Suitability of Blackboard as Learning Management System to assess oral competence: Students’ perceptions and results

[EN] Learning a foreign language involves the practice and development of linguistic competencies through a series of communicative activities. Assessing each of these competencies face to face can provide an accurate profile of the student’s level of language proficiency. But assessing them online, particularly oral skill, poses a challenge for both students and professors. The change of scenario and use of digital tools may intimidate students and deprive the interview from naturality and warmth. In this paper, the suitability of Blackboard Collaborate as Learning Management System to assess English speaking skill is studied together with other factors influencing students’ online performance. 81 students from 5 different undergraduate programs in Engineering and Applied Sciences were assessed, following the threefold pattern of IELTS speaking test questions. Their results and responses to a final survey are contrasted so as to check the positive of negative effect of online testing on the students’ state of mind and eventual achievement. Blackboard platform proves to be as a suitable online framework for optimal performance, and the examiner’s attitude is equally a conditioning factor in students’success.Muñoz Alcón, AI.; Trullén Galve, F. (2021). Suitability of Blackboard as Learning Management System to assess oral competence: Students’ perceptions and results. En 7th International Conference on Higher Education Advances (HEAd'21). Editorial Universitat Politècnica de València. 983-991. https://doi.org/10.4995/HEAd21.2021.12929OCS98399

Implementación de un modelo de interacción Responseware en Grados de Ciencias de la Salud

Memoria ID-0164. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2017-2018

Osteotomía valguizante de tibia con placa atornillada de angulación variable (VCO)

Se presenta un análisis retrospectivo de 28 pacientes afectos de genu varo, en quienes se realizó osteotomía valguizante de tibia y fijación con placa atornillada de angulación variable. Este material proporciona la corrección deseada y un montaje estable y sólido capaz de permitir la movilidad precoz de la rodilla. El seguimiento medio fue de 15 meses, valorándose los plazos de recuperación funcional de los pacientes, movilidad conseguida y las necesidades de rehabilitación. Los resultados clínicos y radiológicos a corto plazo son semejantes a otras series que emplean criterios de selección de pacientes candidatos a esta técnica. Las necesidades de tratamiento rehabilitador fueron sensiblemente menores.We report a retrospective analysis of 28 patients presenting varus deformity treated by proximal tibial opening-wedge osteotomy and using a screwed plate of variable angle. This device provides the desired correction, a steady and secure assembly allowing early knee movement. The average follow-up was 15 months. At that time, the period of functional recovery, mobility and need of functional rehabilitation were assessed. Short-term clinical and radiographic findings were similar to other series using selection criteria for suitable patients. The need of functional rehabilitation was markedly lower

En función de la orientación recibida, ¿qué eligen hacer nuestros estudiantes en su futuro próximo?

L'orientació acadèmica i professional té nombroses limitacions dins del sistema educatiu i, tot i ser un dret dels estudiants dins la legislació espanyola, són diverses les millores que caldria fer per poder garantir la seva eficàcia. En aquesta investigació es presenta una anàlisi de la relació que existeix entre la percepció de l'alumnat sobre l'orientació acadèmica i professional rebuda en els seus respectius centres educatius i la selecció del itinerari un cop finalitzats els seus estudis de batxillerat. Amb una mostra de 540 individus, els resultats permeten confirmar que sols el 38.3% dels alumnes entrevistats consideren útil l'orientació rebuda, mentre que la resta dels entrevistats o bé no han rebut orientació o bé tenen una percepció negativa de la mateixa. Independentment d'això, un gran percentatge dels alumnes decideix l'itinerari que desitjaria cursar al finalitzar els seus estudis de batxillerat, fet que suposa un problema al no comptar amb la correcta informació que els centres educatius haurien d'haver proporcionat.Academic-professional guidance has numerous limitations within the educational system and, despite being a right of students within Spanish legislation, there are several improvements that should be made today to ensure its effectiveness. This research presents an analysis of the relationship that exists between the students' perception of the academic-professional guidance received in their educational centers and the selection of the itinerary after completing their Baccalaureate studies. With a sample of 540 subjects, the results confirm that only 38.3% of the students interviewed perceive the orientation received as useful, the rest being students who either have not received orientation or have a negative perception of it. Regardless of this, a large percentage of students decide the itinerary that they would like to take at the end of their studies in Baccalaureate, which is a problem because they do not have the correct information that schools should provide.La orientación académico-profesional cuenta con numerosas limitaciones dentro del sistema educativo y, a pesar de ser un derecho de los estudiantes dentro de la legislación española, varias son las mejoras que deberían realizarse en la actualidad para garantizar su eficacia. En esta investigación se presenta un análisis de la relación que existe entre la percepción del alumnado acerca de la orientación académico-profesional recibida en sus centros educativos y la selección del itinerario tras finalizar sus estudios de Bachillerato. Con una muestra de 540 sujetos, los resultados permiten confirmar que solo el 38.3% de los alumnos entrevistados percibe la orientación recibida como útil, siendo el resto de alumnos que o bien no han recibido orientación o tienen una percepción negativa de la misma. Independientemente de ello, un gran porcentaje de alumnos decide el itinerario que desearía cursar al finalizar sus estudios en Bachillerato, lo cual supone un problema al no contar con la correcta información que los centros educativos deberían proporcionarles

CRM en una Unidad de Cuidados Intensivos: Mejorando la seguridad en el paciente crítico

Human factors account for the majority of adverse events in both aviation and medicine. Human factors awareness training entitled “Crew Resource Management (CRM)” is associated with improved aviation safety. We determined whether implementation of CRM impacts outcome in critically ill patients.El factor humano contribuye en la mayoría de los eventos adversos que suceden tanto en aviación como en nuestro entorno médico. El conocimiento y entrenamiento del factor humano es lo que se conoce como CRM (“Recursos para el manejo de las crisis”). El objetivo de este estudio fue determinar si la implementación del CRM en una Unidad de Cuidados Intensivos conlleva algún impacto en el desenlace del paciente crítico

Urinary transferrin pre-emptively identifies the risk of renal damage posed by subclinical tubular alterations

Nephrotoxicity is an important limitation to the clinical use of many drugs and contrast media. Drug nephrotoxicity occurs in acute, subacute and chronic manifestations ranging from glomerular, tubular, vascular and immunological phenotypes to acute kidney injury. Pre-emptive risk assessment of drug nephrotoxicity posesman urgent need of precision medicine to optimize pharmacological therapies and interventional procedures involving nephrotoxic products in a preventive and personalized manner. Biomarkers of risk have been identified in animal models, and risk scores have been proposed, whose clinical use is abated by their reduced applicability to specific etiological models or clinical circumstances. However, our present data suggest that the urinary level of transferrin may be indicative of risk of renal damage, where risk is induced by subclinical tubular alterations regardless of etiology. In fact, urinary transferrin pre-emptively correlates with the subsequent renal damage in animal models in which risk has been induced by drugs and toxins affecting the renal tubules (i.e. cisplatin, gentamicin and uranyl nitrate); whereas transferrin shows no relation with the risk posed by a drug affecting renal hemodynamics (i.e. cyclosporine A). Our experiments also show that transferrin increases in the urine in the risk state (i.e. prior to the damage) precisely as a consequence of reduced tubular reabsorption. Finally, urinary transferrin pre-emptively identifies subpopulations of oncological and cardiac patients at risk of nephrotoxicity. In perspective, urinary transferrin might be further explored as a wider biomarker of an important mechanism of predisposition to renal damage induced by insults causing subclinical tubular alterations

Buenas Prácticas en los Programas Universitarios para Mayores en España

Ana Isabel Muñoz Alcón y Francisco Trullén Galve (Universidad Catolica de Ávila); María P. García de la Torre y Francisco Ascón Belver (Universidad de A Coruña); M. Isabel Luis Rico, Ángel Gañán Adánez, Tamara de la Torre Cruz, Vanesa Baños Martínez (Universidad de Burgos); Yolanda Lázaro Fernández y Jaime Cuenca Amigo (Universidad de Deusto); Camino Caballero Posado (Universidad de Extremadura); Mª Adoración Holgado Sánchez y Mª Teresa Ramos Bernal (Universidad Pontificia de Salamanca); Sara Serrate González, Javier Alba Barrios y José Manuel Muñoz Rodríguez; Miguel Ángel Nombela Castaño (Universidad de Vigo

HOPE (SOLTI-1903) breast cancer study: real-world, patient-centric, clinical practice study to assess the impact of genomic data on next treatment decision-choice in patients with locally advanced or metastatic breast cancer

Background Metastatic breast cancer (mBC) causes nearly all BC-related deaths. Next-generation sequencing (NGS) technologies allow for the application of personalized medicine using targeted therapies that could improve patients' outcomes. However, NGS is not routinely used in the clinical practice and its cost induces access-inequity among patients. We hypothesized that promoting active patient participation in the management of their disease offering access to NGS testing and to the subsequent medical interpretation and recommendations provided by a multidisciplinary molecular advisory board (MAB) could contribute to progressively overcome this challenge. We designed HOPE (SOLTI-1903) breast cancer trial, a study where patients voluntarily lead their inclusion through a digital tool (DT). The main objectives of HOPE study are to empower mBC patients, gather real-world data on the use of molecular information in the management of mBC and to generate evidence to assess the clinical utility for healthcare systems.Trial design After self-registration through the DT, the study team validates eligibility criteria and assists patients with mBC in the subsequent steps. Patients get access to the information sheet and sign the informed consent form through an advanced digital signature. Afterwards, they provide the most recent (preferably) metastatic archival tumor sample for DNA-sequencing and a blood sample obtained at the time of disease progression for ctDNA analysis. Paired results are reviewed by the MAB, considering patient's medical history. The MAB provides a further interpretation of molecular results and potential treatment recommendations, including ongoing clinical trials and further (germline) genetic testing. Participants self-document their treatment and disease evolution for the next 2 years. Patients are encouraged to involve their physicians in the study. HOPE also includes a patient empowerment program with educational workshops and videos about mBC and precision medicine in oncology. The primary endpoint of the study was to describe the feasibility of a patient-centric precision oncology program in mBC patients when a comprehensive genomic profile is available to decide on a subsequent line of treatment

Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885

The authors wish to make the following corrections to this paper [...]

Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain : Large-Scale Epidemiological Study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery