Más allá de las dimensiones del cuidado. Sistematización de la experiencia de enseñanza aprendizaje sobre el cuidado

The systematization of the teaching experience in human care is part of the project called Human Care in Nursing Education, Research, Care, and Administration. Its objective is to encourage the sharing of experiences in teaching and learning about Human Care, in order to make known the reach of the interaction and to recognize the knowledge that has been promoted or where a synergy has been generated from practice, collective and personal experience. The design of the study is qualitative; using the Participative Action Research and Learning by Experience methods. In this study, we describe what we do, feel and live, documenting the participants' opinion regarding, what is care? From the interpretation of opinion emerges a conceptual synergy unique, its own, and novel regarding the definition of care given by the respondents in a collective teaching session. Caring is to give love and support to a person in order to minimize the anguish and enter into a stage of tranquility, providing a feeling of security and confidence at the moment. (Affection 1): Caring is direct or indirect attention that is given to the human being founded on holism, observation, communication and feelings in order to strengthen the weaknesses and team work and, in this way, achieves what has been planned. (Affection 5) and among others, human care is the key to caring with human quality founded in affection, confidence and personal presence with the objective that the person achieves the greatest satisfaction in the moment and occasion of his/her health status. (Affection 24).Esta sistematización de experiencia sobre la enseñanza del Cuidado Humano se inscribe en el proyecto titulado Cuidado Humano en Educación, Investigación, Administración y Cuidado en Enfermería, cuya finalidad es favorecer el intercambio de experiencias en la enseñanza y el aprendizaje sobre el Cuidado Humano; concienciar los alcances de la interacción y reconocer el conocimiento que se ha potenciado o dónde se ha generado una sinergia desde la práctica, la experiencia colectiva y la experiencia personal. Materiales y Métodos: El diseño del estudio es cualitativo; utilizando el método Investigación Acción Participativa y el Aprendizaje por Experiencia. En el mismo se describe lo que hacemos, sentimos y vivimos, documentando la opinión de los participantes sobre ¿Qué es el cuidado? De la interpretación de las opiniones, emerge una sinergia conceptual, única, propia y novedosa sobre la definición de cuidado dada por los informantes, en una sesión colectiva de enseñanza. Los resultados son los conceptos de cuidado que emergen de forma empírica y significativa: entre otros, Cuidado es brindar amor y apoyo a la persona para que minimice la angustia y entre en un estadio de tranquilidad, proporcionándole en el momento, un sentimiento de seguridad y confianza. (Afecto 1); y entre otros, el cuidado humano es la clave de la atención, con calidad humana, fundamentada en el afecto, la confianza y con la presencia del personal, con el fin de que la persona alcance la mayor satisfacción, en el momento y en la ocasión, de su estado de salud. (Afecto 24). En conclusión, la sistematización de la práctica pedagógica sobre el cuidado humano proporciona una de las vías para hacer más significativo entre las enfermeras la contribución del cuidado en la vida de los cuidados y de los cuidadores como principio universal, conjuntamente, con el amor, en la vida de los humanos y de la humanidad

Carbon dioxide (CO2) emissions and adherence to Mediterranean diet in an adult population: the Mediterranean diet index as a pollution level index

Background Research related to sustainable diets is is highly relevant to provide better understanding of the impact of dietary intake on the health and the environment. Aim To assess the association between the adherence to an energy-restricted Mediterranean diet and the amount of CO2 emitted in an older adult population. Design and population Using a cross-sectional design, the association between the adherence to an energy-reduced Mediterranean Diet (erMedDiet) score and dietary CO2 emissions in 6646 participants was assessed. Methods Food intake and adherence to the erMedDiet was assessed using validated food frequency questionnaire and 17-item Mediterranean questionnaire. Sociodemographic characteristics were documented. Environmental impact was calculated through greenhouse gas emissions estimations, specifically CO2 emissions of each participant diet per day, using a European database. Participants were distributed in quartiles according to their estimated CO2 emissions expressed in kg/day: Q1 (= 2.80 kg CO2). Results More men than women induced higher dietary levels of CO2 emissions. Participants reporting higher consumption of vegetables, fruits, legumes, nuts, whole cereals, preferring white meat, and having less consumption of red meat were mostly emitting less kg of CO2 through diet. Participants with higher adherence to the Mediterranean Diet showed lower odds for dietary CO2 emissions: Q2 (OR 0.87; 95%CI: 0.76-1.00), Q3 (OR 0.69; 95%CI: 0.69-0.79) and Q4 (OR 0.48; 95%CI: 0.42-0.55) vs Q1 (reference). Conclusions The Mediterranean diet can be environmentally protective since the higher the adherence to the Mediterranean diet, the lower total dietary CO2 emissions. Mediterranean Diet index may be used as a pollution level index

Relationship between olive oil consumption and ankle-brachial pressure index in a population at high cardiovascular risk

The aim of this study was to ascertain the association between the consumption of different categories of edible olive oils (virgin olive oils and olive oil) and olive pomace oil and ankle-brachial pressure index (ABI) in participants in the PREDIMED-Plus study, a trial of lifestyle modification for weight and cardiovascular event reduction in individuals with overweight/obesity harboring the metabolic syndrome. Methods: We performed a cross-sectional analysis of the PREDIMED-Plus trial. Consumption of any category of olive oil and olive pomace oil was assessed through a validated food-frequency questionnaire. Multivariable linear regression models were fitted to assess associations between olive oil consumption and ABI. Additionally, ABI ≤1 was considered as the outcome in logistic models with different categories of olive oil and olive pomace oil as exposure. Results: Among 4330 participants, the highest quintile of total olive oil consumption (sum of all categories of olive oil and olive pomace oil) was associated with higher mean values of ABI (beta coefficient: 0.014, 95% confidence interval [CI]: 0.002, 0.027) (p for trend = 0.010). Logistic models comparing the consumption of different categories of olive oils, olive pomace oil and ABI ≤1 values revealed an inverse association between virgin olive oils consumption and the likelihood of a low ABI (odds ratio [OR] 0.73, 95% CI [0.56, 0.97]), while consumption of olive pomace oil was positively associated with a low ABI (OR 1.22 95% CI [1.00, 1.48]). Conclusions: In a Mediterranean population at high cardiovascular risk, total olive oil consumption was associated with a higher mean ABI. These results suggest that olive oil consumption may be beneficial for peripheral artery disease prevention, but longitudinal studies are needed

Lavado de manos, lavado de boca

Introducción: Durante la pandemia por COVID-19, seguimos trabajando virtualmente. Muchas plantas medicinales refuerzan el sistema inmunitario. Usamos la Matricaria Chamomilla Lineé (MC) o “Manzanilla”, en enjuagues bucales (EB), haciendo infusión de su inflorescencia, aplicando su acción antiinflamatoria y anti infecciosa, para prevenir la mayor fuente del contagio a través de las gotitas de Flügge de la saliva, acompañado del cepillado dental. Objetivos: Colaborar contra la pandemia por COVID-19, cuidando la salud de la población. Metodología: Fase I: nos reunimos con el equipo del proyecto, a través de zoom, donde nos reparten las tareas a realizar, en la escuela primaria Nº15 “General Manuel Belgrano” del barrio “Campamento” de Ensenada, que tiene jornada completa y funciona según normativas vigentes y la Unidad Sanitaria “Campamento” de Ensenada, donde atienden los consultorios de Odontología, Obstetricia, Clínica Médica y Vacunación en doble turno. Fase II: colaboramos en la confección de material didáctico para la Escuela y Unidad Sanitaria, que se envían online, para alumnos, docentes, pacientes y profesionales. Fase III: presentamos nuestra experiencia en eventos científicos, Capítulo estudiantil, para la difusión a otros alumnos. Resultados: mejoramos la salud poblacional. Conclusiones: Si informamos sobre los síntomas de la enfermedad, las normas y recomendaciones para evitar la propagación del virus SARS-CoV2,higiene, (EB), en esta población de riesgo, de esta región geográfica, estamos dando batalla a la pandemia.Facultad de Odontologí

Essential Medicines at the National Level : The Global Asthma Network's Essential Asthma Medicines Survey 2014

Patients with asthma need uninterrupted supplies of affordable, quality-assured essential medicines. However, access in many low- and middle-income countries (LMICs) is limited. The World Health Organization (WHO) Non-Communicable Disease (NCD) Global Action Plan 2013-2020 sets an 80% target for essential NCD medicines' availability. Poor access is partly due to medicines not being included on the national Essential Medicines Lists (EML) and/or National Reimbursement Lists (NRL) which guide the provision of free/subsidised medicines. We aimed to determine how many countries have essential asthma medicines on their EML and NRL, which essential asthma medicines, and whether surveys might monitor progress. A cross-sectional survey in 2013-2015 of Global Asthma Network principal investigators generated 111/120 (93%) responses41 high-income countries and territories (HICs); 70 LMICs. Patients in HICs with NRL are best served (91% HICs included ICS (inhaled corticosteroids) and salbutamol). Patients in the 24 (34%) LMICs with no NRL and the 14 (30%) LMICs with an NRL, however no ICS are likely to have very poor access to affordable, quality-assured ICS. Many LMICs do not have essential asthma medicines on their EML or NRL. Technical guidance and advocacy for policy change is required. Improving access to these medicines will improve the health system's capacity to address NCDs.Peer reviewe

Type 2 Diabetes Variants Disrupt Function of SLC16A11 through Two Distinct Mechanisms

Type 2 diabetes (T2D) affects Latinos at twice the rate seen in populations of European descent. We recently identified a risk haplotype spanning SLC16A11 that explains ∼20% of the increased T2D prevalence in Mexico. Here, through genetic fine-mapping, we define a set of tightly linked variants likely to contain the causal allele(s). We show that variants on the T2D-associated haplotype have two distinct effects: (1) decreasing SLC16A11 expression in liver and (2) disrupting a key interaction with basigin, thereby reducing cell-surface localization. Both independent mechanisms reduce SLC16A11 function and suggest SLC16A11 is the causal gene at this locus. To gain insight into how SLC16A11 disruption impacts T2D risk, we demonstrate that SLC16A11 is a proton-coupled monocarboxylate transporter and that genetic perturbation of SLC16A11 induces changes in fatty acid and lipid metabolism that are associated with increased T2D risk. Our findings suggest that increasing SLC16A11 function could be therapeutically beneficial for T2D. Video Abstract [Figure presented] Keywords: type 2 diabetes (T2D); genetics; disease mechanism; SLC16A11; MCT11; solute carrier (SLC); monocarboxylates; fatty acid metabolism; lipid metabolism; precision medicin

Is diet partly responsible for differences in COVID-19 death rates between and within countries?

Correction: Volume: 10 Issue: 1 Article Number: 44 DOI: 10.1186/s13601-020-00351-w Published: OCT 26 2020Reported COVID-19 deaths in Germany are relatively low as compared to many European countries. Among the several explanations proposed, an early and large testing of the population was put forward. Most current debates on COVID-19 focus on the differences among countries, but little attention has been given to regional differences and diet. The low-death rate European countries (e.g. Austria, Baltic States, Czech Republic, Finland, Norway, Poland, Slovakia) have used different quarantine and/or confinement times and methods and none have performed as many early tests as Germany. Among other factors that may be significant are the dietary habits. It seems that some foods largely used in these countries may reduce angiotensin-converting enzyme activity or are anti-oxidants. Among the many possible areas of research, it might be important to understand diet and angiotensin-converting enzyme-2 (ACE2) levels in populations with different COVID-19 death rates since dietary interventions may be of great benefit.Peer reviewe

CIBERER : Spanish national network for research on rare diseases: A highly productive collaborative initiative

Altres ajuts: Instituto de Salud Carlos III (ISCIII); Ministerio de Ciencia e Innovación.CIBER (Center for Biomedical Network Research; Centro de Investigación Biomédica En Red) is a public national consortium created in 2006 under the umbrella of the Spanish National Institute of Health Carlos III (ISCIII). This innovative research structure comprises 11 different specific areas dedicated to the main public health priorities in the National Health System. CIBERER, the thematic area of CIBER focused on rare diseases (RDs) currently consists of 75 research groups belonging to universities, research centers, and hospitals of the entire country. CIBERER's mission is to be a center prioritizing and favoring collaboration and cooperation between biomedical and clinical research groups, with special emphasis on the aspects of genetic, molecular, biochemical, and cellular research of RDs. This research is the basis for providing new tools for the diagnosis and therapy of low-prevalence diseases, in line with the International Rare Diseases Research Consortium (IRDiRC) objectives, thus favoring translational research between the scientific environment of the laboratory and the clinical setting of health centers. In this article, we intend to review CIBERER's 15-year journey and summarize the main results obtained in terms of internationalization, scientific production, contributions toward the discovery of new therapies and novel genes associated to diseases, cooperation with patients' associations and many other topics related to RD research

Geolocation with respect to persona privacy for the Allergy Diary app - a MASK study

Background: Collecting data on the localization of users is a key issue for the MASK (Mobile Airways Sentinel network: the Allergy Diary) App. Data anonymization is a method of sanitization for privacy. The European Commission's Article 29 Working Party stated that geolocation information is personal data. To assess geolocation using the MASK method and to compare two anonymization methods in the MASK database to find an optimal privacy method. Methods: Geolocation was studied for all people who used the Allergy Diary App from December 2015 to November 2017 and who reported medical outcomes. Two different anonymization methods have been evaluated: Noise addition (randomization) and k-anonymity (generalization). Results: Ninety-three thousand one hundred and sixteen days of VAS were collected from 8535 users and 54,500 (58. 5%) were geolocalized, corresponding to 5428 users. Noise addition was found to be less accurate than k-anonymity using MASK data to protect the users' life privacy. Discussion: k-anonymity is an acceptable method for the anonymization of MASK data and results can be used for other databases.Peer reviewe

Adherence to treatment in allergic rhinitis using mobile technology. The MASK Study

Background: Mobile technology may help to better understand the adherence to treatment. MASK-rhinitis (Mobile Airways Sentinel NetworK for allergic rhinitis) is a patient-centred ICT system. A mobile phone app (the Allergy Diary) central to MASK is available in 22 countries. Objectives: To assess the adherence to treatment in allergic rhinitis patients using the Allergy Diary App. Methods: An observational cross-sectional study was carried out on all users who filled in the Allergy Diary from 1 January 2016 to 1 August 2017. Secondary adherence was assessed by using the modified Medication Possession Ratio (MPR) and the Proportion of days covered (PDC) approach. Results: A total of 12143 users were registered. A total of 6949 users reported at least one VAS data recording. Among them, 1887 users reported >= 7 VAS data. About 1195 subjects were included in the analysis of adherence. One hundred and thirty-six (11.28%) users were adherent (MPR >= 70% and PDC = 70% and PDC = 1.50) and 176 (14.60%) were switchers. On the other hand, 832 (69.05%) users were non-adherent to medications (MPR Conclusion and clinical relevance: Adherence to treatment is low. The relative efficacy of continuous vs on-demand treatment for allergic rhinitis symptoms is still a matter of debate. This study shows an approach for measuring retrospective adherence based on a mobile app. This also represents a novel approach for analysing medication-taking behaviour in a real-world setting.Peer reviewe