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OBJECTIVE: To define benchmark cutoffs for redo liver transplantation (redo-LT). BACKGROUND: In the era of organ shortage, redo-LT is frequently discussed in terms of expected poor outcome and wasteful resources. However, there is a lack of benchmark data to reliably evaluate outcomes after redo-LT. METHODS: We collected data on redo-LT between January 2010 and December 2018 from 22 high-volume transplant centers. Benchmark cases were defined as recipients with MELD score ≤25, absence of portal vein thrombosis, no mechanical ventilation at the time of surgery, receiving a graft from a donor after brain death. Also, high-urgent priority and early redo-LT including those for primary non-function (PNF) or hepatic artery thrombosis were excluded. Benchmark cutoffs were derived from the 75th percentile of the medians of all benchmark centers. RESULTS: Out of 1110 redo-LT, 373 (34%) cases qualified as benchmark cases. Among these cases, the rate of postoperative complications until discharge was 76%, and increased up to 87% at 1-year, respectively. One-year overall survival rate was excellent with 90%. Benchmark cutoffs included Comprehensive Complication Index (CCI®) at 1-year of ≤72, and in-hospital and 1-year mortality rates of ≤13% and ≤15%, respectively. In contrast, patients who received a redo-LT for PNF showed worse outcomes with some values dramatically outside the redo-LT benchmarks. CONCLUSION: This study shows that redo-LT achieves good outcome when looking at benchmark scenarios. However, this figure changes in high-risk redo-LT, as for example in PNF. This major analysis objectifies for the first-time results and efforts for redo-LT and can serve as a basis for discussion about the use of scarce resources.

Trabajo fin de grado en Enfermería, Objetivo: Analizar el impacto emocional en mujeres con diagnóstico y tratamiento de cáncer de mama. Metodología: Revisión narrativa llevada a cabo mediante una consulta estructurada en bases de datos de Ciencias de la Salud: PubMed, Cinahl, Cuiden, Dialnet, Scielo y Scopus. Los criterios de selección fueron artículos originales relacionados con el tema de interés, publicados en inglés o español entre los años 2015-2021. Se excluyeron aquellos que no fuesen originales y tratasen sobre el cáncer de mama en hombres. Resultados: Fueron incluidos 22 artículos originales tras una lectura completa y crítica de los mismos. Se seleccionaron tres estudios de casos y controles, uno descriptivo, nueve estudios cualitativos de los cuales dos son fenomenológicos, tres revisiones narrativas y cinco estudios mixtos. Conclusiones: El diagnóstico y tratamiento del cáncer de mama supone un gran impacto en la vida de las mujeres. Los cambios físicos secundarios al tratamiento conllevan una afectación psicológica marcada por la aparición de ansiedad y/o depresión. Además, se produce una drástica desestabilización familiar siendo la pareja la principal figura afectada teniendo que mostrarse a la altura en el desempeño de su nuevo rol como cuidador principal. Por tanto, es esencial que las enfermeras proporcionen a las mujeres una atención continua, prestando especial interés en las necesidades de autocuidado bio-psico- sociales, mediante la puesta en marcha de intervenciones enfermeras específicas que contribuyan a ofrecerles un cuidado holístico e individualizado., Aim: Analyze the emotional impact in women with breast cancer diagnosis and treatment. Methodology: Narrative review carried out through a structured consultation in Health Sciences databases: PubMed, Cinahl, Cuiden, Dialnet, Scielo and Scopus. The selection criteria were original articles related to the topic of interest, published in English or Spanish between 2015-2021. Those that were not original and dealt with breast cancer in men were excluded. Results: 22 original articles were included after a complete and critical reading of them. Three case-control studies were selected, one descriptive, nine qualitative studies of which two are phenomenological, three narrative reviews and five mixed studies. Conclusions: The diagnosis and treatment of breast cancer has a major impact on women’s lives. Physical changes secondary to treatment involve a psychological involvement marked by the appearance of anxiety and/or depression. In addition, there is a drastic family destabilization with the couple being the main figure affected having to show up to the height in the performance of their new role as primary caregiver. It is therefore essential that nurses provide women with continued attention, with a focus on bio-care needspsycho- social, through the implementation of specific nursing interventions that contribute to providing holistic and individualized care.

En la actualidad vivimos en unos tiempos de cambio constante, por lo que en el mundo empresarial es fundamental encontrar ventajas competitivas que te hagan mejor que al resto de competidores. Una fuente fundamental de estas ventajas competitivas, cada vez más relevante en el contexto empresarial, es su capital humano. La relación empleado – organización cada vez es más importante y más compleja. Las empresas buscan a los mejores trabajadores y los trabajadores cada vez esperan más de sus empresas. Por esto, un objetivo de no pocas empresas es el de convertirse en la mejor empresa a ojos del trabajador, es decir, en la mejor empresa para trabajar, la más atractiva para los mejores profesionales. La reputación de la corporación es un factor decisivo para que los candidatos acepten o no la propuesta de empleo. Este objetivo ha promovido que se comiencen a aplicar los principios de marketing a la dirección de recursos humanos, dando lugar a lo que hoy conocemos como “employer branding” o marca del empleador. La marca de la compañía debe plasmar los valores más identificativos y más reconocidos por sus empleados potenciales, y conseguir que las personas se identifiquen con la filosofía de la empresa. Este trabajo aborda la importancia del “employer branding”, su razón de ser, los aspectos que la configuran y su percepción por el trabajador, Today we live in times of constant change, so in the business world it is essential to find competitive advantages that make you better than the rest of competitors. One of these competitive advantages that companies are increasingly focusing on is their human capital. The employee-organization relationship is becoming more and more important. For this reason, the idea of becoming the best company in the eyes of the worker is spreading, that is, in the best company to work with, the most attractive for the best professionals. This is what has led to the beginning of the application of marketing principles to human resources management. 3 The company's brand must capture the values most identifying and recognized by its potential employees, get people to identify with the company's philosophy., Departamento de Organización de Empresas y Comercialización e Investigación de Mercados, Grado en Administración y Dirección de Empresas

Considerando que, no Brasil, a partir dos anos 30, circula a idéia de \"edifício moderno\", este estudo analisa os edifícios construídos na região central da cidade de São Paulo, durante o período de 1935 a 1965. A região abrangida por este surto verticalizador, no período aventado, abrange o chamado \"Centro Velho\" e o \"Centro Novo\", a Avenida Paulista e o bairro de Higienópolis. Embora, edifícios \"modernos\" tenham sido construídos também em outras localidades da cidade, tem-se a impressão que o \"locus\" privilegiado de tais edificações se encontra na região demarcada. O fio condutor deste trabalho é a estratégia de ocupação territorial da cidade. Em conformidade com as transformações nela ocorridas, situaremos o objeto de estudo, interpretando as técnicas empregadas nessas construções, os significados evidenciados nos detalhes, buscando elucidar como e porque estas alternam a fisionomia da cidade adjudicando-lhe, a marca do progresso almejado nas décadas enfocadas. Since 30s idea of \"modern buildings\" has been spread, in Brazil. This search pretends to analyse the edifices constructed in São Paulo\'s central region, from 1935 to 1965.