23 research outputs found

    Assessment of Pablo de Olavide University's Alignment with the 2030 Agenda. A Diagnosis from Seville, Spain

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    Document compiled by staff from Pablo de Olavide University of Seville (UPO), with technical assistance from Periferia Consultoría Social. This project has been funded with support from the European Commission.Versión española del documento en: https://dx.doi.org/10.46661/rio.20230630_1Recognizing the crucial role of universities in implementing the 2030 Agenda, the Pablo de Olavide University (UPO) has conducted a comprehensive assessment to evaluate its alignment and contribution towards achieving the Targets defined within the 17 Sustainable Development Goals (SDGs). The 2030 Agenda presents a dual mandate for universities. Firstly, they are tasked with integrating the SDGs into their educational and research programs. Secondly, they are expected to act as catalysts for societal transformation and promote a governance model in higher education that aligns with the Agenda's objectives. In light of these responsibilities, UPO has recognized the need to equip itself with the necessary tools to effectively assess the fulfillment of these mandates. This accountability is crucial for demonstrating UPO's commitment to the SDGs and for enhancing the effectiveness of its actions within the framework of the Agenda. This document provides a summary of the process undertaken by UPO, in collaboration with Periferia Social Consulting, between November 2022 and May 2023. The objective was to design a set of indicators that can measure UPO's contribution to the 2030 Agenda. The first section describes the methodology and various phases involved in the process. Following that, the document presents the system of indicators developed and provides information on UPO's contribution to the 2030 Agenda for the academic year 2021-2022. In the annexes, two posters are included, displaying the complete set of indicators and the measurements made for the 2021-2022 academic year.Universidad Pablo de Olavid

    Diagnóstico sobre alineamiento de la Universidad Pablo de Olavide de Sevilla con la Agenda 2030

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    Documento elaborado por el Grupo Interno de la UPO, con la asistencia técnica de Periferia Consultoría Social, y la financiación de la Agencia Andaluza de Cooperación Internacional.Versión inglesa del documento en: https://dx.doi.org/10.46661/rio.20230718_1Consciente del papel clave que juegan la universidades en la implementación de la Agenda 2030, la Universidad Pablo de Olavide (UPO) plantea realizar un diagnóstico para conocer el grado de alineamiento y contribución a la consecución de las metas englobadas en los 17 ODS que conforman dicha Agenda. La Agenda 2030 marca un doble mandato a las Universidades; por un lado, incorporar los ODS en el ámbito de la formación y la investigación y por otro, como agente transformador de la sociedad y modelo de gobernanza en Educación Superior. En este sentido, la UPO necesita dotarse de las herramientas necesarias con las que poder determinar cómo se están cumpliendo efectivamente estos mandatos, con la finalidad tanto de rendir cuentas sobre su contribución al cumplimiento de los ODS y de mejorar la eficacia de sus actuaciones en el marco de dicha Agenda. Este documento es un resumen del proceso que desde la UPO con el apoyo de Periferia Consultoría Social se ha llevado a cabo entre los meses de noviembre 2022 y mayo 2023 para la construcción de un Sistema de Indicadores que permite medir la contribución de la UPO a la Agenda 2030. En un primer apartado, se describe la metodología y distintas fases llevadas a cabo; a continuación, se presenta el sistema de indicadores construido y la información sobre la contribución de la UPO a la Agenda 2030 para el curso 2021-2022. En anexos, se pueden encontrar las fichas metodológicas de cada uno de los indicadores que conforman el sistema; así como, dos poster donde visualizar el conjunto de indicadores y la medición realizada para el curso 2021-2022.Universidad Pablo de Olavid

    Role of age and comorbidities in mortality of patients with infective endocarditis

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    [Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

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

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    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

    La perspectiva de las cuidadoras informales sobre la atención domiciliaria: un estudio cualitativo con ayuda de un programa informático

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    Fundamento. Existe en nuestro país un vivo debate sobre los modelos de atención domiciliaria que se deben desarrollar. Este estudio pretende conocer cómo perciben la calidad de la atención domiciliaria los cuidadores familiares de pacientes con cáncer en fase terminal, ancianos con demencia y personas intervenidas en programadas de cirugía mayor ambulatoria. Métodos: Estudio cualitativo de tipo fenomenológico basado en grupos de discusión (9), grupos triangulares (5) y entrevistas en profundidad (22). El estudio se realizó en Andalucía, durante los años 1999 y 2000. Los sujetos del estudio son los cuidadores principales de los pacientes que reciben atención domiciliaria desde los centros de salud. La información se ha analizado mediante análisis de contenido apoyado por el software NUDIST- 4. Las variables de análisis han sido las del modelo SERVQUAL. Resultados. Para las cuidadoras de pacientes con cáncer las dimensiones más importantes de la calidad de la atención domiciliaria son la Capacidad de Respuesta y la Accesibilidad. Elementos negativos que perjudican la accesibilidad son: la falta de cobertura de atención domiciliaria fuera del horario normal, la dificultad de contactar por teléfono, la tardanza en acudir y las visitas sólo a demanda. Las cuidadoras de pacientes intervenidos en cirugía mayor ambulatoria quieren Seguridad y la Fiabilidad. Las cuidadoras de ancianos con demencia consideran prioritario que se les proporcionen los materiales que necesitan para cuidar al enfermo. Conclusiones: Las expectativas de cuidadores y pacientes varían en función del problema de salud. Por lo tanto, las características de la atención domiciliaria tendrán que variar también en función de ello. Se hace necesario un modelo flexible que sea capaz de adaptarse a las necesidades de los diferentes tipos de pacientes y las circunstancias también distintas de sus cuidadores familiares

    Cost-utility analysis of the use of the 20-valent anti-pneumococcal vaccine (PCV20) in adults older than 60 years in Spain

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    Background and objectives: A cost-utility analysis was conducted to assess the efficiency of implementing a PCV20 vaccination strategy in the Spanish adult population older than 60 years, for the prevention of non-bacteremic pneumococcal pneumonia (NBP) and invasive pneumococcal disease (IPD). Methods: A Markov model, with annual cycles and a time horizon of 10 years was used. The analysis population was stratified by age and risk groups. The comparator was the sequential vaccination with the 15-valent pneumococcal conjugate vaccine (PCV15) followed by one dose of the pneumococcal polysaccharide vaccine (PPV23). The base case analysis was performed from the National Healthcare System (NHS) perspective including direct costs (€2018) and applying a discount of 3% to future costs and outcomes. Alternative scenarios explored a shorter time horizon (5 years), the societal perspective and other available vaccination strategies. All the parameters and assumptions were validated by a panel of experts. To evaluate the robustness of the model, deterministic and probabilistic sensitivity analyses (PSA) were carried out. Results: The results of the study showed that the vaccination strategy with PCV20 is a dominant option compared to the sequential regimen (PCV15 + PPSV23), resulting in direct cost savings of €85.7 M over 10 years, with a small increase in quality-adjusted life years (QALYs). PCV20 vaccination avoided 2,161 cases of IPD, 19,470 of NBP and 3,396 deaths and according to the PSA, the probability of PCV20 being cost-effective compared to a sequential regimen (PCV15 + PPSV23) was 100%. Conclusions/Recommendations: In the Spanish adult population older than 60 years, the vaccination strategy with one dose of PCV20 is more effective and less expensive (dominant) than vaccination with a sequential schedule with PCV15 and PPSV23
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