Prevention of road crashes in older adults: perspectives on facilitators, barriers and the role of the family doctor

This work was supported by the SEMERGEN-UGR Chair of Teaching and Research in Family Medicine (Catedra de Docencia e Investigacion en Medicina de Familia SEMERGEN-UGR), University of Granada, Spain.Background: People over 64 years have a high fatality rate when they are involved in traffic accidents. Besides, older victims of road crashes are expected to rise in the future due to population aging. The purpose of the study was to document their perception on the role of the family doctor, the main facilitating factors, and the perceived barriers to the temporary or permanent restriction of their driving. Methods: This qualitative study used focus group methodology. A sample of 16 people over 65 years old was obtained through a series of segmentation criteria at an active participation centre for older adults in a small town in Jaén province (Spain). All were invited to participate in a discussion during which they were asked to express their opinions and subjective experiences concerning the role of their family doctor. The group conversation was taped, fully transcribed and analysed, and codes were generated with both deductive and inductive methods. Results: After merging the codes to generate themes, we identified 9 relevant categories: perception of age-related risk, road safety, role of public authorities, driver assessment centre, role of the family doctor, role of the family, proposals for addressing traffic accidents in older adults, consequences of the driving prohibition, and public transport. All categories help to explain the subjective driving and traffic safety experiences of older road users. Conclusions: Although family doctors do not usually ask their older patients about road driving, they are highly valued by these patients. Thus, family doctors have a great potential to act, along with the family members, for the benefit of older patients’ traffic safety, in ways that can prevent their involvement in road crashes and reduce the negative consequences of having to stop driving if necessary.SEMERGEN-UGR Chair of Teaching and Research in Family Medicine (Catedra de Docencia e Investigacion en Medicina de Familia SEMERGEN-UGR), University of Granada, Spai

CARB-ES-19 Multicenter Study of Carbapenemase-Producing Klebsiella pneumoniae and Escherichia coli From All Spanish Provinces Reveals Interregional Spread of High-Risk Clones Such as ST307/OXA-48 and ST512/KPC-3

ObjectivesCARB-ES-19 is a comprehensive, multicenter, nationwide study integrating whole-genome sequencing (WGS) in the surveillance of carbapenemase-producing K. pneumoniae (CP-Kpn) and E. coli (CP-Eco) to determine their incidence, geographical distribution, phylogeny, and resistance mechanisms in Spain.MethodsIn total, 71 hospitals, representing all 50 Spanish provinces, collected the first 10 isolates per hospital (February to May 2019); CPE isolates were first identified according to EUCAST (meropenem MIC > 0.12 mg/L with immunochromatography, colorimetric tests, carbapenem inactivation, or carbapenem hydrolysis with MALDI-TOF). Prevalence and incidence were calculated according to population denominators. Antibiotic susceptibility testing was performed using the microdilution method (EUCAST). All 403 isolates collected were sequenced for high-resolution single-nucleotide polymorphism (SNP) typing, core genome multilocus sequence typing (cgMLST), and resistome analysis.ResultsIn total, 377 (93.5%) CP-Kpn and 26 (6.5%) CP-Eco isolates were collected from 62 (87.3%) hospitals in 46 (92%) provinces. CP-Kpn was more prevalent in the blood (5.8%, 50/853) than in the urine (1.4%, 201/14,464). The cumulative incidence for both CP-Kpn and CP-Eco was 0.05 per 100 admitted patients. The main carbapenemase genes identified in CP-Kpn were blaOXA–48 (263/377), blaKPC–3 (62/377), blaVIM–1 (28/377), and blaNDM–1 (12/377). All isolates were susceptible to at least two antibiotics. Interregional dissemination of eight high-risk CP-Kpn clones was detected, mainly ST307/OXA-48 (16.4%), ST11/OXA-48 (16.4%), and ST512-ST258/KPC (13.8%). ST512/KPC and ST15/OXA-48 were the most frequent bacteremia-causative clones. The average number of acquired resistance genes was higher in CP-Kpn (7.9) than in CP-Eco (5.5).ConclusionThis study serves as a first step toward WGS integration in the surveillance of carbapenemase-producing Enterobacterales in Spain. We detected important epidemiological changes, including increased CP-Kpn and CP-Eco prevalence and incidence compared to previous studies, wide interregional dissemination, and increased dissemination of high-risk clones, such as ST307/OXA-48 and ST512/KPC-3

Mashua (tropaeolum tuberosum): Composición nutricional, características químicas, compuestos bioactivos y propiedades beneficiosas para la salud

La mashua es un tubérculo de origen altoandino parecido a la papa y a la oca, se presentan en una gran variedad de colores (crema, amarillo, negro, morado, blanco, rosado), y poseen de una gran cantidad de carbohidratos, proteínas, vitaminas y un alto valor nutricional que incluye fosforo, hierro y calcio. Su consumo se puede dar de diferentes maneras, se puede decir que necesita estar al sol, tal como el camote para obtener un sabor más agradable. Su capacidad antioxidante recae en su contenido de antocianinas, que tiene un mayor contenido en la especie de mashua morada, es muy buena para los que sufren problemas cardiovasculares por su contenido en vitaminas del complejo C y E, por otra parte, la mashua ayuda a mejorar la agudeza visual, ayuda a combatir la anemia y a eliminar los cálculos renales, también es muy conocida por su capacidad anticancerígena. El objetivo de este trabajo consistió en recopilar información sobre el valor nutricional, los compuestos bioactivos y las propiedades beneficiosas de la mashua peruana desde el punto de vista de la salud, además es recomendable seguir estudiando e investigando su gran poder antioxidante

Con-sentido : modos de hacer en el IES Albalat

Convocatoria proyectos de innovación de Extremadura 2020/2021Se describe un proyecto llevado a cabo en el IES Albalat de Navalmoral de la Mata (Cáceres) cuyo objetivo principal era sistematizar el proceso de producción visual, musical y audiovisual del centro, como una metodología propia, transversal a las distintas propuestas pedagogicas que se llevan a cabo, para convertirla en un modelo de enseñanza original que defina al centro. Se parte de la idea de que trabajar con los formatos audiovisuales producen un impacto emocional y cognitivo en los alumnos y, por tanto, la sistematización de estos cauces permite mejorar su educaciónExtremaduraES