Creació de vídeos de tècniques de bioquímica i de bases de dades de preguntes comentades

El treball dut a terme s'emmarca en un objectiu general de producció de materials perquè s'utilitzin com a eines per afavorir l'autoaprenentatge en un entorn de docència semipresencial. S'han fet dos vídeos de dues tècniques experimentals fonamentals en bioquímica: la cromatografia i la fixació de radiolligands. Ambdós vídeos corresponen a la filmació d'experiments que implicaven manipulacions sofisticades i es van dur a terme en els laboratoris docents de la Unitat de Bioquímica de Medicina. S'ha confeccionat una base de dades de preguntes de resposta múltiple que consta actualment de 200 preguntes de bioquímica i biologia molecular classificades i revisades. La utilització tutoritzada dels vídeos i de les preguntes, juntament amb l'avaluació de la comprensió de sessions presencials mitjançant un test ràpid i també l'apropament del coneixement bioquímic a coneixements intuïtius habituals, han permès millorar el rendiment acadèmic de l'alumnat, ja que se n'ha incrementat el nombre que superen les assignatures i també la proporció d'alumnat amb bones qualificacions.El trabajo llevado a cabo se enmarca en un objetivo general de producción de materiales para que se utilicen como herramientas para favorecer el autoaprendizaje en un entorno de docencia semipresencial. Se han hecho dos vídeos de dos técnicas experimentales fundamentales en bioquímica: la cromatografía y la fijación de radio-ligandos. Ambos vídeos corresponden a la filmación de experimentos que implicaban manipulaciones sofisticadas y se llevaron a cabo en los laboratorios docentes de la Unidad de Bioquímica de Medicina. Se ha confeccionado una base de datos de preguntas de respuesta múltiple que consta actualmente de 200 preguntas de bioquímica y biología molecular clasificadas y revisadas. La utilización tutorizada de los vídeos y de laspreguntas, junto con la evaluación de la comprensión de sesiones presenciales mediante un test rápido y también el acercamiento del conocimiento bioquímico a conocimientos intuitivos habituales, han permitido mejorar el rendimiento académico del alumnado, ya que se ha incrementado el número que superan las asignaturas y también la proporción de alumnado con buenas calificaciones.The general objective of this project is the production of materials for use as toolsfor promoting independent learning in a semi-distance learning environment. Two videos were produced of two basic experimental techniques in Biochemistry: chromatography and radioligand binding. Both videos include the filming of experiments that involved sophisticated manipulations which had to be carried out in the teaching laboratories of the Biochemistry Unit in the Faculty of Medicine. A data-base of multiple choice questions was produced. This currently consists of 200 classified and reviewed Biochemistry and Molecular Biology questions. Supervised use of the video and the questions, together with assessment of understanding of presence sessions by means of a Rapid Test and linking biochemical knowledge to normal intuitive knowledge, has led to an improvement in the academic performance of the students, as it has increased the number of students passing the subject as well as the proportion of students with good grades

Impact of operatoŕs experience on peri-procedural outcomes with Watchman FLX: Insights from the FLX-SPA registry

Background: The Watchman FLX is a device upgrade of the Watchman 2.5 that incorporates several design enhancements intended to simplify left atrial appendage occlusion (LAAO) and improve procedural outcomes. This study compares peri-procedural results of LAAO with Watchman FLX (Boston Scientific, Marlborough, Massachusetts) in centers with varying degrees of experience with the Watchman 2.5 and Watchman FLX. Methods: Prospective, multicenter, 'real-world' registry including consecutive patients undergoing LAAO with the Watchman FLX at 26 Spanish sites (FLX-SPA registry). Implanting centers were classified according to the center's prior experience with the Watchman 2.5. A further division of centers according to whether or not they had performed ≤ 10 or > 10Watchman FLX implants was prespecified at the beginning of the study. Procedural outcomes of institutions stratified according to their experience with the Watchman 2.5 and FLX devices were compared. Results: 359 patients [mean age 75.5 (SD8.1), CHA2DS2-VASc 4.4 (SD1.4), HAS-BLED 3.8(SD0.9)] were included. Global success rate was 98.6%, successful LAAO with the first selected device size was achieved in 95.5% patients and the device was implanted at first attempt in 78.6% cases. There were only 9(2.5%) major peri-procedural complications. No differences in efficacy or safety results according to the centeŕs previous experience with Watchman 2.5 and procedural volume with Watchman FLX existed. Conclusions: The Watchman FLX attains high procedural success rates with complete LAA sealing in unselected, real-world patients, along with a low incidence of peri-procedural complications, regardless of operatoŕs experience with its previous device iteration or the number of Watchman FLX devices implanted

Impact of a Primary Care Antimicrobial Stewardship Program on Bacterial Resistance Control and Ecological Imprint in Urinary Tract Infections

Antimicrobial stewardship programs (ASPs) are a central component in reducing the overprescription of unnecessary antibiotics, with multiple studies showing benefits in the reduction of bacterial resistance. Less commonly, ASPs have been performed in outpatient settings, but there is a lack of available data in these settings. We implemented an ASP in a large regional outpatient setting to assess its feasibility and effectiveness. Over a 5-year post-implementation period, compared to the pre-intervention period, a significant reduction in antibiotic prescription occurred, with a reduction in resistance in E. coli urinary isolates. ASP activities also were found to be cost-effective, with a reduction in medication prescription

Monoaminergic and histaminergic strategies and treatments in brain diseases

The monoaminergic systems are the target of several drugs for the treatment of mood, motor and cognitive disorders as well as neurological conditions. In most cases, advances have occurred through serendipity, except for Parkinson's disease where the pathophysiology led almost immediately to the introduction of dopamine restoring agents. Extensive neuropharmacological studies first showed that the primary target of antipsychotics, antidepressants, and anxiolytic drugs were specific components of the monoaminergic systems. Later, some dramatic side effects associated with older medicines were shown to disappear with new chemical compounds targeting the origin of the therapeutic benefit more specifically. The increased knowledge regarding the function and interaction of the monoaminergic systems in the brain resulting from in vivo neurochemical and neurophysiological studies indicated new monoaminergic targets that could achieve the efficacy of the older medicines with fewer side-effects. Yet, this accumulated knowledge regarding monoamines did not produce valuable strategies for diseases where no monoaminergic drug has been shown to be effective. Here, we emphasize the new therapeutic and monoaminergic-based strategies for the treatment of psychiatric diseases. We will consider three main groups of diseases, based on the evidence of monoamines involvement (schizophrenia, depression, obesity), the identification of monoamines in the diseases processes (Parkinson's disease, addiction) and the prospect of the involvement of monoaminergic mechanisms (epilepsy, Alzheimer's disease, stroke). In most cases, the clinically available monoaminergic drugs induce widespread modifications of amine tone or excitability through neurobiological networks and exemplify the overlap between therapeutic approaches to psychiatric and neurological conditions. More recent developments that have resulted in improved drug specificity and responses will be discussed in this review.peer-reviewe

Çédille, revista de estudios franceses

Presentació

La creación digital y animación Start-Up

David López Saura, nos hablo del caso de su empresa SMARTia Tech, especializada en el desarrollo de aplicaciones móviles (Android, iOS, HTML5), tecnologías inalámbricas (NFC, RFID), desarrollo web, e-commerce/m-commerce, formación.Conferencia de Rectores de las Universidades Españolas (CRUE, Fondo Europeo de Desarrollo Regional (FEDER)

Estilos atribucionales en estudiantes españoles de Educación Secundaria Obligatoria con alta ansiedad social autoinformada

Abstract This paper sought to analyze the relationship between social anxiety and academic causal self-attributions in a sample of 2022 Spanish adolescents (51.1% male) aged 12 to 16. Social anxiety was assessed using the questionnaire Social Phobia and Anxiety Inventory (SPAI). In addition, the Sydney Attribution Scale (SAS) was administered in order to analyze academic self-attributions. The results indicate that students with high social anxiety attribute their failures in reading and math more internally (low capacity and low effort) and less externally than do students without high social anxiety. Also, students with high social anxiety often attribute their success in reading less externally and their success in math less internally (capacity) than do students without high social anxiety. Thus, the results of logistic regression indicate that high social anxiety acts as a positive predictor vis-à-vis causal self-attributions of failures to low capacity and lack of effort whereas high social anxiety acts as a negative predictor self-attributions of success to the ability and chance and attributions of failures to external causes.Resumen El objetivo de este estudio fue analizar la relación entre la ansiedad social y las autoatribuciones causales académicas en una muestra de 2022 (51.1% varones) adolescentes españoles de 12 a 16 años. La ansiedad social se evaluó utilizando el cuestionario Social Phobia and Anxiety Inventory (SPAI) y para el análisis de las autoatribuciones académicas se administró el Sydney Attribution Scale (SAS). Los resultados indican que los estudiantes con alta ansiedad social atribuyen sus fracasos en lectura y matemáticas más internamente (baja capacidad y bajo esfuerzo) y menos externamente que los alumnos sin alta ansiedad social. Además, los estudiantes con alta ansiedad social suelen atribuir sus éxitos en lectura menos externamente y sus éxitos en matemáticas menos internamente (capacidad) que los estudiantes sin alta ansiedad social. Asimismo, los resultados obtenidos de la regresión logística señalan que la alta ansiedad social actúa como predictor positivo respecto a la realización de autoatribuciones causales de los fracasos a la baja capacidad y a la falta de esfuerzo y como predictor negativo de la realización de autoatribuciones de los éxitos a la capacidad y la suerte y de atribuciones de los fracasos a causas externas