1,718 research outputs found

    Acercamiento a la música tradicional zamorana en la Educación Primaria

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    Trabajo Fin de Grado-Universidad de Salamanca, 2014[ES] El estudio pretende analizar y evaluar el conocimiento sobre la música tradicional zamorana en los niños de la etapa primaria con el fin de determinar si existe una base para trabajar contenidos en el área de Educación Musical a través de ésta. Con la posibilidad de repetir el proyecto que Zoltán Kodály realizó en Hungría, esta investigación, siguiendo el método inductivo, aplica el muestreo en dos centros públicos de Educación Primaria de la provincia de Zamora. Y, se divide en dos fases: durante la primera fase, se realizan unas audiciones con canciones, seleccionadas en función de su representatividad, a los alumnos de la etapa. Posteriormente, en la segunda fase, se selecciona de cada centro un número de niños cuyas circunstancias sean representativas, para someter a los profesores de música de ambos centros a un cuestionario sobre el rendimiento individual del niño[EN] The study aims to analyze and evaluate knowledge about traditional music Zamora children of primary stage in order to determine whether there is a basis to work contents in the area of music education through it. With the possibility of repeating the project in Hungary Zoltan Kodaly he conducted this research, following the inductive method, applied sampling in two public Primary Schools in the province of Zamora. And it is divided into two phases: the first phase, some auditions with songs selected based on their representativeness, students stage are made. Later, in the second phase, a number of children whose circumstances are representative is selected from each center to subdue music teachers from both schools to a questionnaire on the individual performance of the child

    Intraoperative use of IndoCyaninE Green fluorescence imaging to prevent anastomotic leakage in colorectal surgery : systematic Review, Meta-Analysis and Study Protocol for the ICEberG Trial

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    Intraoperative use of IndoCyaninE Green fluorescence imaging to prevent anastomotic leakage in colorectal surgery: systematic review, meta-analysis and study protocol for the ICEberG trial Aim: ICG fluorescence imaging has been increasingly considered as a potential tool to assess anastomosis perfusion. This study aims to validate its efficacy in reducing anastomotic leakage (AL) rate in colorectal surgery. Method:A systematic review and a meta-analysis of studies comparing fluorescence imaging with standard care were conducted. Furthermore, a prospective randomised controlled trial (RCT) was proposed. Results: 1302 patients from 5 studies were included. Fluorescence imaging significantly reduced AL risk in cancer surgery (OR:0.34; CI:0.16-0.74; P=0.006). Low AL rates were shown in rectal surgery (ICG:1.1% vs non-ICG:6.1%; P=0.02). There was no significant AL rate decrease when procedures for benign and malignant indication were combined. To date, there are no published RCTs, though 3 ongoing trials were identified. Conclusions: Fluorescence imaging seems to reduce AL rate following colorectal surgery for cancer. However, large well-design RCTs are needed to provide evidence for its routine use. The proposed ICEberG trial would address this need.Objectiu: L'ús d'imatges per fluorescència amb verd d'indocianina s'està considerant cada cop més com una potencial eina per l'avaluació de la perfusió de l'anastomosi. L'objectiu d'aquest estudi és validar la seva eficàcia en la reducció de la taxa de fuita anastomòtica en la cirurgia colorectal. Mètodes: S'ha realitzat una revisió sistemàtica i un meta-anàlisi dels estudis que comparaven l'ús d'imatges per fluorescència amb la pràctica habitual. A més, s'ha proposat un assaig controlat aleatori (ACA) prospectiu. Resultats: 1302 pacients de 5 estudis van ser inclosos a l'anàlisi. L'ús d'imatges per fluorescència va reduir significativament el risc de fuita en cirurgia per càncer (OR:0.34; CI:0.16-0.74; P=0.006). Es va veure una baixa taxa de fuita anastomòtica en cirurgia de recte (ICG:1.1% vs no-ICG:6.1%; P=0.02). No es va trobar un descens significatiu en la taxa de fuita anastomòtica quan es van combinar procediments amb indicació benigna i maligna. Actualment no existeixen ACA publicats, tot i que s'han identificat 3 assaigs en curs. Conclusions: L'ús d'imatges per fluorescència sembla reduir la taxa de fuita anastomòtica després de cirurgia colorectal per càncer. No obstant, es necessiten grans ACA que proporcionin evidència en l'ús d'aquesta tècnica a la pràctica habitual. El proposat ACA ICEberG abordaria aquesta necessitat

    A Risk-Based Screening Approach to Patients Needing Surgery During the De-Escalation Phase of COVID-19 Pandemic

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    Since the outbreak of COVID-19 pandemic, many national and international surgical societies have produced guidelines regarding the management of surgical patients. During the mitigation phase of the pandemic, most documents suggested to consider postponing elective procedures, unless this might have impacted the life expectancy of patients. As awareness and knowledge about COVID-19 are gradually increasing, and as we enter a phase when surgical services are resuming their activities, surgical strategies have to adapt to this rapidly evolving scenario. This is particularly relevant when considering screening policies and the associated findings. We herein describe a risk-based approach to the management of patients with surgical diseases, which might be useful in order to limit the risks for healthcare workers and patients, while allowing for resuming elective surgical practice safely

    Gamificación como apoyo al aprendizaje en la enseñanza práctica en biología

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    Memoria ID2022-... Ayudas de la Universidad de Salamanca para la innovación docente, curso 2022-2023

    Evolution of the maintainability of HPC facilities at CIEMAT headquarters

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    Desde su creación en 1951, el CIEMAT ha estado impulsando continuamente el uso de la computación como un método de investigación, desplegando plataformas de cómputo innovadoras. De esta manera, arquitecturas vectoriales, MPP, NUMA y otras completamente distribuidas han sido gestionadas en el CIEMAT, acumulando un extenso conocimiento sobre su sostenibilidad y sobre las necesidades de las comunidades científicas relacionadas con proyectos internacionales. Actualmente, la evolución del hardware y el software para HPC es cada vez más rápida e implica un desafío constante para aumentar su disponibilidad debido al número de iniciativas que el centro apoya. Para abordar esta tarea, el equipo TIC ha estado cambiando su gestión hacia un modelo flexible, con una mirada puesta en las adquisiciones futuras.Since its establishment in 1951, CIEMAT has been continuously boosting the use of computation as a research method, deploying innovative computing facilities. Hence, Vectorial, MPP, NUMA, and distributed architectures have been managed at CIEMAT, resulting in an extensive expertise on HPC maintainability as well as on the computational needs of the community related to international projects. Nowadays, the evolution of HPC hardware and software is progressively faster and implies a continuous challenge to increase their availability for the greater number of different initiatives supported. To address this task, the ICT team has been changing towards a flexible management model, with a look toward future acquisitions

    Vertical Raindrop Size Distribution in Central Spain: A Case Study

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    A precipitation event that took place on 12 October 2008 in Madrid, Spain, is analyzed in detail. Three different devices were used to characterize the precipitation: a disdrometer, a rain gauge, and a Micro Rain Radar (MRR). These instruments determine precipitation intensity indirectly, based on measuring different parameters in different sampling points in the atmosphere. A comparative study was carried out based on the data provided by each of these devices, revealing that the disdrometer and the rain gauge measure similar precipitation intensity values, whereas the MRR measures different rain fall volumes. The distributions of drop sizes show that the mean diameter of the particles varied considerably depending on the altitude considered. The level at which saturation occurs in the atmosphere is decisive in the distribution of drop sizes between 2,700 m and 3,000 m. As time passes, the maximum precipitation intensities are registered at a lower height and are less intense. The maximum precipitation intensities occurred at altitudes above 1,000 m, while the maximum fall speeds are typically found at altitudes below 700 m

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
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