Learning CPR and first aid in the school setting: Role of the school nurse

La mayoría de las paradas cardiorrespiratorias se producen fuera del ámbito hospitalario y a menudo los primeros rescatadores son personas de la calle. Actualmente en los países nórdicos el 70 % de las personas que sufren una parada cardiorespiratoria presenciada llegan con vida al hospital. Esto es así porque han introducido la enseñanza de las maniobras de RCP y primeros auxilios en la enseñanza obligatoria. Estas intervenciones son una herramienta útil en la prevención de la enfermedad cardiovascular, si además son impartidas por una enfermera escolar su éxito y continuidad está garantizada.Most cardiorespiratory arrests occur outside the hospital setting and often the first rescuers are street people. Currently in the Nordic countries 70% of the people who suffer a cardiorespiratory arrest witnessed come alive to the hospital. This is because they have introduced the teaching of CPR and first aid in compulsory education. These interventions are a useful tool in the prevention of cardiovascular disease, if they are also taught by a school nurse their success and continuity is guaranteed

A Roma en piragua

Travesía marítima en 3 piraguas desde Palma de Mallorca a Roma, pasando por Menorca, Cerdeña y Córceg

The British Influence in the Birth of Spanish Sport

Sports started to gain relevance in Spain around the end of the nineteenth century and the beginning of the twentieth century as a leisure and health option of the upper classes imported from Britain. Its early development was intertwined with the spread of other kinds of physical activities with much more tradition on the continent: gymnastics and physical education. First played by the ruling classes – aristocracy and high bourgeoisie – sports permeated towards petty bourgeoisie and middle classes in urban areas such as Madrid, Barcelona, San Sebastián and Santander. This pattern meant that the expansion of sports was unavoidably tied to the degree of industrialisation and cultural modernisation of the country. Since 1910, and mainly during the 1920s, sport grew in popularity as a spectacle and, toa much lesser degree, as a practice among the Spanish population

Atomic Layer Deposition of ZnO on Mesoporous Silica: Insights into Growth Behavior of ZnO via In-Situ Thermogravimetric Analysis

ZnO is a remarkable material with many applications in electronics and catalysis. Atomic layer deposition (ALD) of ZnO on flat substrates is an industrially applied and well-known process. Various studies describe the growth of ZnO layers on flat substrates. However, the growth characteristics and reaction mechanisms of atomic layer deposition of ZnO on mesoporous powders have not been well studied. This study investigates the ZnO ALD process based on diethylzinc (DEZn) and water with silica powder as substrate. In-situ thermogravimetric analysis gives direct access to the growth rates and reaction mechanisms of this process. Ex-situ analytics, e.g., N2 sorption analysis, XRD, XRF, HRTEM, and STEM-EDX mapping, confirm deposition of homogenous and thin films of ZnO on SiO2. In summary, this study offers new insights into the fundamentals of an ALD process on high surface area powders.TU Berlin, Open-Access-Mittel – 202

Phase II clinical trial of nab-paclitaxel plus gemcitabine in elderly patients with previously untreated locally advanced or metastatic pancreatic adenocarcinoma: the BIBABRAX study

[Purpose] To evaluate the health-related quality of life (HRQoL), global health status (GHS), and deterioration-free survival of an elderly population (> 70 years) with unresectable locally advanced (LAPC) or metastatic pancreatic cancer (mPC) treated with nab-paclitaxel in combination with gemcitabine.[Methods] In this open-label, single-arm, multicenter, phase II trial, patients received 4-week cycles of intravenous (i.v.) nab-paclitaxel at a dose of 125 mg/m2, followed by i.v. injections of gemcitabine at a dose of 1000 mg/m2 on days 1, 8 and 15 until disease progression or unacceptable toxicity was observed. The primary outcome was the HRQoL (deterioration-free rate at 3 months as evaluated with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30.[Results] Eighty patients (median age: 74.6 years) were enrolled (56 with mPC, 24 with LAPC). The percentage of patients who had not experienced deterioration at 3 months was 54.3% (95% CI 41.6–67.0%). The median (interquartile range) time until definite deterioration was 1.6 (1.1–3.7) months. The objective response rate and clinical benefit rate were achieved by 11 (13.8%, 95% CI 6.2–21.3%) and 54 patients (67.5%, 95% CI 57.2–77.8%), respectively. The median overall survival was 9.2 months (95% CI 6.9–11.5), and the median progression-free survival was 7.2 months (95% CI 5.8–8.5). Only fatigue and neutropenia demonstrated a grade 3–4 toxicity incidence > 20%.[Conclusions] Our study confirms the clinical benefit of the combination of nab-paclitaxel and gemcitabine in an elderly population with pancreatic cancer in terms of improved survival and clinical response. However, we were unable to confirm a benefit in terms of quality-of-life.The BIBABRAX study was funded by Celgene. Medical writing assistance in the preparation of this paper was provided by Apices with financial support from Celgene.Peer reviewe

Uso del doblaje como herramienta didáctica a través de aplicaciones móviles para mejorar la producción oral en la enseñanza del chino como lengua extranjera

El objetivo general de este trabajo es evaluar la posibilidad de incorporar las técnicas del doblaje tal que herramienta didáctica en la enseñanza del Idioma Chino como Lengua Extranjera, a partir de ahora CLE, a través de aplicaciones móviles para mejorar la competencia oral en los estudiantes de secundaria. Ya nos hemos referido a la dificultad que entraña el que los alumnos progresen adecuadamente en la oralidad del idioma chino, por lo que se hace necesario incidir en la mejora de la competencia comunicativa y más concretamente en la destreza oral y discursiva. Quizás la dificultad que entraña hace que el profesorado dedique más atención a la escritura, que por su plasticidad y características tan exclusivas llama poderosamente la atención, siendo más amables los resultados y más fácil lograr efectos satisfactorios, al menos a corto plazo. Las horas para el estudio de lenguas en los centros escolares no son suficientes para alcanzar una destreza oral competente y efectiva. Esta falta de tiempo es más acuciante en la enseñanza de otras lenguas ajenas al inglés como el chino. Por ello, motivar al alumno con otros recursos con los que puede realizar prácticas fuera del contexto escolar nos ayudará a que se impliquen más en el estudio por su cuenta y a que sean más autónomos y participes de su propio aprendizaje. Por otro lado, cuando las prácticas que se realizan en clase se orientan fundamentalmente a superar los exámenes de forma exclusiva, acaban siendo artificiales en exceso y por lo tanto exentas de naturalidad siendo difícil que consigan mantener una conversación con un nativo de la lengua que aprenden. Habría que marcar los objetivos claramente, porque superar un examen no siempre es sinónimo de capacidad oral en el idioma de estudio, un examen acota el rango de conocimiento y con el se mide el nivel del alumno. Cuando los conocimientos a evaluar en el examen se acerquen más a los de la vida real, obtendremos alumnos mejor capacitados para desenvolverse con naturalidad y menos encorsetados en frases artificiales, que si bien son correctas no son de uso cotidiano