Formación de agentes de prevención de la soledad: Acompañamiento y fomento de hábitos saludables para personas mayores en situación de soledad no deseada (ApS_Te_acompaño)

ApS_Te_acompaño es un Proyecto de Aprendizaje-Servicio de la Universidad Complutense de Madrid en el marco de la “Convocatoria Proyectos Aprendizaje Servicio Complutense 2020”. ApS_Te_acompaño trata de poner en marcha una experiencia de ApS dirigida a la formación de Agentes Prevención de la Soledad, que les capacite para el desarrollo del acompañamiento y fomento de hábitos saludables para personas mayores en situación de soledad no deseada, fragilidad y/o vulnerabilidad social. El proyecto se llevó a cabo con los/as estudiantes del Máster Universitario en Salud, Integración y Discapacidad (MSID) que se imparte en la Facultad de Medicina, fruto de la experiencia previa durante el curso 2019/20 con motivo de la situación de crisis sociosanitaria provocada por la pandemia

Individual and environmental factors associated with death of cyclists involved in road crashes in Spain: a cohort study

Objective To quantify the magnitude of associations between cyclist fatalities and both cyclist and environment related characteristics in Spain during the first 24 hours after a crash. Results Non-use of a helmet was directly associated with death (IDR 1.43, 95% CI 1.25 to 1.64). Among other cyclist characteristics, age after the third decade of life was also directly associated with death, especially in older cyclists (‘over 74’ category, IDR 4.61, 95% CI 3.49 to 6.08). The association with death did not differ between work-related cycling and other reasons for cycling. There was an inverse association with death for crashes in urban areas and on community roads. Any adverse meteorological condition also showed a direct association with death, whereas altered road surfaces showed an inverse association. Crashes during nighttime were directly associated with death, with a peak between 3:00 and 5:59 am (IDR 1.58, 95% CI 1.03 to 2.41). Conclusions We found strong direct and inverse associations between several cyclist and environment related variables and death. These variables should be considered in efforts to prioritise public health measures aimed at reducing the number of cycling-related fatalities.This work was partially supported by the National Council of Science and Technology of Mexico [doctorate grant number 410668]

Formación de agentes de prevención de la soledad: Acompañamiento y fomento de hábitos saludables para personas mayores en situación de soledad no deseada II (ApS_Te_acompaño)

ApS_Te_acompaño es un Proyecto de Aprendizaje-Servicio de la Universidad Complutense de Madrid en el marco de la “Convocatoria Proyectos Aprendizaje Servicio Complutense 2021”. ApS_Te_acompaño trata de mantener la experiencia de ApS comenzada en el curso 2020_21, dirigida a la formación de Agentes Prevención de la Soledad, que les capacite para el desarrollo del acompañamiento y fomento de hábitos saludables para personas mayores en situación de soledad no deseada, fragilidad y/o vulnerabilidad social. El proyecto se llevó a cabo con los/as estudiantes del Máster Universitario en Salud, Integración y Discapacidad (MSID) y de la asignatura de Práctica Clínica II: Intervención Neurocognitiva y Social del Grado en Terapia Ocupacional que se imparte en la Facultad de Medicina

Fomento del autoaprendizaje mediante la construcción de exámenes tipo test

Depto. de Salud Pública y Materno - InfantilFac. de MedicinaFALSEsubmitte

Curso on-line de apoyo metodológico a la realización del Trabajo Final de Grado y Master (TFGM) de Medicina

Depto. de Salud Pública y Materno - InfantilFac. de MedicinaFALSEsubmitte

Identificación de problemas relacionados con el medicamento y estrategias de mejora en personas mayores

Depto. de Farmacología, Farmacognosia y BotánicaDepto. de Salud Pública y Materno - InfantilFac. de FarmaciaFac. de MedicinaUniversidad Complutense de Madrid. Proyectos ApSsubmitte

Utilización de los medios de comunicación como herramienta de aprendizaje y consolidación de conocimientos en epidemiología y salud pública

Reforzar conceptos de salud pública mediante análisis de información publicada por los medios. Se seleccionarán informaciones que traten temas de salud pública. Se realizará un análisis evaluando qué conceptos se manejan, y si están bien utilizados

Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain

Alcohol-related harm decreases as socioeconomic position increases, although sometimes the opposite happens with alcohol intake. The objective was to know the educational gradient in monthly measures of drinking amount and heavy episodic drinking (HED) among people aged 25–64 years in Spain from 1997–2017. Such gradient was characterized with the relative percent change (PC) in drinking measures per year of education from generalized linear regression models after adjusting for age, year, region, marital status and immigration status. Among men, the PCs were significantly positive (p 40 g/day (−6.0%) and ≥4 HED days (−3.2%), while among women they ranged from 3.6% to 5.7%. The gradient in prevalences of >40 g/day (men) and >20 g/day (women) was greatly attenuated after additionally adjusting for HED, while that of ≥4 HED days was only slightly attenuated after additionally adjusting for drinking amount. Among women, the gradients, especially in HED measures, seem steeper in 2009–2017 than in 1997–2007. Educational inequality remained after additional adjustment for income and occupation, although it decreased among women. These results can guide preventive interventions and help explain socioeconomic inequalities in alcohol-related harm

Effect of tramadol and DOACs with special attention to dabigatran on concomitant use, on the risk of mayor bleeding using BIFAP database in Spain

Background Tramadol, a weak opioid, inhibits the reuptake of serotonin, a key feature on vascular homeostasis. A suspected interaction exists between dabigatran and tramadol, which might trigger an excess on risk of bleeding however, there is a gap in knowledge on this topic. Purpose To estimate the effects of tramadol, dabigatran and concomitant use on the risk of hospitalized major bleeds (Gastrointestinal bleeding and intra-extracranial bleeds). Methods Among a validated established cohort of new users of oral anticoagulants for non valvular atrial fibrillation (NVAF) aged 18 years or older, we identified all hospitalized bleed episodes (GIB and extra/intracranial bleeds) within 2008-2015. A nested case–control analysis was conducted using conditional logistic regression. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated for dabigatran, tramadol and concomitant use. Several sensitivity analyses were carried out. Results aORs (95%CIs) for current use of only dabigatran, only tramadol and concomitant users were 1.73 (1.37-2.18) and 1.38 (1.13-1.67) and 2.04 (0.74-5.67) compared with non-users of both drugs (>365 days). aORs for current continuers and non-continuer users of dabigatran were 1.36 (1.00-1.86) and 2.19 (1.61-2.98), respectively. For the latter, non-continuer users with a short duration of dabigatran cumulated the highest risk (3.36 (1.88-5.99)). There also was an increased risk with concomitant use of tramadol and rivaroxaban (2.24 (1.19-4.21)), or antagonist of vitamin K (1.30 (1.00-1.69)). Conclusion There was a trend towards and increased risk of excess bleeds when using concomitantly with dabigatran. The effect decreases with a narrower definition of current use