Mentoría entre iguales: alumnos que comparten experiencias y aprendizaje

Uno de los problemas con los que se encuentran la mayoría de los alumnos universitarios de primer año es la adaptación a un medio diferente: nuevos compañeros, nuevos profesores, nuevos métodos de aprendizaje, y en muchos casos una independencia de su familia que no siempre saben gestionar. Si a esto le añadimos la complejidad intrínseca de algunas asignaturas que necesitan de una nueva forma de organizar el pensamiento, el coctel puede resultar mortal para los resultados académicos. En esta ponencia se expondrá la experiencia al implantar un programa de mentoría en el Grado en Ingeniería Informática, los logros y defectos, los problemas y principales resultados.Peer Reviewe

Recurrent anal fistulae: Limited surgery supported by stem cells

AIM: To study the results of stem-cell therapy under a Compassionate-use Program for patients with recurrent anal fistulae. METHODS: Under controlled circumstances, and approved by European and Spanish laws, a Compassionate-use Program allows the use of stem-cell therapy for patients with very complex anal fistulae. Candidates had previously undergone multiple surgical interventions that had failed to resolve the fistulae, and presented symptomatic recurrence. The intervention consisted of limited surgery (with closure of the internal opening), followed by local implant of stem cells in the fistula- tract wall. Autologous expanded adipose-derived stem cells were the main cell type selected for implant. The first evaluation was performed on the 8th postoperative week; outcome was classified as response or partial response. Evaluation one year after the intervention confirmed if complete healing of the fistula was achieved. RESULTS: Ten patients (8 male) with highly recurrent and complex fistulae were treated (mean age: 49 years, range: 28-76 years). Seven cases were non- Crohn’s fistulae, and three were Crohn’s-associated fistulae. Previous surgical attempts ranged from 3 to 12. Two patients presented with preoperative incontinence (Wexner scores of 12 and 13 points). After the intervention, six patients showed clinical response on the 8th postoperative week, with a complete cessation of suppuration from the fistula. Three patients presented a partial response, with an evident decrease in suppuration. A year later, six patients (60%) remained healed, with complete reepithelization of the external opening. Postoperative Wexner Scores were 0 in six cases. The two patients with previous incontinence improved their scores from 12 to 8 points and from 13 to 5 points. No adverse reactions or complications related to stem-cell therapy were reported during the study period. CONCLUSION: Stem cells are safe and useful for treating anal fistulae. Healing can be achieved in severe cases, sparing fecal incontinence risk, and improving previous scorin

Mentoría entre iguales: alumnos que comparten experiencias y aprendizaje

Uno de los problemas con los que se encuentran la mayoría de los alumnos universitarios de primer año es la adaptación a un medio diferente: nuevos compañeros, nuevos profesores, nuevos métodos de aprendizaje, y en muchos casos una independencia de su familia que no siempre saben gestionar. Si a esto le añadimos la complejidad intrínseca de algunas asignaturas que necesitan de una nueva forma de organizar el pensamiento, el coctel puede resultar mortal para los resultados académicos. En esta ponencia se expondrá la experiencia al implantar un programa de mentoría en el Grado en Ingeniería Informática, los logros y defectos, los problemas y principales resultados

Emotional Intelligence and Communication: body awareness as a resource

[ES] Los cambios producidos en los procesos de enseñanza–aprendizaje requieren de los docentesformación competencial que motive a los alumnos para que sean capaces de desarrollarse comopersonas yrealizar aprendizajes significativos a lo largo de toda su vida. En línea con este objetivo esnecesaria una formación específica del profesorado que promueva el desarrollo de las competencias detipo emocional. En el contexto educativo, una de las clavesdel éxito (la consecución de un proceso deenseñanza–aprendizaje efectivo y de calidad) se encuentra en el modo en el cual se establecen lasdinámicas interpersonales. Un buen docente es aquel que no sólo “sabe”, sino que “es”. La presenciadel docente enel aula, su cercanía al alumno, su capacidad para gestionar sus emociones, paracomunicarse de modo eficaz y empatizar con él,son todos ellos aspectos que inciden sin lugar a dudasen el clima de trabajo, en el grado de motivación del alumno, en los resultados de aprendizaje, y claroestá,en su desarrollo personal. Cuando hablamos de aspectos comunicativos, aquellos de tipo no verbalcobran una gran importancia. Los docentes apenas reciben formación de tipo experiencial sobreaspectos relacionados con lapresencia del cuerpo y su expresión. El conocimiento enactivo a través deun programa de concienciación corporal y comunicación no –verbal posibilita el desarrollo decompetencias intra e interpersonales. Se presentan en este trabajo los resultados preliminares de unprograma de formación realizado en este ámbito con profesores universitarios de distintas áreas de conocimiento.[EN] Nowadays, the changes in the teaching-learning processes need competence trained teachers so as tomotivate students in their personal growth leading to significant life-long learning. In order to achieve this objective, specific teacher training that recognizes the importance of developing emotionalcompetences becomes necessary.In an educational context, one of the keys to success (securing aneffective quality teaching-learning process) is found on the way interpersonaldynamics are established.A proficient teacher is the one that not only has a good competence in declarative knowledge but also inskills or know how to and existential knowledge (savoir-être)..The presence of the teacher in theclassroom, his proximity to the student, his ability to manageemotions, to communicate effectively andto feel empathy, are all aspects that undoubtedly affect the work atmosphere at the level of studentmotivation towards improving learning outcomes, and ultimately, in his personal development.Whenwe talk about the aspects of communication, non-verbal ones acquire a great importance. Teachershardly receive non significative experiential training on aspects related to body presence and itsexpression in the classroom (somatic aspects). Body knowledge through a program of body awarenessand nonverbal communication enables the development of intra and interpersonal skills, aiming tocover this training gap. This paper presents the preliminary results of a training program conductedinthis area with teachers from diverse subject areas in the context of higher education.Rodríguez Jiménez, RM.; Caja López, MDM.; Gracia Parra, P.; Velasco Quintana, PJ.; Terrón López, MJ. (2013). Inteligencia Emocional y Comunicación: la conciencia corporal como recurso. REDU. Revista de Docencia Universitaria. 11(1):213-241. https://doi.org/10.4995/redu.2013.5598OJS21324111

El caos en la cáscara de nuez

Fac. de Bellas Artespu

BAG3 Genetic Cardiomyopathy May Overlap Fulminant Myocarditis Clinical Findings.

S

Activated prothrombin complex concentrate to treat bleeding events in acquired hemophilia A: BAHAS study

[Objective] Activated prothrombin complex concentrate (aPCC) is a bypassing agent indicated to treat bleeds in patients with acquired hemophilia A (AHA). Nevertheless, its efficacy and safety in the real-world setting have not often been addressed.[Methods] We report the experience of Spanish reference centers for coagulation disorders and from acquired hemophilia Spanish Registry (AHASR) from August 2012 to February 2021. Follow-up period of 30 days after aPCC withdrawal.[Results] Thirty patients with a median age of 70 years old, suffering from 51 bleeds treated with aPCC were finally evaluated. As first-line treatment, aPCC stopped bleeding in 13 of 14 (92.9%) cases. aPCC as the second line after recombinant factor VIIa failure, stopped bleeding in all cases. In 17 patients, aPCC was used far from initial bleed control as prophylaxis of rebleeding with 94% effectiveness. No thromboembolic episodes were communicated. One patient developed hypofibrinogenemia, which did not prevent aPCC from halting bleeding. No other serious adverse events possibly or probably associated with aPCC were reported.[Conclusions] This data support aPCC as hemostatic treatment in AHA with high effectiveness and excellent safety profile in acute bleeds and as extended use to prevent rebleedings, even in aging people with high cardiovascular risk.Shire IIR-ES-002899.Peer reviewe

2013. Documento Sevilla de Consenso sobre Alternativas a la Transfusión de Sangre Alogénica. Actualización del Documento Sevilla

La transfusión de sangre alogénica (TSA) no es inocua, y como consecuencia han surgido múltiples alternativas a la misma (ATSA). Existe variabilidad respecto a las indicaciones y buen uso de las ATSA. Dependiendo de la especialidad de los médicos que tratan a los pacientes, el grado de anemia, la política transfusional, la disponibilidad de las ATSA y el criterio personal, estas se usan de forma variable. Puesto que las ATSA tampoco son inocuas y pueden no cumplir criterios de coste-efectividad, la variabilidad en su uso es inaceptable. Las sociedades españolas de Anestesiología y Reanimación (SEDAR), Hematología y Hemoterapia (SEHH), Farmacia Hospitalaria (SEFH), Medicina Intensiva y Unidades Coronarias (SEMICYUC), Trombosis y Hemostasia (SETH) y Transfusiones Sanguíneas (SETS) han elaborado un documento de consenso para el buen uso de la ATSA. Un panel de expertos de las 6 sociedades ha llevado a cabo una revisión sistemática de la literatura médica y elaborado el 2013. Documento Sevilla de Consenso sobre Alternativas a la Transfusión de Sangre Alogénica. Solo se contempla las ATSA dirigidas a disminuir la transfusión de concentrado de hematíes. Se definen las ATSA como toda medida farmacológica y no farmacológica encaminada a disminuir la transfusión de concentrado de hematíes, preservando siempre la seguridad del paciente. La cuestión principal que se plantea en cada ítem se formula, en forma positiva o negativa, como: «La ATSA en cuestión reduce/no reduce la tasa transfusional». Para formular el grado de recomendación se ha usado la metodología Grades of Recommendation Assessment, Development and Evaluation (GRADE)

Healthcare workers hospitalized due to COVID-19 have no higher risk of death than general population. Data from the Spanish SEMI-COVID-19 Registry

Aim To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). Methods Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. Results As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). Conclusions Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality