Evaluación del impacto de un recurso de realidad virtual en el desarrollo de habilidades de lectoescritura en estudiantes con dislexia

El objetivo general de la Tesis Doctoral es analizar y evaluar el impacto de un recurso de RV en el desarrollo de habilidades específicas de lectoescritura en estudiantes diagnosticados con dislexia en diferentes centros de educación no formal y asociaciones de Castilla y León, estudiando el potencial de la RV como herramienta de apoyo en la educación de este alumnado

Exploring Patient Perspectives on Bedside Procedures: A Mixed Methods Study

INTRODUCTION Medical procedures are often performed on patients as part of their hospital stay. Common medical procedures include paracentesis, thoracentesis, lumbar punctures, knee arthrocentesis and central line insertions. These procedures can be performed at the patient’s bedside or in Interventional Radiology (IR). Much research has been done to improve procedural education and patient outcomes. However, little is known about the patient’s perspective. We explored how patients felt about their medical procedures and compared patient satisfaction between the bedside and IR groups.   METHODS We conducted a mixed-methods study (May – August, 2014), on consenting medical inpatients that had procedures performed as part of their hospital stay. Participants completed a 13-item satisfaction survey (Cronbach’s alpha =0.99). Patients also had the option of participating in a semi-structured interview. Transcripts of the interviews were analyzed using principles of grounded theory with common themes identified using open coding.   RESULTS Of the 96 eligible participants, 29 (30%) completed the survey and 12 (13%) patients completed the interview. Participants in the bedside group reported less wait time, compared with those in the IR group (median 2 hours, IQR 1-24 versus 24 hours, IQR 24-48 hrs respectively, p =0.009).  However, participants in IR group reported higher satisfaction with the time it took to complete the procedure itself (4.91 ± 0.30 vs 4.07 ± 1.14; p = 0.02 where 5 = very satisfied and 1 = very dissatisfied). In addition, patients reported higher satisfaction with their aftercare when returning from IR (p=0.05).  Overall, survey results suggests that irrespective of group assignment, participants were satisfied with their procedure  (4.79  ± 0.42). Of those who consented to the interview (n-12), the majority of the comments were positive (92%). Predominant themes included communication, attributes of the health care professionals, procedural comfort, efficiency, outcome and timing of the procedure.  Some negative comments pertained to patients’ sense of lack of control over information and timing of the procedure, transport and pain during the procedure. Interview results suggest that patients were satisfied with their procedure, but felt a lack of control in the process.  DISCUSSION AND CONCLUSIONS Results from the survey and the interview were concordant as patients reported being satisfied with their medical procedure. We found that there are significant differences between the bedside and IR group that make a profound impact on patient experience including wait time, efficiency and aftercare. The bedside group had higher patient satisfaction with wait times while IR group scored higher on efficiency and aftercare. Both are reasonable trade offs and support the notion that overall satisfaction is similar between the bedside and IR groups. Although patients reported high satisfaction with medical procedures, they noted that transport, timing of procedures, and communication are in need of improvement. Specifically, our findings support the need for quality improvement projects surrounding communication as participant satisfaction on this item varied depending on provider. Good communication can lead to a patient’s improved understanding of their medical procedure [1]. Limitations of this study include that is a single-center study and a small sample size. Overall, patients reported being satisfied with their medical procedures.

Administración de proyectos : guía de los procedimientos financieros del CIID

Versión en inglés disponible en la Biblioteca Digital del IDRC: How to administer projects : a guide to IDRC's financial proceduresVersión en francés disponible en la Biblioteca Digital del IDRC: Administrer un projet : procédures financières du CRD

Presupuesto del proyecto : guía para los procedimientos del CIID

Volumen complentario de: Financiación y administración de proyectos : guía de los procedimientos financieros del CIIDVersión en inglés disponible en la Biblioteca Digital del IDRC: Budget development and reporting : a guide for IDRC assisted projectsVersión en francés disponible en la Biblioteca Digital del IDRC: Établissement de budget et des états financiers : guide pour les projets financés par le CRD

The use of frailty questionnaires in inpatients in two neurorehabilitation units in the East Midlands - A cross-sectional cohort study with follow-up to 1-year after discharge from inpatient rehabilitation.

BACKGROUND: Frailty correlates with poor clinical outcomes and is not routinely assessed in neurorehabilitation inpatient settings. METHODS: We recruited adults from two neurorehabilitation units. We administered six validated tools for assessing frailty and collected data around length of stay, discharge, readmission and change in rehabilitation outcome measures. RESULTS: Seventy-eight participants aged between 31 and 84 years were recruited with a range of neurological diagnoses. Frailty prevalence ranged between 23% and 46%, depending on the scale used, with little agreement between tools. Frailty status did not correlate with age, gender, length of stay, discharge destination and rehabilitation outcome measures. One-year readmission was higher in participants rated as frail by the Frail-Non-Disabled Questionnaire, the FRESH-screening questionnaire and the Clinical Frailty Scale. CONCLUSION: Frailty ascertainment was variable depending on the tool used. Three frailty indices predicted readmission rate at 1 year but no other outcome measures. Therefore, frailty tools may have limited utility in this clinical population

Correlación estructura-LD50 de quinolinas sustituidas utilizando teoría del funcional de la densidad (DFT)

Se presentan los resultados obtenidos cuando se llevó a cabo un estudio QSAR de quinolinas sustituidas y citotoxicidad. Los ensayos fueron realizados en células vero. La geometría de los compuestos fue optimizada con Gaussian 03 y a partir de estas estructuras se determinaron una serie de descriptores moleculares que permitieron, a partir del método de Pasos sucesivos, establecer el modelo QSAR. Se encontró que la refractividad molar y el factor de bioacumulación son los descriptores asociados con la citotoxicidad. La robustez del modelo fue comprobada por una serie de pruebas de validación

Cuestiones notables sobre discriminación de variables cualitativas

Teis Univ. Compl. de Madrid. Dpto. de Estadística e investigación. Dir por Miguel Sánchez García, leída en Madrid, el 8 de julio de 1982.Depto. de Estadística e Investigación OperativaFac. de Ciencias MatemáticasTRUEProQuestpu