6 research outputs found
Learning of the Object Oriented Paradigm Through Interactive Video-Games Development
The Object Orientation Paradigm (OOP) is more than Object Oriented languages. Learning the syntax of a language as C++ or Java is a relatively easy task compared with the understanding of the principles of OO Modeling and Design (OOD), which require a high ability of abstract reasoning. Moreover, it is not enough to teach the artifacts of Computer Aided Software Engineering (CASE) as the Unified Modeling Language (UML) if those principles are not properly understood. We wanted to engage the students in a motivating framework, so both the principles of OOD are properly acquired and put in practice with CASE and programming tools
Instrumented splint for the diagnosis of bruxism
Bruxism is a health problem consisting in grinding or tightly clenching the upper and lower teeth. Both the
grinding and sliding lead to wear of the teeth and produce a noise during the night that is sufficiently loud to disturb the sleep of anyone sharing the bedroom. The tension produced causes problems in the muscles, tissues and other structures surrounding the jaw, ear pain, headaches, lesions to the teeth and disorders in the jaw joints. For an early, rapid, effective and economical diagnosis of bruxism, we propose the use of instrumented splints to detect and record the intensity and duration of inter dental pressure episodes. This paper sets out the design, manufacture and testing of an instrumented splint for diagnosing the signs of bruxism. The system stands out for its use of piezoelectric polymeric sensors which, because of their reduced thickness, do not cause any alteration to the patient’s bite. It lets a quantitative assessment of intraoral pressure be made and bruxism behavior be diagnosed at an early stage, so as to being able to programme corrective actions before irreversible dental wear appears. The first “in vitro” simulations and “in vivo “trials performed served to demonstrate the feasibility of the system in accordance with the initial objectives
La Hora TutHora: una herramienta de ordenación académica para incrementar la acción tutorial en la Escuela Universitaria de Ingeniería Técnica Industrial de la UPM
La reciente puesta en marcha de las titulaciones adaptadas al RD 1393/2007 constituía la
oportunidad largamente esperada de implementar una serie de proyectos ilusionantes
asociados a la Declaración de Bolonia y a su “nebulosa”. Entre ellos, la mejora del
rendimiento en la Acción Tutorial constituye, para la UPM, uno de los aspectos
prioritarios. En ese ámbito, la E.U. de Ingeniería Técnica Industrial ha desarrollado,
desde el curso 2010/2011, un proyecto denominado “La Hora TutHora”, cuyo objetivo
consiste en actuar desde Ordenación Académica para favorecer la mencionada Acción
Tutorial. Este artículo expone los resultados que han podido medirse tras un año de vida
del proyecto
La Acción Tutorial incentivada durante los dos últimos cursos académicos con el proyecto de "La Hora Tuthora"
La puesta en marcha de las titulaciones adaptadas al RD 1393/2007
constituía la oportunidad largamente esperada de implementar una serie de
proyectos ilusionantes asociados a la Declaración de Bolonia y a su “nebulosa”. Entre
ellos, la mejora del rendimiento en la Acción Tutorial constituye, para la UPM, uno de
los aspectos prioritarios. En ese ámbito, la E.U. de Ingeniería Técnica Industrial ha
desarrollado, desde el curso 2010/2011, un proyecto denominado “La Hora
TutHora”, cuyo objetivo consiste en actuar desde Ordenación Académica para
favorecer la mencionada Acción Tutorial. Este artículo expone los resultados que han
podido medirse tras dos años de vida del proyecto, las conclusiones que pueden
obtenerse y el planteamiento de propuestas de mejora
Experiencia en la ETS de Ingeniería y Diseño Industrial en la implantación del Doble Grado en Ingeniería en Diseño Industrial y Desarrollo de Producto y en Ingeniería Mecánica por la Universidad Politécnica de Madrid
(SPA) En este trabajo se plantea el desarrollo curricular del Doble Grado en Ingeniería en Diseño Industrial y Desarrollo de Producto y en Ingeniería Mecánica. Se exponen los motivos por los que se decidió implantar, se ofrecen datos de demanda, oferta, notas de corte y se presenta un avance de los resultados académicos del primer curso correspondiente a la primera promoción.
(ENG) In this work the study plan of the doble degree in Industrial Desing an Product development and in Mechanical Engineering. The reasons why the double dergree was implanted, the demand, the offer and the students academic results of the first class
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030