Canvi educatiu generat pels projectes d’ApS en els centres d’educació primària i secundària

Grup de treball “Canvi educatiu generat pels projectes d’ApS en els centres d’Educació Primària i Secundària.” Institut de Ciències de l’Educació de la Universitat de Barcelona. Coordinadors Mariona Graell i Josep PalosAquesta publicació és el resultat de la recerca realitzada pel Grup de Treball de l’ICE de la Universitat de Barcelona “Canvi educatiu generat pels projectes d’ApS en els centres d’educació primària i secundària” durant els cursos 2015-2017. Aquesta recerca s’ha realitzat en el marc de col·laboració de l’ICE amb el GREM (Grup d’Educació Moral) del Departament de Teoria i Història de la Facultat d’Educació de la Universitat de Barcelona, en un projecte de recerca més ampli del GREM sobre “Aprenentatge Servei. Canvi educatiu i transformació social”. Des de fa més d’una dècada el GREM ha participat i contribuït en la sistematització de l’ApS. Des de l’estudi de les experiències que ja existien en el nostre territori, fins la implantació i estudi de projectes nous. Posteriorment també es va treballar per avaluar i millorar els projectes mitjançant la rúbrica d’avaluació d’ApS. Ara, després de tots aquests estudis, ens preguntàvem a partir de l’observació d’aquestes experiències què és el que està passant en els centres que ho apliquen i quin impacte pedagògic i social tenen aquestes experiències. És per això que presentem aquest estudi posant focus d’atenció als centres d’educació primària i secundaria. El Grup de Treball de l’ICE està format per professorat d’Educació Primària i Secundària que ha participat de forma permanent en projectes d’Aprenentatge Servei en els seus centres. Son centres que representen una diversitat de tipologies de projectes d’ApS i que els han estat desenvolupant durant 2-3 anys o més

Persistence with dual antiplatelet therapy after percutaneous coronary intervention for ST-segment elevation acute coronary syndrome: a population-based cohort study in Catalonia (Spain)

Objectives: Guidelines recommending 12-month dual antiplatelet therapy (DAPT) in patients with ST-elevation acute coronary syndrome (STEACS) undergoing percutaneous coronary intervention (PCI) were published in year 2012. We aimed to describe the influence of guideline implementation on the trend in 12-month persistence with DAPT between 2010 and 2015 and to evaluate its relationship with DAPT duration regimens recommended at discharge from PCI hospitals. Design: Observational study based on region-wide registry data linked to pharmacy billing data for DAPT follow-up. Setting: All PCI hospitals (10) belonging to the acute myocardial infarction (AMI) code network in Catalonia (Spain). Participants: 10 711 STEACS patients undergoing PCI between 2010 and 2015 were followed up. Primary and secondary outcome measures: Primary outcome was 12-month persistence with DAPT. Calendar year quarter, publication of guidelines, DAPT duration regimen recommended in the hospital discharge report, baseline patient characteristics and significant interactions were included in mixed-effects logistic regression based interrupted time-series models. Results: The proportion of patients on-DAPT at 12 months increased from 58% (56-60) in 2010 to 73% (71-75) in 2015. The rate of 12-month persistence with DAPT significantly increased after the publication of clinical guidelines with a time lag of 1 year (OR=1.20; 95% CI 1.11 to 1.30). A higher risk profile, more extensive and complex coronary disease, use of drug-eluting stents (OR=1.90; 95% CI 1.50 to 2.40) and a 12-month DAPT regimen recommendation at discharge from the PCI hospital (OR=5.76; 95% CI 3.26 to 10.2) were associated with 12-month persistence. Conclusion: Persistence with 12-month DAPT has increased since publication of clinical guidelines. Even though most patients were discharged on DAPT, only 73% with potential indication were on-DAPT 12 months after PCI. A guideline-based recommendation at PCI hospital discharge was highly associated with full persistence with DAPT. Establishing evidence-based, common prescribing criteria across hospitals in the AMI-network would favour adherence and reduce variability

Projecte de programa d’atenció al pacient crònic complex

Programa d’atenció al pacient crònic complex; Atenció sanitària; PlanificacióPrograma de atención al paciente crónico complejo; Atención sanitaria; PlanificaciónComplex chronic patient care program; Health care; PlanningAquest document presenta el Programa d’atenció al pacient crònic complex mitjançant estratègies orientades perquè els pacients rebin una atenció proactiva, resolutiva, adequada, eficient i satisfactòria en qualsevol moment i amb la intensitat que calgui

ADGRL3 (LPHN3) variants predict substance use disorder

Genetic factors are strongly implicated in the susceptibility to develop externalizing syndromes such as attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder, conduct disorder, and substance use disorder (SUD). Variants in the ADGRL3 (LPHN3) gene predispose to ADHD and predict ADHD severity, disruptive behaviors comorbidity, long-term outcome, and response to treatment. In this study, we investigated whether variants within ADGRL3 are associated with SUD, a disorder that is frequently co-morbid with ADHD. Using family-based, case-control, and longitudinal samples from disparate regions of the world (n = 2698), recruited either for clinical, genetic epidemiological or pharmacogenomic studies of ADHD, we assembled recursive-partitioning frameworks (classification tree analyses) with clinical, demographic, and ADGRL3 genetic information to predict SUD susceptibility. Our results indicate that SUD can be efficiently and robustly predicted in ADHD participants. The genetic models used remained highly efficient in predicting SUD in a large sample of individuals with severe SUD from a psychiatric institution that were not ascertained on the basis of ADHD diagnosis, thus identifying ADGRL3 as a risk gene for SUD. Recursive-partitioning analyses revealed that rs4860437 was the predominant predictive variant. This new methodological approach offers novel insights into higher order predictive interactions and offers a unique opportunity for translational application in the clinical assessment of patients at high risk for SUD

Propostes per a l’elaboració del Pla de salut de Catalunya 2016- 2020

Planificació sanitària; Pla de salut de Catalunya; Gestió sanitàriaHealth planning; Health Plan for Catalonia; Health ManagementPlanificación sanitaria; Plan de salud de Cataluña; Gestión sanitariaEn la 4a Jornada del Pla de Salut, celebrada el 27 i 28 de novembre de 2014 sota el lema “Fem salut, construïm futur”, es va proposar fer una reflexió dels canvis que han succeït en el sistema en els darrers anys i formular unes propostes de futur. En aquest informe, es resumeixen els temes tractats durant la sessió de treball i es descriuen les principals propostes que es van consensuar en cada grup i que han de servir per a l’elaboració del proper Pla de salut de Catalunya 2016-202

Minerales 'exóticos' en cromititas ofiolíticas. Implicaciones para la geodinámica mantélica

Los depósitos ofiolíticos de cromita constituyen un rasgo característico de la secuencia mantélica de las ofiolitas (González-Jiménez et al., 2014 y referencias en éste). Los cuerpos de cromititas se encuentran en dunitas y harzburgitas distribuyéndose a lo largo de una zona de espesor variable, entre 1 y 2 km, debajo de los niveles de gabros bandeados de la corteza inferior oceánica. El origen de cuerpos monominerálicos de cromita en el manto, especialmente el mecanismo de concentración de cromita y el ambiente tectónico de formación, continúa siendo un tema sujeto a debate (e.g., Proenza et al., 1999; González-Jiménez et al., 2014). A tal efecto, se han propuesto hipótesis basadas en: i) cristalización cotéctica de cromita+olivino y su posterior separación mecánica; ii) procesos de mezcla o contaminación de magmas; iii) asimilación de piroxenitas y gabros; iv) aumento del grado de polimerización del fundido debido a la pérdida de agua; v) cambios en la fugacidad de oxígeno. Todas estas hipótesis asumen procesos a baja presión en el manto (<20 km profundidad)

Global maps of soil temperature

Research in global change ecology relies heavily on global climatic grids derived from estimates of air temperature in open areas at around 2 m above the ground. These climatic grids do not reflect conditions below vegetation canopies and near the ground surface, where critical ecosystem functions occur and most terrestrial species reside. Here, we provide global maps of soil temperature and bioclimatic variables at a 1-km2 resolution for 0–5 and 5–15 cm soil depth. These maps were created by calculating the difference (i.e. offset) between in situ soil temperature measurements, based on time series from over 1200 1-km2 pixels (summarized from 8519 unique temperature sensors) across all the world\u27s major terrestrial biomes, and coarse-grained air temperature estimates from ERA5-Land (an atmospheric reanalysis by the European Centre for Medium-Range Weather Forecasts). We show that mean annual soil temperature differs markedly from the corresponding gridded air temperature, by up to 10°C (mean = 3.0 ± 2.1°C), with substantial variation across biomes and seasons. Over the year, soils in cold and/or dry biomes are substantially warmer (+3.6 ± 2.3°C) than gridded air temperature, whereas soils in warm and humid environments are on average slightly cooler (−0.7 ± 2.3°C). The observed substantial and biome-specific offsets emphasize that the projected impacts of climate and climate change on near-surface biodiversity and ecosystem functioning are inaccurately assessed when air rather than soil temperature is used, especially in cold environments. The global soil-related bioclimatic variables provided here are an important step forward for any application in ecology and related disciplines. Nevertheless, we highlight the need to fill remaining geographic gaps by collecting more in situ measurements of microclimate conditions to further enhance the spatiotemporal resolution of global soil temperature products for ecological applications

Global maps of soil temperature

Research in global change ecology relies heavily on global climatic grids derived from estimates of air temperature in open areas at around 2 m above the ground. These climatic grids do not reflect conditions below vegetation canopies and near the ground surface, where critical ecosystem functions occur and most terrestrial species reside. Here, we provide global maps of soil temperature and bioclimatic variables at a 1-km² resolution for 0–5 and 5–15 cm soil depth. These maps were created by calculating the difference (i.e., offset) between in-situ soil temperature measurements, based on time series from over 1200 1-km² pixels (summarized from 8500 unique temperature sensors) across all the world’s major terrestrial biomes, and coarse-grained air temperature estimates from ERA5-Land (an atmospheric reanalysis by the European Centre for Medium-Range Weather Forecasts). We show that mean annual soil temperature differs markedly from the corresponding gridded air temperature, by up to 10°C (mean = 3.0 ± 2.1°C), with substantial variation across biomes and seasons. Over the year, soils in cold and/or dry biomes are substantially warmer (+3.6 ± 2.3°C) than gridded air temperature, whereas soils in warm and humid environments are on average slightly cooler (-0.7 ± 2.3°C). The observed substantial and biome-specific offsets emphasize that the projected impacts of climate and climate change on near-surface biodiversity and ecosystem functioning are inaccurately assessed when air rather than soil temperature is used, especially in cold environments. The global soil-related bioclimatic variables provided here are an important step forward for any application in ecology and related disciplines. Nevertheless, we highlight the need to fill remaining geographic gaps by collecting more in-situ measurements of microclimate conditions to further enhance the spatiotemporal resolution of global soil temperature products for ecological applications