Inclusión de los Objetivos de Desarrollo Sostenible en el Currículum de Educación Primaria y Secundaria en Escuelas Rurales de Zaragoza

La educación no puede mantenerse al margen de la realidad social y política. Es un hecho que el actual escenario mundial está conllevando un impacto considerable en la redefinición del concepto de Educación. Una Educación para la Ciudadanía Global (ecg) implica adecuar los elementos del currículo para favorecer el desarrollo de valores de equidad y justicia en los procesos de enseñanza aprendizaje. Este artículo busca analizar, la incorporación de la ecg y de los Objetivos de Desarrollo Sostenible (ods) en el currículo académico, así como las dinámicas y actuaciones que se llevan a cabo en los centros y en las aulas. Se ha utilizado una metodología cuantitativa, desarrollando un estudio descriptivo no experimental mediante una encuesta social. Los resultados muestran cómo los centros educativos apuestan por introducir en sus proyectos de centro acciones relacionadas con la ecg y/o los ods. El estudio muestra la falta de experiencias que impliquen proyectos transversales y globales y la introducción de los ods de una forma más explícita. Education cannot be kept out of social and political reality. It is a fact that the current world scenario is having a considerable impact on the redefinition of the concept of Education. Global Citizenship Education (GCED) implies adapting the elements of the curriculum to promote the development of values of equity and justice in the teaching-learning processes. This article analyzes, the incorporation of the GCED and the Sustainable Development Goals (SDG) in the academic curriculum, as well as the dynamics and actions that are carried out in the centers and in the classrooms. A quantitative methodology has been used, developing a non-experimental descriptive study through a social survey. The results show how educational centers, are committed to introducing actions related to the GCED and/or the SDGS into their center projects. The study shows the lack of experiences involving cross-cutting and global projects and the introduction of the SDGS in a more explicit manner

Mediation criteria for interactive serious games aimed at improving learning in children with attention deficit hyperactivity disorder (ADHD)

The PASS intelligence theory (Planning, Attention-Arousal, Simultaneous and Successive) was used together with Feuerstein’s mediation model to develop a system of categories for mediation in educational games. This system was used to analyze and improve the design of interactive games that can enhance mediation in learning, particularly in children with attention deficit hyperactivity disorder (ADHD). To this end, interactive games designed for a tabletop device were evaluated within an educational context. 27 children (3–14 years old), who had been diagnosed with ADHD, took part. The tabletop has an intuitive system that allows children to interact directly with objects with which they are familiar, providing opportunities for play and communication. These games were evaluated by the participant observation of individual and group playing experiences, interviews, and two focus groups. The results show that mediation recommendations can be useful in the design of the games. They also confirm the need to improve the adaptability of the games to enable children with ADHD to mediate, plan, and focus their attention. With the aid of a facilitator, the mediating function of learning-games can therefore be applied in the development of the executive functions that are key to learning

Sentido y significado de la Educación para la Ciudadanía Global. Percepciones del profesorado y retos actuales en centros educativos de la provincia de Zaragoza

Con la Educación para la Ciudadanía Global (ECG), se apuesta por una visión del mundo global, potenciando el sentido crítico y el compromiso social. Esta investigación tiene como finalidad anali-zar cómo los docentes de Educación Primaria y Secundaria de la provincia de Zaragoza entienden la ECG y qué motivaciones llevan a realizar acciones de este tipo en los centros educativos. El estudio descriptivo no experimental muestra los datos obtenidos mediante una encuesta cumplimentada por 77 centros. Los docentes consideran importante trabajar transversalmente la ECG, bajo un modelo educativo orientado a una educación integral de las personas, la responsabilidad social y la partici-pación activa. Se considera como un reto de futuro el desarrollo de propuestas de ECG vinculadas con mejoras en la formación docente, en la metodología y en la relación con la comunidad educativa, agentes externos y administración educativa. Global Citizenship Education (GCE) is committed to a global vision of the world, enhancing the critical sense and social commitment. In this paper, it is aimed to analyze how teachers of Primary and Secondary Education in the province of Zaragoza understand the ECG. In the paper, it is also pretend to reflect about the motivations to carrying out actions of this type in educational centers. In the non-experimental descriptive study, it is showed the data obtained through a survey completed by 77 centers. Teachers consider it relevant to work on Education for Global Citizenship in a transversal way. Their education model focus on a comprehensive education of people, social responsibility and active participation. The development of ECG proposals related to improvements in teacher training, methodology and relationship with the educational community, external agents and educational administration is considered a future challenge

Sentido y significado de la Educación para la Ciudadanía Global Percepciones del profesorado y retos actuales en centros educativos de la provincia de Zaragoza

Con la Educación para la Ciudadanía Global (ECG), se apuesta por una visión del mundo global, potenciando el sentido crítico y el compromiso social. Esta investigación tiene como finalidad analizar cómo los docentes de Educación Primaria y Secundaria de la provincia de Zaragoza entienden la ECG y qué motivaciones llevan a realizar acciones de este tipo en los centros educativos. El estudio descriptivo no experimental muestra los datos obtenidos mediante una encuesta cumplimentada por 77 centros. Los docentes consideran importante trabajar transversalmente la ECG, bajo un modelo educativo orientado a una educación integral de las personas, la responsabilidad social y la participación activa. Se considera como un reto de futuro el desarrollo de propuestas de ECG vinculadas con mejoras en la formación docente, en la metodología y en la relación con la comunidad educativa, agentes externos y administración educativa. Global Citizenship Education (GCE) is committed to a global vision of the world, enhancing the critical sense and social commitment. In this paper, it is aimed to analyze how teachers of Primary and Secondary Education in the province of Zaragoza understand the ECG. In the paper, it is also pretend to reflect about the motivations to carrying out actions of this type in educational centers. In the non-experimental descriptive study, it is showed the data obtained through a survey completed by 77 centers. Teachers consider it relevant to work on Education for Global Citizenship in a transversal way. Their education model focus on a comprehensive education of people, social responsibility and active participation. The development of ECG proposals related to improvements in teacher training, methodology and relationship with the educational community, external agents and educational administration is considered a future challenge

Guidelines to design tangible tabletop activities for children with attention deficit hyperactivity disorder

Attention deficit hyperactivity disorder is one of the most frequent neurodevelopmental disorders among children. In spite of this, there is a lack of HCI research specifically devoted to these children. This paper describes efforts to transfer previous experience with other neurodiverse children in the field of tangible tabletops to ADHD children. The results of evaluation sessions carried out in conjunction with an ADHD association, complemented with an in-depth study of their special characteristics and needs, have led to a set of guidelines oriented to the design of tangible tabletop activities. These guidelines are mostly general and applicable to the design of any interactive application oriented to ADHD children. They are also appropriate for applications for other neurodiverse children or, in fact, any child from a more inclusive perspective

#INNOVACSL, una experiencia local de formación para la ciudadanía y la inclusión desde el aprendizaje-servicio

De acuerdo al objetivo de Desarrollo Sostenible 4, por el que las instituciones han de proporcionar una educación de calidad para todas las personas, la Red de Municipal de Centros Sociolaborales de Zaragoza tiene como objetivo formar y capacitar a los jóvenes que no han finalizado la escolaridad obligatoria. A través del proyecto # InnovaCSL, los educadores, en colaboración con investigadores de la Universidad de Zaragoza, han reflexionado y cuestionado sus prácticas educativas y se ha considerado el Aprendizaje-Servicio como herramienta para el empoderamiento del alumnado, así como para el desarrollo de un sentimiento ciudadanía, justicia y compromiso social

Spread of a SARS-CoV-2 variant through Europe in the summer of 2020.

Following its emergence in late 2019, the spread of SARS-CoV-21,2 has been tracked by phylogenetic analysis of viral genome sequences in unprecedented detail3–5. Although the virus spread globally in early 2020 before borders closed, intercontinental travel has since been greatly reduced. However, travel within Europe resumed in the summer of 2020. Here we report on a SARS-CoV-2 variant, 20E (EU1), that was identified in Spain in early summer 2020 and subsequently spread across Europe. We find no evidence that this variant has increased transmissibility, but instead demonstrate how rising incidence in Spain, resumption of travel, and lack of effective screening and containment may explain the variant’s success. Despite travel restrictions, we estimate that 20E (EU1) was introduced hundreds of times to European countries by summertime travellers, which is likely to have undermined local efforts to minimize infection with SARS-CoV-2. Our results illustrate how a variant can rapidly become dominant even in the absence of a substantial transmission advantage in favourable epidemiological settings. Genomic surveillance is critical for understanding how travel can affect transmission of SARS-CoV-2, and thus for informing future containment strategies as travel resumes. © 2021, The Author(s), under exclusive licence to Springer Nature Limited

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true

EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

Association between loop diuretic dose changes and outcomes in chronic heart failure: observations from the ESC-EORP Heart Failure Long-Term Registry

Aims: Guidelines recommend down-titration of loop diuretics (LD) once euvolaemia is achieved. In outpatients with heart failure (HF), we investigated LD dose changes in daily cardiology practice, agreement with guideline recommendations, predictors of successful LD down-titration and association between dose changes and outcomes. Methods and results: We included 8130 HF patients from the ESC-EORP Heart Failure Long-Term Registry. Among patients who had dose decreased, successful decrease was defined as the decrease not followed by death, HF hospitalization, New York Heart Association class deterioration, or subsequent increase in LD dose. Mean age was 66 ± 13 years, 71% men, 62% HF with reduced ejection fraction, 19% HF with mid-range ejection fraction, 19% HF with preserved ejection fraction. Median [interquartile range (IQR)] LD dose was 40 (25–80) mg. LD dose was increased in 16%, decreased in 8.3% and unchanged in 76%. Median (IQR) follow-up was 372 (363–419) days. Diuretic dose increase (vs. no change) was associated with HF death [hazard ratio (HR) 1.53, 95% confidence interval (CI) 1.12–2.08; P = 0.008] and nominally with cardiovascular death (HR 1.25, 95% CI 0.96–1.63; P = 0.103). Decrease of diuretic dose (vs. no change) was associated with nominally lower HF (HR 0.59, 95% CI 0.33–1.07; P = 0.083) and cardiovascular mortality (HR 0.62,. 95% CI 0.38–1.00; P = 0.052). Among patients who had LD dose decreased, systolic blood pressure [odds ratio (OR) 1.11 per 10 mmHg increase, 95% CI 1.01–1.22; P = 0.032], and absence of (i) sleep apnoea (OR 0.24, 95% CI 0.09–0.69; P = 0.008), (ii) peripheral congestion (OR 0.48, 95% CI 0.29–0.80; P = 0.005), and (iii) moderate/severe mitral regurgitation (OR 0.57, 95% CI 0.37–0.87; P = 0.008) were independently associated with successful decrease. Conclusion: Diuretic dose was unchanged in 76% and decreased in 8.3% of outpatients with chronic HF. LD dose increase was associated with worse outcomes, while the LD dose decrease group showed a trend for better outcomes compared with the no-change group. Higher systolic blood pressure, and absence of (i) sleep apnoea, (ii) peripheral congestion, and (iii) moderate/severe mitral regurgitation were independently associated with successful dose decrease. © 2020 European Society of Cardiolog