Takotsubo cardiomyopathy or "apical ballooning syndrome" is characterized by an acute onset of transient akinesia of the apical portion of the left ventricle accompanied by electrocardiographic changes and minimal myocardial enzymatic release mimicking acute myocardial infarction without significant stenosis on the coronary angiogram. Emotional or physical stress might trigger this reversible form of cardiomyopathy. We describe a case of a 22-year-old woman presenting with an atypical form of Takotsubo cardiomyopathy after severe head injury.

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This study explores the extent to which undergraduate students perceive a dichotomy between a liberal vs. an entrepreneurial model of university. This research is important in that it compares the stated aims of university education, particularly within the Bologna Process, with students' expectations regarding liberal education and employability. A Likert-type questionnaire containing 25 statements reflecting liberal and entrepreneurial features of university education was answered by 488 students from 10 disciplines at the University of Valencia, Spain, just before the implantation of the Bologna curriculum. An exploratory factor analysis revealed that students clearly perceive the dichotomy between the liberal and entrepreneurial views, regardless o discipline. A within-subjects comparison of average scores between 'liberal' and 'entrepreneurial' items suggested that first cycle students tend to appreciate the former significantly more, but this appreciation declines in second cycle students. The Bologna Process aims to ensure the liberal dimension of university education, but places particular emphasis on employability. A genuine search for solutions that harmonize both rationales might better fulfil the training expectations of students.

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Resumen: El objetivo del artículo es identificar el uso de las técnicas de relajación (TR) en la práctica de la Psicología Clínica asistencial. Se analiza el tipo de técnicas de relajación, su frecuencia de uso, tanto en general como en función del diagnóstico, y su relación con los resultados del tratamiento. De los 880 pacientes en una clínica universitaria asistencial, con todo tipo de diagnóstico, el 67.2% son mujeres y su edad media es de 32.79 años. Los resultados señalan que el 70.5% de los casos ha utilizado alguna TR, siendo el Control de la Respiración la más frecuente (72.3%). Predomina su uso en trastornos de ansiedad (87.8%), somatomorfos (84.2%) y control de impulsos (77.8%). Hay un incremento importante en el uso de TR en los casos con comorbilidad (82.4% frente a 68%). Y el uso de técnicas de control de respiración o relajación progresiva entre los pacientes que obtienen el alta es de alrededor del 69%. Se discuten los resultados destacando el valor de usar TR, incluso con independencia del diagnóstico. Palabras clave: Técnicas de relajación; relajación muscular progresiva; relajación autógena; entrenamiento en control de respiración; resultados terapéuticos. Title:The use of relaxation techniques in a psychology clinic practice. Abstract: The aim of this article is to describe the use of relaxation techniques (RT) in the practice of clinic psychology care. Relaxation techniques are analyzed considering what type of technique they are and their use, going from a general overview to a specific diagnosis context and treatment results. 67.2 percent of 880 clinic patients with all types of diagnosis are women and the average age is 32.79 years old. The results show that some RT has been used in 70.5 per cent of the cases being breath control the most frequent one (72.3 per cent). It is mainly used for anxiety disorders (87.8%), somatoform disorder (84.2%) and impulse control disorder (77.8%). The use of these techniques is more frequent in cases of comorbid disorder (82.4% versus 68%). Breathe control and progressive muscular relaxation techniques are used in about 69 per cent of discharged patients. The discussion of this paper focuses on the results of using RT regardless of the diagnosis.

Abstract:The aim of this study is to show the constructional character of the antiphrasis-based comparative structures in Spanish [SUBJ [anaph] V TENER de S1 como/lo que yo de S2] and [SUBJ [anaph] V [COGN] de S1 como/lo que yo de S2], respectively with the referential meaning 'not to be S1' and 'to not know/understand absolutely anything about S1' and the pragmatic meaning disagreement/criticism. These schemata in Spanish have not been studied previously, either from the perspective of phraseology (in terms of their character as idiomatic schemata) or that of Construction Grammar (looking at their value as constructional idioms). Hence, this study has a double aim: on the one hand to fill a gap in Spanish phraseological research, exploring in detail the value of these structures in terms of schematicity and as constructional idioms and on the other to establish a unifying bridge between Spanish phraseology and Construction Grammar. For the study a corpus has been compiled of 435 occurrences of the construction [SUBJ [anaph] V TENER de S1 como/lo que yo de S2] and 240 occurrences of the construction [SUBJ [anaph] V [COGN] de S1 como/lo que yo de S2], these drawn either from the CREA corpus or from the Internet/Google using the Webcorp tool.

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