Aplicaciones de las nuevas herramientas de visualización de modelos 3D y realidad virtual en Internet a la docencia de la conservación y restauración del patrimonio, el diseño, y las bellas artes

Depto. de Diseño e ImagenFac. de Bellas ArtesFALSEsubmitte

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

La expresión corporal en educación física : propuesta curricular desde la administración educativa

Resumen basado en el de la publicaciónSe analiza la expresión corporal en la Educación Física y se presenta un estudio de caso de un Match de improvisación. La expresión corporal es el instrumento con el cual se producen las variadas formas del arte del movimiento. Es fundamental en el proceso de comunicación y éste debe ser interactivo y dinámico. Se analiza la expresión corporal como medio educativo para la formación integral del alumnado. En el estudio del caso, se muestra cómo se aplica al marco escolar y en qué puede ayudar.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

La orientación deportiva en el marco escolar : propuesta educativa para la educación física en secundaria

Resumen basado en el de la publicaciónSe ofrecen directrices de cómo llevar a cabo trabajos de orientación deportivo en los centros de Educación Secundaria y se contextualiza dentro del marco escolar y su currículum. La orientación es un deporte consistente en una carrera individual cronometrada donde los participantes usan un mapa esencial y una brújula para recorrer en el orden adecuado diferentes puntos de control. Se explican las diversas modalidades de orientación existentes: como actividad en la naturaleza, como deporte competitivo, como actividad de ocio al aire libre y como modo de mantenerse en forma. La orientación guarda relación con el currículo oficial de Educación Física y forma parte del bloque de contenidos de Actividades en el Medio Natural.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

La expresión corporal en educación física : propuesta curricular desde la administración educativa

Resumen basado en el de la publicaciónSe analiza la expresión corporal en la Educación Física y se presenta un estudio de caso de un Match de improvisación. La expresión corporal es el instrumento con el cual se producen las variadas formas del arte del movimiento. Es fundamental en el proceso de comunicación y éste debe ser interactivo y dinámico. Se analiza la expresión corporal como medio educativo para la formación integral del alumnado. En el estudio del caso, se muestra cómo se aplica al marco escolar y en qué puede ayudar.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

Las actividades extraescolares y complementarias en el marco escolar : posibilidades educativas desde la educación física en secundaria

La oferta de actividades extraescolares deportivas es un elemento social de primer orden que deben estar reguladas por los proyectos de centro, como elemento del papel educativo de los mismos. Se analiza el concepto de actividad extraescolar, la normativa que las regula, el papel del Ampa y criterios para su organización. Se centra en las actividades desde la educación física y en las complementarias en el entorno natural.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

La educación para la paz : propuestas educativas desde la educación física escolar

Resumen basado en el de la publicaciónSe presenta una iniciativa en la que se trata de incluir un contenido educativo sobre la paz y valores necesarios para la integración del alumno mediante la Educación Física. Para poder educar a los alumnos mediante la paz, es necesario poner en marcha un plan de convivencia en el centro capaz de inculcar valores éticos y cívicos. La Educación Física se muestra como una de las materias con multitud de actividades orientadas a su consecución. Practicando juegos y deportes se debe hacer hincapié en la utilización del diálogo para la resolución de conflictos, desarrollando así actitudes de compañerismo ante los demás.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín 5 -3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]