El reconocimiento de los aprendizajes adquiridos por la experiencia previa: un nuevo reto para el sistema universitario

El propósito del Reconocimiento de los Aprendizajes derivados de la Experiencia Previa (RAEP) es hacer visible el abanico de competencias que posee una persona, independientemente del contexto donde la adquisición de éstas tuvo lugar. En este artículo se analiza el papel del reconocimiento del aprendizaje experiencial dentro de una visión amplia de la educación y se presentan sus elementos clave. Se comenta el rol del RAEP en la educación superior, señalando asimismo las oportunidades y desafíos que este tipo de procesos impone a los protagonistas de la enseñanza universitaria

Safety of switching from intravenous to subcutaneous rituximab during first-line treatment of patients with non-Hodgkin lymphoma: the Spanish population of the MabRella study

Rituximab is a standard treatment for non-Hodgkin diffuse large B-cell (DLBCL) and follicular (FL) lymphomas. A subcutaneous formulation was developed to improve the resource use of intravenous rituximab, with comparable efficacy and safety profiles except for increased administration-related reactions (ARRs). MabRella was a phase IIIb trial to assess the safety of switching from intravenous to subcutaneous administration of rituximab during first-line induction/maintenance for DLBCL or FL, focusing on ARRs. Efficacy, satisfaction and quality of life were also assessed. Patients received subcutaneous rituximab plus standard induction chemotherapy for DLBCL or FL for 4–7 cycles, and/or every 2 months maintenance monotherapy for FL for 6–12 cycles. The study included 140 patients: DLBCL, n = 29; FL, n = 111. Ninety-five percent of patients experienced adverse events, reaching grade ≥3 in 38 6% and were serious in 30 0%. AARs occurred in 48 6%, mostly (84 9%) at the injection site, with only 2 1% of patients reaching grade 3. The end-of-induction complete/unconfirmed complete response rate was 69 6%. After a median follow-up of 33 5 months, median disease-/event-/progression-free and overall survivals were not attained. The Rituximab Administration Satisfaction Questionnaire showed improvements in overall satisfaction and the EuroQoL-5D a good quality-of-life perception at induction/maintenance end. Therefore, switching to subcutaneous rituximab showed no new safety issues and maintained efficacy with improved satisfaction and quality of life

Density and magnetic susceptibility relationships in non-magnetic granites; a “wildcard” for modeling potential fields geophysical data

EGU2020: Sharing Geoscience Online, 4-8 May 2020Geophysical surveying (both gravity and magnetic) is of great help in 3D modeling of granitic bodies at depth. As in any potential-field geophysics study, petrophysical data (density [r], magnetic susceptibility [k] and remanence) are of key importance to reduce the uncertainty during the modeling of rock volumes. Several works have already demonstrated that ¿18O or [SiO2] display a negative correlation to density and to magnetic susceptibility. These relationships are particularly stable (and linear) in the so-called ¿non-magnetic¿ granites (susceptibilities falling within the paramagnetic range; between 0 and 500 10-6 S.I.) and usually coincident with calc-alcaline (CA) compositions (very common in Variscan domains). In this work we establish robust correlations between density and magnetic susceptibility at different scales in CA granites from the Pyrenees. Other plutons from Iberia were also considered (Veiga, Monesterio). The main goal is to use the available and densely sampled nets of anisotropy of magnetic susceptibility (AMS) data, performed during the 90¿s and early 2000¿s, together with new data acquired in the last few years, as an indirect measurement of density in order to carry out the 3D modelling of the gravimetric signal. We sampled some sections covering the main range of variability of magnetic susceptibility in the Mont Louis-Andorra, Maladeta and Marimanha granite bodies (Pyrenees), all three characterized by even and dense nets of AMS sites (more than 550 sites and 2500 AMS measurements). We performed new density and susceptibility measurements along two main cross-sections (Maladeta and Mont Louis-Andorra). In these outcrops, numerous measurements (usually more than 50) were taken in the field with portable susceptometers (SM20 and KT20 devices). Density data were derived from the Arquimedes principle applied on large hand samples cut in regular cubes weighting between 0.3 and 0.6 kg (whenever possible). These samples were subsampled and measured later on with a KLY-3 susceptibility bridge in the laboratory. Additionally, some density data were derived from the geometry and weighting of AMS samples. After the calibration of portable and laboratory susceptometers, density and magnetic susceptibility were plotted together. Regressions were derived for every granite body and they usually followed a linear function similar to: r = 2600 kg/m3 + (0.5 * k [10-6 S.I.]). As previously stated, this relationship is only valid in CA and paramagnetic granites, where iron is mostly fractioned in iron-bearing phyllosilicates and the occurrence of magnetite is negligible (or at least its contribution to the bulk susceptibility). These relationships allow transforming magnetic susceptibility data into density data helping in the 3D modelling of the gravimetric signal when density data from rock samples are scarce. Given the large amount of AMS studies worldwide, together with the quickness and cost-effectiveness of susceptibility measurements with portable devices, this methodology allows densifying and homogenizing the petrophysical data when modelling granite rock volumes based on both magnetic and gravimetric signal

Innovación y estrategias de intervención en acoso escolar

Los problemas de convivencia escolar, violencia escolar, bullying y cyberbullying, en los centros españoles son una realidad y, por tanto, es necesario que los futuros docentes cuenten con estrategias específicas para el abordaje de estas situaciones cuando se enfrenten a la realidad de las aulas. En este manual, profesionales del área de la convivencia escolar presentan las actuaciones, programas y herramientas disponibles que en estos momentos se están poniendo en práctica en los centros escolares con resultados positivos. Así, se pretende ampliar el conocimiento teórico-práctico en el ámbito de la convivencia, gestión de conflictos y violencia escolar.EducaciónPsicologí

Mortality prediction in chronic obstructive pulmonary disease comparing the GOLD 2015 and GOLD 2019 staging: a pooled analysis of individual patient data

In 2019, The Global Initiative for Chronic Obstructive Lung Disease (GOLD) modified the grading system for patients with COPD, creating 16 subgroups (1A–4D). As part of the COPD Cohorts Collaborative International Assessment (3CIA) initiative, we aim to compare the mortality prediction of the 2015 and 2019 COPD GOLD staging systems. We studied 17 139 COPD patients from the 3CIA study, selecting those with complete data. Patients were classified by the 2015 and 2019 GOLD ABCD systems, and we compared the predictive ability for 5-year mortality of both classifications. In total, 17 139 patients with COPD were enrolled in 22 cohorts from 11 countries between 2003 and 2017; 8823 of them had complete data and were analysed. Mean±sd age was 63.9±9.8 years and 62.9% were male. GOLD 2019 classified the patients in milder degrees of COPD. For both classifications, group D had higher mortality. 5-year mortality did not differ between groups B and C in GOLD 2015; in GOLD 2019, mortality was greater for group B than C. Patients classified as group A and B had better sensitivity and positive predictive value with the GOLD 2019 classification than GOLD 2015. GOLD 2015 had better sensitivity for group C and D than GOLD 2019. The area under the curve values for 5-year mortality were only 0.67 (95% CI 0.66–0.68) for GOLD 2015 and 0.65 (95% CI 0.63–0.66) for GOLD 2019

Maternal occupation during pregnancy, birth weight, and length of gestation: Combined analysis of 13 European birth cohorts

Objectives We assessed whether maternal employment during pregnancy – overall and in selected occupational sectors – is associated with birth weight, small for gestational age (SGA), term low birth weight (LBW), length of gestation, and preterm delivery in a population-based birth cohort design. Methods We used data from >200 000 mother-child pairs enrolled in 13 European birth cohorts and compared employed versus non-employed women. Among employees, we defined groups of occupations representing the main sectors of employment for women where potential reproductive hazards are considered to be present. The comparison group comprised all other employed women not included in the occupational sector being assessed. We performed meta-analyses of cohort-specific estimates and explored heterogeneity. Results Employees had a lower risk of preterm delivery than non-employees [adjusted odds ratio (ORadj) 0.86, 95% confidence interval (95% CI) 0.81–0.91]. Working in most of the occupational sectors studied was not associated with adverse birth outcomes. Being employed as a nurse was associated with lower risk SGA infants (ORadj 0.91, 95% CI 0.84–0.99) whereas food industry workers had an increased risk of preterm delivery (ORadj 1.50, 95% CI 1.12–2.02). There was little evidence for heterogeneity between cohorts. Conclusions This study suggests that, overall, employment during pregnancy is associated with a reduction in the risk of preterm birth and that work in certain occupations may affect pregnancy outcomes. This exploratory study provides an important platform on which to base further prospective studies focused on the potential consequences of maternal occupational exposures during pregnancy on child development

New insights into the genetic etiology of Alzheimer's disease and related dementias

Characterization of the genetic landscape of Alzheimer's disease (AD) and related dementias (ADD) provides a unique opportunity for a better understanding of the associated pathophysiological processes. We performed a two-stage genome-wide association study totaling 111,326 clinically diagnosed/'proxy' AD cases and 677,663 controls. We found 75 risk loci, of which 42 were new at the time of analysis. Pathway enrichment analyses confirmed the involvement of amyloid/tau pathways and highlighted microglia implication. Gene prioritization in the new loci identified 31 genes that were suggestive of new genetically associated processes, including the tumor necrosis factor alpha pathway through the linear ubiquitin chain assembly complex. We also built a new genetic risk score associated with the risk of future AD/dementia or progression from mild cognitive impairment to AD/dementia. The improvement in prediction led to a 1.6- to 1.9-fold increase in AD risk from the lowest to the highest decile, in addition to effects of age and the APOE ε4 allele