Estimulando la conducción eficiente mediante una App para Android

Hoy en día, se intenta concienciar a la sociedad de que hay que tener una buena conducción para la reducción de la polución. Este tema es uno de los más preocupantes en la sociedad actual, ya que hay ciertas ciudades en las que la contaminación está originando un problema realmente serio. El medio ambiente no podrá hacer nada solo, es el ser humano el que tiene que intentar reducir ese factor. Los seres humanos pueden contribuir reduciendo la velocidad de los vehículos y teniendo una conducción eficiente. Además, cada día hay miles de accidentes en las carreteras, la DGT realiza campañas constantemente para lograr que los usuarios se conciencien de la importancia de conducir de forma segura, de manera que se reduzca la siniestralidad en las carreteras. Estos accidentes se podrían prevenir si los usuarios llevasen una buena conducción y fuesen prudentes al volante. Para intentar ayudar a los usuarios a que lleven ese tipo de conducción, se realizará una aplicación móvil, la cual llamaremos SafeCar. En ella el usuario podrá introducir el coche con el que suele conducir. Tras ello, podrá comenzar a realizar trayectos, los cuales se evaluarán mediante su velocidad. De esta forma, el usuario obtendrá una puntuación para cada trayecto. Después el usuario podrá realizar un análisis de esos trayectos, observando gráficas de los mismos. Además, podrá comparar unos trayectos con otros. De esta manera, el usuario podrá ver su progresión, es decir, cómo ha ido mejorando o empeorando en sus trayectos, pudiendo así valorar su propia conducción de forma que pueda tomar decisiones para los futuros trayectos que realice. Por lo tanto, la aplicación se presenta como un reto para el usuario, de manera que este pueda ayudar no solo al medio ambiente sino también al resto de usuarios de las vías públicas, reduciendo lo máximo posible los accidentes

Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project):A clinical trial by clusters

This study was funded by the Fondo de Investigaciones Sanitarias FIS Grant Number PI11/0477 ISCIII.-REDISSEC Proyecto RD12/0001/0012 AND FEDER Funding.Background: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. Methods/design: We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit characteristics. The statistical analysis will consist of a descriptive analysis of variables and a baseline comparison of both groups. For the primary outcome analysis, an average score comparison of hypothetical scenario questionnaires between the EDUCAGUIA intervention group and the control group will be performed at 1 and 6months post-intervention, using 95% confidence intervals. A linear multilevel regression will be used to adjust the model. Discussion: The identification of effective teaching strategies will facilitate the incorporation of available knowledge into clinical practice that could eventually improve patient outcomes. The inclusion of information technologies as teaching tools permits greater learning autonomy and allows deeper instructor participation in the monitoring and supervision of residents. The long-term impact of this strategy is unknown; however, because it is aimed at professionals undergoing training and it addresses prevalent health problems, a small effect can be of great relevance. Trial registration: ClinicalTrials.gov: NCT02210442.Publisher PDFPeer reviewe

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Mode of attachment and pathology caused by Parorchites zederi in three species of penguins: Pygoscelis papua, Pygoscelis adeliae, and Pygoscelis antarctica in Antarctica

We identified and compared gross and microscopic lesions associated with the cestode, Parorchites zederi, in the digestive tracts of three species of penguins (Spheniscidae): the Chinstrap (Pygoscelis antarctica), Gentoo (Pygoscelis papua), and Adélie penguins (Pygoscelis adeliae). The gastrointestinal tracts of 79 recently dead individuals (71 chicks and eight adults) were collected in locations throughout the Antarctic Peninsula during summer field trips in 2006–09. Parorchites zederi was found in the small intestine of 37 animals (47%), and 23 (62%) of these had parasite-associated lesions. The cestodes were either free in the intestinal lumen, clustered within mucosal ulcers, or deeply embedded in the intestinal wall. Histopathologic changes were most severe in adult Gentoo Penguins and included transmural fibrogranulomatous enteritis, hemorrhage, and edema. This report of pathology associated with P. zederi in the digestive tracts of penguins can serve as reference to monitor health in Antarctic birds associated with environmental changes.Peer Reviewe

El juego de la oca

El trabajo obtuvo un premio de la Modalidad A de los Premios Tomás García Verdejo a las buenas prácticas educativas en la Comunidad Autónoma de Extremadura para el curso 2011-2012Se describe una experiencia que consisitió en organizar y llevar a cabo el juego de la oca en vivo en la localidad de Garganta de la Olla (Cáceres) y relacionado con los cuentos, la poesía, las rimas, las retahílas, los refranes y las adivinanzas.ExtremaduraES