Experimento didáctico en la asignatura Enfermería familiar y comunitaria

Esta comunicación presenta la puesta en marcha en el contexto de la docencia universitaria de un Ciclo de Mejora Docente en la titulación del Grado en Enfermería, concretamente en la asignatura de Enfermería Familiar y Comunitaria, a través de la aplicación de la simulación clínica a escenarios clínicos elaborados por los propios alumnos y guiados por el profesorado a través de una plantilla, así como, ofreciendo su accesibilidad en todo el proceso para consultar dudas y reconducir sus razonamientos cuando sea preciso. Con esta metodología se persigue el aprendizaje experiencial, en el que los alumnos, que aún no han podido tener prácticas clínicas en entornos reales, tengan dicha experiencia para mejorar la seguridad en su práctica clínica, así como la seguridad consigo mismo

Impact of the COVID-19 Pandemic and Psychosocial Coping Strategies in Health Sciences Students at the University of Seville: A Pilot Study

The new infection by coronavirus has supposed a challenge to all health systems worldwide, affecting our psychosocial health. Education as we knew it has changed, which is why university students, attending Health Sciences courses in this case, have been affected by the pandemic. This study aimed to analyze the impact of the preventative measures and restrictions associated with COVID-19 on multiple mental health and psychological well-being indicators in Health Sciences students at the University of Seville. A descriptive and cross-sectional pilot study in the University of Seville by means of an online questionnaire elaborated was conducted. Of the final sample (n = 68), more than 60% of the students acknowledged having received specific training by their university and/or health institution where they perform practices on COVID-19 measures; however, they negatively emphasized not having received psychosocial aid or support in most of the cases (94.12%). As the health situation imposed by COVID-19 is considered long-lasting, the proposal is to plan short- and long-term strategies for promotion and intervention in the mental health of students and future health care workers

Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level

Ecuador assumed the commitment of including Palliative Care (PC) in its health policies. In 2014, the Ministry of Public Health (Ministerio de Salud Pública, MSP) approved the Clinical Practice Guide for Palliative Care (Guía de Práctica Clínica sobre Cuidados Paliativos, GPCCP), with application at the national level, as a mandatory internal regulation in all institutions belonging to the National Health System. In 2021, there is no evidence about the degree of implementation. The objective was to evaluate the implementation (I) of the GPCCP guide and the knowledge (C) of the health personnel working in the Zone 7 Health Centers (HCs). This is a cross-sectional, descriptive, and prospective study. A total of 292 professionals were interviewed: managers (38), physicians (150), and nurses (104). Three surveys based on the GPCCP guide were elaborated: one for the implementation, which was applied to the individuals in charge, and the others to assess the health professionals’ knowledge. The SPSS program was used, version 25. In the three groups, more than half of the participants had no training in PC, 91.2% of the HCs have the GPCCP guide, there is PC medical history (MH) in 38.2%, and morphine is used in 14.7%. The implementation of the GPCCP guide was inadequate in 52.9% of the cases. Only 25% treat the agony symptoms and 30%, delirium; 4.4% acknowledge the use of morphine in dyspnea, and 13.3% identify the subcutaneous route as the first choice for hydration at the end-of-life phase. Strategies to implement the GPCCP guide and to improve the health personnel’s knowledge must be implemented in Zone 7 centers

Seguridad, eficacia y evaluación económica de la implantación de un programa de cribado de aneurisma de aorta abdominal

Aneurisma d'aorta abdominal; Dolor crònic; CribratgeAneurisma de aorta abdominal; Dolor crónico; CribadoAbdominal aortic aneurysm; Chronic pain; ScreeningL’objectiu general d’aquest informe és avaluar l’evidència disponible sobre seguretat, eficàcia clínica i cost-efectivitat de la implantació d’un programa de cribratge de l’AAA mitjançant ecografia abdominal per ultrasons en la població de risc, a més de realitzar una avaluació econòmica, i respondre als criteris del Document marc sobre cribratges poblacionals, amb la condició de valorar la seva inclusió dins de la cartera comuna de serveis del Sistema Nacional de Salut espanyol.El objetivo general de este informe es evaluar la evidencia disponible sobre seguridad, eficacia clínica y coste-efectividad de la implantación de un programa de cribado del AAA mediante ecografía abdominal por ultrasonidos en la población de riesgo, además de realizar una evaluación económica, y responder a los criterios del Documento marco sobre cribados poblacionales, con tal de valorar su inclusión dentro de la cartera común de servicios del Sistema Nacional de Salud español.The general objective of this report is to evaluate the available evidence on safety, clinical efficacy and cost-effectiveness of the implementation of an AAA screening programme, using ultrasound abdominal ultrasound in the population at risk. Other objectives are to carry out an economic evaluation, and to respond to the criteria of the Framework document on population screening, in order to assess its inclusion in the common portfolio of services of the Spanish National Health System

The RADMED monitoring program as a tool for MSFD implementation: toward an ecosystem based approach

In the western Mediterranean Sea, the RADMED monitoring programme is already conducting several of the evaluations required under the Marine Strategy Framework Directive (MFSD) along the Spanish Mediterranean coast. The different aspects of the ecosystem that are regularly sampled under this monitoring programme are the physical environment and the chemical and biological variables of the water column, together with the planktonic communities, biomass and structure. Moreover, determinations of some anthropogenic stressors on the marine environment, such as contaminants and microplastics, are under development. Data are managed and stored at the Instituto Español de Oceanografía (IEO) Data Centre that works under the Sea- DataNet infrastructure, and are also stored in the IBAMar database. In combination with remote sensing data, they are used to address open questions on the ecosystems in the western Mediterranean Sea.Postprint2,293

Lo glocal y el turismo. Nuevos paradigmas de interpretación.

El estudio del turismo se realiza desde múltiples escalas y enfoques, este libro aborda muchos temas que es necesario discutir desde diversas perspectivas; es el caso de la reflexión sobre la propia disciplina y sus conceptos, así como los asuntos específicos referidos al impacto territorial, los tipos de turismo, las cuestiones ambientales, el tema de la pobreza, la competitividad, las políticas públicas, el papel de las universidades, las áreas naturales protegidas, la sustentabilidad, la cultura, el desarrollo, la seguridad, todos temas centrales documentados y expuestos con originalidad y dominio del asunto. Lo multiescalar es básico para la comprensión del sistema turístico, sistema formado de procesos globales, regionales y locales. El eje de discusión del libro es lo glocal, esa interacción entre lo nacional y local con lo global

Protocolos RADMED (versión: 1.01 – 2014). Procedimientos a seguir en las campañas del proyecto RADMED

Los protocolos RADMED se pueden considerar como una guía de mar de las operaciones a realizar en el desarrollo de una campaña de ese proyecto, en donde figuran: el montaje del equipamiento científico, las secuencias de las diferentes operaciones y muestreos, la identificación de las estaciones, cómo rellenar los diferentes estadillos, las determinaciones de variables oceanográficas a bordo y el post-procesado de los datos hidrográficos. Detrás de todo ello está la intención de homogeneizar la información, para facilitar el post-procesado y el fiel tratamiento de las muestras y análisis.[Abstract] The RADMED protocols can be considered as a guide to work at the sea in the development of a campaign of this project and to conduct its different operations. They include: installation of scientific equipment, the sequences of the different operations and sampling, identification of stations, the filling of the various work sheets, determinations of oceanographic variables on board and the post processing of hydrographic data. All this pretend to standardize the information to facilitate post processing and accurate treatment of the samples and analysis

Search for stop and higgsino production using diphoton Higgs boson decays

Results are presented of a search for a "natural" supersymmetry scenario with gauge mediated symmetry breaking. It is assumed that only the supersymmetric partners of the top-quark (stop) and the Higgs boson (higgsino) are accessible. Events are examined in which there are two photons forming a Higgs boson candidate, and at least two b-quark jets. In 19.7 inverse femtobarns of proton-proton collision data at sqrt(s) = 8 TeV, recorded in the CMS experiment, no evidence of a signal is found and lower limits at the 95% confidence level are set, excluding the stop mass below 360 to 410 GeV, depending on the higgsino mass

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI