19 research outputs found
The students of the Degree on Primary Education as voluntary in learning communities
Este trabajo ha sido elaborado por tres alumnas de la Licenciatura de Psicopedagogía bajo la tutela de la profesora que coordina la actividad de innovación docente que se presenta. En él se recoge la valoración de los estudiantes de la experiencia desarrollada en la asignatura Psicología de la Educación del Grado de Educación Primaria. Desde que se constituyeron las primeras Comunidades de Aprendizaje en la provincia de Sevilla (año 2007), la Universidad Hispalense viene facilitando la colaboración de estudiantes como voluntarios/as. Se presenta aquí la valoración de esta experiencia por parte de los voluntarios que durante el curso 2011/2012 han colaborado en las prácticas educativas de éxito que se llevan a cabo en estos centros. Se analizan los cuestionarios cumplimentados por los mismos para valorar la experiencia al finalizarla. Como se verá en los resultados los/as alumnos/as estiman esta actividad como muy positiva y útil de cara a su formación
Telemonitoring and home hospitalization in patients with chronic obstructive pulmonary disease: study TELEPOC.
Background: Chronic obstructive pulmonary disease (COPD) is a major consumer of healthcare
resources, with most costs related to disease exacerbations. Telemonitoring of patients with COPD
may help to reduce the number of exacerbations and/or the related costs. On the other hand, home
hospitalization is a cost-saving alternative to inpatient hospitalization associated with increased comfort
15 for patients. The results are reported regarding using telemonitoring and home hospitalization for the
management of patients with COPD.
Methods: Twenty-eight patients monitored their health parameters at home for six months. A nurse
remotely revised the collected parameters and followed the patients as programmed. A home care unit
was dispatched to the patients’ home if an alarm signal was detected. The outcomes were compared to
20 historical data from the same patients.
Results: The number of COPD exacerbations during the study period did not reduce but the number of
hospital admissions decreased by 60% and the number of emergency room visits by 38%. On average,
costs related to utilization of healthcare resources were reduced by €1,860.80 per patient per year.
Conclusions: Telemonitoring of patients with COPD combined with home hospitalization may allow for
AQ425 a reduction in healthcare costs, although its usefulness in preventing exacerbations is still unclearpre-print664 K
Sildenafil for improving outcomes in patients with corrected valvular heart disease and persistent pulmonary hypertension: a multicenter, double-blind, randomized clinical trial
Randomized controlled trial[Abstract] Aims: We aimed to determine whether treatment with sildenafil improves outcomes of patients with persistent pulmonary hypertension (PH) after correction of valvular heart disease (VHD).
Methods and results: The sildenafil for improving outcomes after valvular correction (SIOVAC) study was a multricentric, randomized, parallel, and placebo-controlled trial that enrolled stable adults with mean pulmonary artery pressure ≥ 30 mmHg who had undergone a successful valve replacement or repair procedure at least 1 year before inclusion. We assigned 200 patients to receive sildenafil (40 mg three times daily, n = 104) or placebo (n = 96) for 6 months. The primary endpoint was the composite clinical score combining death, hospital admission for heart failure (HF), change in functional class, and patient global self-assessment. Only 27 patients receiving sildenafil improved their composite clinical score, as compared with 44 patients receiving placebo; in contrast 33 patients in the sildenafil group worsened their composite score, as compared with 14 in the placebo group [odds ratio 0.39; 95% confidence interval (CI) 0.22-0.67; P < 0.001]. The Kaplan-Meier estimates for survival without admission due to HF were 0.76 and 0.86 in the sildenafil and placebo groups, respectively (hazard ratio 2.0, 95% CI = 1.0-4.0; log-rank P = 0.044). Changes in 6-min walk test distance, natriuretic peptides, and Doppler-derived systolic pulmonary pressure were similar in both groups.
Conclusion: Treatment with sildenafil in patients with persistent PH after successfully corrected VHD is associated to worse clinical outcomes than placebo. Off-label usage of sildenafil for treating this source of left heart disease PH should be avoided.This study was supported by the Instituto de Salud Carlos III, Ministerio de Economía y Competitividad, Spain, and the EU –European Regional Development Fund (EC07/90772) as well as by the Red de Investigación Cardiovascular and CIBERCV.Instituto de Salud Carlos III; EC07/9077
Persistent Pulmonary Hypertension in Corrected Valvular Heart Disease: Hemodynamic Insights and Long-Term Survival.
Background The determinants and consequences of pulmonary hypertension after successfully corrected valvular heart disease remain poorly understood. We aim to clarify the hemodynamic bases and risk factors for mortality in patients with this condition. Methods and Results We analyzed long-term follow-up data of 222 patients with pulmonary hypertension and valvular heart disease successfully corrected at least 1 year before enrollment who had undergone comprehensive hemodynamic and imaging characterization as per the SIOVAC (Sildenafil for Improving Outcomes After Valvular Correction) clinical trial. Median (interquartile range) mean pulmonary pressure was 37 mm Hg (32-44 mm Hg) and pulmonary artery wedge pressure was 23 mm Hg (18-26 mm Hg). Most patients were classified either as having combined precapillary and postcapillary or isolated postcapillary pulmonary hypertension. After a median follow-up of 4.5 years, 91 deaths accounted for 4.21 higher-than-expected mortality in the age-matched population. Risk factors for mortality were male sex, older age, diabetes mellitus, World Health Organization functional class III and higher pulmonary vascular resistance-either measured by catheterization or approximated from ultrasound data. Higher pulmonary vascular resistance was related to diabetes mellitus and smaller residual aortic and mitral valve areas. In turn, the latter correlated with prosthetic nominal size. Six-month changes in the composite clinical score and in the 6-minute walk test distance were related to survival. Conclusions Persistent valvular heart disease-pulmonary hypertension is an ominous disease that is almost universally associated with elevated pulmonary artery wedge pressure. Pulmonary vascular resistance is a major determinant of mortality in this condition and is related to diabetes mellitus and the residual effective area of the corrected valve. These findings have important implications for individualizing valve correction procedures. Registration URL: https://www.clinicaltrials.gov; Unique identifier: NCT00862043.This study was funded by the Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación, Spain, the European Union–European Regional Development Fund (EC07/90772 and PI19/00649), and the Consorcio de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV).S
Marco conceptual para la conservación: investigación participativa, educación y comunicación en el Corredor Biológico AmistOsa
Introduction: Participatory research and environmental education initiatives exist in the AmistOsa biological corridor, Costa Rica, but an integration of these community-based processes is not yet clear. Objective: To propose and test a conceptual framework that integrates participatory research with environmental education Methods: We consulted the community to identify fauna and its threats; produced a curriculum for children; and developed a communication strategy. Results: We identified 19 vertebrate species threatened by hunting, deforestation, and others. We produced and tested an educational program adapted to the context of 14 local schools. We are currently developing communication skills to reach both children and researchers (e.g. photography workshops). Conclusion: The results of this approach are satisfactory and could be applied to other communities in the AmistOsa Biological Corridor.Introducción: Existen iniciativas de investigación participativa y educación ambiental en el corredor biológico AmistOsa, Costa Rica, pero aún no está clara la integración de estos procesos comunitarios. Objetivo: Proponer y probar un marco conceptual que integre la investigación participativa con la educación ambiental. Métodos: Consultamos a la comunidad para identificar la fauna y sus amenazas; produjimos un currículo para niños; y desarrollamos una estrategia de comunicación. Resultados: Identificamos 19 especies de vertebrados amenazados por la cacería, la deforestación y otros. Produjimos y probamos un programa educativo adaptado al contexto de 14 escuelas locales. Actualmente estamos desarrollando habilidades de comunicación para llegar tanto a escolares como a personal de investigación (por ejemplo, talleres de fotografía). Conclusión: Los resultados de este abordaje son satisfactorios y podrían ser aplicados a otras comunidades del Corredor Biológico AmistOsa.
 
Sildenafil for improving outcomes in patients with corrected valvular heart disease and persistent pulmonary hypertension: a multicenter, double-blind, randomized clinical trial.
We aimed to determine whether treatment with sildenafil improves outcomes of patients with persistent pulmonary hypertension (PH) after correction of valvular heart disease (VHD). The sildenafil for improving outcomes after valvular correction (SIOVAC) study was a multricentric, randomized, parallel, and placebo-controlled trial that enrolled stable adults with mean pulmonary artery pressure ≥ 30 mmHg who had undergone a successful valve replacement or repair procedure at least 1 year before inclusion. We assigned 200 patients to receive sildenafil (40 mg three times daily, n = 104) or placebo (n = 96) for 6 months. The primary endpoint was the composite clinical score combining death, hospital admission for heart failure (HF), change in functional class, and patient global self-assessment. Only 27 patients receiving sildenafil improved their composite clinical score, as compared with 44 patients receiving placebo; in contrast 33 patients in the sildenafil group worsened their composite score, as compared with 14 in the placebo group [odds ratio 0.39; 95% confidence interval (CI) 0.22-0.67; P Treatment with sildenafil in patients with persistent PH after successfully corrected VHD is associated to worse clinical outcomes than placebo. Off-label usage of sildenafil for treating this source of left heart disease PH should be avoided. The trial is registered with ClinicalTrials.gov, number NCT00862043
Mapeo de la situación y atención social de la infancia y el Programa CaixaProinfancia en once territorios del estado español. 2012-13
Esta publicación es el resultado de un estudio sobre pobreza y exclusión social infantil,
los servicios de atención social y la incidencia del programa CaixaProinfancia
(programa CPI) en en once ciudades del estado español. La investigación se realizó
en el curso 2011-12 y fue actualizada en el curso 2013-14, bajo la dirección de Jordi
Riera y Jordi Longás, del grupo de investigación Pedagogía, Sociedad e Innovación
con el apoyo de las Tecnologías de la Información y la Comunicación (PSITIC) de la
Universidad Ramon Llull, en el marco del convenio de colaboración establecido entre
la Fundación “la Caixa” y la FPCEE Blanquerna para asesorar el programa
CaixaProinfancia. En esta investigación colaboraron investigadores de diversas
universidades españolas: Universidad de Deusto, Universidad de La Laguna (ULL),
Universidad de Las Palmas de Gran Canaria (ULPGC), Universidad de Málaga (UMA),
Universidad de Murcia (UM), Universidad de Zaragoza, Universitat de les Illes Balears
(UIB), Universidad Pablo de Olavide de Sevilla (UPO), Universidad Pontificia Comillas
de Madrid y Universitat Rovira i Virgili (URV). Las ciudades analizadas son Barcelona,
Bilbao, Las Palmas de Gran Canaria, Madrid, Málaga, Murcia, Palma de Mallorca,
Sevilla, Tenerife, Valencia y Zaragoza. El trabajo ha dado como resultado un mapa de
la situación de la infancia y la atención social en dichas ciudades y áreas
metropolitanas, y en el caso de las islas el análisis se ha extendido en otras
poblaciones próximas a las capitales donde el programa CPI también se desarrolla
Red “Universidad, género, docencia e igualdad”
La Red de investigación en docencia universitaria “Universidad, docencia, genero e igualdad” persigue avanzar en la calidad e innovación de las enseñanzas universitarias a partir de la inclusión de la perspectiva de género. Se busca dar cumplimiento a las directrices generales de los nuevos planes de estudio respecto del principio de igualdad de oportunidades entre hombres y mujeres en la formación universitaria (Real Decreto 1393/2007. BOE nº 260, 30 de octubre de 2007). En la séptima edición de la Red, y tomando como referentes la “Guía de recomendaciones para la inclusión de la perspectiva de género en la docencia universitaria: práctica (I)” y la “Guía de recomendaciones para la inclusión de la perspectiva de género en la docencia universitaria: claves conceptuales y teóricas (II)”, elaboradas por la propia Red en ediciones pasadas, el trabajo desarrollado se ha dirigido a introducir las recomendaciones recogidas en las referencias citadas (y disponibles en la colección en línea “apuntes para la igualdad”, de la Unidad de Igualdad de la Universidad de Alicante) en las guías docentes de las asignaturas recogidas en el proyecto de Redes presentado Asimismo, se ha continuado en el mantenimiento del “Portal web con recursos docentes con perspectiva de género”, proyecto financiado por el Instituto de la Mujer (PACUI, 2012)