceiling in the Bahraini banking sector, focusing on “How” and “Why” type of questions instead of stressing on the quantities. The existing literature of gender discrimination especially about the area of underrepresentation of female workers in higher positions especially in financial services sector including banking is minimal. (Bruckmuller & Branscombe, 2010; Elumti et al., 2009; Durbin & Conley, 2010). This approach unveils the research questions by conducting in-depth semi-structured interviews with 26 Bahraini females as most of the previous studies examined both male and female perceptions while this research focusing at female only to make it more gender specific. The respondents hold managerial and non-managerial positions in both Islamic and conventional banks in the kingdom of Bahrain. The aim of the interview was to extract their perceptions on the factors and the consequences of gender discrimination as well as the barriers and challenges that hinder their advancement to higher managerial levels. The study captures the factors and the consequences of gender discrimination as well as the most common barriers that impede the Bahraini females’ career advancement within an Islamic and Arabic cultural context. The themes that emerged from the analysis are used to discuss the research issues in the light of previous research findings from different empirical studies. This study identifies different ways of finding factors of perceived gender discrimination and their effects as well as the challenges that may hinder the women’s career advancement in this sector. This study discovers that perceived gender discrimination exists in the Bahraini banking sector especially in areas such as hiring preference and receiving of benefits and compensations. This study also unearths the existence of glass ceiling, which is related to the gender inequality in the advancement opportunities to higher positions especially in the areas such as obtaining a promotion and holding managerial positions in the banks. The study finds out various factors that cause the perceived gender discrimination and the glass ceiling in the Bahraini banking sector which are classified at three levels as explained above.
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Chirivella, González Isabel. "Estudio de la prevalencia de mutaciones de los genes BRCAL y BRCAZ en mujeres con cáncer de mama menores de 41 años. Relación con los antecedentes oncológicos familiares y características clínico-patológicas." Doctoral thesis, Universitat de València, 2004. http://hdl.handle.net/10803/10019.
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El cáncer de mama es la neoplasia más frecuente en la mujer. Existen factores de riesgo conocidos como la edad avanzada y la historia familiar de cáncer de mama. La mayor parte del cáncer de mama es esporádico, sólo del 5 al 10% son atribuibles a mutaciones de la línea germinal en genes de susceptibilidad. Del 15 al 20% se producen en agregaciones familiares, que se deben a interacciones de múltiples genes y factores ambientales, o a genes de baja penetrancia. Existen modelos que estiman la probabilidad de ser portadora de mutación en BRCA1/2, como: el modelo de Couch, Myriad II y BRCAPRO. Objetivos.1. Determinar la prevalencia de mutaciones BRCA1/2. 2. Estimar la frecuencia de mutaciones BRCA1 y en función de sus antecedentes familiares de cáncer de mama u ovario. 3. Estudiar si existen otros tumores más frecuentes en los familiares en relación con los casos de cáncer de mama esporádicos. 4. Estudiar las características clínico-patológicas comparando casos esporádicos y los debidos a mutaciones en los genes BRCA1/2.5. Conocer la utilidad en nuestra población de los modelos capaces de predecir la probabilidad de mutación BRCA1/2.Material y métodos.Se seleccionaron 124 mujeres diagnosticadas de cáncer de mama antes de los 41 años, no seleccionadas por su historia familiar. Entre los años 1989-1999. La estrategia utilizada para el análisis de BRCA1/2, fue inicialmente un cribado mediante TT-SSCP, cuando se localizaba un patrón anómalo, se caracterizaba la alteración mediante secuenciación directa.Resultados.Hemos localizado 6 mutaciones patogénicas y 13 mutaciones de significado incierto. La prevalencia de mutaciones en los genes BRCA en nuestra población es de 5.6%. BRCA1 0.8% y BRCA2 4.8%. El grupo de alto riesgo constituido por mujeres con cáncer de mama antes de los 41 años y un familiar de 1° grado con cáncer de mama/ovario, o familiar varón con cáncer de mama, tienen un RR 4.92, con p=0.037. En el grupo con antecedentes de cáncer de ovario en la familia, el RR es 10.74, y p=0.005. Respecto a las características clínico-patológicas, sólo hemos detectado diferencias en el estadio. No se han encontrado diferencias respecto a la supervivencia. Entre los métodos de predicción de probabilidad de mutación BRCA, el modelo de Frank y BRCAPRO son los de mayor sensibilidad y especificidad. Conclusiones.La frecuencia de mutaciones en los genes BRCA1 y BRCA2 es 5.6%. La mayor parte de las mutaciones definitivas encontradas (6 de 7) se localizaron en el gen BRCA2 (85.7%). La mayor parte de las mutaciones caracterizadas en BRCA2 (66.7%) se encuentran localizadas en el interior del exón 23. Las pacientes con familiares de primer grado con cáncer de mama u ovario, o con un varón afecto de cáncer de mama en su familia, forman un grupo, clasificado de "alto riesgo", donde se encuentran mutaciones BRCA en un porcentaje (15.4%) significativamente mayor (p=0.037) al resto de las pacientes (3.1%). Los antecedentes familiares de cáncer de ovario son significativamente mayores (p=0.005) entre las portadoras de mutaciones en BRCA (37.5%) que entre las no portadoras (3.5%). Las mujeres portadoras de mutación BRCA se diagnostican en estadíos más avanzados que las mujeres no portadoras. Los métodos predictivos de mutación en BRCA1/2, Myriad II y BRCAPRO, son útiles para seleccionar pacientes en nuestra muestra .Considerando la baja frecuencia de mutaciones BRCA1/2, otros factores genéticos actualmente desconocidos deben jugar un papel importante. Estos resultados no hacen aconsejable un estudio molecular de BRCA en mujeres con cáncer de mama por el único hecho de haberlo desarrollado a una edad temprana.Breast cancer is the most frequent tumour in women and hereditary predisposition may contribute to it in a small subset of patients. Up 5 to 10% can be attributed to mutations in BRCA1/2. Between 1989 -1999, we selected 124 breast cancer women, diagnosed before 41 years, not selected by their family history. In this group, mutations in BRCA1/2 genes were studied. The strategy used for the analysis of BRCA1/2, was initially amplified by PCR, mutation screening through SSCP, and abnormal bands were directly sequenced.Seven patients (5.6%) were found to have pathogenic mutations: one in BRCA1 (0.8%) and six in BRCA2 (4.8%). Most pathogenic mutations (6 of 7) were located in BRCA2 (85.7%). Most mutations characterized in BRCA2 (66.7%) are located in exon 23. The patients with first degree relatives suffering from breast or ovarian cancer, or having a male relative with breast cancer were classified as "high risk". In this high risk group 4 of 26 women (15.4%) were BRCA mutation carriers, compared with 3 of 96 women (3.1%) without those previously defined familial characteristics (p=0.037). The familial history of ovarian cancer is also different between BRCA mutation carriers (37.5%) and those not harbouring any mutation (3.5%) (p=0.005). BRCA mutation carriers were diagnosed in more advanced stages of breast cancer. Several models may estimate the probability of presenting a mutation in BRCA1/2,. In our sample Myriad II and BRCAPRO, are useful to predict the presence of mutations. Considering the low frequency BRCA1/2 mutations, other currently unknown genetics factors should play an important role. These results do not make advisable a molecular study of BRCA1/2 mutations in women developing breast cancer at an early age. Familial history should be considered as the most relevant factor.
Books on the topic "Antecedent genres"
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Arranz, Almudena Domínguez. Política y género en la propaganda en la Antigüedad: Antecedentes y legado = Gender and politics in propaganda during Antiquity : its precedents and legacy. Somonte-Cenero (Gijón, Asturias): Ediciones Trea, 2013.
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Power, Thomas P., and Sean A. Otto. Reformation Worlds: Antecedents and Legacies in the Anglican Tradition. Lang AG International Academic Publishers, Peter, 2016.
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Power, Thomas P., and Sean A. Otto. Reformation Worlds: Antecedents and Legacies in the Anglican Tradition. Lang AG International Academic Publishers, Peter, 2016.
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Power, Thomas P., and Sean A. Otto. Reformation Worlds: Antecedents and Legacies in the Anglican Tradition. Lang AG International Academic Publishers, Peter, 2016.
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Reformation Worlds: Antecedents and Legacies in the Anglican Tradition. Lang AG International Academic Publishers, Peter, 2016.
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Jones, J. Graham. Gender differences in precompetition temporal patterning and antecedents of anxiety and self-confidence. 1991.
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Diamond, James A. Unbinding Jewish Philosophical Theology. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198805694.003.0002.
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The voluminous corpus of the rabbinic genre known as midrash and aggadah involves not just law (halakhah), but also a prolific repository of unrefined philosophical theology. The aggadic and midrashic style encompasses narrative, allegory, and a deeply intimate exegetical engagement with every syllable of the biblical text. It may not correspond neatly to the kinds of systematic treatises, largely identified with the Christian tradition, through which theology is traditionally delivered. The philosophy and theology that inhere in the midrashic genre are, at the very least, of equal profundity and complexity. One needs only to be attuned to its manner and style of communication, consisting of an unrelenting intricate weave of ciphers and cross-references to its biblical antecedents, to hear a literal barrage of philosophical theology.
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Stoia, Nicholas. Sweet Thing. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780190881979.001.0001.
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Sweet Thing: The History and Musical Structure of a Shared American Vernacular Form is a historical and analytical study of one of the most productive and enduring shared musical resources in North American vernacular music. Many of us learn the form as children, when we sing “If you’re happy and you know it clap your hands,” and we hear it frequently in popular music, but usually without realizing that this poetic and rhythmic pattern has been penetrating the minds of musicians and listeners for centuries. The antecedents of the form date back to sixteenth-century Scotland and England, and appear in seventeenth-century English popular music; eighteenth-century English and American broadside balladry; nineteenth-century American folk hymnody, popular song, gospel hymnody, and ragtime; and American folk repertoire collected in the early twentieth century. It continued to generate many songs in early twentieth-century popular genres, including blues, country, and gospel music, through which it entered into many postwar popular genres like rhythm and blues, rock and roll, soul, country pop, the folk revival, and rock music. This book offers the most comprehensive examination to date of the centuries-long history of the scheme, and defines its musical parameters in twentieth-century popular music.
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Keymer, Thomas. The Subjective Turn. Edited by David Duff. Oxford University Press, 2018. http://dx.doi.org/10.1093/oxfordhb/9780199660896.013.20.
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Central to Charles Taylor’s account of secular modernity, in which divinely guaranteed truth gives way to the personal and human, is ‘the massive subjective turn … in which we come to think of ourselves as beings with inner depths’. This chapter approaches the ‘subjective turn’ of Romantic literature by way of its philosophical and literary antecedents in the eighteenth century, emphasizing the instability or inscrutability of personal identity as conceived in Hume, Sterne, and the emergent genre of autobiography. The most powerful autobiographies of the Romantic era—if we include such generically complex cases as The Prelude and Biographia Literaria—inherit and develop a Shandean sense of the problematics of their own enterprise. Yet their fascination with the processes of cognition, and more broadly with mental operations, conscious or unconscious, also bears the mark of more recent psychological discourses; they articulate a new sense of subjectivity as constituted by the creative perceptual activity of imagination.
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Shockley, Kristen M., and Winny Shen. Couple Dynamics. Edited by Tammy D. Allen and Lillian T. Eby. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199337538.013.10.
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Drawing from disciplines as varied as sociology, economics, psychology, family studies, political science, demography, and women’s studies, research on the division of labor comes from a rich, interdisciplinary tradition. Despite obvious links between division of paid and unpaid labor between spouses and work–family variables, particularly around issues of gender and parenthood, organizational scholars have been largely absent from this conversation. The purpose of this article, therefore, is to synthesize the recent division of labor literature, focusing on research from the past decade and a half (2000–2014), with the goal of highlighting connections between division of labor research and theories, constructs, and questions of interest to organizational scholars to facilitate integration and future research. Specifically, this article reviews common measurement methods, theoretical perspectives, correlates (antecedents and consequences), and macroor cross-national (i.e., values and policies) influences on the division of labor.
Book chapters on the topic "Antecedent genres"
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Massad, Victor J., and Joanne M. Tucker. "The Role of Gender as an Antecedent to Opportunism: Are Women Less Opportunistic?" In Proceedings of the 1996 Multicultural Marketing Conference, 294–99. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-17395-5_55.
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Luo, Hanyang, Zhini Li, and Xiaoling Li. "Research on Antecedents and Gender Differences of University Students’ Computer Self-efficacy." In Advances in Intelligent and Soft Computing, 329–34. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-29390-0_53.
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Hock, Hans Henrich. "Default, animacy, avoidance: Diachronic and synchronic agreement variations with mixed-gender antecedents." In Grammatical Change in Indo-European Languages, 29–42. Amsterdam: John Benjamins Publishing Company, 2009. http://dx.doi.org/10.1075/cilt.305.06hoc.
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Fitzgerald, Louise F., Charles L. Hulin, and Fritz Drasgow. "The antecedents and consequences of sexual harrassment in organizations: An integrated model." In Job stress in a changing workforce: Investigating gender, diversity, and family issues., 55–73. Washington: American Psychological Association, 1994. http://dx.doi.org/10.1037/10165-004.
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Massad, Victor J., and Joanne M. Tucker. "An Investigation into the Roles of Gender and Experience as Antecedents to Salesperson Opportunism." In Global Perspectives in Marketing for the 21st Century, 450–53. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-17356-6_137.
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Makkonen, Markus, Lauri Frank, Tiina Kemppainen, and Tanja Juujärvi. "Gender, Age, and Generational Differences in the Use Intention of Mobile Payments and Its Antecedents." In Lecture Notes in Information Systems and Organisation, 87–102. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-10902-7_7.
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Christou, Anastasia, and Eleonore Kofman. "Conclusion." In IMISCOE Research Series, 117–23. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-91971-9_7.
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AbstractAt the end of a short journey, we can attest to the flourishing production of knowledge on gender and migration that has built up over the past 30 years in particular. Though we have on the whole referred to works in English, there is an extensive literature in other major languages, such as French, German, Italian and Spanish which have emerged from different social science traditions, in recognition of the significance of gendered migrations and feminist movements. English has come to dominate writing in this field (Kofman, 2020), ironically in large part through the European funding of comparative research as well as transatlantic exchanges (Levy et al., 2020). The past 20 years have been a rapid period of intellectual exchange in this field through networks and disciplinary associations, such as the International and European Sociological Associations or IMISCOE which supported a cluster on Gender, Generation and Age (2004–2009). The IMISCOE Migration Research Hub (https://www.migrationresearch.com/) demonstrates the extensive production on gender issues and their connections with other theories and fields of migration. The economic and social transformations brought about by globalisation and transnationalism, and how its unequal outcomes and identities need to be understood through an intersectional lens (Amelina & Lutz, 2019), have heavily shaped studies of gender and migration (see Chap. 10.1007/978-3-030-91971-9_2). Indeed intersectionality has been suggested by some as the major contribution of contemporary feminism to the social sciences, and, has certainly been a theoretical insight that has travelled widely and rapidly from the Anglo world to Europe (Davis, 2020; Lutz, 2014) since it was defined by Kimberlé Crenshaw (1989). We should, however, also remember that it had antecedents in the writing of anti-racist feminists on racist ideology and sex by the French sociologist Claude Guillaumin (1995), on the trinity of gender, race and class in the UK (Anthias & Yuval-Davis, 1992; Parmar, 1982) and by scholars in Australia (Bottomley et al., 1991) and Canada (Stasiulis & Yuval-Davis, 1995).
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Sandroni, Carlos. "“Sweet Lundus , for Massa to Dream”." In A Respectable Spell, 21–40. University of Illinois Press, 2021. http://dx.doi.org/10.5622/illinois/9780252044021.003.0002.
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This chapter introduces and discusses lundu and modinha, two genres of urban song with guitar or piano accompaniment, first documented in the late eighteenth century in Portugal, where they were associated particularly with the activities, in Lisbon, of the Brazilian poet Domingos Caldas Barbosa. Found in Brazil throughout the nineteenth century in the printed music for piano and voice, lundu and modinha are considered historically antecedent to the popular music recorded in the nation starting in the early twentieth century. In particular, lundu has commonly been seen in the historiography as a precursor of samba, and as the first Afro-Brazilian-inspired musical genre to gain the interest and acceptance of wider society. This chapter introduces and discusses lundu and modinha, two genres of urban song with guitar or piano accompaniment, first documented in the late eighteenth century in Portugal, where they were associated particularly with the activities, in Lisbon, of the Brazilian poet Domingos Caldas Barbosa. Found in Brazil throughout the nineteenth century in the printed music for piano and voice, lundu and modinha are considered historically antecedent to the popular music recorded in the nation starting in the early twentieth century. In particular, lundu has commonly been seen in the historiography as a precursor of samba, and as the first Afro-Brazilian-inspired musical genre to gain the interest and acceptance of wider society.
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Sandroni, Carlos. "Conclusion." In A Respectable Spell, 197–202. University of Illinois Press, 2021. http://dx.doi.org/10.5622/illinois/9780252044021.003.0012.
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The conclusion reviews the main points made in this work. First, a review of different interpretations of samba’s history sheds new light on firsthand accounts given by samba pioneers. Second, an analysis of commercial samba recordings made in Rio de Janeiro between 1917 and 1933 permits a better understanding of the stylistic change that took place during this period. Third, the aforementioned stylistic change was situated within the historical context of Brazilian popular music and put into dialogue with antecedent musical genres, such as lundu. Finally, although previous studies on samba have bemoaned the genre’s “whitening,” this analysis on its stylistic change suggests, to the contrary, a musical Africanization of samba in the period under consideration.
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Moss-Wellington, Wyatt. "An Introduction to the Millennial Suburban Ensemble Film." In Narrative Humanism, 129–45. Edinburgh University Press, 2019. http://dx.doi.org/10.3366/edinburgh/9781474454315.003.0008.
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Part III uses the hermeneutics and narrative theory established in the first half of the book to investigate a film genre that emerged at the end of the millennium: the suburban ensemble dramedy. The first chapter makes the case that suburban ensemble cinema comparatively amalgamates a number of conventions from a range of antecedent genres: infidelity dramas, family trauma dramas, the midlife crisis film and the coming-of-age film, along with works from other media, including socially conscious domestic TV sitcoms. It compares the history of suburban media depiction in American cinema with the lived realities of residentially dispersed contexts as they developed over the second half of the 20th century.
Conference papers on the topic "Antecedent genres"
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Ahuja, Manju, Jean Robinson, Susan Herring, and Chris Ogan. "Exploring antecedents of gender equitable outcomes in IT higher education." In the 2004 conference. New York, New York, USA: ACM Press, 2004. http://dx.doi.org/10.1145/982372.982401.
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Chung, Ki Han, Yan Qing Zhang, Yu Hui Dong, and Jae-Ik Shin. "The Antecedents and Consequences of Customer Trust and Website Image: The Moderating Effects of Gender." In Business 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.102.07.
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Song, Haeyeop, and Jaemin Jung. "Notice of Violation of IEEE Publication Principles: I'm Not a Transvestite: Antecedents and Consequences of Gender Swapping in Online Games." In 2015 48th Hawaii International Conference on System Sciences (HICSS). IEEE, 2015. http://dx.doi.org/10.1109/hicss.2015.427.
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Makkonen, Markus, Jussi Nyrhinen, Lauri Frank, and Heikki Karjaluoto. "The Effects of General and Mobile Online Shopping Skilfulness and Multichannel Self-Efficacy on Consumer Showrooming Behaviour." In Digital Restructuring and Human (Re)action. University of Maribor Press, 2022. http://dx.doi.org/10.18690/um.fov.4.2022.30.
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Although showrooming behaviour is a characteristic aspect of modern omnichannel retailing, our understanding of its antecedents remains limited. In this study, we aim to address this gap in prior research by examining how showrooming behaviour is affected by three different kinds of perceived consumer capabilities: general online shopping skilfulness, mobile online shopping skilfulness, and multichannel self-efficacy. The examination is done by utilising data from 1,024 Finnish consumers, which was collected with an online survey in 2021 and is analysed with structural equation modelling (SEM). In summary, we find mobile online shopping skilfulness to have a strong positive effect on showrooming behaviour, the total effect of general online shopping skilfulness to be statistically not significant, and the effect of multichannel self-efficacy to be negative. In addition, we find several interesting gender and age differences. We conclude the paper with a detailed discussion of the findings from both theoretical and practical perspectives.
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Chung, D. W., R. Asakai, and E. W. Davie. "THE ORGANIZATION OF THE HUMAN FACTOR XI GENE: CORRELATION OF INTRON AND EXON LOCATIONS WITH STRUCTURAL DOMAINS." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1642802.
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Factor XI (plasma thromboplastin antecedent) is a plasma glycoprotein that participates in the contact activation of blood coagulation. In the present study, the organization of the gene for human factor XI has been elucidated. The gene for human factor XI has been isolated from two independent human genomic λ phage libraries using a full length cDNA for human factor XI as a hybridization probe. Four overlapping recombinant λ phage containing the human factor XI gene have been isolated and characterized. Restriction mapping, Southern blotting and hybridization studies indicate that the entire gene for human factor XI is 25 kilobases in length. Overlapping regions of the gene have been subcloned and the DNA sequence of selective regions has been determined. These results show that the gene for factor XI is composed of 15 exons and 14 introns. Exon I codes for the 5′ noncoding sequences and exon II codes for the signal peptide of 18 amino acid residues. The four tandem repeats that constitute the heavy chain of factor XIa are each encoded by two consecutive exons (exons III and IV, V and VI, VII and VIII, IX and X). The location of the introns and the junction type among these four tandem repeats are strictly conserved. Exon XI, XII, XIII, XIV and XV code for the light chain of factor XIa that contains the serine protease part of the molecule. The location of the introns and the junction types in this region of the gene are identical to those in the corresponding regions of the genes for human tissue plasminogen activator and porcine urokinase. These results show that gene duplication and exon shuffling play a significant role in the evolution of the human factor XI gene. (Supported in part by NIH Grant HL 16919 and AHA Grant 82-221.)
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"PSICOSIS COCAÍNICA, A PROPÓSITO DE UN CASO." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021p041v.
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1. Objetivos: Actualizar conocimientos en torno a la psicosis por cocaína. 2. Material y métodos: Realizar revisión bibliográfica acerca de la psicosis por cocaína acompañada de la descripción clínica de un paciente ingresado por este cuadro. 3. Resultados y conclusiones: Caso clínico: Se trata de un paciente varón de 26 años de edad que acude a urgencias por alteración comportamental. Como antecedentes personales destaca diagnóstico de Trastorno por Déficit de Atención en adolescencia en tratamiento con metilfenidato con escasa respuesta si bien el paciente presentaba consumo abusivo del mismo. No destacan otros antecedentes personales ni familiares de interés. Presenta historial de consumo de múltiples sustancias con máximos de 1-2 litros alcohol / día, 8.9 gr / día de cocaína y 1-3 unidades / día de cannabis con incremento en el año previo al ingreso. Ingresa en UHB procedente de urgencias por sintomatología psicótica. Presentaba ideación delirante de perjuicio y filiación, autorreferencialidad, pensamiento de contenido místico-religioso; refería la certeza de ser perseguido, vigilado, espiado a través de cámaras o tener el wifi intervenido al mismo tiempo que afirmaba de manera imprecisa sentirse protegido por la gente. Por otra parte presentaba alucinaciones visuales ocasionales, posibles alucinaciones auditivas así como retraimiento social, abandono del autocuidado en los últimos meses y alteración de ritmos cronobiológicos. Se realizan pruebas complementarias que confirman consumo de cocaína y THC y se descarta cualquier otro tipo de organicidad. Se instaura tratamiento con olanzapina 20 mg DMD y cloracepato dipotásico 30 mg DMD con mejoría de la clínica progresiva de la clínica psicótica de la que realiza crítica adecuada al alta. Conclusiones: - Debemos descartar el consumo de tóxicos ante la presencia de clínica psicótica. - El consumo de cocaína se relaciona fundamentalmente con delirios de perjuicio, alucinaciones congruentes con los mismos así como alucinaciones visuales o de fornicación.
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"ABORDAJE MULTIDISCIPLINAR EN UHB. A PROPÓSITO DE UN CASO." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021p111s.
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1. Introducción y objetivos En las unidades de hospitalización breve nos encontramos pacientes complejos donde la patología psiquiátrica se ve influenciada por otros factores que intervienen en el desarrollo de la enfermedad y que es necesario abordarlos en el proceso terapéutico. El objetivo del presente trabajo es plantear los objetivos terapéuticos de un abordaje biopsicosocial en pacientes con patología dual. 2. Material y métodos Se expone el caso de una paciente ingresada en la unidad de hospitalización breve del Hospital universitario de Toledo con diagnostico de descompensación en fase maniaca de Tr. Bipolar I, Tr. por abuso de cocaína, problemática social por violencia de genero y antecedentes de trauma emocional. La descompensación de su patología de base se vio precipitada por los factores concomitantes, consumo activo y problemática social. La paciente mantuvo un ingreso de mes y medio con resistencia a diversos tratamientos farmacológicos donde se realizó un abordaje terapéutico multidimensional por parte de psiquiatra, psicóloga clínica, trabajadora social y terapeuta ocupacional. 3. Resultados y conclusiones El abordaje multidisciplinar es fundamental en pacientes con patología dual para una correcta evolución tanto en el proceso agudo como en el seguimiento posterior.
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"PS-095 - EFECTOS A LARGO PLAZO DEL CONSUMO DE SUSTANCIAS DE ABUSO: CUIDADOS DE ENFERMERÍA EN EPISODIO PSICÓTICO." In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps095.
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INTRODUCCIÓN El consumo de sustancias de abuso, y sobre todo a edades tempranas, genera efectos adversos y negativos sobre la salud mental a medio y largo plazo, más allá de los efectos derivados de la dependencia y abstinencia. MATERIAL Y MÉTODOS Varón de 22 que ingresa en la Unidad De Hospitalización Breve (UHB) tras episodio de agitación psicomotriz con ideación delirante de persecución y autorreferencial. Ansiedad y labilidad emocional. En este momento escaso insight y abandono total de la medicación. Resultado de sustancias de abuso en orina negativo, aunque el paciente reconoce consumos puntuales. Previamente, consta un ingreso en la UHB por psicosis secundaria a consumo de sustancias de abuso (cocaína y cannabis). NANDA (000276) Autogestión ineficaz de la salud. NOC (1608) Control de síntomas. NIC (5602) Enseñanza: proceso de enfermedad. NIC (5616) Enseñanza: medicación prescrita. NANDA (00199) Planificación ineficaz de las actividades. NOC (1614) Autonomía personal NIC (4410) Establecimiento de objetivos comunes. NIC (1805) Ayuda con el autocuidado. NANDA (00146) Ansiedad. NOC (1402) Control de la ansiedad. NOC (1403) Autocontrol del pensamiento distorsionado. NIC (5230) Mejorar el afrontamiento RESULTADOS Y CONCLUSIONES El patrón de consumo previo unido a sus antecedentes personales (Trastorno psicóticos por consumo de sustancias de abuso) posiblemente haya sido determinante para este nuevo episodio de agitación psicomotriz. El abordaje terapéutico requiere la coordinación del equipo multidisciplinar. El plan de cuidados y las intervenciones llevadas a cabo por las enfermeras desempeñan un papel fundamental. Al alta, el paciente consiguió la adquisición de un adecuado insight, mostrando conciencia de enfermedad y aceptable juicio de realidad.
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Bravo Sánchez, Marta, Mario De Matteis, and Emilio Ignacio Sánchez Díaz. "Mania con síntomas psicóticos inducida por abuso de tramadol. A propósito de un caso clínico." In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p068.
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Introducción/Objetivo: El tramadol es un agonista puro, no selectivo sobre los receptores opioides µ,δ y κ, con mayor afinidad por los receptores µ. Actá también inhibiendo la recaptación de noradrenalina, así como la intensificación de liberación de serotonina. Se ha descrito clínica hipomaniaca en pacientes con trastorno bipolar. El objetivo es poner de manifiesto la relación de consumo de tramadol y sintomatología maniforme y psicótica a pesar de la no existencia de alteración del estado de ánimo previa al consumo. Material y métodos:A propósito de un caso clínico. Varon de 65 años, con antecedentes personales de trastorno por uso de alcohol y tabaco. Adenocarcinoma de pulmón hace 10 años, con lobectomía total y posterior tratamiento con quimioterapia. Síndrome de Leriche que le genera importante dolor en miembros inferiores por lo que su MAP le prescribe tramadol/paracetamol 37,5/325 mg. El paciente toma hasta 6-7 comprimidos al día, comenzando a los 10 días con disminución de la necesidad del sueño, irritabilidad, verborrea, necesidad imperiosa de escribir e interpretaciones delirantes de perjuicio. Es traído al servicio de urgencias donde ingresa con el diagnostico: alteraciones conductuales y sintomatología maniforme a estudio. Ingresa en Medicina Interna y es seguido por el equipo de psiquiatría de enlace. Tras la realización de pruebas complementarias (AS: etanol<10 en urgencias. TSH y vitaminas en rango), TAC/RMN sin alteraciones (descartando metástasis cerebrales). MMSE: 22/25. MOCA 24/30. Tras la retirada del tramadol y la toma de cloracepato dipotasico hasta 30mg+ risperidona hasta 3 mg, la sintomatología maniforme con síntomas psicóticos fue difuminándose hasta desaparecer en diez días. Actual seguimiento en consulta externa, tras la retirada del tramadol asintomático. Conclusiones Además de la relación receptorial del tramadol con el sistema serotoninérgico, este caso sugiere la importante del sistema opioide endógeno en la modulación de otros neurotrasmisores clásicamente relacionados con el sistema afectivo.
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"PV-082 - DEL CONSUMO DE ALCOHOL A LA PSICOSIS. A PROPÓSITO DE UN CASO." In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.pv082.
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1- Objetivos: Ilustrar mediante caso clínico dificultad de diagnóstico precoz de psicosis en pacientes con consumo de alcohol. Describir importancia de consumo de alcohol como factor de riesgo en el desarrollo de psicosis 2- Material y métodos Varón de 55 años con seguimiento previo en USMC tras intento autolítico mediante ingesta medicamentosa en contexto de consumo de alcohol, dado de alta en 2019 con diagnóstico de trastorno por consumo de alcohol. Como antecedentes previos de interés, presenta hepatitis C crónica y es exconsumidor de heroína y cocaína. Acude en 2022 a urgencias tras episodio de agitación en vía pública, presentando ideación delirante de perjuicio, alucinaciones auditivas de contenido peryorativo con intensa repercusión afectiva e insomnio global. Tras descartar causa orgánica, se decide ingreso para diagnóstico y tratamiento. Durante los primeros días del ingreso presenta alucinosis alcohólica y cuadro de deliriums tremens tratado con benzodiacepinas. Posteriormente mejora, presentando en primer plano ideas delirantes de tipo persecutorio en torno al resto de pacientes, autorreferencialidad y alucinaciones auditivas de predominio nocturno, reconociendo presencia de esta sintomatología desde hace años sin haber consultado previamente. Durante su ingreso se inicia tratamiento con risperidona, con buena respuesta y tolerabilidad, remitiendo sintomatología psicótica. 3- Resultados y conclusiones El incremento de la prevalencia de patología por consumo de alcohol ha dado lugar al aumento de múltiples patologías asociadas, incluyendo los trastornos psicóticos. La patología mental que genera el consumo de alcohol supone una importante repercusión en el sistema sanitario, siendo conocido el importante porcentaje de trastornos psiquiátricos en estos pacientres. El diagnóstico de psicosis en contexto de consumo de alcohol resulta complicado debido a diferentes factores, entre ellos la tendencia a la minimización del consumo. Además es importante tener ciertas consideraciones en cuanto a la elección del tratamiento antipsicótico en este perfil de paciente.