Valoración desde la perspectiva de los orientadores de Educación Secundaria de la Región de Murcia del portal de Atención a la Diversidad ORIENTAMUR.

The present project aims to show the opinions of Secondary School counselors about the adequacy and usefulness of the resources offered by the Ministry of Education, Culture and Universities of the Region of Murcia, in providing the necessary care and attention to diversity in the Secondary Schools in this region, through the portal of Attention to Diversity: ORIENTAMUR.It is a descriptive study, conducted mainly through a survey of Secondary School counselors who have agreed to collaborate on this project.The results show that there is general level of satisfaction with this website, especially in the web layout, management and how easy it is to use. However, some aspects of the available resources could be improved, in this way this webpage would become and remain a useful and essential reference for all school counselors in this Region.En el presente trabajo se pretende dar a conocer las opiniones que albergan los orientadores de Educación Secundaria sobre la adecuación y utilidad de los recursos ofertados por la Consejería de Educación y Universidades de la Comunidad Autónoma de la Región de Murcia, en materia de atención a la diversidad, a los centros educativos de Educación Secundaria de esta región, desde el portal de Atención a la Diversidad: ORIENTAMUR.Es un estudio principalmente de carácter descriptivo realizado a través de una encuesta a orientadores de secundaria que han querido colaborar en este proyecto.Los resultados nos muestran que existe una satisfacción general en torno a este portal, especialmente en cuanto a su disposición web, manejo y funcionamiento. Sin embargo, algunos aspectos relacionados con los recursos disponibles podrían perfeccionarse haciendo que esta página web sea y continúe siendo un referente para todos los orientadores de esta región

Factores Pedagógicos que Favorecen el Éxito Escolar en Estudiantes de Enseñanza Postobligatoria

El foco del presente estudio ha sido el éxito escolar: la continuidad, la permanencia en el sistema educativo, lo cual implica transitar de forma adecuada por sus diversas etapas y modalidades formativas. En particular, hemos buscado conocer qué factores pedagógicos -vinculados a los procesos de enseñanza-aprendizaje y a la relación profesor/a-alumno/a- constituyen condiciones favorables para el éxito y la continuidad escolar de chicas y de chicos de enseñanza secundaria postobligatoria (Bachillerato y Ciclos Formativos). Hemos tratado de visibilizar el éxito escolar de chicos y de chicas en la educación secundaria, de analizar las experiencias y las trayectorias de estudiantes que, más allá del periodo obligatorio, dan continuidad a su vida escolar con éxito académico, de prestar atención a las diferencias entre estudiantes de Bachillerato y Ciclos Formativos y, por último, de analizar de forma diferenciada la experiencia de las chicas y de los chicos, indagando en los elementos de la construcción de la subjetividad en ambos sexos. Para ello, hemos trabajado con una muestra intencional de 26 estudiantes (12 chicas y 14 chicos), 16 de Bachillerato y 10 de Ciclos Formativos, seleccionados por sus docentes, en 12 centros urbanos y semiurbanos de Málaga, Sevilla, Granada, Cádiz y Almería. Los datos han sido recogidos a través de entrevistas semiestructuradas, con el apoyo de la técnica de foto-lenguaje y un cuestionario de contexto.Fundación Centro de Estudios Andaluces - [PRY031/11

Desarrollo de la gestión del proceso general de la manipulación de los medicamentos peligrosos en las unidades de hospitalización a domicilio

Objective: To identify associated hazards and to describe chemical risks arising from these in the process of handling of hazardous drugs (HD) in Home Hospitalization Units (HHU), as the initial phase of its risk assessment and which affect the security of healthcare professionals.Method: There was a consensus of experts (nominal group and documentary techniques) using a mixed method through two face-to-face rounds (meeting of participants and approval of proposals) and three masked rounds (review of the material on an individual basis). The analysis was applied to the field of home hospitalization and the stages of the process were designed using standardized graphical notation Business Process Modeling Notation.Results: It was obtained the specific flowchart for management and traceability of the HD, being characterized each of the phases of the general process, they were collected in a chart of stage management and operations of conservation, transportation and administration of HD in HHU, which served for the subsequent description of chemical hazards and exposure ways.Conclusions: The HD should be integrated in a standard management system in order to improve the safety of the patient and healthcare professionals, at the same time that the efficiency of resources are maximized and procedural incidents are minimized, ensuring the quality and the safety of the process of handling the HD on the HHU.It would be desirable, once the hazards have been identified, to carry out an assessment of the risks by following a systematic methodology and preventative approach that allows calibrating the probability of occurrence and severity of any adverse event.Objetivo: Identificar los peligros asociados y describir los riesgos químicos derivados de éstos, en el proceso de manipulación de los medicamentos peligrosos (MP) en las Unidades de Hospitalización a Domicilio (UHD), como fase inicial de su evaluación de riesgos y que afectan a la seguridad del profesional sanitario.Método: Se realizó un consenso de expertos (grupo nominal y técnicas documentales) utilizando un método mixto mediante dos rondas presenciales (reunión de los participantes y aprobación de propuestas) y tres rondas enmascaradas (revisión del material de forma individual). El análisis se aplicó al ámbito de la Hospitalización a Domicilio y las etapas del proceso se diseñaron mediante notación gráfica normalizada Business Process Modeling Notation.Resultados: Se obtuvo el diagrama de flujo específico para la gestión y trazabilidad de los MP, caracterizándose cada una de las fases del proceso general, recopiladas en un cuadro de gestión de etapas y operaciones de conservación, transporte y administración de MP en las unidades de hospitalización a domicilio, que sirvió para la posterior descripción de riesgos químicos y vías de exposición.Conclusiones: Los MP deben integrarse en un sistema normalizado de gestión con el fin de mejorar la seguridad del paciente y de los profesionales sanitarios, a la vez que se maximiza la eficiencia de los recursos y minimizan los incidentes procesales, garantizando la calidad y la seguridad del proceso de manipulación de MP en la UHD.Sería deseable, una vez se han identificado los peligros, llevar a cabo una evaluación de los riesgos siguiendo una metodología sistemática y de abordaje preventivo que permita calibrar la probabilidad de ocurrencia y la gravedad de cualquier suceso adverso

On the front labelling of food: nutritional traffic lights, Nutri-Score and others

The labelling of packaged foods is a universal concern present in the national legislation of most countries. Regulation (EU) No. 1169/20111 on food information provided to the consumer allows the possibility of using a front nutrition label FOPL (Front-of-Pack nutrition label) in a complementary way to the mandatory nutrition information, on a voluntary basis, without replacing it, as long as the requirements mentioned in said Regulation are met, do not mislead the consumer are not ambiguous or confused and are based on relevant scientific data.Peer reviewe

All-cause mortality in the cohorts of the Spanish AIDS Research Network (RIS) compared with the general population: 1997Ł2010

Abstract Background: Combination antiretroviral therapy (cART) has produced significant changes in mortality of HIVinfected persons. Our objective was to estimate mortality rates, standardized mortality ratios and excess mortality rates of cohorts of the AIDS Research Network (RIS) (CoRIS-MD and CoRIS) compared to the general population. Methods: We analysed data of CoRIS-MD and CoRIS cohorts from 1997 to 2010. We calculated: (i) all-cause mortality rates, (ii) standardized mortality ratio (SMR) and (iii) excess mortality rates for both cohort for 100 personyears (py) of follow-up, comparing all-cause mortality with that of the general population of similar age and gender. Results: Between 1997 and 2010, 8,214 HIV positive subjects were included, 2,453 (29.9%) in CoRIS-MD and 5,761 (70.1%) in CoRIS and 294 deaths were registered. All-cause mortality rate was 1.02 (95% CI 0.91-1.15) per 100 py, SMR was 6.8 (95% CI 5.9-7.9) and excess mortality rate was 0.8 (95% CI 0.7-0.9) per 100 py. Mortality was higher in patients with AIDS, hepatitis C virus (HCV) co-infection, and those from CoRIS-MD cohort (1997. Conclusion: Mortality among HIV-positive persons remains higher than that of the general population of similar age and sex, with significant differences depending on the history of AIDS or HCV coinfection

Analysis of the "European Charter on General Principles for Protection of the Environment and Sustainable Development" The Council of Europe Document CO-DBP (2003) 2

Analysis of the "European Charter on General Principles for Protection of the Environment and Sustainable Development" The Council of Europe Document CO-DBP (2003)

Wet fluvial fans of the Loranca Basin (Central Spain). Channel models and distal bioturbated gypsum with chert.

This fieldtrip has been planned mainly to examine palaeochannels that formed parts of wet fluvial fans in the Loranca Basin, central Spain. Clastic gypsum deposits with chert will be also visited in order to observe important bioturbation structures.Instituto de Estudios TurolensesN

Decreasing influenza vaccine coverage among adults with high-risk chronic diseases in Spain from 2014 to 2017

The objectives of this study were to estimate coverage of influenza vaccination in Spain among adults suffering chronic conditions, to assess time trends from 2014 to 2017 and to identify vaccine uptake predictors. We used individualized data of persons ≥15 y interviewed in the 2017 Spanish National Health Survey. Vaccine uptake and the presence of the chronic conditions analyzed (diabetes; cancer; chronic respiratory disease; chronic heart disease and cerebrovascular disease) were self-reported. Independent variables included sex, age and nationality. In 2017 overall influenza vaccination uptake among subjects with high-risk chronic conditions remained low (40.3%) and decreased significantly from 2014 (41.7%, adjusted OR 0.98 95%CI 0.84–0.98). The highest coverage was found among those with cerebrovascular disease (52.2%), diabetes (51.5%) and heart disease (51.4%) and the lowest figures for those suffering cancer (34.9%) and respiratory disease (35.1%). Coverage for cancer patients declined a 25% from 2014 to 2017. Older persons had higher coverages whereas females and immigrant population had lower uptakes. We conclude that influenza vaccination coverage among the high-risk population in Spain for suffering chronic conditions remains at a low level and has decreased significantly from 2014 to 2017, this affects more intensely to females and immigrants