Assesment of use degree of an interactive app to learn Radiology

Introducción: “Radiología plus” es una aplicación para dispositivo móvil (app) dirigida a alumnos de Grado de Medicina y de Fisioterapia de la Universidad de Córdoba. La app ha pretendido mostrar a los alumnos de una manera dinámica y ágil las diferentes técnicas de diagnóstico por la imagen, su utilidad para cada patología y área anatómica, y relacionar la imagen con otros datos clínicos. Objetivo: Analizar el uso de la aplicación por parte de los estudiantes. Material y Método: Se recopilaron casos clínicos procedentes del Hospital Universitario Reina Sofía representativos del trabajo diario de un Servicio de Radiología con técnicas clásicas y otras más avanzadas. La plataforma ha permitido a los profesores de la asignatura monitorizar durante el curso el uso de la aplicación por parte de los alumnos. Resultados: El 82% (345 alumnos) del total de estudiantes matriculados hicieron uso de la aplicación. El grado de utilización, en función del número de casos resueltos por cada estudiante ha sido: 37,4% Leve (1-24 casos), 14,4% Moderado (25-49 casos), 24,3% Importante (50-74 casos), 3,8% Muy Importante (75-100 casos) y 2% Excelente (>100 casos). Conclusión: La app ha tenido una amplia acogida por parte de los alumnos a la que estaba dirigida.Introduction: “Radiología plus” is an application for mobile devices (app) for Medicine and Physiotherapy degree students at the University of Córdoba. The app tried to show students in a dynamic and easy way the different diagnostic imaging techniques, their usefulness for each pathology and anatomical area, and relate the image with other clinical data. Objective: To analyze the use of the application by students. Material and Method: Clinical cases from the Reina Sofía University Hospital were collected. They were representative of the daily work of a Radiology Service with classic techniques and other very advanced and innovative techniques of a high technical level. The platform allowed teachers of this subject to monitor the use of it by the students during the course. Results: 82% (345 students) of the total number of students enrolled used the application. The follow-up divided into groups according to the cases resolved by each student was 37,4% Mild (1-24 cases), 14,4% Moderate (25-49 cases), 24,3% Important (50-74 cases), 3,8% Very Important (75-100 cases) y 2% Excellent (>100 cases). Conclusion: The app has been widely received by the students to whom it was addressed

Valoración del grado de utilización de una app interactiva para aprender radiología

Se presenta una aplicación para dispositivo móvil (app) dirigida a alumnos del Grado de Medicina y del Grado de Fisioterapia de la Universidad de Córdoba (UCO). Se trata de una herramienta interactiva y dinámica en la que el estudiante tiene acceso a casos clínicos cuyo diagnóstico principal se centra en la imagen. La app va a permitir que el alumno conozca y se familiarice con las diferentes técnicas de diagnóstico por la imagen, su utilidad para cada patología y área anatómica, y relacione la imagen con otros datos clínicos. Estos casos van a ser representativos del trabajo diario de un Servicio de Radiología con técnicas clásicas y otras muy avanzadas e innovadoras de alto nivel técnico. Además, esta herramienta permite monitorizar los conocimientos que adquirieren los alumnos durante el curso por parte de los profesores de la asignatura

Investigación educativa en las aulas de primaria

Reúne trabajos derivados de la experiencias de diversos docentes en educación primaria en los siguientes temas: Tecnología de Información y Comunicación, educación inclusiva, enseñanza de la música, educación física, enseñanza de la historia, acoso escolar, auto-evaluación, métodos de enseñanza, inteligencia emocional, percepción del alumno, marco cognitivo en comprensión lectora y comunicación escuela-familia

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London