Implementación de un programa de mediación escolar: Análisis de las dificultades percibidas y propuestas de mejora

This research analyzes the implementation of a Mediation Program in a high school in Madrid, taking into consideration the group participants’ perception of the difficulties. During the academic year (2011-2012) meetings and training activities, as well as several focus groups were developed. Once the process was over some difficulties at different levels were observed (lack of involvement, internal and external coordination difficulties, among others aspects). On the other hand, the participants also expressed their satisfaction with the Mediation Program (as it facilitated a better coexistence in their school or the development of personal skills). Furthermore, some participants’ suggestions to improve the Mediation Program are presented. Finally, the necessity of contextualizing these projects within a long term perspective is pointed out. It seems a key factor to be able to prioritize short term objectives, and to consider at least a period of two years for a successful implementation of the program and to carry on with the process in spite of difficulties.La investigación realizada analiza la puesta en marcha de un Equipo de Mediación en un centro de Secundaria de la Comunidad de Madrid, en concreto, la percepción de las dificultades encontradas por los participantes en dicho equipo. Durante un curso académico (2011-2012) se asistió a reuniones internas, actividades de formación y se realizaron grupos de discusión. Se han observado dificultades en diversos niveles (falta de implicación, dificultades de coordinación interna y con otros órganos, etc.), así como alta satisfacción con otros aspectos (posibilidades de mejora de la convivencia o habilidades personales adquiridas). Como conclusiones se presentan las propias sugerencias de mejora del grupo para el próximo curso, y, de cara a la implantación en otros centros, la importancia de la contextualización y la adopción de una perspectiva a largo plazo. Parece determinante que las personas que en él se impliquen sean capaces de priorizar objetivos a corto plazo y tener en mente un periodo mínimo de implementación de dos años, para poder avanzar en el proceso y no desanimarse ante las dificultades

Measurement invariance across gender and relationship with sociometric status

In recent years, bullying research has transitioned from investigating the characteristics of the bully?victim dyad to examining bullying as a grouplevel process, in which the majority of children play some kind of role. This study used a shortened adaptation of the Participant Role Scale (PRS) to identify these roles in a representative sample of 2,050 Spanish children aged 8 to 13 years. Confirmatory factor analysis revealed three different roles, indicating that the adapted scale remains a reliable way to distinguish the Bully, Defender, and Outsider roles. In addition, measurement invariance of the adapted scale was examined to analyze possible gender differences among the roles. Peer status was assessed separately by gender through two sociometric procedures: the nominations-based method and the ratingsbased method. Across genders, children in the Bully role were more often rated as rejected, whereas Defenders were more popular. Results suggest that although the PRS can reveal several different peer roles in the bullying process, a more clear distinction between bullying roles (i.e., Bully, Assistant,and Reinforcer) could better inform strategies for bullying interventions

Implementation of a school mediation program: analyzing the perceived difficulties and ways to improve it

This research analyzes the implementation of a Mediation Program in a high school in Madrid, taking into consideration the group participants’ perception of the difficulties. During the academic year (2011-2012) meetings and training activities, as well as several focus groups were developed. Once the process was over some difficulties at different levels were observed (lack of involvement, internal and external coordination difficulties, among others aspects). On the other hand, the participants also expressed their satisfaction with the Mediation Program (as it facilitated a better coexistence in their school or the development of personal skills). Furthermore, some participants’ suggestions to improve the Mediation Program are presented. Finally, the necessity of contextualizing these projects within a long term perspective is pointed out. It seems a key factor to be able to prioritize short term objectives, and to consider at least a period of two years for a successful implementation of the program and to carry on with the process in spite of difficulties

Análisis de las habilidades de los alumnos mediadores como clave del éxito de la mediación escolar

Son escasos los estudios que analizan las habilidades que los alumnos adquieren en su formación como mediadores escolares, así como las dificultades principales a las que se enfrentan. Este trabajo analiza la aplicación ?frecuencia y adecuación- de habilidades de escucha activa por parte de 9 alumnos de Educación Secundaria Obligatoria y Postobligatoria que siguen un programa formativo sobre mediación escolar. Se realizó un análisis observacional de las intervenciones de los estudiantes durante simulaciones de mediaciones basadas en casos reales. Adicionalmente, se realizaron entrevistas y grupos de discusión para conocer la percepción de los alumnos sobre su propia ejecución. Los resultados constatan que los alumnos utilizan principalmente la estrategia de hacer preguntas abiertas, seguida de resumir y parafrasear; mientras que las estrategias de reflejar y los mensajes yo prácticamente no son utilizadas. Esto coincide con su propia percepción, ya que destacan la dificultad de aplicar estas últimas. Estos resultados muestran por una parte, la importancia de que los programas formativos en mediación escolar proporcionen un abanico mayor de oportunidades para practicar estas habilidades. Y por otra, sugieren la necesidad de incluir en ellos un periodo de prácticas supervisadas, así como secuenciar la dificultad de los casos a los que deben enfrentarse estudiantes que se están iniciando en la mediación

Análisis de las dificultades percibidas y propuestas de mejora

La investigación realizada analiza la puesta en marcha de un Equipo de Mediación en un centro de Secundaria de la Comunidad de Madrid, en concreto, la percepción de las dificultades encontradas por los participantes en dicho equipo. Durante un curso académico (2011-2012) se asistió a reuniones internas, actividades de formación y se realizaron grupos de discusión. Se han observado dificultades en diversos niveles (falta de implicación, dificultades de coordinación interna y con otros órganos, etc.), así como alta satisfacción con otros aspectos (posibilidades de mejora de la convivencia o habilidades personales adquiridas). Como conclusiones se presentan las propias sugerencias de mejora del grupo para el próximo curso, y,de cara a la implantación en otros centros, la importancia de la contextualización y la adopción de una perspectiva a largo plazo. Parece determinante que las personas que en él se impliquen sean capaces de priorizar objetivos a corto plazo y tener en mente un periodo mínimo de implementación de dos años, para poder avanzar en el proceso y no desanimarse ante las dificultades

Prevalence of bleeding secondary to anticoagulation and mortality in patients with atrial fibrillation admitted with SARS-CoV-2 infection.

Atrial fibrillation (AF) is common in patients admitted with severe COVID-19. However, there is limited data about the management of chronic anticoagulation therapy in these patients. We assessed the anticoagulation and incidence of major cardiovascular events in hospitalized patients with AF and COVID-19. We retrospectively investigated all consecutive patients with AF admitted with COVID-19 between March and May 2020 in 9 Spanish hospitals. We selected a control group of non-AF patients consecutively admitted with COVID-19. We compared baseline characteristics, incidence of major bleeding, thrombotic events and mortality. We used propensity score matching (PSM) to minimize potential confounding variables, as well as a multivariate analysis to predict major bleeding and death. 305 patients admitted with AF and COVID-19 were included. After PSM, 151 AF patients were matched with 151 control group patients. During admission, low-molecular-weight heparin was the principal anticoagulant and the incidence of major bleeding and mortality were higher in the AF group [16 (10.6%) vs 3 (2%), p=0.003; 52 (34.4%) vs 35 (23.2%), p=0.03, respectively]. The multivariate analysis showed the presence of AF as independent predictor of in-hospital major bleeding and mortality in COVID-19 patients. In AF group, a secondary multivariate analysis identified high levels of D-dimer as independent predictor of in-hospital major bleeding. AF patients admitted with COVID-19 represent a population at high risk for bleeding and mortality during admission. It seems advisable to individualize anticoagulation therapy during admission, considering patient specific bleeding and thrombotic risk.S

Influence of the length of hospitalisation in post-discharge outcomes in patients with acute heart failure: Results of the LOHRCA study

Objective: To investigate the relationship between length of hospitalisation (LOH) and post-discharge outcomes in acute heart failure (AHF) patients and to ascertain whether there are different patterns according to department of initial hospitalisation. Methods: Consecutive AHF patients hospitalised in 41 Spanish centres were grouped based on the LOH (15 days). Outcomes were defined as 90-day post-discharge all-cause mortality, AHF readmissions, and the combination of both. Hazard ratios (HRs), adjusted by chronic conditions and severity of decompensation, were calculated for groups with LOH >6 days vs. LOH <6 days (reference), and stratified by hospitalisation in cardiology, internal medicine, geriatrics, or short-stay units. Results: We included 8563 patients (mean age: 80 (SD = 10) years, 55.5% women), with a median LOH of 7 days (IQR 4–11): 2934 (34.3%) had a LOH 15 days. The 90-day post-discharge mortality was 11.4%, readmission 32.2%, and combined endpoint 37.4%. Mortality was increased by 36.5% (95%CI = 13.0–64.9) when LOH was 11–15 days, and by 72.0% (95%CI = 42.6–107.5) when >15 days. Conversely, no differences were found in readmission risk, and the combined endpoint only increased 21.6% (95%CI = 8.4–36.4) for LOH >15 days. Stratified analysis by hospitalisation departments rendered similar post-discharge outcomes, with all exhibiting increased mortality for LOH >15 days and no significant increments in readmission risk. Conclusions: Short hospitalisations are not associated with worse outcomes. While post-discharge readmissions are not affected by LOH, mortality risk increases as the LOH lengthens. These findings were similar across hospitalisation departments

Effects on short term outcome of non-invasive ventilation use in the emergency department to treat patients with acute heart failure: A propensity score-based analysis of the EAHFE Registry

Objective: To assess the effects of non-invasive ventilation (NIV) in emergency department (ED) patients with acute heart failure (AHF) on short term outcomes. Methods: Patients from the EAHFE Registry (a multicenter, observational, multipurpose, cohort-designed database including consecutive AHF patients in 41 Spanish EDs) were grouped based on NIV treatment (NIV+ and NIV–groups). Using propensity score (PS) methodology, we identified two subgroups of patients matched by 38 covariates and compared regarding 30-day survival (primary outcome). Interaction was investigated for age, sex, ischemic cardiomyopathy, chronic obstructive pulmonary disease, AHF precipitated by an acute coronary syndrome (ACS), AHF classified as hypertensive or acute pulmonary edema (APE), and systolic blood pressure (SBP). Secondary outcomes were intensive care unit (ICU) admission; mechanical ventilation; in-hospital, 3-day and 7-day mortality; and prolonged hospitalization (>7 days). Results: Of 11, 152 patients from the EAHFE (age (SD): 80 (10) years; 55.5% women), 718 (6.4%) were NIV+ and had a higher 30-day mortality (HR = 2.229; 95%CI = 1.861–2.670) (p 85 years, p < 0.001), AHF associated with ACS (p = 0.045), and SBP < 100 mmHg (p < 0.001). No significant differences were found in the secondary endpoints except for more prolonged hospitalizations in NIV+ patients (OR = 1.445; 95%CI = 1.122–1.862) (p = 0.004). Conclusion: The use of NIV to treat AHF in ED is not associated with improved mortality outcomes and should be cautious in old patients and those with ACS and hypotension

Evolución de Studium. Despliegue de la plataforma moodle 2.x

Memoria ID-2012.001. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2012-2013

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true