Enfermería : fármacos más utilizados en urgencias hospitalarias

El Servicio de Urgencias del C.H.G.U.V. cuenta con una plantilla de 84 Enfermeros/as. Una parte considerable de ellos es personal de nueva incorporación, de ahí que sea prioritaria la elaboración de protocolos de actuación. La administración de medicación intravenosa es sin duda una de las técnicas de mayor aplicación en los pacientes que acuden a Urgencias, que en nuestro Hospital oscila entre 550-600 atenciones diarias. Por ello nos planteamos, mediante la realización de reuniones de grupo, la elaboración del presente trabajo con el objetivo de elaborar un manual informativo sobre la medicación más habitual utilizada en nuestro Servicio de Urgencias; indicaciones, contraindicaciones, diluciones, cuidados y recomendaciones sobre la administración que nos ayude a visionar la practica en nuestro trabajo y la calidad del Servicio que prestamos a nuestros pacientes, y sirva de consulta sobre todo al personal de nueva incorporación.The First aid service of the C.H.G.U.V. Nurse is provided with a staff of 84, a considerable part of them is new staff, and therefore there is a priority of making of performance protocols. The administration of intravenous medication is undoubtedly one of the most used techniques in patients who come to the emergency room, which in our Hospital ranges between 550-600 daily attentions. For this reason, we considered that carrying out group meetings in order to elaborate the present essay. Our main objective is to prepare an informative guidebook about the most common used medicines in our first aid service: indications, contraindications, dilutions, care, and recommendations on the use. In this sense it will contribute to see the practice in our work and the service quality that we give to our patients. And what is more, it will serve as a reference particularly to the new [email protected]

Analysis of colours and sun exposure in the Towers of Quart in Valencia (Spain)

[ES] En las Torres de Quart (s. XV) de la ciudad de Valencia, se ha desarrollado un exhaustivo trabajo de medición cromática de los restos de pigmentos existentes en las fachadas extramuros del edificio, sobre tres estratos materiales de distinta naturaleza. Asimismo, se ha estudiado la incidencia de la luz solar sobre las superficies del edificio.Se describe y justifica el proceso llevado a cabo para la obtención de un documento gráfico preciso del estado del color y su iluminación que permita establecer un protocolo de actuación para intervenir en el monumento.[EN] In the Towers of Quart (15th century) in the city of Valencia (Spain), an exhaustive chromatic measurement has been done of the remains of colour pigment found on the three distinct materials used in the external façade walls. The sun lighting exposure on the building surfaces has also been studied. The paper describes and justifies the process for making an accurate study of the state of the colour and its illumination by the sun, which enables guidelines to be established for renovation works on the monument.Torres Barchino, AM.; Serra Lluch, J.; Llopis Verdú, J.; Higón Calvet, JL.; García Codoñer, Á.; Saiz Mauleón, MB. (2012). Análisis del color y el soleamiento en las Torres de Quart de Valencia (España). Informes de la Construcción. 64(527):261-274. https://doi.org/10.3989/ic.11.041S2612746452

Enfoques de aprendizaje, autorregulación y rendimiento en tres universidades europeas

El trabajo analiza la relación entre enfoques de aprendizaje, autorregulación y rendimiento en estudiantes universitarios de tres universidades públicas europeas: una británica (UWIC, Cardiff, UK) y dos españolas (Almería y Granada). Se utilizan dos medidas de autoinforme para la recogida de información, el cuestionario R-SPQ-2F y las escalas EIPEA. Los resultados indican relaciones de los enfoques con la autorregulación y el rendimiento académico. Según el tipo de rendimiento analizado (conceptual, procedimental, actitudinal) se producen relaciones diferentes con los enfoques, lo que puede dar explicación a las conclusiones dispares encontradas en otras investigaciones. A partir de las conclusiones se proponen nuevas líneas de investigación

Teaching and evaluation methods preferred by university students

Student preferences and expectations regarding university instruction are increasingly considered as quality indicators in higher education. In this study we investigate university students¿ expectations and preferences concerning the teaching process, and we perform a differential study based on variables pertaining to the individual student (gender and age) and to the teacher (gender). 249 students from the Faculty of Education at the University of Granada participated in this study. Expectations and preferences are measured using the USET questionnaire (Sander, Stevenson, King & Coates, 2000). Results show that students wish to play a more active role in their learning. The formal lecture is the method most expected, and at the same time, the one most rejected, by more than half the sample. Variables analysed show significant differences in several teaching and evaluation methods. Keywords: Expectations, Teaching Methods, Evaluatio

El estudio de las expectativas en la universidad: Análisis de trabajos empíricos y futuras líneas de investigación

El estudio de las expectativas en educación ha experimentando un cambio en los últimos años. El nuevo marco teórico está fuertemente influido por las investigaciones realizadas en el ámbito de los negocios, y ha suscitado un mayor interés en las expectativas de los universitarios como variable a considerar en la mejora de la calidad universitaria y de la satisfacción de los estudiantes. El aumento de los estudios destinados a conocer qué espera el alumnado y qué desea de la institución universitaria, provoca la necesidad de analizar las diferentes líneas de investigación desarrolladas a este respecto y los hallazgos más significativos; para, a partir de aquí, extraer las conclusiones que ayuden a desarrollar y avanzar en el estudio de las expectativas de los universitarios. El objetivo de este trabajo se centra en realizar dicho análisis y aportar conclusiones que ayuden a establecer nuevas líneas de investigación en este tópico de estudio

Restauración del Patrimonio de la Universidad de Granada (I)

La serie editorial de Cuadernos Técnicos del Patrimonio surge debido a la necesidad de dotar al Vicerrectorado de Extensión Universitaria de publicaciones que aborden aspectos patrimoniales en relación con cuestiones de carácter transversal y que sirvan de vehículo de difusión y diálogo de las distintas colecciones que conforman el rico acervo universitario. El objetivo es convertir estos Cuadernos en un espacio de reflexión y debate sobre temas relacionados con la conservación, la restauración, la gestión, la difusión y la puesta en valor de los bienes muebles e inmuebles de la Universidad de Granada en toda su amplitud. No se plantean con un enfoque exclusivamente local pues su intención es abrirse a distintas problemáticas patrimoniales y convertirse en un instrumento que integre estudios de carácter nacional e internacional. Asimismo, entendemos que al Patrimonio hay que afrontarlo desde una perspectiva histórica pero también actual y en diálogo con la compleja realidad social

Neuroprotection by leptin in a rat model of permanent cerebral ischemia: effects on STAT3 phosphorylation in discrete cells of the brain

In addition to its effects in the hypothalamus to control body weight, leptin is involved in the regulation of neuronal function, development and survival. Recent findings have highlighted the neuroprotective effects of leptin against ischemic brain injury; however, to date, little is known about the role performed by the signal transducer and activator of transcription (STAT)-3, a major mediator of leptin receptor transduction pathway in the brain, in the beneficial effects of the hormone. Our data demonstrate that systemic acute administration of leptin produces neuroprotection in rats subjected to permanent middle cerebral artery occlusion (MCAo), as revealed by a significant reduction of the brain infarct volume and neurological deficit up to 7 days after the induction of ischemia. By combining a subcellular fractionation approach with immunohistofluorescence, we observe that neuroprotection is associated with a cell type-specific modulation of STAT3 phosphorylation in the ischemic cortex. The early enhancement of nuclear phospho-STAT3 induced by leptin in the astrocytes of the ischemic penumbra may contribute to a beneficial effect of these cells on the evolution of tissue damage. In addition, the elevation of phospho-STAT3 induced by leptin in the neurons after 24 h MCAo is associated with an increased expression of tissue inhibitor of matrix metalloproteinases-1 in the cortex, suggesting its possible involvement to the neuroprotection produced by the adipokine

Plasma lipid profiles discriminate bacterial from viral infection in febrile children

Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are often non-specific, and there is no definitive test for the accurate diagnosis of infection. The 'omics' approaches to identifying biomarkers from the host-response to bacterial infection are promising. In this study, lipidomic analysis was carried out with plasma samples obtained from febrile children with confirmed bacterial infection (n = 20) and confirmed viral infection (n = 20). We show for the first time that bacterial and viral infection produces distinct profile in the host lipidome. Some species of glycerophosphoinositol, sphingomyelin, lysophosphatidylcholine and cholesterol sulfate were higher in the confirmed virus infected group, while some species of fatty acids, glycerophosphocholine, glycerophosphoserine, lactosylceramide and bilirubin were lower in the confirmed virus infected group when compared with confirmed bacterial infected group. A combination of three lipids achieved an area under the receiver operating characteristic (ROC) curve of 0.911 (95% CI 0.81 to 0.98). This pilot study demonstrates the potential of metabolic biomarkers to assist clinicians in distinguishing bacterial from viral infection in febrile children, to facilitate effective clinical management and to the limit inappropriate use of antibiotics

Life-threatening infections in children in Europe (the EUCLIDS Project): a prospective cohort study

Background: Sepsis and severe focal infections represent a substantial disease burden in children admitted to hospital. We aimed to understand the burden of disease and outcomes in children with life-threatening bacterial infections in Europe. Methods: The European Union Childhood Life-threatening Infectious Disease Study (EUCLIDS) was a prospective, multicentre, cohort study done in six countries in Europe. Patients aged 1 month to 18 years with sepsis (or suspected sepsis) or severe focal infections, admitted to 98 participating hospitals in the UK, Austria, Germany, Lithuania, Spain, and the Netherlands were prospectively recruited between July 1, 2012, and Dec 31, 2015. To assess disease burden and outcomes, we collected demographic and clinical data using a secured web-based platform and obtained microbiological data using locally available clinical diagnostic procedures. Findings: 2844 patients were recruited and included in the analysis. 1512 (53·2%) of 2841 patients were male and median age was 39·1 months (IQR 12·4–93·9). 1229 (43·2%) patients had sepsis and 1615 (56·8%) had severe focal infections. Patients diagnosed with sepsis had a median age of 27·6 months (IQR 9·0–80·2), whereas those diagnosed with severe focal infections had a median age of 46·5 months (15·8–100·4; p<0·0001). Of 2844 patients in the entire cohort, the main clinical syndromes were pneumonia (511 [18·0%] patients), CNS infection (469 [16·5%]), and skin and soft tissue infection (247 [8·7%]). The causal microorganism was identified in 1359 (47·8%) children, with the most prevalent ones being Neisseria meningitidis (in 259 [9·1%] patients), followed by Staphylococcus aureus (in 222 [7·8%]), Streptococcus pneumoniae (in 219 [7·7%]), and group A streptococcus (in 162 [5·7%]). 1070 (37·6%) patients required admission to a paediatric intensive care unit. Of 2469 patients with outcome data, 57 (2·2%) deaths occurred: seven were in patients with severe focal infections and 50 in those with sepsis. Interpretation: Mortality in children admitted to hospital for sepsis or severe focal infections is low in Europe. The disease burden is mainly in children younger than 5 years and is largely due to vaccine-preventable meningococcal and pneumococcal infections. Despite the availability and application of clinical procedures for microbiological diagnosis, the causative organism remained unidentified in approximately 50% of patients

Plasma lipid profiles discriminate bacterial from viral infection in febrile children

Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection ar