Los juegos experimentales de aula: una herramienta didáctica en cuidados paliativos = Experimental classroom games: a didactic tool in palliative care

P. 1-8To evaluate the effect of a games-based intervention on palliative care nursing students’ scores on the Collett-Lester Fear of Death Scale. The challenge was to innovate and integrate grief-related theory and experiences into the classroom. Method: Quasi-experimental study. Before and after the games-based intervention, 101 and 111 students completed the questionnaires, respectively. The intervention was performed in the context of a palliative care class taught during the first semester of the third year of the nursing programme. Results: The students obtained moderate mean scores on the variable fear of death (between 14 and 19) at both time points (pre- and post-intervention). Both men and women indicated a heightened sense of fear post-intervention and a decrease in self-perceived emotional preparedness, which support the value of the games for exposing the student to situations that closely approximated reality. Conclusion: The use of games as a didactic tool in the classroom context helped the students recognize the fear generated by proximity to death in the patient and family and in the student him- or herself.S

Needs of patients with multi-morbidity and heart failure for the development of a mHealth to improve their self-management: A qualitative analysis

Objective: To provide practical information regarding needs, preferences of content and format of an app to assist the self-management in patients with multi-morbidity and heart failure (HF). Methods: The three-phase study was conducted in Spain. Six integrative reviews, a qualitative methodology based on Van Manen's hermeneutic phenomenology through semi-structured interviews and user stories were used. Data collection continued until data saturation was reached. All data were transcribed verbatim and analysed using a framework approach. Thematic analysis technique following the methods of Braun and Clarke was used for emerging themes. Results: Integrative reviews conducted included practical recommendations to include in the content and format of the App and helped create the interview guide. Interviews revealed 15 subthemes that captured the meaning of narratives offering contextual insights into the development of the App. The main effective mechanisms of multicomponent interventions for patients with HF must contain (a) components that increase the patient's understanding of HF, (b) self-care, (c) self-efficacy and participation of the family/informal caregiver, (4) psychosocial well-being and (5) professional support and use of technology. User stories revealed that patients prioritized improvements in direct contact with health services in case of emergency (90%), nutritional information (70%), type of exercises in order to improve their physical condition (75%) and information about food and drug interaction (60%). The importance of motivation messages (60%) was highlighted by transversal way. Conclusions: The three-phase process integrating theoretical basis, evidence from integrative reviews and research findings from target users has been considered a guide for future app development17 página

Self-management in heart failure using mHealth: A content validation.

AIM: To describe the development of a mobile health application -mICardiApp- designed by a multidisciplinary professional team and patients with heart failure and to evaluate its content validity. METHODS: Critical reviews of the literature, semi-structured interviews with patients, and user stories guided the development of the content of the mobile application. These contents were refined and validated through a modified Delphi process. An expert panel of healthcare and social care professionals together with patients and academics evaluated the content through two content validity indicators, relevance, and adequacy, and provided narrative feedback. The content validity of the app and each screen was determined by calculating the Content Validity Index (CVI). Similarly, the Adequacy Index (AI) was analyzed. RESULTS: The developed app is composed by 8 topics: (1) available resources, (2) cardiac rehabilitation, (3) control of signs and symptoms, (4) emotional support, (5) learning and having fun, (6) medication, (7) nutrition, and (8) physical activity. The results demonstrated high CVI of the screens and the full app. 57 of the 59 screens in the app reached an excellent CVI≥0.70 for both relevance and adequacy, except for 2 screens. The CVI Average Method of the app was 0.851. CONCLUSIONS: mICardiApp is presented as an application to improve health literacy and self-management of patients with multimorbidity and heart failure, with proven validation

Competences assessment tool for development of a life support megacode. Assessment by students of nursing

[ES] Este trabajo tiene como objetivo la valoración de los estudiantes de una herramienta para evaluar, durante la realización de un megacode a 4 estudiantes simultáneamente, en las competencias de “Reconocer las situaciones de riesgo vital y saber ejecutar maniobras de soporte vital básico y avanzado” y “Promover el trabajo en equipo”, ambas, incluidas en la asignatura de Cuidados Especiales de la titulación de Grado en Enfermería. La rúbrica propuesta está compuesta por dos matrices, una para competencia, y consta de varios indicadores de logro/dominio para cada uno de los roles a adoptar por los estudiantes durante el desarrollo del megacode. Se valora la objetividad, especificidad y claridad de cada uno de los indicadores de dominio mediante la herramienta informática de google.docs. Tras el análisis cuantitativo y cualitativo de las valoraciones atribuidas por los estudiantes participantes podemos concluir que la herramienta propuesta por el grupo de expertos es valorada muy satisfactoriamente por los estudiantes, en todos y cada uno de los indicadores; siendo valorada por más del 90% de los estudiantes como “muy objetivo, claro y especifico” o “totalmente objetivo, claro y especifico”.[EN] This paper aims at assessing students a tool to evaluate, during the performance of a megacode to 4 students simultaneously in the roles of "Recognize life-threatening situations and apply basic and advanced life support" and "perfor teamwork” both competencies included in the subject of Special Care in Nursing Degree. The tool proposal, has been composed for two matrices, one for competition, and consists of several indicators of domain for each of the roles to be taken by students during the development of megacode. The assessment focuses on the defendant on criteria of objectivity, specificity and clarity, each of the indicators by tool google.docs. We had done a quantitative and qualitative analysis of the ratings attributed by the participating students. The tool proposed by the group of experts is valued very successfully by students in all and each of the indicators. They are valued by more than 90% of the students as "very objective, clear and specific" or "totally objective, clear and specific.

mTOR knockdown in the infralimbic cortex evokes a depressive-like state in mouse

Fast and sustained antidepressant effects of ketamine identified the mammalian target of rapamycin (mTOR) signaling pathway as the main modulator of its antidepressive effects. Thus, mTOR signaling has become integral for the preclinical evaluation of novel compounds to treat depression. However, causality between mTOR and depression has yet to be determined. To address this, we knocked down mTOR expression in mice using an acute intracerebral infusion of small interfering RNAs (siRNA) in the infralimbic (IL) or prelimbic (PrL) cortices of the medial prefrontal cortex (mPFC), and evaluated depressive- and anxious-like behaviors. mTOR knockdown in IL, but not PrL, cortex produced a robust depressive-like phenotype in mice, as assessed in the forced swimming test (FST) and the tail suspension test (TST). This phenotype was associated with significant reductions of mTOR mRNA and protein levels 48 h post-infusion. In parallel, decreased brain-derived neurotrophic factor (BDNF) expression was found bilaterally in both IL and PrL cortices along with a dysregulation of serotonin (5-HT) and glutamate (Glu) release in the dorsal raphe nucleus (DRN). Overall, our results demonstrate causality between mTOR expression in the IL cortex and depressive-like behaviors, but not in anxiety.Funding: This research was funded by grants of the Ministerio de Economía y Competitividad (SAF2011-25020 and SAF2015-67457-R MINECO); Ministerio de Ciencia, Innovación y Universidades (RTI2018-097534-B-I00); Ministerio de Ciencia e Innovación (PID2019-105136RB-100); and the European Regional Development Fund (ERDF), UE; Instituto de Salud Carlos III (PI19/00170), and Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM)

Dysfunctional Attitudes in Victims of Terrorism: Validity Evidence for the DAS-A

Background: The Dysfunctional Attitudes Scale, Form A (DAS-A), is the reference instrument for measuring dysfunctional attitudes which, according to Beck’s cognitive theory, constitute the key vulnerability factor for depression. The psychometric properties of the Spanish version of the DAS-A have been examined in university students, but not in people with psychological disorders, despite being one of the most widelyused instruments in research and clinical practice of cognitive therapy for depression. The objective of the present study was to obtain validity evidence for the DAS-A in victims of terrorism with and without emotional disorders. Method: The DAS-A’s factor structure, internal consistency, and relationship with depression were analyzed in 196 victims of terrorism with emotional disorders and 280 victims without disorders. Results: In both samples, the DAS-A exhibited a structure with three correlated factors: Achievement-Perfectionism, Dependency-Need for Approval, and Autonomous Attitude. In general, the total scale and the subscales showed good or adequate indices of internal consistency (alphas and omegas = .60 - .89) and a relationship with depression (r =.22 - .44). Conclusions: The DAS-A provides reliable, valid measures of depressogenic dysfunctional attitudes in Spanish adults with emotional disorders and victims of terrorism

Detección de rostro y estimación de edad y género utilizando sistemas de visión portables de bajo coste

P. 21-46En este artículo presentamos una aplicación para detección de rostros y la estimación de su edad y género en un vídeo adquirido mediante una cámara conectada a un sistema SBC (en concreto, un modelo ODroid U3). Además, se ha probado el software con una base de datos de imágenes de rostros. La estimación de la edad se ha realizado con un error de 5.55–6.57 años en todos los grupos de edad evaluados. El reconocimiento del género varió dependiendo del grupo de edad: la tasa de aciertos fue alta (entre 70% y 82%), salvo en varones menores de 18 años y en mujeres mayores de 65, en consonancia con lo observado en (BenAbdelkader y Griffin, 2005).N

Patrones de usabilidad embebidos en la construcción del modelo conceptual en entornos web

Detectar problemas de usabilidad en forma temprana, es un aspecto importante, que preocupa a la industria del software. El presente trabajo propone llevar a cabo un análisis de distintos tipos de patrones relacionados con criterios de usabilidad, para proponer una nueva metodología que brinde soluciones a distintos tipos de problemas de Usabilidad, no contemplados en las metodologías existentes de diseño web. El análisis se iniciará a partir de los Modelos de Procesos de Negocios, los cuales mediante transformaciones ayudarán a obtener los modelos conceptuales del sistema de información. En dichos modelos se introducirán patrones, que contribuirán a incorporar criterios de usabilidad en etapas tempranas del ciclo de vida del software. A partir del modelo obtenido anteriormente, se creará un conjunto de modelos abstractos que se emplearán para la validación de los modelos conceptuales diseñados. Esto permitirá obtener cierto grado de trazabilidad del esquema conceptual diseñado, ante posibles modificaciones o cambios de las especificaciones correspondientes, antes de que se inicie la codificación del mismo.Eje: Ingeniería de Software.Red de Universidades con Carreras en Informátic

Patrones de usabilidad embebidos en la construcción del modelo conceptual en entornos web

Detectar problemas de usabilidad en forma temprana, es un aspecto importante, que preocupa a la industria del software. El presente trabajo propone llevar a cabo un análisis de distintos tipos de patrones relacionados con criterios de usabilidad, para proponer una nueva metodología que brinde soluciones a distintos tipos de problemas de Usabilidad, no contemplados en las metodologías existentes de diseño web. El análisis se iniciará a partir de los Modelos de Procesos de Negocios, los cuales mediante transformaciones ayudarán a obtener los modelos conceptuales del sistema de información. En dichos modelos se introducirán patrones, que contribuirán a incorporar criterios de usabilidad en etapas tempranas del ciclo de vida del software. A partir del modelo obtenido anteriormente, se creará un conjunto de modelos abstractos que se emplearán para la validación de los modelos conceptuales diseñados. Esto permitirá obtener cierto grado de trazabilidad del esquema conceptual diseñado, ante posibles modificaciones o cambios de las especificaciones correspondientes, antes de que se inicie la codificación del mismo.Eje: Ingeniería de Software.Red de Universidades con Carreras en Informátic