Methodological improvements in the final project of Civil Engineering Degree

The final project of an engineering degree represents a test of maturity where students must crossexamine all the contents studied in the degree which adds technical difficulties. Traditionally the students are supervised by only one teacher and they usually also take a previous course in the writing of the project. Currently, the program of the Civil Engineering Degree contemplates this activity in the last semester with an allocation of 18 credits. The hardest difficulty noted by students and teachers is the short time estimated for writing it. A teaching innovation project is presented herein which aims to define a working protocol in order to help the student in a more efficient and close way during the development of the task. Among the methodological changes introduced, it should be highlighted the tutoring by professors from different areas of knowledge instead of only one professor as it was traditionally done. Thus, coordination mechanisms must be implemented to guarantee the achievement of the proposed objectives. The innovation project also helps to identify tasks that can be advanced in time and gain time for the effective drafting of the project. Some other solutions found will be presented as well as a comparison of the results obtained along this year with those of the former methodology

SANAA, Rolex Learning Center

En el curso 2012-2013 el Laboratorio de Crítica centró su atención en el Rolex Learning Center de l´Ecole Polytechnique Fédérale de Lausanne en Suiza, obra de indudable interés del estudio japonés SANAA que constituye en sí misma un auténtico experimento y, consecuentemente, un objeto de observación apropiado para el estudio dentro del Laboratorio. En octubre de 2012 se realizó un viaje para visitar el edificio y, posteriormente, se realizaron por parte de los alumnos, ejercicios críticos y experimentos de los que en esta publicación aparece una muestra representativa. También se recogen en este libro, publicado gracias al apoyo de la ETSAM dentro de su colección de Texto Académicos, algunas aportaciones externas como el escrito y los dibujos del arquitecto Javier Aguilera, así como otros textos de antiguos alumnos del Laboratorio como Rosa Ballester, Berta González Salinero o Daniel Sacristán que, además han contribuido decisivamente en la edición. Se incluye, asimismo, un artículo de Eider Holgado, alumna de doctorado que está realizando su tesis, dentro del G.I. ARKRIT

Dibujo Técnico I

El Sistema Diédrico o de Monge es un Sistema de Representación sobre el papel de cuerpos y elementos geométricos del espacio. Para ello, utiliza dos proyecciones cilíndricas ortogonales según sendas direcciones perpendiculares en el espacio. Ambas proyecciones se dibujan en el mismo papel, colocando directamente una sobre él y abatiendo la otra alrededor de la llamada línea de tierra. El objeto o el conjunto en el espacio queda así representado por una vista frontal, también llamada alzado o proyección vertical y por una vista superior, planta o proyección horizontal. Como en cualquier otro sistema, la representación realizada en Sistema Diédrico debe ser reversible, es decir, a partir de las imágenes representadas en el papel debe poder reproducirse de forma inequívoca la figura original y su posición en el espacio.Antonio Torregrosa Martíne

A four-year cardiovascular risk score for type 2 diabetic inpatients

As cardiovascular risk tables currently in use were constructed using data from the general population, the cardiovascular risk of patients admitted via the hospital emergency department may be underestimated. Accordingly, we constructed a predictive model for the appearance of cardiovascular diseases in patients with type 2 diabetes admitted via the emergency department. We undertook a four-year follow-up of a cohort of 112 adult patients with type 2 diabetes admitted via the emergency department for any cause except patients admitted with acute myocardial infarction, stroke, cancer, or a palliative status. The sample was selected randomly between 2010 and 2012. The primary outcome was time to cardiovascular disease. Other variables (at baseline) were gender, age, heart failure, renal failure, depression, asthma/chronic obstructive pulmonary disease, hypertension, dyslipidaemia, insulin, smoking, admission for cardiovascular causes, pills per day, walking habit, fasting blood glucose and creatinine. A cardiovascular risk table was constructed based on the score to estimate the likelihood of cardiovascular disease. Risk groups were established and the c-statistic was calculated. Over a mean follow-up of 2.31 years, 39 patients had cardiovascular disease (34.8%, 95% CI [26.0–43.6%]). Predictive factors were gender, age, hypertension, renal failure, insulin, admission due to cardiovascular reasons and walking habit. The c-statistic was 0.734 (standard error: 0.049). After validation, this study will provide a tool for the primary health care services to enable the short-term prediction of cardiovascular disease after hospital discharge in patients with type 2 diabetes admitted via the emergency department

Development, and Internal, and External Validation of a Scoring System to Predict 30-Day Mortality after Having a Traffic Accident Traveling by Private Car or Van: An Analysis of 164,790 Subjects and 79,664 Accidents

Predictive factors for fatal traffic accidents have been determined, but not addressed collectively through a predictive model to help determine the probability of mortality and thereby ascertain key points for intervening and decreasing that probability. Data on all road traffic accidents with victims involving a private car or van occurring in Spain in 2015 (164,790 subjects and 79,664 accidents) were analyzed, evaluating 30-day mortality following the accident. As candidate predictors of mortality, variables associated with the accident (weekend, time, number of vehicles, road, brightness, and weather) associated with the vehicle (type and age of vehicle, and other types of vehicles in the accident) and associated with individuals (gender, age, seat belt, and position in the vehicle) were examined. The sample was divided into two groups. In one group, a logistic regression model adapted to a points system was constructed and internally validated, and in the other group the model was externally validated. The points system obtained good discrimination and calibration in both the internal and the external validation. Consequently, a simple tool is available to determine the risk of mortality following a traffic accident, which could be validated in other countries

Historia-historias de la lectura : XXIV Jornadas de Estudios Históricos Locales - XVII Jornadas de Historia de la Educación de los Países de Lengua Catalan

En el título, los términos 'Història' e 'Històries' están separados por una barra inclinadaLa temática de las jornadas se centra en el análisis de la dimensión educativa de la lectura a lo largo de la historia, y se desarrolla alrededor de los siguientes ejes temáticos: enseñar y aprender a leer; espacios y contextos para la lectura y su fomento; las lecturas educativas y la lectura y la educación como a elementos de debate y reflexión.La temàtica de les jornades se centra en l'anàlisi de la dimensió educativa de la lectura al llarg de la història, i es desenvolupa al voltant dels eixos temàtics següents: ensenyar i aprendre a llegir; espais i contextos per a la lectura i el seu foment; les lectures educatives i la lectura i l'educació com a elements de debat i reflexió.BalearesUniversitat de les Illes Balears. Redined Balears; Edifici Guillem Cifre de Colonya. Ctra. de Valldemossa, Km 7,5; 07122 Palma de Mallorca; +34971172792; +34971173190; [email protected]

In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture: the Spanish registry of osteoporotic femur fractures prospective cohort study

We have characterised 997 hip fracture patients from a representative 45 Spanish hospitals, and followed them up prospectively for up to 4 months. Despite suboptimal surgical delays (average 59.1 hours), in-hospital mortality was lower than in Northern European cohorts. The secondary fracture prevention gap is unacceptably high at 85%. PURPOSE: To characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain. METHODS: Design: prospective cohort study. Consecutive sample of patients ≥ 50 years old admitted in a representative 45 hospitals for a hip or proximal femur fragility fracture, from June 2014 to June 2016 and followed up for 4 months post-fracture. Patient characteristics, site of fracture, in-patient care (including secondary fracture prevention) and complications, and 4-month mortality are described. RESULTS: A total of 997 subjects (765 women) of mean (standard deviation) age 83.6 (8.4) years were included. Previous history of fracture/s (36.9%) and falls (43%) were common, and 10-year FRAX-estimated major and hip fracture risks were 15.2% (9.0%) and 8.5% (7.6%) respectively. Inter-trochanteric (44.6%) and displaced intra-capsular (28.0%) were the most common fracture sites, and fixation with short intramedullary nail (38.6%) with spinal anaesthesia (75.5%) the most common procedures. Surgery and rehabilitation were initiated within a mean 59.1 (56.7) and 61.9 (55.1) hours respectively, and average length of stay was 11.5 (9.3) days. Antithrombotic and antibiotic prophylaxis were given to 99.8% and 98.2% respectively, whilst only 12.4% received secondary fracture prevention at discharge. Common complications included delirium (36.1 %) and kidney failure (14.1%), with in-hospital and 4-month mortality of 2.1% and 11% respectively. CONCLUSIONS: Despite suboptimal surgical delay, post-hip fracture mortality is low in Spanish hospitals. The secondary fracture prevention gap is unacceptably high at > 85%, in spite of virtually universal anti-thrombotic and antibiotic prophylaxis

In-hospital care, complications, and 4-month mortality following a hip or proximal femur fracture : the Spanish registry of osteoporotic femur fractures prospective cohort study

Altres ajuts: DPA is funded by a National Institute for Health Research Clinician Scientist award (CS-2013-13-012). This article presents independent research funded by the National Institute for Health Research (NIHR). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health. This work was supported by the NIHR Biomedical Research Centre, Oxford. Funded in part by CIBER on Frailty and Healthy Aging (CIBERFES), Instituto Carlos III, Spanish Ministry of Economy and Competitiveness, FEDER funds. Unrestricted research grant from Amgen S.A. Amgen did not have any role in study design, collection, analysis and interpretation of data, writing the report, and the decision to submit the report for publication.We have characterised 997 hip fracture patients from a representative 45 Spanish hospitals, and followed them up prospectively for up to 4 months. Despite suboptimal surgical delays (average 59.1 hours), in-hospital mortality was lower than in Northern European cohorts. The secondary fracture prevention gap is unacceptably high at 85%. To characterise inpatient care, complications, and 4-month mortality following a hip or proximal femur fracture in Spain. Design: prospective cohort study. Consecutive sample of patients ≥ 50 years old admitted in a representative 45 hospitals for a hip or proximal femur fragility fracture, from June 2014 to June 2016 and followed up for 4 months post-fracture. Patient characteristics, site of fracture, in-patient care (including secondary fracture prevention) and complications, and 4-month mortality are described. A total of 997 subjects (765 women) of mean (standard deviation) age 83.6 (8.4) years were included. Previous history of fracture/s (36.9%) and falls (43%) were common, and 10-year FRAX-estimated major and hip fracture risks were 15.2% (9.0%) and 8.5% (7.6%) respectively. Inter-trochanteric (44.6%) and displaced intra-capsular (28.0%) were the most common fracture sites, and fixation with short intramedullary nail (38.6%) with spinal anaesthesia (75.5%) the most common procedures. Surgery and rehabilitation were initiated within a mean 59.1 (56.7) and 61.9 (55.1) hours respectively, and average length of stay was 11.5 (9.3) days. Antithrombotic and antibiotic prophylaxis were given to 99.8% and 98.2% respectively, whilst only 12.4% received secondary fracture prevention at discharge. Common complications included delirium (36.1 %) and kidney failure (14.1%), with in-hospital and 4-month mortality of 2.1% and 11% respectively. Despite suboptimal surgical delay, post-hip fracture mortality is low in Spanish hospitals. The secondary fracture prevention gap is unacceptably high at > 85%, in spite of virtually universal anti-thrombotic and antibiotic prophylaxis. The online version of this article (10.1007/s11657-018-0515-8) contains supplementary material, which is available to authorized users