An educational proposal to face the challenges of the european higher education area: international service learning experience in medicine and education of the University of Malaga, Spain

Higher Education need to be paced to world and society evolution and to technology and scientific advances. Specifically in Europe, in the last years, we had to adapt the curricula to the European Higher Education Area (EHEA). We have reached a high level of scientific and technycal competences but we detect, some lacks of time and tools to developed all the transversal competences and skills of the professionals profile that are demand by the present society in which exists glaring gaps and inequities, in particular in health, that need a responsable answer/action. Actually a “redesign of professional health education is necessary and timely, in view of the opportunities for mutual learning and joint solutions offered by global interdependence due to acceleration of flows of knowledge, techologies, and financing across borders and the migration of both professionals and patients” (Frenk et al 2010, Lancet). In the educational panorama, it has been possible to expand the training of future teachers in one year, the reduction of the number of students for groups to provide a more individualized teaching and the slight increase of the time of practicum. It is required to implemented an sostainable innovation in medical education to evolve a high quality medicine in all the areas and competences needed. Likewise, it seems necessary that student-teachers known spaces that are not properly school-based and have experiences in contexts of either informal education or with marginal groups outside of the standardized schooling. International Service Learning (ISL) has provided health professional students and tearches-students the opportunity to provide healthcare and education under the direction of trained faculty, to underserved populations in developing countries (Seifer SD et al1998. Acad Med). Objective: To verify the usefulness of SL experience as an educational methodology in higher education in order to support or not the modification of the current contents of the medical and education curricula and design new subjects based on SL in Malaga University. Methods We designed a cooperation project with The NGO’s ACOES-Honduras and Fe y Alegría-Perú to develop a training experience for students of Medicine and Education. This study is based on the qualitative analysis of the final reports of 16 participants, in which they described their personal and professional experiences. To verify the academic results, the competences of the curriculum have been checked in the sections of the practicum in Education, or the specific ones for Pharmacology in Medicine. In this summary appeared some of them as an example. There are no specifications of names or places of any of the countries or names or references of adults or children. Results In Education six competences (between sixteen) have been pointed out that are enhanced by the context variables in both the organizational and the cultural aspects. In one hand, school functioning may be very similar throughout the world, but the connections between family and the education centre, relationships with students, the influence of the family and the family home, etc., are very different between the experience of the Students with an European lifestyle linked to the "welfare state", consumption, street safety, etc., and rural life and the economic and cultural situation of destinations. Related to the analysis of the medical curricula, it was focused on 27 transversal and 19 specific competences that covered areas of practice and others related to Pharmacology. In the case of transversal competences, around 70% were covered in the activities carried out. Specific competences were covered up to 75%. Volunteer narratives provided an image of the experience that shows the effectiveness of this type of program, both in increasing sensitivity and attention to diversity and in the implementation of "theoretical" training, and the original response to unforeseen situations. Conclusions SL was found to be an effective method to acquire personal and professional competences and skills in the area of pharmacology demand by our present society. Hence we will suggest this methodology in the design of a new subject: “Pharmacotherapeutics in disadvantaged environments”. Most, if not all, of the general views on experience valued those working months with people and marginal contexts very positively. Personal and professional learning is valued as meaningful and profound, affecting the way of understanding the world and its profession: As I tell all my relatives, friends and colleagues "This experience can not be tell you can only live it." (Student)Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Relación entre la sensibilidad a la ansiedad y el miedo a conducir

Conducir un vehículo es una tarea compleja que reviste cierto riesgo; ha dejado de ser una actividad esporádica para convertirse en cotidiana, desencadenando en muchos conductores experiencias desfavorables. El objetivo del presente estudio fueinvestigar acerca del valor explicativo y predictivo de la sensibilidad a la ansiedad y sus factores, así como de otras dimensiones de la ansiedad, como son la ansiedad general y la ansiedad fóbica en el desarrollo del miedo a conducir y de la fobia derivada de dicho miedo: la amaxofobia. Para ello se realizó un estudio correlacional, mediante la aplicación online de diversos cuestionarios a una muestra compuesta por 300 conductores. Los resultados mostraron que tanto la sensibilidad a la ansiedad como los rasgos de ansiedad general y fóbica están implicados en el desarrollo de la amaxofobia, sin embargo, ninguno de ellos alcanza un valor determinante por separado, obteniendo valores moderados, tanto explicativos como predictivos.Driving a vehicle is a complex task that carries a certain risk; it has ceased to be a sporadic activity to become daily, causing unfavorable experiences in many drivers. The aim of the present study was to investigate the explanatory and predictive value of sensitivity to anxiety and its factors, as well as other dimensions of anxiety, such as general anxiety and phobic anxiety in the development of fear of driving and the phobia derived from such fear: Amaxophobia. For this, a correlational study was carried out by means of the online application of several questionnaires to a sample composed of 300 drivers. The results showed that both anxiety sensitivity and general and phobic anxiety traits are involved in the development of amaxophobia, however, none of them reach a determinant value separately, obtaining moderate values both explanatory and predictive

Diseño, caracterización y evaluación de la seguridad de envases activos desarrollados con aceites esenciales.

Premio Extraordinario de Doctorado U

Infección por Neospora Caninum en un perro : descripción de un caso clínico

Se describe el caso clínico de un perro Pastor vasco macho, de un año y medio de edad, que comienza con una sintomatología poco definida y acaba derivando en unas semanas en un cuadro de tipo neurológico. La titulación serológica revela infección activa causada por Neospora caninum. Se discute acerca del diagnóstico, pronóstico y tratamiento.It is described the clinical case of a Basque shepherd dog of one and a half years oid, with unspecífíc symptoms, that finally presents a neurological disease a few weeks after. The antibody titre was positive and shows an active infection caused by Neospora caninum. It is discussed about diagnosis, prognosis and treatment

Spanish women athletes’ performance in the Summer Olympic Games history

In this study, an analysis was made of the qualitative and quantitative evolution of the participation and results obtained by the Spanish athletes throughout the Olympic Games, for which their records were compared to those of the men's team from Paris 1900 to Rio 2016. During the study, the growing weight of Spanish women athletes was analysed, resulting in the Women and Sport programme (2007), which seems to have been a determining factor in the improvement of the performance of Spanish women athletes, which surpassed that of the men's team in the last two editions, for the first time in history and in a consecutive manner. The data revealed a growing weight of women, with a historical representation much lower in the Olympic Games (less than 14% until Barcelona 1992) and significantly lower than men from the same (beginning to be more than 30%). This progression has been accompanied by a greater value in the variable weight of the medals, this fact was accentuated in the last editions of London 2012 (65%) and Rio de Janeiro 2016 (60%). It is clear from the results that there is plenty of room for improvement in women's sport. Empowering Spanish female athletes, increasing social and economic recognition, and identifying which are the differential factors that make them more efficient with respect to the male team, can optimize strategies and results in the third sector of sport in Spain

Differential iNKT and T Cells Activation in Non-Alcoholic Fatty Liver Disease and Drug-Induced Liver Injury

This work was supported in part by a grant from the Instituto de Salud Carlos III (Spain) (PI18/01804, PI19/00883, PI21/01248), from the Consejeria de Economia, Conocimiento, Empresas y Universidad (Junta de Andalucia, Spain) (UMA18-FEDERJA-194, PI18-RT-3364), and from the Consejeria de Salud (Junta de Andalucia, Spain) (PI-0285-2016). This study has been co-funded by FEDER funds ("A way to make Europe") ("Andalucia se mueve con Europa").Background: Non-alcoholic fatty liver disease (NAFLD) and idiosyncratic drug-induced liver injury (DILI) could share molecular mechanisms involving the immune system. We aimed to identify activation immunological biomarkers in invariant natural killer T (iNKT) and CD4/CD8+ T cells in NAFLD and DILI. Methods: We analyzed the activation profile (CD69, CD25, and HLA-DR) and natural killer group 2 member D (NKG2D) on iNKT cells, and CD4/CD8 T cells in peripheral blood mononuclear cells from NAFLD, with or without significant liver fibrosis, and DILI patients. Results: There was an increase in iNKT cells in NAFLD patients compared to DILI or control subjects. Regarding the cellular activation profile, NAFLD with significant liver fibrosis (F >= 2) displayed higher levels of CD69+iNKT cells compared to NAFLD with none or mild liver fibrosis (F <= 1) and control patients. CD69+iNKT positively correlated with insulin resistance, aspartate aminotransferase (AST) level, liver fibrosis-4 index (FIB4) and AST to Platelet Ratio Index (APRI). DILI patients showed an increase in CD69+ and HLA-DR+ in both CD4+ and CD8+ T cells, detecting the most relevant difference in the case of CD69+CD8+ T cells. Conclusions: CD69+iNKT may be a biomarker to assess liver fibrosis progression in NAFLD. CD69+CD8+ T cells were identified as a potential distinctive biomarker for distinguishing DILI from NAFLD.Instituto de Salud Carlos III PI18/01804 PI19/00883 PI21/01248Junta de Andalucia UMA18-FEDERJA-194 PI18-RT-3364 PI-0285-2016FEDER funds ("A way to make Europe") ("Andalucia se mueve con Europa"