Programa educativo “Deporte inclusivo en la escuela”: valoración de los profesores de educación física y de los deportistas paralímpicos participantes

El programa educativo de "Deporte Inclusivo en la Escuela" (DIE) se compone de una serie de actividades y recursos didácticos dirigidos a escolares de Secundaria Obligatoria y Bachillerato de la Comunidad de Madrid y a su profesorado, que busca la participación activa de personas con discapacidad en las actividades deportivas, fomentando los deportes paralímpicos a través de una metodología inclusiva, llevándose a cabo en las clases de Educación Física (EF). El presente trabajo, por un lado, analiza el citado programa a partir de la valoración de los profesores de Educación Física participantes (n=16, edad de media de 41,81 ± 7,06 años) de las ponencias de los deportistas paralímpicos que se han llevado a cabo dentro del programa DIE. Por otro lado, los deportistas paralímpicos (n=5, edad de media de 29,80 ± 6,83 años) han valorado el propio programa educativo. Para este fin y para recopilar la información necesaria, se han empleado dos cuestionarios diseñados a tal efecto. Estos cuestionarios han sido administrados tanto a los deportistas como a los profesores de EF de los centros respectivos participantes. Se calculó la media y desviación estándar para cada ítem estudiado. Se utilizó estadística no paramétrica, aplicándose la prueba U para evaluar las diferencias según género y edad (+/- 40 años) según pregunta utilizada. El nivel de significación fue establecido en p≤0,05. Los profesores valoran de forma muy positiva la disposición del deportista para dar a conocer los distintos aspectos de su vida deportiva (pregunta 5: 3,81 sobre 4) así como la propia identificación del deportista con los objetivos del programa (pregunta 2: 3,69 sobre 4). En relación al cuestionario de los deportistas Paralímpicos, éstos valoran muy positivamente la calidad del material deportivo prestado al centro para llevar a cabo el programa (pregunta 7: 4,6 sobre 5). Se puede concluir que la valoración de las ponencias por parte de los docentes, así como de los deportistas del propio programa, han sido más que satisfactorias, lo que indica que la inclusión de este tipo de ponencias en programas educativos deportivos es muy valorado por los profesores. Igualmente, los deportistas valoran de manera muy positiva el desarrollo de este tipo de programas educativos en el ámbito escolar

Programa "Mano a mano". Programa de educación para la salud dirigido a cuidadores familiares de personas con enfermedad neurodegenerativa

La población de mayores de 65 años está aumentando de forma notoria, con el consiguiente aumento de personas en situación de dependencia. La atención de estas personas dependientes se realiza de forma mayoritaria por la familia, siendo las mujeres las principales cuidadoras, perpetuando así el rol tradicional asociado a la mujer y contextualizando el cuidado familiar en una situación de desigualdad social y de género. El cuidado conlleva importantes repercusiones en la calidad de vida y salud de la persona cuidadora, que se ve a menudo sola y desbordada por la situación. De esta realidad surge el siguiente trabajo, con el objetivo de promover un programa de educación para la salud dirigido a los cuidadores familiares de personas con enfermedad neurodegenerativa, que permita proporcionar herramientas para mejorar el nivel de conocimientos respecto al cuidado, elevar la implicación en su autocuidado y mejorar su salud física, emocional y social

A clinical staging model for bipolar disorder : longitudinal approach.

Bipolar disorder (BD) has been identified as a life-course illness with different clinical manifestations from an at-risk to a late stage, supporting the assumption that it would benefit from a staging model. In a previous study, we used a clustering approach to stratify 224 patients with a diagnosis of BD into five clusters based on clinical characteristics, functioning, cognition, general health, and health-related quality of life. This study was design to test the construct validity of our previously developed k-means clustering model and to confirm its longitudinal validity over a span of 3 years. Of the 224 patients included at baseline who were used to develop our model, 129 (57.6%) reached the 3-year follow-up. All life domains except mental health-related quality of life (QoL) showed significant worsening in stages (p < 0.001), suggesting construct validity. Furthermore, as patients progressed through stages, functional decline (p < 0.001) and more complex treatment patterns (p = 0.002) were observed. As expected, at 3 years, the majority of patients remained at the same stage (49.6%), or progressed (20.9%) or regressed (23.3%) one stage. Furthermore, 85% of patients who stayed euthymic during that period remained at the same stage or regressed to previous stages, supporting its longitudinal validity. For that reason, this study provides evidence of the construct and longitudinal validity of an empirically developed, comprehensive staging model for patients with BD. Thus, it may help clinicians and researchers to better understand the disorder and, at the same time, to design more accurate and personalized treatment plans

Bloqueo TAP medioaxilar como tratamiento analgésico en el proceso de obtención de injerto de cresta ilíaca

Among the most frequent problems after obtaining the crest graft (ICI) is the high incidence of acute postoperative pain and the higher prevalence of chronic pain in the area of the incision that, according to some series of cases, can reach 40% The midaxilar TAP block, which works on the nerve roots from T7 to L1, can be effective in the control of pain through the incision and the manipulation of the iliac crest.  In this work, we present three cases of shoulder arthroplasty that required ICI. In all of them, the combination of two loco-regional anesthesia techniques was used,  mid-axillary TAP block and brachial plexus block at the interscalenic level, with the aim of avoiding the appearance of intra and postoperative pain, avoiding the use of opioids. In addition, in no case were there signs of systemic poisoning by local anesthetics. Entre los problemas más frecuentes tras la obtención del injerto de cresta (ICI) se encuentran la alta incidencia de dolor postoperatorio agudo y la mayor prevalencia de dolor crónico en el área de la incisión que, según algunas series de casos, puede alcanzar hasta el 40%. El bloqueo TAP medioaxilar, el cual actúa sobre las raíces nerviosas de T7 a L1, puede ser eficaz para controlar el dolor de la incisión y de la manipulación de la cresta ilíaca. En este trabajo, presentamos tres casos de artroplastia de hombro que requirieron ICI. En todos ellos se utilizó la combinación de dos técnicas de anestesia locorregional, el bloqueo TAP media axilar y el bloqueo del plexo braquial a nivel interescalénico, con el objetivo de evitar la aparición de dolor intra y postoperatorio, evitando el uso de opioides. Además, en ningún caso hubo signos de intoxicación sistémica por anestésicos locales.

Measurement of BepiColombo mission Medium Gain Antenna parameters

This paper is aimed to explain the radiation test in temperature performed on the radiofrequency assembly (RFA) of the Medium Gain Antenna (MGA) of ESA BepiColombo mission. The goal of this mission is to observe and study Mercury and its surroundings in a very demanding and stringent environment in terms of temperature and radiation. The paper presents the measurement set-up for the qualification campaign of the antenna, where it was necessary to characterize the antenna in a representative thermal environment

Open Data Consumption Through the Generation of Disposable Web APIs

The ever-growing amount of information in today’s world has led to the publication of more and more open data, i.e., that which is available in a free and reusable manner, on the Web. Open data is considered highly valuable in situational scenarios, in which thematic data is required for a short life cycle by a small group of consumers with specific needs. In this context, data consumers (developers or data scientists) need mechanisms with which to easily assess whether the data is adequate for their purpose. SPARQL endpoints have become very useful for the consumption of open data, but we argue that its steep learning curve hampers open data reuse in situational scenarios. In order to overcome this pitfall, in this paper, we coin the term disposable Web APIs as an alternative mechanism for the consumption of open data in situational scenarios. Disposable Web APIs are created on-the-fly to be used temporarily by a user to consume open data. In this paper we specifically describe an approach with which to leverage semantic information from data sources so as to automatically generate easy-to-use disposable Web APIs that can be used to access open data in a situational scenario, thus avoiding the complexity and learning curve of SPARQL and the effort of manually processing the data. We have conducted several experiments to discover whether non-experienced users find it easier to use our disposable Web API or a SPARQL endpoint to access open data. The results of the experiments led us to conclude that, in a situational scenario, it is easier and faster to use the Web API than the corresponding SPARQL endpoint in order to consume open data.This work was supported in part by the Access@City coordinated Research Project through the Spanish Ministry of Science, Innovation and Universities under Grant TIN2016-78103-C2-1-R and Grant TIN2016-78103-C2-2-R; in part by the Plataforma intensiva en datos proveedora de servicios inteligentes de movilidad (MoviDA) Project through Rey Juan Carlos University; and in part by the Recolección y publicación de datos abiertos para la reactivación del sector turístico postCOVID-19 (UAPOSTCOVID19-10) Project through the Consejo Social of the University of Alicante. The work of César González-Mora was supported in part by the Generalitat Valenciana, and in part by the European Social Fund under Grant ACIF/2019/044

Glove perforation and sternal wound infection in open heart surgery

Introducción y objetivos: La perforación de los guantes rompe la barrera entre la microbiota de las manos del cirujano y los tejidos estériles del paciente. El objetivo de este trabajo fue evaluar el efecto de la perforación de los guantes sobre la contaminación de la herida de esternotomía y las complicaciones infecciosas postoperatorias. Métodos: Se realizó un estudio prospectivo en 139 pacientes intervenidos de cirugía cardíaca mediante esternotomía media y en 7 cirujanos. Se evaluaron la presencia y la localización de las perforaciones, y la contaminación de la herida de esternotomía al final de la intervención. Se realizó un seguimiento para detectar complicaciones infecciosas postoperatorias. Resultados: La frecuencia de perforaciones en los guantes fue del 23%, siendo más frecuentes en los dedos índice y pulgar de la mano no dominante. La tasa de contaminación de la herida de esternotomía fue del 7,91%, siendo Staphylococcus epidermidis el microorganismo más frecuente. Ninguno de los pacientes donde se detectó perforación de los guantes o contaminación de la herida quirúrgica desarrolló infección postoperatoria del sitio quirúrgico. Conclusiones: No existe correlación entre perforación de los guantes y la contaminación de la herida de esternotomía ni con la aparición de complicaciones infecciosas postoperatorias. El desarrollo de una infección del sitio quirúrgico es un proceso complejo que depende de muchos otros factores además de los estudiados.Background and objectives: Surgical glove puncture breaks the barrier between the surgeon hands and the patient sterile wound tissues. The purpose of this work was to evaluate the effect of glove perforation on contamination of the sternal wound and postoperative infectious complications. Methods: A prospective study included 139 patients undergoing open heart surgery through a median sternotomy and seven cardiac surgeons. Glove puncture frequency and localization as well as wound contamination were evaluated at the end of the operation. Short and medium-term follow up was carried out to detect surgical site infections. Results: Glove perforation rate was 23% of the samples being more frequent in the index and thumb of the nondominant hand. The rate of contamination of the sternotomy wound was 7.91% being Staphylococcus epidermidis the most frequent microorganism. None of the patients with either glove punctures or wound contamination presented any surgical site infection. Conclusions: There is no correlation between glove perforation and sternal wound contamination and postoperative infectious complications. Surgical site infection is a more complex problem than it seems and depends of many other factors.S

The case of a southern European glacier disappearing under recent warming that survived Roman and Medieval warm periods

Mountain glaciers have generally experienced an accelerated retreat over the last three decades as a rapid response to current global warming. However, the response to previous warm periods in the Holocene is not well-described for glaciers of the of southern Europe mountain ranges, such as the Pyrenees. The situation during the Medieval Climate Anomaly (900-1300 CE) is particularly relevant since it is not certain whether the glaciers just experienced significant ice loss or whether they actually disappeared. We present here the first chronological study of a glacier located in the Central Pyrenees (N Spain), the Monte Perdido Glacier (MPG), carried out by different radiochronological techniques and their comparison with geochemical proxies with neighboring paleoclimate records. The result of the chronological model proves that the glacier endured during the Roman Period and the Medieval Climate Anomaly. The lack of ice from last 600 years indicates that the ice formed during the Little Ice Age has melted away. The analyses of the content of several metals of anthropogenic origin, such as Zn, Se, Cd, Hg, Pb, appear in low amounts in MPG ice, which further supports our age model in which the record from the industrial period is lost. This study confirms the exceptional warming of the last decades in the context of last two millennia. We demonstrate that we are facing an unprecedented retreat of the 55 Pyrenean glaciers which survival is compromised beyond a few decades

Efficacy of a Strategy for Implementing Guidelines for the Control of Cardiovascular Risk in Primary Healthcare

Background: A number of strategies exist for the implementation of clinical practice guides (CPGs). Aim: To assess the efficacy of implementing a cardiovascular risk CPG based on an educational method involving opinion leaders, and the habitual method of dissemination among primary healthcare teams. Design and Setting: Controlled, blinded, community intervention trial randomised by clusters. Methods: 21 primary healthcare centres were randomly assigned to either the intervention arm (n = 11) or the control arm (n = 10). The study subjects were patients aged ≥45 years assigned to the centres. The overall impact of the intervention was measured as the difference between the increase in the proportion of patients whose medical records showed the recording of all the variables necessary to calculate cardiovascular risk in both arms. Analyses were performed with Generalized Lineal Model on an intention-to-treat basis. Results: 917 subjects were included at the beginning of the trial (437 in the intervention arm and 480 in the control arm). 826 subjects were included in the final evaluation (436 in the intervention group and 390 in the control arm). At the end of the trial, the recording of the variables necessary for the calculation of the cardiovascular risk in the intervention group had increased more than in the control group (difference between increases 7.49% (95% CI 4.62 - 10.35)) after adjusting for confounding variables. Conclusions: Compared to the habitual method of dissemination, the implementation of this CPG using an educational method involving opinion leaders, improved the recording of the variables needed to calculate patients’ cardiovascular risk.Funding for the trial was provided by the Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I). Instituto de Salud Carlos III—Fondo de Investigación Sanitaria. Expediente N˚ 031216.S