Una complicación “indeseable” y “no esperada” a pesar de la mejoría metabólica, ¿llegamos tarde?

A 55-year-old male with type 2 diabetes mellitus 13 years of evolution and with poor metabolic control who is referred to Internal Medicine for treatment adjustment.Varón de 55 años con diabetes mellitus tipo 2 de 13 años de evolución y con mal control metabólico que es remitido a las consultas de Medicina Interna para ajuste de tratamiento

Desarrollo de una presentación interactiva y multimedia orientada a la docencia del análisis cinemático del Movimiento Armónico Simple

Nowadays, computers suppose a great potential as complementary didactic tool to traditional means of education. For that reason, the advantage of this potential is considered by the work group, creating interactive and multimedia presentations oriented to facilitate teaching of different physics fields. In particular, the objective of this work is the design of a presentation oriented to teaching kinematical aspects of the simple harmonic movement. Given the dynamic nature of the subject, it is evident the adventages that suppose an animated presentation which it helps the student to understand the kinematical magnitudes. This tool will be very useful to the professor as complement of theoretical classes, and available to the students in the reinforcement of the knowledge.Es evidente el gran potencial que el ordenador supone como herramienta didáctica complementaria a los medios de enseñanza tradicionales. Es por ello que el grupo de trabajo se plantea el aprovechamiento de este potencial, creando presentaciones interactivas y multimedia orientadas a la docencia en los distintos campos de la física.En concreto, en este trabajo se plantea el diseño de una presentación orientada a la docencia de los aspectos cinemáticas del movimiento armónico simple. Dada la naturaleza dinámica del tema en cuestión, es evidente las ventajas que supone disponer de una presentación animada del mismo que ayude al alumno a entender la magnitudes cinemáticas implicadas, herramientas de gran utilidad para el profesor como complemento de sus clases teóricas, y disponible para alumnos de ayuda en el afianzamiento de los conocimientos

Multilingual Glossary. Migrations, Gender and Inclusion

Technical coordination: Rais, Carlo (Pixel Associazione - Italy); Martellini, Lorenzo (Pixel Associazione - Italy) Collaborating team: Díaz-Jiménez, Rosa (Universidad Pablo de Olavide - Spain); Esteban-Ibañez, Macarena (Universidad Pablo de Olavide - Spain); Monreal Gimeno, Carmen (Universidad Pablo de Olavide - Spain); Pérez-de-Guzmán-Puya, Victoria (Universidad Pablo de Olavide - Spain)This publication is one of the second product of the Erasmus + Project entitled Voices of Immigrant Women (Project Number: 2020-1-ES01-KA203-082364). This product is a Multilingual Glossary where different terms related to Migration, Gender and Inclusion are presented. It analyzes from a gender perspective the different concepts linked to the theme. You will find all the terms in five different languages: English, Greek, Spanish, Italian, French and Portuguese. The added value of this product is its multilingual nature and the gender approach that is the backbone of the entire analysis.Universidad Pablo de OlavideEmet Arco Iris FoundationThe Peace InstituteEuropean Public Law OrganizationUniversity of FlorencePolytechnic Institute of BragançaInstitut De Recherche Pour Le DéveloppementPixe

Policy Recommendations ebook. Migrations, Gender and Inclusion from an International Perspective

Technical coordination: Rais, Carlo (Pixel Associazione - Italy); Martellini, Lorenzo (Pixel Associazione - Italy) Collaborating team: Esteban-Ibañez, Macarena (Pablo de Olavide University - Spain); Macias Gómez-Esthern, Beatriz (Pablo de Olavide University - Spain) Monreal Gimeno, Carmen (Pablo de Olavide University - Spain) Moreno Amador, Gracia (Pablo de Olavide University - Spain) Pérez-de-Guzmán-Puya, Victoria (Pablo de Olavide University - Spain)This publication is the third product of the Erasmus + Project entitled Voices of Immigrant Women (Project Number: 2020-1-ES01-KA203-082364). This product is based on a set of policy recommendations that provides practical guidance on intervention proposals to those with political responsibilities in governance on migration management and policies for integration and social inclusion, as well as to policy makers in the governance of training in Higher Education (University) at all levels. This is intended to promote the development of practical strategies that allow overcoming the obstacles encountered by migrant women during the integration process, favoring the construction of institutions, administrations and, ultimately, more inclusive societies. The content presented in this book proposes recommendations and intervention proposals oriented to practice to: - Improve Higher Education study plans by promoting the training of students as future active protagonists who are aware of social interventions. This will promote equity, diversity and the integration of migrant women. - Strengthen cooperation and creation of networks between academic organizations, the third sector and public administrations that are responsible for promoting the integration and inclusion of migrant women. - Promote dialogue and the exchange of knowledge to, firstly, raise awareness of human mobility and gender in Europe and, secondly, promote the participation and social, labor and civic integration of the migrant population. All this is developed through 4 areas in which this book is articulated. The first area entitled "Migrant women needs and successful integration interventions"; the second area entitled "Promoting University students awareness and civic and social responsibility towards migrant women integration"; the third area entitled "Cooperation between Higher Education institutions and third sector"; the fourth and last area, entitled "Inclusive Higher Education".PixelInstitut De Recherche Pour Le DéveloppementPolytechnic Institute of BragançaUniversity of FlorenceEuropean Public Law OrganizationThe Peace InstituteEmet Arco Iris FoundationUniversidad Pablo de Olavid

"Migrações, Género e Inclusão no Contexto Europeu: Uma Abordagem Interdisciplinar". Curso de Formação a Distância

Technical coordination: Rais, Carlo (Pixel Associazione - Italy); Martellini, Lorenzo (Pixel Associazione - Italy) Collaborating team: Díaz-Jiménez, Rosa (Universidad Pablo de Olavide - Spain); Esteban-Ibañez, Macarena (Universidad Pablo de Olavide - Spain); Monreal Gimeno, Carmen (Universidad Pablo de Olavide - Spain); Pérez-de-Guzmán-Puya, Victoria (Universidad Pablo de Olavide - Spain).This publication is the third product of the Erasmus + Project entitled Voices of Immigrant Women (Project Number: 2020-1-ES01-KA203-082364). The e-learning package is aimed at university students from different disciplines, research staff, Higher Education professors and professionals who work in the field to address the social inclusion of migrant women with a gender perspective from Human Rights, an intersectional approach and interdisciplinary. The general objective of this resource is to improve the training of the different social agents who work or will work in the near future in migration and thus help combat discrimination, segregation, racism, harassment and violence, assuming the triple role that universities must carry out both in research, training and in social commitment. The contents are organized in 8 modules and each module has a double dimension: one transnational and one national. Training is based on theory and practice.Esta publicación es el tercer producto del Proyecto Erasmus+ Voces de Mujeres Inmigrantes (Número de Proyecto: 2020-1-ES01-KA203-082364). El paquete de e-learning está dirigido a estudiantes universitarios de diferentes disciplinas, personal investigador, docentes de Educación Superior y profesionales que trabajan en el campo para abordar la inclusión social de las mujeres migrantes con una perspectiva de género desde los Derechos Humanos, un enfoque interseccional e interdisciplinar. El objetivo general de este recurso es mejorar la formación de los diferentes agentes sociales que trabajan o trabajarán en un futuro próximo en el ámbito migratorio y así contribuir a combatir la discriminación, la segregación, el racismo, el acoso y la violencia, asumiendo el triple papel que debe desempeñar la universidad, tanto en investigación, formación como en compromiso social. Los contenidos están organizados en 8 módulos y cada módulo tiene una doble dimensión: una transnacional y otra nacional. La formación se basa en la teoría y la práctica.Universidad Pablo de OlavidePixelEuropean Public Law OrganizationThe Peace InstituteUniversity of FlorencePolytechnic Institute of BragançaEmet Arco Iris FoundationInstitut De Recherche Pour Le Développemen

Monocyte and Lymphocyte Activation and Regulation in Multiple Sclerosis Patients. Therapy Effects

Analysis of gut barrier status, monocyte and lymphocyte activation and T regulatory (Treg) cells at diagnosis before and after therapy, in patients with multiple sclerosis (MS). Analysis of differential effects of interferon beta (IFN-β), glatiramer acetate (GA) and natalizumab. Thirty-five patients with untreated MS were included. Gut barrier status (serum concentrations of intestinal fatty acid binding protein), monocyte (serum levels of soluble CD14, soluble CD163 and interleukin 6) and T lymphocyte activation (CD4 + DR+ and CD8 + DR+) and Treg (CD4 + CD25highFoxP3+) cells were analyzed. Patients with clinical isolated syndrome and relapsing-remitting forms were treated with IFN-β or GA, and immune characteristics were reevaluated following up after 6 months. A sample of 56 stable RR MS patients, in treatment with IFN-β, GA or natalizumab, and 50 healthy individuals were included as controls. Gut barrier status was similar in MS patients and healthy controls. Untreated patients with relapsing-remitting and primary progressive patterns of MS showed increased serum levels of soluble CD14. At baseline, significant increases in activated T lymphocytes and Treg were detected in patients. A significant decrease of CD4 + DR+, CD8 + DR+, and Treg percentages after 6 months of therapy was observed. In previously treated patients, IFN-β, GA, or natalizumab therapies were associated with a comparable cell proportion of activated lymphocytes and Treg. MS patients have a baseline state characterized by monocyte and lymphocyte activation, not related with gut barrier lesion. An increase in Treg number, correlated with activated T CD8+ lymphocytes, was detected. Treatment with IFN-β, GA or natalizumab was associated with a comparable decrease in activated lymphocytes and Treg.This work was supported by a Grant from Neurología, Fundación para la Investigación Biomédica de Cádiz. MCGO was the recipient of this Grant

Diabetes tipo 2 bien contralada y microalbuinuria

We present the real case of a 58-year-old diabetic patient type 2 diagnosed in 2006 and insulin-induced since May 2014. She also presented arterial hypertension, smoker of 20 cig/day who consulted for metabolic control, detecting microalbuminuria, of new appearance, despite a glycated hemoglobin of 6.5% and a controlled blood pressure.Presentamos el caso real de una paciente de 58 años diabética tipo 2 diagnosticada en el año 2006 e insulinizada desde mayo de 2014. Además presentaba hipertensión arterial y era fumadora de 20 cig/día. Acude a consultas para control metabólico detectándose microalbuminuria, de nueva aparición, a pesar de una hemoglobina glicada de 6,5% y una tensión arterial controlada

Predictors of inappropriate antimicrobial prescription: Eight-year point prevalence surveys experience in a third level hospital in Spain

Antibiotic stewardship programs (ASP) have already demonstrated clinical benefits. We aimed to describe the Point Prevalence Surveys (PPS) methodology implemented in our hospital as an efficient tool to guide ASP strategies. Annually repeated PPS were conducted from 2012 to 2019 at a 750- bed university hospital in South Spain. Key quality indicators and inappropriateness of antimicrobial treatment, defined strictly according to local guidelines, were described. Variables associated with inappropriate treatment were identified by bi/multivariable analysis. A total of 1,600 patients were included. We found that 49% of the prescriptions were inappropriate due to unnecessary treatment (14%), not first line drug recommended (14%), inadequate drug according to microbiological results (9%), unsuitable doses (8%), route (3%) or duration (7%). Samples collection presented a significant protective effect together with sepsis presentation at onset and intensive care unit admission. However, age, receiving an empirical treatment and an unknown or urinary source of the infections treated were independent risk factors for inappropriateness. Site and severity of infection were documented in medical charts by prescribers (75 and 61% respectively). PPS may allow identifying the main risk factors for inappropriateness. This simple methodology may be useful for ASP to select modifiable factors to be prioritized for targeted interventions

Predictors of inappropriate antimicrobial prescription: Eight-year point prevalence surveys experience in a third level hospital in Spain.

Antibiotic stewardship programs (ASP) have already demonstrated clinical benefits. We aimed to describe the Point Prevalence Surveys (PPS) methodology implemented in our hospital as an efficient tool to guide ASP strategies. Annually repeated PPS were conducted from 2012 to 2019 at a 750-bed university hospital in South Spain. Key quality indicators and inappropriateness of antimicrobial treatment, defined strictly according to local guidelines, were described. Variables associated with inappropriate treatment were identified by bi/multivariable analysis. A total of 1,600 patients were included. We found that 49% of the prescriptions were inappropriate due to unnecessary treatment (14%), not first line drug recommended (14%), inadequate drug according to microbiological results (9%), unsuitable doses (8%), route (3%) or duration (7%). Samples collection presented a significant protective effect together with sepsis presentation at onset and intensive care unit admission. However, age, receiving an empirical treatment and an unknown or urinary source of the infections treated were independent risk factors for inappropriateness. Site and severity of infection were documented in medical charts by prescribers (75 and 61% respectively). PPS may allow identifying the main risk factors for inappropriateness. This simple methodology may be useful for ASP to select modifiable factors to be prioritized for targeted interventions

ENGIU: Encuentro Nacional de Grupos de Investigación de UNIMINUTO.

El desarrollo del prototipo para el sistema de detección de Mina Antipersona (MAP), inicia desde el semillero ADSSOF perteneciente al programa de Administración en Seguridad y Salud en el trabajo de la UNIMINUTO, se realiza a partir de un detector de metales que emite una señal audible, que el usuario puede interpretar como aviso de presencia de un objeto metálico, en este caso una MAP. La señal audible se interpreta como un dato, como ese dato no es perceptible a 5 metros de distancia, se implementa el transmisor de Frecuencia Modulada FM por la facilidad de modulación y la escogencia de frecuencia de transmisión de acuerdo con las normas y resolución del Ministerio de Comunicaciones; de manera que esta sea la plataforma base para enviar los datos obtenidos a una frecuencia establecida. La idea es que el ser humano no explore zonas peligrosas y buscar la forma de crear un sistema que permita eliminar ese riesgo, por otro lado, buscar la facilidad de uso de elementos ya disponibles en el mercado