Virtual Patient Simulation: Training Pre-Health Professionals in Suicide Risk Prevention

The use of simulators and simulation training has become standard practice for students in medical and pre-health programs, including but not limited to, clinical and counseling disciplines in pre-health education. Students train and sharpen their skills using this technology to prepare them for real-life encounters with future patients (Berman, Durning, Fischer, Huwendiek, & Triola, 2016). One possible encounter, a suicidal patient, is a challenge that most counselors or therapists are not prepared for, causing stress and affecting their confidence. The literature describes how treating clients/patients with suicidal ideation and behavior is stressful for even the most experienced mental health professional (Farberow, 2005; Foster & McAdams, 1999; Gulfi et al., 2010; Mirick et al., 2016; Osteen et al., 2014; Smith et al., 2015). This challenge has been addressed by education programs using standardized patients to recreate similar encounters, which can lead to an increase in confidence and self-efficacy (Fallucco, Hanson, & Glowinski, 2010). However, the use of standardized patients is not feasible in all cases. One solution is virtual patient simulation as a complement to traditional face-to-face lectures and training. The purpose of this study is to understand the impact of virtual patient simulation on self-efficacy levels when students are faced with a suicide risk scenario. This quantitative study relied on the collection of data from pre-health professional students (n=111) and involved the testing of hypotheses following published self-efficacy and education literature. The hypotheses were tested using a factorial analysis of variance (ANOVA), a factorial analysis of covariance (ANCOVA), and a bivariate correlation analysis among the intervention groups. The results of the ANOVA and ANCOVA did not indicate a significant result for differences amongst the intervention groups. However, the results of the bivariate correlation analysis indicated a significant relationship (

Tripodal P₃^XFe–N₂ Complexes (X = B, Al, Ga): Effect of the Apical Atom on Bonding, Electronic Structure, and Catalytic N₂-to-NH₃ Conversion

Terminal dinitrogen complexes of iron ligated by tripodal, tetradentate P₃^X ligands (X = B, C, Si) have previously been shown to mediate catalytic N₂-to-NH₃ conversion (N₂RR) with external proton and electron sources. From this set of compounds, the tris(phosphino)borane (P₃^B) system is most active under all conditions canvassed thus far. To further probe the effects of the apical Lewis acidic atom on structure, bonding, and N₂RR activity, Fe–N₂ complexes supported by analogous group 13 tris(phosphino)alane (P₃^(Al)) and tris(phosphino)gallane (P₃^(Ga)) ligands are synthesized. The series of P₃^XFe–N₂^([0/1−]) compounds (X = B, Al, Ga) possess similar electronic structures, degrees of N₂ activation, and geometric flexibility as determined from spectroscopic, structural, electrochemical, and computational (DFT) studies. However, treatment of [Na(12-crown-4)₂][P₃^XFe–N₂] (X = Al, Ga) with excess acid/reductant in the form of HBAr^F₄/KC₈ generates only 2.5 ± 0.1 and 2.7 ± 0.2 equiv of NH₃ per Fe, respectively. Similarly, the use of [H₂NPh₂][OTf]/Cp^*₂Co leads to the production of 4.1 ± 0.9 (X = Al) and 3.6 ± 0.3 (X = Ga) equiv of NH₃. Preliminary reactivity studies confirming P₃^XFe framework stability under pseudocatalytic conditions suggest that a greater selectivity for hydrogen evolution versus N₂RR may be responsible for the attenuated yields of NH₃ observed for P₃^(Al)Fe and P₃^(Ga)Fe relative to P₃^BFe

The ICT and gamification: tools for improving motivation and learning at universities

[EN] The teacher-student technology gap and the lack of attention in the design of attractive and motivating learning methodologies often result in student´s demotivation and poor academic performance. To this end, from the research field, a series of methodologies and tools have been developed, such as gamification, as well as the introduction of ICT in lessons. By implementingSocrative, a classroom app to engage students, we tried to measure the evolution of students’ knowledge after the use of ICT and more interactive lessons. In addition, we tried to relate the level of motivation to students’ seating plan in the classroom (in rows). We also tried to analyse students' preferences and their feedback of the new techniques and methodologies used during the classes. The main result of the research is that the use of ICT and gamification in the classroom improved students’ motivation and learning, especially those who were less motivated. The direct relation between the students' seats in the classroom and their motivation was verified. At the same time, the learning differences between all the students in the classroom were reduced, achieving a balance between the learning and the motivation of the students. Keywords: Smartphone; incentive; learning; university students; Socrative.Serrano Lara, JJ.; Fajardo Magraner, F. (2017). The ICT and gamification: tools for improving motivation and learning at universities. En Proceedings of the 3rd International Conference on Higher Education Advances. Editorial Universitat Politècnica de València. 540-548. https://doi.org/10.4995/HEAD17.2017.5286OCS54054

Selecting freight transportation modes in last-mile urban distribution in Pamplona (Spain): an option for drone delivery in smart cities

Urban distribution in medium-sized cities faces a major challenge, mainly when deliveries are difficult in the city center due to: an increase of e-commerce, weak public transportation system, and the promotion of urban sustainability plans. As a result, private cars, public transportation, and freight transportation compete for the same space. This paper analyses the current state for freight logistics in the city center of Pamplona (Spain) and proposes alternative transportation routes and transportation modes in the last-mile city center distribution according to different criteria evaluated by residents. An analytic hierarchy process (AHP) was developed. A number of alternatives have been assessed considering routes and transportation modes: the shortest route criterion and avoiding some city center area policies are combined with traditional van-based, bike, and aerial (drone) distribution protocols for delivering parcels and bar/restaurant supplies. These alternatives have been evaluated within a multicriteria framework in which economic, environmental, and social objectives are considered at the same time. The point in this multicriteria framework is that the criteria/alternative AHP weights and priorities have been set according to a survey deployed in the city of Pamplona (Navarre, Spain). The survey and AHP results show the preference for the use of drone or bike distribution in city center in order to reduce social and environmental issues.This work has been partially supported by the Spanish Ministry of Science, Innovation, and Universities (PID2019-111100RB-C22/AEI/10.13039/501100011033; RED2018-102642-T), and the 'la Caixa' Foundation (LCF/PR/PR15/51100007) project. Moreover, we appreciate the financial support of the Erasmus+ Program (2018-1-ES01-KA103-049767)

Envelliment i virus de la immunodeficiència humana

La millora de l’estat de salut produïda per l’ús del tractament antiretroviral d’alta eficàcia ha augmentat les ràtios de supervivència en pacients amb virus de la immunodeficiència humana (VIH). Aquest augment de la supervivència ha conduït a un increment de la població gran. Actualment al nostre hospital hi ha tres-cents cinquanta-nou pacients més grans de cinquanta-cinc anys. L’envelliment de la població dóna lloc, intrínsecament, a l’augment de la incidència de malalties relacionades amb l’edat, com malalties cardiovasculars o alguns tipus de càncer. Aquest augment de malalties relacionades amb l’envelliment apareixen a edats més precoces, a causa de la inflamació crònica i l’activació immune crònica produïda pel VIH que provoca l’envelliment cel·lular prematur, anomenat immunosenescència. El VIH afecta directament el sistema immune mitjançant la depleció de limfòcits CD4 i la mala funció dels limfòcits CD8, que produeixen mediadors proinflamatoris, la qual cosa causa dany tissular. Aquest dany tissular provoca degeneració d’òrgans i de sistemes i precipita l’aparició de malalties que, d’una altra manera, tindrien una aparició més tardana. Hem de prestar especial atenció a les característiques particulars d’aquesta població d’edat avançada amb VIH per establir programes de prevenció i detecció primerenca i poder, així, actuar en conseqüència.La mejora del estado de salud producida por el uso del tratamiento antirretroviral de alta eficacia ha incrementado las ratios de supervivencia en pacientes con virus de la inmunodeficiencia humana (VIH). Este aumento de la supervivencia ha conducido a un aumento de la población mayor. Actualmente en nuestro hospital, trescientos cincuenta y nueve pacientes son mayores de cincuenta y cinco años. El envejecimiento de la población da lugar, intrínsecamente, al aumento de la incidencia de enfermedades relacionadas con la edad, como enfermedades cardiovasculares o algunos tipos de cáncer. Este aumento de enfermedades relacionadas con el envejecimiento aparecen, además, a edades más precoces, debido a la inflamación crónica y la activación inmune crónica producida por el VIH que da lugar al envejecimiento celular prematuro, llamado inmunosenescencia. El VIH afecta directamente al sistema inmune por la depleción de los linfocitos CD4 y la mala función de los linfocitos CD8, que producen mediadores pro inflamatorios, lo cual provoca daño tisular. Este daño tisular causa degeneración de órganos y de sistemas y precipita la aparición de enfermedades que, de otra forma, aparecerían más tardíamente. Debemos prestar especial atención a las características particulares de esta población de edad avanzada con VIH para establecer programas de prevención y detección temprana y poder, así, actuar en consecuencia

Evaluación ponencias debate tren altas prestaciones

Aportación al 4º Debate organizado por el Foro para la Sostenibilidad de Navarra titulado “El futuro del tren en Navarra”, celebrado en Pamplona el 18 de junio de 2013