Interactive History: online teaching of the Legal History

En plena era digital resulta imprescindible la continua actualización de los instrumentos utilizados para la docencia. En concreto, la implementación de las “nuevas tecnologías de la información y la comunicación” conlleva múltiples ventajas, como una mayor eficiencia en el sistema educativo, la mejora del rendimiento académico, o el incremento de la motivación de los estudiantes. Teniendo en cuenta esta premisa, desde el Área de Historia del Derecho y de las Instituciones de la Universidad Miguel Hernández, se han elaborado unos materiales docentes dotados de un formato totalmente interactivo. Estos incluyen elementos multimedia, gráficos ampliables, y animaciones. De la misma forma, integran prácticas autoevaluables, como exámenes y cuestionarios, y, además, permiten la conexión directa con las redes sociales, como Twitter y blogs. Las ventajas de la implementación de esta herramienta han sido múltiples. Entre otras, podemos señalar que se ha conferido a la asignatura una visión mucho más dinámica y distraída, además de práctica, al facilitarse la constante interacción del estudiantado. Este último hecho ha sido posible gracias a las distintas actividades que se incluyen entre las páginas del libro electrónico lo que, igualmente, ha permitido la continua retroalimentación de los discentes.In the digital epoch, it is necessary to constantly update the instruments employed in order to teach. Specifically, the implementation of the “technologies of the information and communication” produces, among other effects, more efficiency of the teaching system, improving academic performance or greater motivation of students. Is for this reason we have evolved a teaching material equipped with a completely interactive format, including multimedia, graphic elements and animation. At the same time, it includes self-assessment practice exercises like, for example, questionnaires. Furthermore, it has direct connection with social media, as Twitter or blogs. The advantages of implementing this tool have been multiplied. Among others, we can point out that the subject has been given a much more dynamic and distracted vision, in addition to practice, due to the constant interaction of the student. This fact has been made possible by the various activities that are included among the pages of the e-book. This element has also allowed continuous feedback from the students

Fendrix® Vaccine Effectiveness in Healthcare Workers Who Are Non-Responsive to Engerix B® Vaccination

Hepatitis B (HBV) is a pathogen virus with transmission mechanisms that include contact with the infected blood or bodily fluids of the infected organism. Nowadays, healthcare workers are one of the most exposed groups to HBV. Conventionally, completing a vaccine series dosage with Engerix B® lowers this risk by providing workers with immunity to the virus. However, through the years, we have encountered nonresponsive health personnel to the Engerix B® vaccine; hence, the Occupational Health Service of Poniente Hospital studied the Fendrix® adjuvanted vaccine as an alternative vaccine to develop immunological responses in healthcare workers who do not respond to vaccination with Engerix B®. In our study, we employed a vaccination schedule with the Fendrix® vaccine, performing serology tests on the cases after the application of each dose. The results obtained showed humoral immunity in 92.3% of the cases, with a remarkable increase in antibody titer after the first doses. These encouraging results support the future inclusion of this vaccine as one possible alternative for the immunization to HBV for healthcare workers nonresponsive to Engerix B

Vaccination of health professionals as a preventive measure against biological risk and disinformation

Introducción: La vacunación es una herramienta esencial en la prevención de enfermedades altamente contagiosas. Actualmente, dicho procedimiento comienza a ser menos empleado debido, entre otros, a diversos factores económicos y sociales, que han promovido la reaparición de patologías que estaban prácticamente desaparecidas. Objetivos: Definir el estado inmunitario de los trabajadores sanitarios del Hospital de Poniente de la provincia de Almería y observar la eficacia de las vacunas administradas por el Servicio de Prevención en el personal sanitario no inmunizado. Metodología: Estudio descriptivo en el que se evalúa mediante serología, la inmunidad frente al sarampión, la rubéola, la parotiditis, la varicela y la hepatitis B previa y posterior a la administración de vacunas en el personal sanitario (n = 923). Resultados: Se observa un alto porcentaje de la población trabajadora sanitaria con anticuerpos protectores frente a los microorganismos del estudio, ya sea por una correcta pauta vacunal en la infancia como por la posterior vacunación por parte del Servicio de Prevención (alta tasa de seroconversión). Conclusión: El estudio señala la importancia de la vacunación como medida preventiva contra las enfermedades estudiadas, por lo que justifica la necesidad de poner en marcha campañas informativas que refuercen su uso.Introduction: Vaccination is an essential tool in the prevention of highly contagious diseases. Currently, this procedure is becoming less widely used, due to various economic and social factors, among others, which have encouraged the reappearance of pathologies that were virtually disappeared. Objectives: To define the immune status of the health workers of the Hospital de Poniente and monitoring the effectiveness of vaccines administered by the Prevention Service on non-immunized health personnel. Methodology: A descriptive study evaluating by serology the immunity against measles, rubella, mumps, varicella and hepatitis B prior to and after the administration of vaccines to health personnel (n = 923). Results: A high percentage of the health worker population with protective antibodies against the microorganisms in the study was observed, either due to a correct vaccination schedule in childhood or due to subsequent vaccination by the Prevention Service (high rate of seroconversion). Conclusion: The study re-emphasizes the importance of vaccination as a preventive measure against the diseases analysed, justifying the need to launch information campaigns to strengthen their use

Guía docente común de las titulaciones de Ingeniero en Electrónica en las universidades andaluzas

El presente documento constituye el resultado del trabajo elaborado de acuerdo con la Convocatoria de Elaboración de Guías Docentes de Titulaciones Andaluzas conforme al Sistema de Créditos Europeos (años 2005/2006) de la Dirección General de Universidades, dependiente de la Secretaría General de Universidades, Investigación y Tecnología de la Consejería de Innovación, Ciencia y Empresa de la Junta de Andalucía

Monitoring maize N status with airborne and ground level sensors

The anaerobic digestion of food waste for energy recovery produces a nutrient-rich digestate which is a valuable source of crop available nitrogen (N). As with any ‘new’ material being recycled to agricultural land it is important to develop best management practices that maximise crop available N supply, whilst minimising emissions to the environment. The objective of this study was to measure N losses following application of food-based digestate, green/food compost and green compost to agricultural land via ammonia (NH3) volatilisation and nitrous oxide (N2O) emissions to air, and nitrate (NO3) leaching to water, and to compare these with losses from livestock manure (slurry and solids farmyard manure –FYM)

Instantaneous Wave-Free Ratio for the Assessment of Intermediate Left Main Coronary Artery Stenosis: Correlations With Fractional Flow Reserve/Intravascular Ultrasound and Prognostic Implications: The iLITRO-EPIC07 Study

Background: There is little information available on agreement between fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) in left main coronary artery (LMCA) intermediate stenosis. Besides, several meta-analyses support the use of FFR to guide LMCA revascularization, but limited information is available on iFR in this setting. Our aims were to establish the concordance between FFR and iFR in intermediate LMCA lesions, to evaluate with intravascular ultrasound (IVUS) in cases of FFR/iFR discordance, and to prospectively validate the safety of deferring revascularization based on a hybrid decision-making strategy combining iFR and IVUS. Methods: Prospective, observational, multicenter registry with 300 consecutive patients with intermediate LMCA stenosis who underwent FFR and iFR and, in case of discordance, IVUS and minimal lumen area measurements. Primary clinical end point was a composite of cardiovascular death, LMCA lesion-related nonfatal myocardial infarction, or unplanned LMCA revascularization. Results: FFR and iFR had an agreement of 80% (both positive in 67 and both negative in 167 patients); in case of disagreement (31 FFR+/iFR- and 29 FFR-/iFR+) minimal lumen area was & GE;6 mm(2) in 8.7% of patients with FFR+ and 14.6% with iFR+. Among the 300 patients, 105 (35%) underwent revascularization and 181 (60%) were deferred according to iFR and IVUS. At a median follow-up of 20 months, major adverse cardiac events incidence was 8.3% in the defer group and 13.3% in the revascularization group (hazard ratio, 0.71 [95% CI 0.30-1.72]; P=0.45). Conclusions: In patients with intermediate LMCA stenosis, a physiology-guided treatment decision is feasible either with FFR or iFR with moderate concordance between both indices. In case of disagreement, the use of IVUS may be useful to indicate revascularization. Deferral of revascularization based on iFR appears to be safe in terms of major adverse cardiac events

Endoscopic Submucosal Dissection. Sociedad Española de Endoscopia Digestiva (SEED) clinical guideline

The reason to write this guideline is to familiarize Spanish endoscopists and gastroenterologists not only with the general indications of the procedure and possible complications but also the dedicated tools

Clinical validation of risk scoring systems to predict risk of delayed bleeding after EMR of large colorectal lesions

[Background and Aims]: The Endoscopic Resection Group of the Spanish Society of Endoscopy (GSEED-RE) model and the Australian Colonic Endoscopic Resection (ACER) model were proposed to predict delayed bleeding (DB) after EMR of large superficial colorectal lesions, but neither has been validated. We validated and updated these models.[Methods]: A multicenter cohort study was performed in patients with nonpedunculated lesions ≥20 mm removed by EMR. We assessed the discrimination and calibration of the GSEED-RE and ACER models. Difficulty performing EMR was subjectively categorized as low, medium, or high. We created a new model, including factors associated with DB in 3 cohort studies.[Results]: DB occurred in 45 of 1034 EMRs (4.5%); it was associated with proximal location (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.31-6.16), antiplatelet agents (OR, 2.51; 95% CI, .99-6.34) or anticoagulants (OR, 4.54; 95% CI, 2.14-9.63), difficulty of EMR (OR, 3.23; 95% CI, 1.41-7.40), and comorbidity (OR, 2.11; 95% CI, .99-4.47). The GSEED-RE and ACER models did not accurately predict DB. Re-estimation and recalibration yielded acceptable results (GSEED-RE area under the curve [AUC], .64 [95% CI, .54-.74]; ACER AUC, .65 [95% CI, .57-.73]). We used lesion size, proximal location, comorbidity, and antiplatelet or anticoagulant therapy to generate a new model, the GSEED-RE2, which achieved higher AUC values (.69-.73; 95% CI, .59-.80) and exhibited lower susceptibility to changes among datasets.[Conclusions]: The updated GSEED-RE and ACER models achieved acceptable prediction levels of DB. The GSEED-RE2 model may achieve better prediction results and could be used to guide the management of patients after validation by other external groups. (Clinical trial registration number: NCT 03050333.)Research support for this study was received from “La Caixa/Caja Navarra” Foundation (ID 100010434;project PR15/11100006)