Importancia del grado de Satisfacción con la Simulación Clínica en la formación práctica de los alumnos de enfermería

La Simulación Clínica es una metodología de aprendizaje innovadora que aproxima al estudiante a la realidad profesional. La satisfacción es un criterio de evaluación de la formación recibida. Realizamos un estudio descriptivo para determinar y analizar la satisfacción de los alumnos de tercer curso del Grado en Enfermería de la ULPGC con la Simulación Clínica en los laboratorios de prácticas de la asignatura de Técnicas de Enfermería. Utilizamos la ESECS (Escala de Satisfacción de Experiencias Clínicas Simuladas) con sus 3 dimensiones de satisfacción práctica, cognitiva y realismo, resultando la primera, la satisfacción práctica, la que muestra valores mas altos (M=7,2), próximos a la satisfacción global (M=7,01). Los estudiantes se muestran satisfechos con la Simulación Clínica, aunque la misma podría mejorar con la adaptación de los laboratorios, la adquisición de simuladores de media/alta fidelidad y la reducción del número de alumnos por grupo en el laboratorio

Culture, education and care of the patient with an ostomy

Para la adecuada aplicación de los cuidados enfermeros es necesario el conocimiento antropológico de las personas a las que van dirigidos. Concretando en las personas ostomizadas debemos evidenciar los cambios, modificaciones y trastornos producidos por la nueva situación (ser portador de un estoma), a todos los niveles: físico, psicológico, social y cultural. Estos conocimientos nos proporcionan la base para proporcionar unos cuidados flexibles, adaptados e individualizados dirigidos a prevenir, disminuir o solucionar los problemas que puedan presentar. Nos basamos en la visión holística y humanista de Virginia Henderson y en la autoridad y autonomía que tenemos las enfermeras para tratar las alteraciones que presenta la persona para cubrir de forma satisfactoria e independiente sus necesidades básicas. Hemos realizado un revisión bibliográfica para conocer cómo la cultura y la educación afectan a la aceptación y al logro de la independencia de la persona ostomizada.Adequate Nursing care demands anthropological knowledge of the people who are to be cared for. Patients with an ostomy experience changes, alterations and disturbances by their new situation at all levels: physical, psychological, social and cultural. This knowledge provides us with the basis for flexible, adapted and individualised care in order to prevent, minimise or sort out the problems that may arise. Our work is based upon Virginia Henderson's holistic and humanistic perspective and nurses' autonomy and authority to deal with the patient's trouble and satisfactory and independently fulfill his/her basic needs. Literature has been reviewed in search of the ways in which culture and education determine acceptance and independence of the patient with an ostomy

Age estimation obtained from analysis of octopus (Octopus vulgaris Cuvier, 1797) beaks: Improvements and comparisons

Two methods are currently available for age estimation in octopus beaks. They have been applied to the same specimen from a sample of 30 individuals of Octopus vulgaris caught in central-eastern Atlantic waters. These techniques aim at revealing growth increments in the rostrum sagittal sections (RSS) and lateral wall surfaces (LWS) of octopus upper and lower beaks. Both methods were improved to reduce the time of sample preparation and to enhance the appearance of the increments. For each individual, two independent readings were done for upper and lower beak sections, as well as for the lateral wall surfaces. Vertical reflected light (epifluorescence) and image analysis system were shown to be useful in the observation and analysis of the sequence of increments. Precision of the ageing, increment counts obtained by both techniques, and increment widths were discussed. Using upper beak RSS led to more precise age estimates, whereas preparing LWS was quicker and simpler, and revealed a higher number of increments. Therefore, our study recommends counting growth increments in LWS of beaks to age adult common octopus

How old are giant squids? First approach to aging Architeuthis beaks

The giant squid Architeuthis dux Steenstrup, 1857 is one of the largest and most enigmatic marine species. Its age estimation remains controversial with many estimates of maximum age ranging from 1 to 14 yrs. Successful results regarding the study of aging in cephalopod beaks for some octopod and oegopsid squids support using these structures for age estimation. We analyzed the beaks of 10 individuals, caught between 1995 and 2006, with reconstructed dorsal mantle lengths (DMLs) between 823 and 1418 mm. The beaks were measured and weighed, and their microstructure was analyzed in three ways: (1) in the rostrum area [rostrum sagittal sections (RSS)] for both upper and lower jaws, and the (2) inner lateral wall surfaces (LWS) and (3) inner crest surfaces (CS) for upper jaws. A constant sequence of increments was observed along the RSS, indicating that the use of lower jaws is more feasible due to the higher erosion and tighter packing of increments of upper jaws. The statolith of one individual was analyzed, resulting in 520 increments (579 increments from RSS of its lower jaw). Assuming daily deposition, the age estimations in RSS between 411 and 674 d suggest rapid growth of A. dux, averaging 1.97 mm DML d–1 (SD 0.45). When maximum ages were estimated by applying these results to the largest measured specimens in the literature (e.g., 2400 mm DML), an age of approximately 3 yrs was obtained. Analysis over a greater size range of individuals would allow more accurate age estimations of this emblematic squid.En prensa1,14

Age of spent Octopus vulgaris and stress mark analysis using beaks of wild individuals

Age estimation of the cephalopod Octopus vulgaris by using beaks has improved in recent years, but maximum age and longevity in the wild have not been confirmed due to the low availability of senescent wild octopuses. In this study, a beak analysis of lateral wall surfaces (LWS) from 20 spent specimens confirmed the one-year lifecycle of the species in Central East Atlantic waters. Stress marks (checks) were clearly located in the daily increment sequence of rostrum sagittal sections (RSS). The highest daily variations in sea surface temperature (ΔT) that occurred during the last months of their lifetimes coincided with the locations of the marks on the beak, enabling confirmation of O. vulgaris beaks as life recorders for the first time. It also supports the daily deposition of RSS beak increments in the wild. Individuals were grouped into two main zones, at 20ºN and 18ºN respectively. Both groups showed different thermal check patterns, in accordance with the oceanographic differences. Two other checks (not coinciding with high values of ΔT) were observed in RSS at averages of 15 and 28 days before death, respectively, which were interpreted as responding to senescent-related events.Instituto Espanol de Oceanografi