Análisis y comparación de la Competencia Transversal Análisis y Resolución de Problemas en asignaturas de Grado

[EN] The last syllabus of the grades of the Polytechnic University of Valencia (UPV) has changed the perspective of the universitary teaching and has highlighted the importance of the specific and the transversal competences. Therefore, there is a need for grading the transversal competences throughout the degrees and masters of the UPV. Moreover, these transversal competences must be assessed in several subjects. Due to the lack of experience in evaluating these skills, UPV has elaborated scoring rubrics to help professors to assess them. In this work, we review the assessment of the transversal competence "Problem identification and solving” of four subjects of different degrees and courses. In two subjects, special activities have been performed for the evaluation of this competence and scoring rubrics have been used. In the other two subjects, the mark of this skill has been obtained from other marks of the subject. Moreover, we have compared the mark of this skill with the final mark of the subject. Our results show that there is a high correlation between the two marks in the four subjects.[ES] En los últimos planes de estudios de los grados de la Universidad Politécnica de Valencia (UPV) ha cambiado el enfoque de la docencia y se ha resaltado el papel de las competencias, tanto específicas como transversales. Actualmente es necesario evaluar competencias transversales en todos los grados y másteres de la UPV y estas deben ser evaluadas en distintas asignaturas. Ante la falta de experiencia en su evaluación, la UPV ha elaborado rúbricas para ayudar al profesorado en dicha tarea. En este artículo revisamos la evaluación de la competencia transversal “Análisis y resolución de problemas” en cuatro asignaturas de distintos cursos y grados. En dos de estas asignaturas se han realizado actividades especiales para la evaluación de esta competencia y se han utilizado rúbricas para ello. En las otras dos asignaturas, se ha optado por utilizar las calificaciones de los actos de evaluación más relacionados con ella. Además, se ha comparado la calificación de esta competencia con la nota de la asignatura y los resultados muestran que para las cuatro asignaturas existe una alta correlación entre ambas.Alvarez Blanco, S.; Bosch Roig, I.; Jordan Lluch, C.; Lloret Mauri, J.; Mendoza Roca, JA.; Romero Pérez, L.; Sanabria Codesal, E.... (2016). Análisis y comparación de la Competencia Transversal Análisis y Resolución de Problemas en asignaturas de Grado. En In-Red 2016. II Congreso nacional de innovación educativa y docencia en red. Editorial Universitat Politècnica de València. https://doi.org/10.4995/INRED2016.2016.4348OC

Estudio de la Implantación de diversas Competencias Transversales en Asignaturas de diferentes Titulaciones de Ingeniería de la UPV

[EN] This article shows the tracking of the transversal competences applied to different subjects in different engineering degrees of the Polytechnic University of Valencia (UPV), allowing us to obtain a broad view on the transversal competences. We focus on the comparison of the materials developed in each subject for the design and proposed activities of teaching - learning as well as in the design of specific evaluation instruments, obtaining evidence, etc. Finally, the evaluation strategies carried out as well as the obtained results are shown. The subjects analyzed in this paper are related because the belong to Engineering taught at UPV, by members of the teaching innovation group EITACURTE, which make periodic meetings in order to exchange ideas about their teaching experiences.[ES] En este artículo se realiza un seguimiento del trabajo realizado en competencias transversales en diferentes asignaturas de distintas titulaciones de ingeniería de la Universitat Politècnica de València (UPV), permitiéndonos obtener una visión amplia sobre éstas. Nos centramos en la comparación de los materiales desarrollados en cada asignatura para el diseño y propuesta de actividades de enseñanza - aprendizaje, así como en el diseño de instrumentos de evaluación y la recopilación de evidencias. Finalmente se muestran las estrategias de evaluación llevadas a cabo, así como los resultados obtenidos. Las asignaturas analizadas en este artículo son impartidas por los profesores pertenecientes al grupo de innovación docente EITACURTE, los cuales realizan reuniones periódicas para intercambiar ideas sobre sus experiencias docentes.Alvarez Blanco, S.; Bosch Roig, I.; Jordan Lluch, C.; Lloret Mauri, J.; Mendoza Roca, JA.; Romero Pérez, L.; Sanabria Codesal, E.... (2016). Estudio de la Implantación de diversas Competencias Transversales en Asignaturas de diferentes Titulaciones de Ingeniería de la UPV. En In-Red 2016. II Congreso nacional de innovación educativa y docencia en red. Editorial Universitat Politècnica de València. https://doi.org/10.4995/INRED2016.2016.4349OC

Sigh in patients with acute hypoxemic respiratory failure and acute respiratory distress syndrome: the PROTECTION pilot randomized clinical trial

Background: Sigh is a cyclic brief recruitment manoeuvre: previous physiological studies showed that its use could be an interesting addition to pressure support ventilation to improve lung elastance, decrease regional heterogeneity and increase release of surfactant. Research question: Is the clinical application of sigh during pressure support ventilation (PSV) feasible? Study design and methods: We conducted a multi-center non-inferiority randomized clinical trial on adult intubated patients with acute hypoxemic respiratory failure or acute respiratory distress syndrome undergoing PSV. Patients were randomized to the No Sigh group and treated by PSV alone, or to the Sigh group, treated by PSV plus sigh (increase of airway pressure to 30 cmH2Ofor 3 seconds once per minute) until day 28 or death or successful spontaneous breathing trial. The primary endpoint of the study was feasibility, assessed as non-inferiority (5% tolerance) in the proportion of patients failing assisted ventilation. Secondary outcomes included safety, physiological parameters in the first week from randomization, 28-day mortality and ventilator-free days. Results: Two-hundred fifty-eight patients (31% women; median age 65 [54-75] years) were enrolled. In the Sigh group, 23% of patients failed to remain on assisted ventilation vs. 30% in the No Sigh group (absolute difference -7%, 95%CI -18% to 4%; p=0.015 for non-inferiority). Adverse events occurred in 12% vs. 13% in Sigh vs. No Sigh (p=0.852). Oxygenation was improved while tidal volume, respiratory rate and corrected minute ventilation were lower over the first 7 days from randomization in Sigh vs. No Sigh. There was no significant difference in terms of mortality (16% vs. 21%, p=0.342) and ventilator-free days (22 [7-26] vs. 22 [3-25] days, p=0.300) for Sigh vs. No Sigh. Interpretation: Among hypoxemic intubated ICU patients, application of sigh was feasible and without increased risk

Nutrición parenteral domiciliaria en España 2018. Informe del Grupo de Nutrición Artificial Domiciliaria y Ambulatoria NADYA

Aim: To communicate home parenteral nutrition (HPN) data obtained from the HPN registry of the NADYA-SENPE group (www.nadya-senpe.  com) for the year 2018. Material and methods: Descriptive analysis of the data collected from adult and pediatric patients with HPN in the NADYA-SENPE group registry from January 1st, 2018 to December 31st, 2018.  Results: There were 278 patients from 45 Spanish hospitals (54.7% women), 23 children and 255 adults, which represent a prevalence rate of 5.95 patients/million inhabitants/year 2018. The most frequent diagnosis in adults was “palliative cancer” (22.0%), followed by “others”. In children it was Hirschsprung’s disease together with necrotizing enterocolitis, with four cases (17.4%). The first indication was short bowel syndrome in both children (60.9%) and adults (35.7%). The most frequently used type of catheter was tunneled in both children (81.0%) and adults (41.1%). Ending 75 episodes, the most frequent cause was death (52.0%) and change to oral feeding (33.3%). Conclusions: The number of centers and collaborating professionals in the registry of patients receiving HPN remains stable, as well as the main indications and reasons for termination of HPN.Objetivo: comunicar los datos de nutrición parenteral domiciliaria (NPD) obtenidos del registro del grupo NADYA-SENPE (www.nadyasenpe. com) del año 2018. Material y métodos: análisis descriptivo de los datos recogidos de pacientes adultos y pediátricos con NPD en el registro NADYA-SENPE del 1 de enero al 31 de diciembre de 2018. Resultados: se registraron 278 pacientes (54,7% mujeres), 23 niños y 255 adultos, procedentes de 45 hospitales españoles, lo que representa una tasa de prevalencia de 5,95 pacientes/millón de habitantes/año 2018. El diagnóstico más frecuente en adultos fue “oncológico paliativo” (22,0%), seguido de “otros”. En niños fue la enfermedad de Hirschsprung junto con la enterocolitis necrotizante, con cuatro casos (17,4%). El primer motivo de indicación fue síndrome de intestino corto tanto en niños (60,9%) como en adultos (35,7%). El tipo de catéter más utilizado fue el tunelizado tanto en niños (81,0%) como en adultos (41,1%). Finalizaron 75 episodios, la causa más frecuente fue el fallecimiento (52,0%) y el paso a vía oral (33,3%). Conclusiones: el número de centros y profesionales colaboradores en el registro de pacientes que reciben NPD se mantiene estable, así como las principales indicaciones y los motivos de finalización de la NPD

Análisis y comparación de la Competencia Transversal Análisis y Resolución de Problemas en asignaturas de Grado

[EN] The last syllabus of the grades of the Polytechnic University of Valencia (UPV) has changed the perspective of the universitary teaching and has highlighted the importance of the specific and the transversal competences. Therefore, there is a need for grading the transversal competences throughout the degrees and masters of the UPV. Moreover, these transversal competences must be assessed in several subjects. Due to the lack of experience in evaluating these skills, UPV has elaborated scoring rubrics to help professors to assess them. In this work, we review the assessment of the transversal competence "Problem identification and solving” of four subjects of different degrees and courses. In two subjects, special activities have been performed for the evaluation of this competence and scoring rubrics have been used. In the other two subjects, the mark of this skill has been obtained from other marks of the subject. Moreover, we have compared the mark of this skill with the final mark of the subject. Our results show that there is a high correlation between the two marks in the four subjects.[ES] En los últimos planes de estudios de los grados de la Universidad Politécnica de Valencia (UPV) ha cambiado el enfoque de la docencia y se ha resaltado el papel de las competencias, tanto específicas como transversales. Actualmente es necesario evaluar competencias transversales en todos los grados y másteres de la UPV y estas deben ser evaluadas en distintas asignaturas. Ante la falta de experiencia en su evaluación, la UPV ha elaborado rúbricas para ayudar al profesorado en dicha tarea. En este artículo revisamos la evaluación de la competencia transversal “Análisis y resolución de problemas” en cuatro asignaturas de distintos cursos y grados. En dos de estas asignaturas se han realizado actividades especiales para la evaluación de esta competencia y se han utilizado rúbricas para ello. En las otras dos asignaturas, se ha optado por utilizar las calificaciones de los actos de evaluación más relacionados con ella. Además, se ha comparado la calificación de esta competencia con la nota de la asignatura y los resultados muestran que para las cuatro asignaturas existe una alta correlación entre ambas.Alvarez Blanco, S.; Bosch Roig, I.; Jordan Lluch, C.; Lloret Mauri, J.; Mendoza Roca, JA.; Romero Pérez, L.; Sanabria Codesal, E.... (2016). Análisis y comparación de la Competencia Transversal Análisis y Resolución de Problemas en asignaturas de Grado. En In-Red 2016. II Congreso nacional de innovación educativa y docencia en red. Editorial Universitat Politècnica de València. doi:10.4995/INRED2016.2016.4348OC

Teduglutide: a review of its use in short bowel syndrome

Introduction: Long-term Parenteral Support (PS) can be associated with serious complications, with a significant deterioration in the quality of life of patients with short bowel syndrome (SBS). Teduglutide is a recombinant analogue of glucagon-like peptide-2; it belongs to a novel therapeutic family and represents the first non-symptomatic approach against SBS.Objectives: To review the non-clinical and clinical data on efficacy and safety of teduglutide.Results: Teduglutide approval was based on results from a pivotal Phase III, 24-week, double-blind, placebo-controlled study (STEPS). SBS patients dependent on PS >= 3 times/week for >= 12 months received 0.05 mg/kg teduglutide (n = 43) or placebo (n = 43) 1 time/day. At week 24 there were significantly more responders in the teduglutide group vs. placebo (63 vs. 30%; p = 0.002). The overall mean reduction vs. PS baseline volume at week 24 was significantly higher with teduglutide vs. placebo (4.4 vs. 2.3 l/ week, p = 3 times/week for >= 12 months received 0.05 mg/kg teduglutide (n = 43) or placebo (n = 43) 1 time/day. At week 24 there were significantly more responders in the teduglutide group vs. placebo (63 vs. 30%; p = 0.002). The overall mean reduction vs. PS baseline volume at week 24 was significantly higher with teduglutide vs. placebo (4.4 vs. 2.3 l/ week, p = 12 months received 0.05 mg/kg teduglutide (n = 43) or placebo (n = 43) 1 time/day. At week 24 there were significantly more responders in the teduglutide group vs. placebo (63 vs. 30%; p = 0.002). The overall mean reduction vs. PS baseline volume at week 24 was significantly higher with teduglutide vs. placebo (4.4 vs. 2.3 l/ week,

Nutrición parenteral domiciliaria en España 2017. Informe del Grupo de Nutrición Artificial Domiciliaria y Ambulatoria NADYA.

to communicate HPN data obtained from the HPN registry of the NADYA-SENPE group (www.nadya-senpe.com) for the year 2017. descriptive analysis of the data collected from adult and pediatric patients with HPN in the NADYA-SENPE group registry from January 1st, 2017 to December 31st, 2017. there were 308 patients from 45 Spanish hospitals (54.5% women), 38 children and 270 adults, with 3,012 episodes, which represent a prevalence rate of 6.61 patients/million inhabitants/year 2017. The most frequent diagnosis in adults was "palliative cancer" (25.6%), followed by "others". In children, it was Hirschsprung's disease with six cases (15.8%). The first indication was short bowel syndrome in both children (55.3%) and adults (33.7%). The most frequently used type of catheter was tunneled in both children (73.4%) and adults (38.2%). Ending 81 episodes, the most frequent cause was death (62.9%) and transition to oral feeding (34.7%). the progressive increase of collaborating centers and professionals in the registry of patients receiving NPD is maintained. The main indications of HPN and the motive for ending have remained stable

Pressure support ventilation + sigh in acute hypoxemic respiratory failure patients: Study protocol for a pilot randomized controlled trial, the PROTECTION trial

Background: Adding cyclic short sustained inflations (sigh) to assisted ventilation yields optimizes lung recruitment, decreases heterogeneity and reduces inspiratory effort in patients with acute hypoxemic respiratory failure (AHRF). These findings suggest that adding sigh to pressure support ventilation (PSV) might decrease the risk of lung injury, shorten weaning and improve clinical outcomes. Thus, we conceived a pilot trial to test the feasibility of adding sigh to PSV (the PROTECTION study). Methods: PROTECTION is an international randomized controlled trial that will be conducted in 23 intensive care units (ICUs). Patients with AHRF who have been intubated from 24 h to 7 days and undergoing PSV from 4 to 24 h will be enrolled. All patients will first undergo a 30-min sigh test by adding sigh to clinical PSV for 30 min to identify early oxygenation responders. Then, patients will be randomized to PSV or PSV + sigh until extubation, ICU discharge, death or day 28. Sigh will be delivered as a 3-s pressure control breath delivered once per minute at 30 cmH2O. Standardized protocols will guide ventilation settings, switch back to controlled ventilation, use of rescue treatments, performance of spontaneous breathing trial, extubation and reintubation. The primary endpoint of the study will be to verify the feasibility of PSV + sigh evaluated through reduction of failure to remain on assisted ventilation during the first 28 days in the PSV + sigh group versus standard PSV (15 vs. 22%). Failure will be defined by switch back to controlled ventilation for more than 24 h or use of rescue treatments or reintubation within 48 h from elective extubation. Setting the power to 80% and first-risk order to 5%, the computed size of the trial is 129 patients per arm. Discussion: PROTECTION is a pilot randomized controlled trial testing the feasibility of adding sigh to PSV. If positive, it will provide physicians with an effective addition to standard PSV for lung protection, able to reduce failure of assisted ventilation. PROTECTION will provide the basis for a future larger trial aimed at verifying the impact of PSV + sigh on 28-day survival and ventilator-free days. Trial registration: ClinicalTrials.gov, NCT03201263. Registered on 28 June 2017