A képzés programok szerepe a szervadományozásban: pedagógiai megközelítés

Organ transplantation is a consolidated medical practice of unquestionable clinical effectiveness in an era where the number of patients affected by pathologies such as diabetes, hypertension, hepatitis, cardio-vascular disease etc. continues to increase each year, in such a way that the need for organs for transplantation increases progressively. Although the number of transplants is growing annually around the world and there are about 130,000 transplants of solid organs performed each year, these procedures cover only 10% of the world's needs, leading to the death of many patients on the waiting lists. The present PhD dissertation aims at proving through two complementary research studies the efficiency of specialized training in terms of professional competence development of health care professionals active in organ donation and as a result, of increased organ donation activity

Study of Factors that affect the Perception of Vibrations Induced by occupants on Slender Sructures

Se estudia el empleo de nuevos materiales flexibles como pavimento en la superficie transitable de pasarelas peatonales, buscando conocer cómo afecta a la percepción de los fenómenos vibratorios por parte de los peatones y si influyen en la excitación dinámica que recibe la pasarela debido al tránsito. El objetivo principal de esta tesis es la valoración subjetiva de la percepción y cuantificación objetiva de las vibraciones en pasarelas con propensión a vibrar, al colocar en su superficie transitable pavimentos a base de gránulos de neumático aglomerados con resinas o espumas. Se ha caracterizado la pasarela “Dr P. Gómez Bosque” de Valladolid y el “Warwick Bridge” de la Universidad de Warwick. Se han realizado ensayos para la caracterización de la pisada humana y se la ha simulado con un actuador inercial. Se ha desarrollado la caracterización de la marcha y la influencia del material viscoelástico como pavimento de estructuras esbeltas.Departamento de Construcciones Arquitectonicas, Ingeniería del Terreno y Mecánica de los Medios Continuos y Teoría de EstructurasDoctorado en Arquitectur

La revocación de los actos administrativos favorables

El objeto del trabajo consiste en mostrar la situación en la que se encuentra el instituto de la revocación de actos administrativos favorables, en el ámbito del procedimiento administrativo común. La revocación de actos administrativos consiste en la extinción de los efectos de la autorización que se revoque a partir de la notificación del acto revocatorio. Por el contrario, en la anulación estaríamos hablando sobre la eliminación o supresión del acto administrativo en cuestión. No nos encontramos ante una “revocación – sanción” como la doctrina lo ha llamado, por lo que no nos tenemos que someter al régimen específico de las sanciones sino al propio de la revocación de un acto administrativo favorable como tal, que se debe a un cambio de circunstancias o presupuestos fácticos.Departamento de Derecho PúblicoGrado en Derech

'Train the Trainers' Program to Improve Knowledge, Attitudes and Perceptions About Organ Donation in the European Union and Neighbouring Countries: Pre- and Post- Data Analysis of the EUDONORGAN Project

EUDONORGAN, a European Union-funded project to improve organ and tissue donation, included a blended-based 'Train the Trainers' program, which was implemented with the support of an international consortium from Croatia, Italy, Slovenia, and Spain. The web-based training included seven modules for which medical aspects, educational tips, and practical activities were scored using a 5-point Likert scale. The overall mean scores of satisfaction were higher than 4 for each module, without significant differences between HCPs and OKPs. In the face-to-face training survey similar scores above 4 were obtained for most items. Knowledge acquisition improved significantly in both HCPs and OKPs, as well as in transplant/donor coordinators, medical doctors, registered nurses, anesthesiologists/intensivists, and intensive care nurses. Improvements in attitudes and perceptions regarding organ donation were also observed, particularly among HCPs. In the accomplishment of the learning process, a successful pass mark of 95% was obtained. The 'Train the Trainers' program was associated with an improvement in learning and attitudes of healthcare and non-healthcare professionals for the benefit of organ and tissue donation

Leadership, management, quality, and innovation in organ donation: 2019 Kunming recommendations for One Belt & One Road countries

The findings and recommendations of the 2019 consensus conference in organ donation, held in Kunming, China, are here reported. The main objective of the conference was to gather relevant information from experts involved in the field. The data and opinions provided allowed to propose a series of recommendations for 'One Belt & One Road Countries' on how to achieve self-sufficiency in organ donation. Leadership in organ donation should be results-oriented and goal-driven based on the principles of excellence, empowerment, and engagement, providing the means, resources, and strategies necessary to reach the goal in earnest. Management includes good governance and transparency of a national registry of patients in the waiting list, donors, transplants, transplant teams, quality, and safety programs with continuous educational training of health care professionals. Mandatory monitoring, auditing and evaluation of quality must be incorporated into donation practices as relevant points in innovation, as well as the adoption of already established and novel processes and technologies. Achievement of self-sufficiency in organ donation is a crucial step to fight against transplant tourism and to prevent organ trafficking. Based on recommendations arising from the conference, each country could review and develop individualized action plans adjusted to its own circumstances and reality

Design and implementation of the European-Mediterranean Postgraduate Programme on Organ Donation and Transplantation (EMPODaT) for Middle East/North Africa countries

This prospective study reports the design and results obtained after the EMPODaT project implementation. This project was funded by the Tempus programme of the European Commission with the objective to implement a common postgraduate programme on organ donation and transplantation (ODT) in six selected universities from Middle East/North Africa (MENA) countries (Egypt, Lebanon and Morocco). The consortium, coordinated by the University of Barcelona, included universities from Spain, Germany, Sweden and France. The first phase of the project was to perform an analysis of the current situation in the beneficiary countries, including existing training programmes on ODT, Internet connection, digital facilities and competences, training needs, and ODT activity and accreditation requirements. A total of 90 healthcare postgraduate students participated in the 1-year training programme (30 ECTS academic credits). The methodology was based on e-learning modules and face-to-face courses in English and French. Training activities were evaluated through pre- and post-tests, self-assessment activities and evaluation charts. Quality was assessed through questionnaires and semi-structured interviews. The project results on a reproducible and innovative international postgraduate programme, improvement of knowledge, satisfaction of the participants and confirms the need on professionalizing the activity as the cornerstone to ensure organ transplantation self-sufficiency in MENA countries

Modal testing and FE model updating of a lively staircase structure

Effects of structural flexibility on the dynamic performance of structures such as staircases, footbridges, and long span floors is becoming an increasingly important aspect of modern design. Cost reduction, improving efficiency of design, enhancement of aesthetic perception and, innovation in architectural forms often result in slender and lightweight structures that are significantly more flexible and vibration-prone than ever before. Consequently, meeting relevant vibration serviceability criteria, as opposed to ultimate strength requirements, is becoming the governing factor in the design of many new structures. Despite significant advances in numerical prediction of modal properties of structures using Finite Element (FE) modelling technique, there still exist challenges in accurate representation of the actual dynamic behaviour. This is mainly due to some inherent modelling uncertainties related to a lack of information on the as-built structures, such as uncertainties in boundary conditions, material properties and the effects of non-structural elements. This paper presents the results of a modal testing exercise carried out to assess the dynamic behaviour of a lively staircase structure. The assessment procedure includes a full-scale ambient vibration testing, modal identification and FE modelling and updating. In particular, the influence of boundary conditions and presence of handrails on dynamic properties of the structure are commented

Benefits of Transplant Procurement Management (TPM) specialized training on professional competence development and career evolutions of health care workers in organ donation and transplantation

Training on organ donation and transplantation is relevant for transplantation improvement. This study aimed at investigating the perceived benefits of Transplant Procurement Management training programs on professional competence development and career evolutions of health care workers in organ donation and transplantation. An online survey was developed in 5 languages (Spanish, English, Italian, French, and Portuguese) and its link was emailed to 6839 individuals. They were asked to forward it to other professionals in organ donation and transplantation. The link was also shared on Facebook and at relevant congresses. Two research questions on the perceived influence of specialized training programs were identified. A total of 1102 participants (16.1%) took the survey; 87% reported participating in Transplant Procurement Management training programs, of which 95% selected Transplant Procurement Management courses as the most influential training they had participated in. For research question one, 98% reported influence on knowledge (score 4.5 [out of 5]), 93% on technical (4.2) and communication skills (4.1), 89% on attitude toward organ donation and transplantation (4.1), 92% on motivation to work (4.2), 91% on desire to innovate (4.0), 87% and 79% on ability to change organ donation and trans plantation practices (3.9) and policies (3.5). For research question 2, main and interaction effects for position at the time of training and type of training were reported. Transplant Procurement Management training programs had positive perceived effects

Recommendations for core critical care ultrasound competencies as a part of specialist training in multidisciplinary intensive care: a framework proposed by the European Society of Intensive Care Medicine (ESICM)

Critical care ultrasound (CCUS) is an essential component of intensive care practice. Although existing international guidelines have focused on training principles and determining competency in CCUS, few countries have managed to operationalize this guidance into an accessible, well-structured programme for clinicians training in multidisciplinary intensive care. We seek to update and reaffirm appropriate CCUS scope so that it may be integrated into the international Competency-based Training in Intensive Care Medicine. The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described. Importantly, we discuss the rationale for inclusion but also exclusion of competencies listed. Background/aim: Critical care ultrasound (CCUS) is an essential component of intensive care practice. The purpose of this consensus document is to determine those CCUS competencies that should be a mandatory part of training in multidisciplinary intensive care. Methods: A three-round Delphi method followed by face-to-face meeting among 32 CCUS experts nominated by the European Society of Intensive Care Medicine. Agreement of at least 90% of experts was needed in order to enlist a competency as mandatory. Results: The final list of competencies includes 15 echocardiographic, 5 thoracic, 4 abdominal, deep vein thrombosis diagnosis and central venous access aid. Conclusion: The resulting recommendations offer the most contemporary and evolved set of core CCUS competencies for an intensive care clinician yet described.SCOPUS: re.jinfo:eu-repo/semantics/publishe