La Familia Telerín: Connected Learning through Transmedia

Nowadays, transmedia storytelling has shaped new ways to produce children’s content, in which the audience has an increasingly active role (Livingstone and Bovill 2013; Cortesi et al. 2015). The fruition of storytelling content through digital media allows to connect it with personal interests and school activitiesas well as to enhance the link between adults and children (Ito et al. 2013; Jenkins, Īto, and boyd 2015). The main goal of this paper is to analyze the new transmedia release of one the most successful and recognized TV cartoons all over Spain and Latin America: La Familia Telerín. Specifically, we want to discover how the cartoon was re-valued by the production company Anima Kitchen, and understand the role that transmedia storytelling played out in this regard. Adopting a digital anthropology approach (Horst and Miller 2012), our findings come from big data, a focus group and through a virtual ethnography. The findings provide us with a clear understanding about how transmedia storytelling supports social values, media skills and learning activities into the everyday life of children

Tratamientos para las grietas en los pezones durante la lactancia materna: una síntesis de evidencia.

Objective: To describe the current management recommended to health professionals for the treatment of nipple cracks associated with breastfeeding based on scientific evidence. Material and methods: Literature review in different databases such as Pubmed, Embase, Lilacs, among others. Applying filters and selection criteria, 15 articles were obtained in this evidence synthesis. Results: Nipple cracks are generally observed between the third and seventh day after delivery and can continue up to six weeks later, ranking it as the second leading factor in the abandonment of breastfeeding. Regarding the origin, it has been shown that the position and incorrect coupling are considered the most common causes that generate nipple cracks. There is no single method for the prevention or treatment of cracked nipples. Conclusion: A standard treatment for nipple cracks is not recommended, but it will depend on the type of injury. According to the present review and evaluation of the articles, breast milk can be considered effective only if the nipple is red and there is and there is no continuous loss of skin. If this is the case, it is recommended to keep the area clean avoiding moisture to promote tissue healing.Objetivo: Describir el manejo actual recomendado a los profesionales de la salud para el tratamiento de las grietas en el pezón asociadas a la lactancia materna basado en la evidencia científica. Material y métodos: Revisión de la literatura en diferentes bases de datos tales como Pubmed, Embase, Lilacs, entre otras. Aplicando filtros y criterios de selección, se obtuvieron 15 artículos en esta síntesis de evidencia. Resultados: Las grietas del pezón se observan generalmente entre el tercer y el séptimo día después del parto y pueden continuar hasta por seis semanas, posicionándose como el segundo factor de abandono de la lactancia materna. En cuanto al origen, se ha demostrado que la posición y el acople incorrecto se consideran las causas más comunes que generan las grietas del pezón. No existe un único método para la prevención o tratamiento de las grietas en el pezón. Conclusión: No se recomienda un tratamiento estándar para las grietas del pezón, sino que este dependerá del tipo de lesión. De acuerdo a esta revisión y evaluación de los artículos, la leche materna se considerará eficaz solo si el pezón está enrojecido y no hay pérdida de continuidad de la piel, si ese es el caso se recomienda mantener la zona limpia evitando la humedad para favorecer la cicatrización del tejido

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Municipios de Cundinamarca.

El conflicto armado en Colombia ha sido un flagelo que ha marcado al país durante décadas, dejando secuelas físicas, socioeconómicas y emocionales muy grandes. Han sido miles de víctimas las que han visto vulnerados sus derechos en diferentes circunstancias; en el presente trabajo se abordará la historia de Ana Ligia, quien fue sobreviviente del conflicto armado en Colombia y una más de las miles de víctimas de desplazamiento forzado; dicha historia nos sirve como base para realizar el ejercicio de análisis del caso, reflexiones acerca de emergentes e impacto psicosocial, y así mismo la creación de preguntas circulares, reflexivas y estratégicas, las cuales son de vital importancia en la terapia narrativa, la cual intenta transformar las perspectivas negativas que las victimas tienen sobre sus propias historias de vida, por unas más empoderadas y positivas. Posteriormente, procedemos con el abordaje del caso “Peñas Coloradas”, sobre el cual se realiza un análisis reflexivo, y a partir de esto desarrollamos tres estrategias encaminadas al fortalecimiento de la capacidad de afrontamiento de la comunidad afectada, cada una de ellas con acciones específicas en fases y con un impacto esperado. Compartimos el informe reflexivo sobre el ejercicio de foto voz, desarrollado en el paso anterior, el cual nos permitió evidenciar la importancia de las imágenes para dar cuenta de las perspectivas subjetivas y, la manifestación de las expresiones de violencia y su impacto. Finalmente, se encuentran las conclusiones generales del ejercicio realizado, y el enlace de la web wix, sobre la galería presentada por cada integrante del grupo colaborativo. Palabras claves: Impacto Psicosocial, Desplazamiento, Resiliencia, Subjetividad, Conflicto armado, Estrategias.The armed conflict has flagellated Colombia for decades, leaving physical, socioeconomic and emotional consequences. There have been thousands of victims whose rights were violated in different circumstances. This paper will present the story of Ana Ligia, an army conflict survivor in Colombia and one of the numerous victims of forced displacement. The story mentioned, will be used as a base to the case analysis, reflections about emergent and psychosocial impact. In the same way, it will be a resource to create circular, reflective and strategic questions that will be vital for narrative therapy. This therapy aims to transform the negative perspectives that victims have about their own life stories, into a more empowered and positive view. Subsequently, we will approach the “Peñas Coloradas” case, which will be used to make a reflective analysis. Therefore, we will develop three strategies to strengthen the coping capacity of the affected community. Each of the strategies will count with specific actions in phases and with an expected impact. We share the reflective report about the photo voice exercise developed in the previous exercise. This allowed us to evidence the importance of pictures in subjective perspectives and the manifestation of violence expressions and its impact. Finally, the general conclusions of the exercise can be found, and the Six web link about the gallery presented by each of the participants in the collaborative group. Key words: psychosocial impact, displacement, resilience, subjectivity, armed conflict, strategies

Coordinación y colaboración interdisciplinar entre profesorado y asignaturas para mejorar la calidad de la docencia universitaria

Innovación EducativaLa Universidad necesita nuevas formas de organización docente y establecer lazos con instituciones externas dedicadas a la práctica laboral para proporcionar a nuestro alumnado aprendizajes interdisciplinares y competenciales que les permitan una formación de calidad para el desempeño de su futura vida laboral. En este Proyecto de Innovación Docente (PID) hemos realizado una primera aproximación al conocimiento de las diferentes formas de coordinación y colaboración docente a través de la revisión bibliográfica y posteriormente hemos analizado el nivel de coordinación y colaboración de una muestra de docentes (n=18) de nuestra Universidad mediante la realización de una encuesta. En el marco de este PID se han establecido nuevos vínculos de coordinación y colaboración tanto entre profesores y asignaturas como con instituciones externas a la Universidad. Finalmente se ha llevado a cabo un análisis del impacto de la implementación de nuevas formas de coordinación y colaboración interdisciplinar, tanto desde el punto de vista del profesorado como del alumnado.Departamento de Psicologí

Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study

Background In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery. Methods An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis. Results The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”. Conclusions The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation

Plasma lipid profiles discriminate bacterial from viral infection in febrile children

Fever is the most common reason that children present to Emergency Departments. Clinical signs and symptoms suggestive of bacterial infection are often non-specific, and there is no definitive test for the accurate diagnosis of infection. The 'omics' approaches to identifying biomarkers from the host-response to bacterial infection are promising. In this study, lipidomic analysis was carried out with plasma samples obtained from febrile children with confirmed bacterial infection (n = 20) and confirmed viral infection (n = 20). We show for the first time that bacterial and viral infection produces distinct profile in the host lipidome. Some species of glycerophosphoinositol, sphingomyelin, lysophosphatidylcholine and cholesterol sulfate were higher in the confirmed virus infected group, while some species of fatty acids, glycerophosphocholine, glycerophosphoserine, lactosylceramide and bilirubin were lower in the confirmed virus infected group when compared with confirmed bacterial infected group. A combination of three lipids achieved an area under the receiver operating characteristic (ROC) curve of 0.911 (95% CI 0.81 to 0.98). This pilot study demonstrates the potential of metabolic biomarkers to assist clinicians in distinguishing bacterial from viral infection in febrile children, to facilitate effective clinical management and to the limit inappropriate use of antibiotics

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic