Márgenes de encuentro: Bilbao y el Euskara. Aplicación sociolingüística de la territorialidad

Reseña bibliográfica de la obra "Márgenes de encuentro: Bilbao y el Euskara. Aplicación sociolingüística de la territorialidad" de José María Sánches Carrión (Txepetx) en la que entre otros temas analiza la situación y la salud del euskera en general y, particularmente, en Bilbao

Web application development for teaching support of english learning in educational centers

La globalización está cambiando el mundo a un ritmo acelerado, lo que hace que aprender una segunda lengua sea cada vez más importante. Esto ha llevado a la aparición de muchas aplicaciones para aprender idiomas fuera de una academia oficial. El principal problema de este tipo de aplicaciones es que suelen priorizar el atraer a potenciales clientes antes que proporcionar un contenido realmente eficaz y eficiente. Este proyecto implementa y documenta una aplicación web, llamada Anglika, que permite a sus usuarios aprender inglés usando las metodologías avaladas por los expertos en el ámbito. Anglika propone una forma de estudiar inglés, distinta a la tradicional, incorporando elementos de gamificación, repetición espaciada y adquisición del lenguaje a través de la inmersión. Al unificar todas estas técnicas en una sencilla aplicación web de fácil acceso, permite a sus usuarios mejorar sus habilidades de forma sencilla y eficiente. Anglika busca facilitar el aprendizaje del inglés lo máximo posible, para ello utiliza tecnologías web que lo hacen fácilmente accesible como por ejemplo React, Google Firebase y Heroku

Yanguas

Copia digital. Valladolid : Junta de Castilla y León. Consejería de Cultura y Turismo, 2009-201

The GRADE approach for assessing new technologies as applied to apheresis devices in ulcerative colitis

<p>Abstract</p> <p>Background</p> <p>In the last few years, a new non-pharmacological treatment, termed apheresis, has been developed to lessen the burden of ulcerative colitis (UC). Several methods can be used to establish treatment recommendations, but over the last decade an informal collaboration group of guideline developers, methodologists, and clinicians has developed a more sensible and transparent approach known as the Grading of Recommendations, Assessment, Development and Evaluation (GRADE). GRADE has mainly been used in clinical practice guidelines and systematic reviews. The aim of the present study is to describe the use of this approach in the development of recommendations for a new health technology, and to analyse the strengths, weaknesses, opportunities, and threats found when doing so.</p> <p>Methods</p> <p>A systematic review of the use of apheresis for UC treatment was performed in June 2004 and updated in May 2008. Two related clinical questions were selected, the outcomes of interest defined, and the quality of the evidence assessed. Finally, the overall quality of each question was taken into account to formulate recommendations following the GRADE approach. To evaluate this experience, a SWOT (strengths, weaknesses, opportunities and threats) analysis was performed to enable a comparison with our previous experience with the SIGN (Scottish Intercollegiate Guidelines Network) method.</p> <p>Results</p> <p>Application of the GRADE approach allowed recommendations to be formulated and the method to be clarified and made more explicit and transparent. Two weak recommendations were proposed to answer to the formulated questions. Some challenges, such as the limited number of studies found for the new technology and the difficulties encountered when searching for the results for the selected outcomes, none of which are specific to GRADE, were identified. GRADE was considered to be a more time-consuming method, although it has the advantage of taking into account patient values when defining and grading the relevant outcomes, thereby avoiding any influence from literature precedents, which could be considered to be a strength of this method.</p> <p>Conclusions</p> <p>The GRADE approach could be appropriate for making the recommendation development process for Health Technology Assessment (HTA) reports more explicit, especially with regard to new technologies.</p

Post-Marketing Health Technology Monitoring. The Analysis of an Experience from a Clinical Perspective

Introduction: A system for monitoring the use of aphaeresis in the treatment of ulcerative colitis (UC), named system for monitoring aphaeresis in ulcerative colitis (SiMAC), was designed in 2006 in the Basque Country. In the present study, the opinion of the clinicians who participated in SiMAC was evaluated, in order to identify the barriers and gather suggestions that could improve implementation of this kind of system. Methods: A mixed questionnaire was designed, in order to gather clinicians’ assessments of the SiMAC monitoring system. Results: The response rate was 73.9% (17/23). The data from 40.96% (159/388) of patients with UC treated with aphaeresis was recorded. The main reasons for not including the data from all treated patients were a lack of required data or not meeting the study inclusion criteria. Positive aspects of the SiMAC were identified, as the simplicity of data collection and its systematic, multi-center approach. The negative aspects mentioned were the use of a local computer application and the lack of time for health professionals to enter data. Discussion: The use of monitoring systems helps to formalize the introduction of technologies of little-known effectiveness; involve clinicians and medical societies in coming to agreement and obtaining information about the safety, effectiveness or efficiency of new technologies; and provide relevant information to healthcare administrations for making decisions about the introduction of new technologies into healthcare practice. In order for a monitoring system to work, the process must be straightforward. A minimum set of key variables that are easy to collect must be selected, and an effort made to involve a range of stakeholders, especially institutions and scientific societies, to support the work group

Knowledge and Opinions of Healthcare Professionals about Thirdhand Smoke: A Multi-National, Cross-Sectional Study

There is scarce evidence on the knowledge and opinions about third-hand smoke (THS) of health care professionals. The main aim of this study was to explore the knowledge and opinions of health care professionals about THS and, secondarily, to explore the factors that are associated with this knowledge. Cross-sectional study using a snowball sample of multi-national health care professionals (n = 233). Data were obtained from an exploratory, online questionnaire. The health care professionals’ knowledge and opinions on THS were described with absolute frequency and percentage. Chi-square and Fisher-Freeman-Halton exact tests, and simple logistic regression models, were used to explore the bivariate association between the knowledge of the concept THS and sex, continent of birth, educational level, occupation, years of experience, and attitude towards smoking. Finally, a multivariable logistic regression model incorporating all the above variables was fitted. A total of 65.2% of the participants were unaware of the term THS before the study began. In the bivariate analysis, an association was found between prior knowledge of the term THS and continent of birth (p-value = 0.030) and occupation (p-value = 0.014). In the multivariable logistic regression model, a significant association was observed between prior knowledge of the concept THS and sex (p-value = 0.005), continent of birth (p-value = 0.012), and occupation (p-value = 0.001). Almost two out of three health care professionals who participated in our study did not know what THS was. Educational activities on this topic should be implemented

Prevalencia de síntomas de trastorno por estrés post-traumático en población adulta a dos y diez meses del inicio de la cuarentena por la COVID-19

In 2020, it was suggested that the prevalence of symptoms of post-traumatic stress disorder (PTSD) could be greater in individuals who have acquired COVID-19. The study aim was to investigate the prevalence of PTSD symptoms in the adult population following the beginning of the COVID-19 outbreak. Two groups participated; one comprising 441 adults (82% female; age: M=36.89; SD=11.93) and another comprising 182 adults (79% female; age: M= 48.1; SD= 0.8). Both groups completed an online questionnaire prepared by the authors to assess the prevalence of PTSD symptoms at 2 and 10 months following the start of the outbreak. A descriptive and parametric analysis was performed for the 2-month sample and ANCOVA and multiple linear regression analysis were performed for the 10-month sample. No differences were found at 2 and 10 months; however, the results showed that there was a higher prevalence of PTSD symptoms in people with a history of COVID-19 and in adults younger than 40 years. The participation of mental health professionals will become of increasing relevance in the future to prevent and treat PTSD in the population with COVID-19En 2020, se ha advertido de la prevalencia de síntomas de trastorno por estrés post-traumático (TEPT) podría ser alta en personas que han presentado COVID-19. El objetivo de este trabajo fue explorar la prevalencia de síntomas de TEPT en población adulta tras haber iniciado el confinamiento. Participaron dos grupos; uno de 441 y otro de 182 adultos; ambos contestaron un cuestionario en línea elaborado por los autores para valorar la prevalencia de síntomas de TEPT a 2 y 10 meses del inicio del confinamiento. Los resultados revelaron un aumento de síntomas de TEPT en personas con antecedentes de COVID-19 a los 10 meses de haber iniciado el confinamiento. Estos resultados revelaron que con el paso del tiempo de la pandemia el aumento de síntomas de TEPT ha ido en aumento y que son mayores en personas que han presentado la enfermedad. La participación de los profesionales de la salud mental cobrará mayor importancia en los próximos meses y años para la prevención y tratamiento de este trastorno en población que ha presentado COVID-19

Effect of Patient Sex on the Severity of Coronary Artery Disease in Patients with Newly Diagnosis of Obstructive Sleep Apnoea Admitted by an Acute Coronary Syndrome

Background: The cardiovascular consequences of obstructive sleep apnoea (OSA) differ by sex. We hypothesized that sex influences the severity of acute coronary syndrome (ACS) in patients with OSA. OSA was defined as an apnoea–hypopnoea index (AHI)>15 events·h-1. We evaluated the severity of ACS according to the ejection fraction, Killip class, number of diseased vessels, number of stents implanted and plasma peak troponin level. Methods: We included 663 men (mean±SD, AHI 37±18 events·h-1) and 133 women (AHI 35±18 events·h-1) with OSA. Results: The men were younger than the women (59±11 versus 66±11 years, p<0.0001), exhibited a higher neck circumference (p<0.0001), and were more likely to be smokers and alcohol users than women (p<0.0001, p = 0.0005, respectively). Body mass index and percentage of hypertensive patients or diabetics were similar between sexes. We observed a slight tendency for a higher Killip classification in women, although it was not statistically significant (p = 0.055). For men, we observed that the number of diseased vessels and the number of stents implanted were higher (p = 0.02, p = 0.001, respectively), and a decrease in the ejection fraction (p = 0.002). Conclusions: This study shows that sex in OSA influences the severity of ACS. Men show a lower ejection fraction and an increased number of diseased vessels and number of stents implanted