Frequency and quality of mid-afternoon snack among Spanish children

Introduction: There are increasing concerns about the types of foods and beverages consumed by children during mid-afternoon snack in Spain. Aim: To describe the frequency and quality of the mid-afternoon snack in a representative sample of Spanish children. Methods: A total of 1, 233 younger (three to six years) and 1, 618 older (seven to twelve years) children participated in the study. The report of food and beverages consumed per week during the mid-afternoon snack meal (merienda) was obtained by an online platform. Results: An 84.4% of younger and 78.3% of older children were mid-afternoon snack consumers. Regular consumers were more likely to be from the South and the Centre regions. Sandwich was the most consumed food item among younger (49.5%) and older (59.7%) consumers; 46.5% of mid-afternoon snacks contained two food items among younger children, and 50.1% of mid-afternoon snacks contained one food item among older children. “Fruit”, “milk and biscuits”, and “fruit, biscuits and juices” were the most consumed combinations when considering one, two and three or more food items during one-time mid-afternoon occasion, respectively. Conclusions: The frequency of mid-afternoon snack occasions and the number and quality of food items consumed during one-time mid-afternoon snack occasion decrease with age. Spanish children should increase the frequency of mid-afternoon snack consumption and include healthy options in their menus. Longitudinal and intervention studies are needed to address the health impact of snacking and how to use this meal occasion to balance children’s diets

Consideration of Social Disadvantages for Understanding and Preventing Obesity in Children

Addressing social disadvantages that lead to obesity should be a public health priority. Obesity prevalence among children and adolescents has reached a plateau in countries with high income but it continues rising in low-income and middle-income countries. In high-income countries, an elevated prevalence of obesity is found among racial and ethnic minority groups and individuals from disadvantaged socioeconomic backgrounds. In addition to classic socioeconomic status (SES) factors, like income, parental education, and occupation, recent publications have linked parental social disadvantages, such as minimal social network, non-traditional family structure, migrant status and unemployment, with obesogenic behaviors and obesity among children. Socio-ecological models of obesity in children can explain the influence of classic SES factors, social disadvantages, culture, and genes on behaviors that could lead to obesity, contributing to the elevated prevalence of obesity. Obesity is a multifactorial disease in which multilevel interventions seem to be the most effective approach to prevent obesity in children, but previous meta-analyses have found that multilevel interventions had poor or inconsistent results. Despite these results, some multilevel interventions addressing specific disadvantaged social groups have shown beneficial effects on children's weight and energy balance-related behaviors, while other interventions have benefited children from both disadvantaged and non-disadvantaged backgrounds. Considering obesity as a worldwide problem, the World Health Organization, the European Commission, and the National Institutes of Health recommend the implementation of obesity prevention programs, but the implementation of such programs without taking into consideration social disadvantages may be an unsuccessful approach. Therefore, the present publication consists of a review of the pertinent literature related to social disadvantage and its consequences for behaviors that could lead to childhood obesity. In addition, we will discuss the relationship between social disadvantages and the socio-ecological model of obesity in children. Finally, we will summarize the relevant aspects of multilevel intervention programs aiming to prevent obesity in children and provide recommendations for future research and intervention approaches to improve weight status in children with social disadvantages

Potential impact of European decisions and reports in pharmacy planning in Spain

Currently there are several cases in the field of the European Union regarding Spanish legislation on private pharmacy planning. The first of these cases was initiated by issuing a reasoned opinion by the European Commission on 28 June 2006. The second approach has taken place through the various preliminary questions raised before the Court of Justice of the European Communities by certain Spanish courts. Although not all of the above procedures have been completed, certain European pronouncements do provide what might be the consequences that they may have on the Spanish legislation on the subject. It is very likely that the binomial property-ownership in favor of pharmacists and planning criteria established in the Spanish regulations is considered compatible with European law. On the contrary, it is feasible that certain aspects of the merit scales applied by the Autonomous Communities for awarding newly authorized community pharmacies must be changed

Diseño de Metodologías Activas para Másteres

El objetivo de la Universidad de Burgos desde el Máster en Inspección, Restauración, Rehabilitación y Eficiencia Energética de Edificación (MIREE), es la implementación de metodologías docentes activas con el fin de la formación del alumnado, a través de casos concretos y reales que adicionalmente reportarán un beneficio social. Alguno de estos métodos pueden ser el estudio de casos, la resolución de ejercicios y problemas, el aprendizaje basado en problemas y orientado a proyectos, el aprendizaje cooperativo, etc. Lo que pretendemos con las metodologías activas de aprendizaje es, que los alumnos adquieran las competencias propuestas en el programa docente, desarrollando un aprendizaje profundo en cada una de ellas. Para ello debemos evitar que el profesorado monopolice la docencia, y es necesario comunicarles tanto al alumnado como al profesorado, que la docencia es una inversión en beneficio mutuo. La realización de este tipo de proyectos favorece notablemente a los alumnos ya que desarrollan la motivación de aprendizaje o puesta en práctica de las enseñanzas recibidas, pero lo que sin duda es motivador para ellos es el reconocimiento social al trabajo realizado. Esto se ve reflejado en la Estrategia Europea 2020 a nivel universitario que habla de reforzar la cooperación entre la Universidad, Investigación y Empresa

Breakfast characteristics and its association with daily micronutrients intake in children and adolescents–a systematic review and meta-analysis

Breakfast is an important source of key nutrients in the diet. For this reason, the aim of this review was to investigate the associations between breakfast consumption and daily micronutrients intake in both children and adolescents (aged 2–18 years). A peer-reviewed systematic search was conducted in three datasets (PubMed, Scopus and Cochrane Library) in February 2020 in English and Spanish. Two independent reviewers evaluated 3188 studies considering the AXIS critical appraisal and PRISMA methodologies. Meta-analysis was carried out comparing results according to type of breakfast consumed (Ready to eat cereals (RTEC) breakfast or other types of breakfast) and breakfast skipping. Thirty-three articles were included in the systematic review (SR) and 7 in the meta-analysis. In the SR, we observed that those children and adolescents who usually consume RTEC at breakfast had a higher consumption of B-vitamins than those not consuming RTEC at breakfast. Breakfast consumers had a higher mineral intake (iron, calcium, magnesium, potassium, zinc, and iodine) than breakfast skippers. In the Meta-Analysis, RTEC consumers had significantly higher vitamin C intake than breakfast skippers (SMD, -4.12; 95% confidence intervals (CI): -5.09, -3.16). Furthermore, those children who usually consume breakfast had significantly higher daily intake of calcium than breakfast skippers (SMD, -7.03; 95%CI: -9.02, -5.04). Our review proposes that breakfast consumption seems to be associated with higher daily micronutrients intake than breakfast skippers

Efecto de la música sobre la ansiedad y el dolor en pacientes con ventilación mecánica

La capacidad de la música para aliviar la ansiedad o el dolor ha sido utilizada ampliamente a lo largo de la historia. Objetivo: Examinar los efectos de la música sobre la ansiedad y el dolor en pacientes con ventilación mecánica invasiva. Diseño: Un ensayo aleatorizado controlado con medidas repetidas. Material y método: estudio prospectivo experimental con distribución aleatoria, en un hospital universitario de tercer nivel, de enero de 2009 a junio de 2010. La muestra fue de 44 participantes. La intervención consistió en una sesión musical de 30 min, con auriculares, en habitación individual. Al grupo control se le mantuvo sin ningún cambio en el entorno habitual de una unidad de cuidados intensivos. A cada paciente se le realizaron un mínimo de 3 y un máximo de 5 sesiones musicales. La música fue escogida por el paciente entre una selección musical preparada por el equipo investigador. La ansiedad, el dolor y las variables hemodinámicas frecuencia cardiaca, frecuencia respiratoria, tensión arterial sistólica y diastólica se midieron en el momento basal, tras la sesión musical y una hora después de la audición musical. Resultados: La musicoterapia disminuyó significativamente la ansiedad (p = 0,000), medida con la escala de Ansiedad Estado-Rasgo (STAI). No hubo diferencia significativa en los niveles de dolor (p = 0,157), medida con la escala visual analógica. No se demostró efecto sumativo a lo largo de las múltiples sesiones. Conclusión: La música reduce la ansiedad en los pacientes con ventilación mecánica invasiva, pudiéndose establecer como una herramienta no farmacológica a añadir a las opciones terapéuticas de las cuales disponemos

Bioadhesión sobre Alúmina. Propiedades superficiales

La alúmina es uno de los materiales cerámicos de mayor relevancia en usos biomédicos. Así, este trabajo hace una completa caracterización de su superficie a través de propiedades que son de especial importancia en aquellos procesos de interacción con superficies biológicas como son células y microorganismos. Tensión superficial, potencial zeta y rugosidad superficial se analizan utilizando métodos diversos. La tensión superficial se muestra en torno a 35 mJ m-2 aunque los valores dependen en muchos casos de la aproximación escogida y de los grupos de líquidos prueba necesarios para su determinación. El punto isoeléctrico aparece a pH = 4,6 lo que indica una carga superficial negativa cuando la alúmina se encuentre inmersa en líquidos fisiológicos (pH = 7). Los accidentes topográficos responsables de la macrorugosidad pueden considerarse de periodicidad en torno a 25um presentando alta variabilidad a escalas inferiores, por ello, es importante determinar la rugosidad a escalas próximas al tamaño de las células que intervienen en el proceso de adhesión

Analysis of the Acid Detergent Fibre Content in Turnip Greens and Turnip Tops (Brassica rapa L. Subsp. rapa) by Means of Near-Infrared Reflectance

Standard wet chemistry analytical techniques currently used to determine plant fibre constituents are costly, time-consuming and destructive. In this paper the potential of near-infrared reflectance spectroscopy (NIRS) to analyse the contents of acid detergent fibre (ADF) in turnip greens and turnip tops has been assessed. Three calibration equations were developed: in the equation without mathematical treatment the coefficient of determination (R2) was 0.91, in the first-derivative treatment equation R2 = 0.95 and in the second-derivative treatment R2 = 0.96. The estimation accuracy was based on RPD (the ratio between the standard deviation and the standard error of validation) and RER (the ratio between the range of ADF of the validation as a whole and the standard error of prediction) of the external validation. RPD and RER values were of 2.75 and 9.00 for the treatment without derivative, 3.41 and 11.79 with first-derivative, and 3.10 and 11.03 with second-derivative. With the acid detergent residue spectrum the wavelengths were identified and associated with the ADF contained in the sample. The results showed a great potential of NIRS for predicting ADF content in turnip greens and turnip tops

Metodología Aprendizaje-Servicio en el Postgrado de Rehabilitación

El objetivo de la Universidad de Burgos desde el Máster en Inspección, Restauración, Rehabilitación y Eficiencia Energética de Edificación (MIREE), es la implementación de metodologías docentes activas con el fin de la formación del alumnado, a través de casos concretos y reales que adicionalmente reportarán un beneficio social. Alguno de estos métodos pueden ser el estudio de casos, la resolución de ejercicios y problemas, el aprendizaje basado en problemas y orientado a proyectos, el aprendizaje cooperativo, etc. Lo que pretendemos con las metodologías activas de aprendizaje es, que los alumnos adquieran las competencias propuestas en el programa docente, desarrollando un aprendizaje profundo en cada una de ellas. Para ello debemos evitar que el profesorado monopolice la docencia, y es necesario comunicarles tanto al alumnado como al profesorado, que la docencia es una inversión en beneficio mutuo. La realización de este tipo de proyectos favorece notablemente a los alumnos ya que desarrollan la motivación de aprendizaje o puesta en práctica de las enseñanzas recibidas, pero lo que sin duda es motivador para ellos es el reconocimiento social al trabajo realizado. Esto se ve reflejado en la Estrategia Europea 2020 a nivel universitario que habla de reforzar la cooperación entre la Universidad, Investigación y Empresa