Atención prehospitalaria en los deportes de aventura

Se realiza una revisión bibliográfica sobre atención prehospitalaria en los deportes de aventura, debido a la importancia que reviste el conocimiento de algunas medidas de primeros auxilios que deben tener presentes los deportistas que practican esta modalidad para darle asistencia a los accidentados, hasta tanto llegue la ayuda médica especializada. Para esto se revisaron bibliográficas obtenidas por INTERNET de los últimos cinco años

Uso sustentable de pastizales naturales como fuente de bioenergía

Uso sustentable de pastizales naturales como fuente de bioenergíaFil: Feldman, Susana. Universidad Nacional de Rosario. Facultad de Ciencias Agrarias; Argentin

Las funciones de la comunicación educativa en el proceso docente educativo de licenciatura en enfermeria

Se realizó una investigación basada en el cumplimiento de las funciones de la comunicación educativa en el proceso docente-educativo de Licenciatura en Enfermería, donde se tomó como universo de trabajo los 31 profesores que desarrollaron en la Filial este de la Habana en el curso escolar 2002-2003. La muestra de los profesores coincidió con el universo Se aplicó una guía de observación a clases a profesores por dúos, los cuáles fueron adiestrados al respecto. Los resultados obtenidos coinciden con estudios efectuados en Centros de Enseñanza Superior donde la función informativa de la comunicación se aplica en mayor grado que las funciones regulativa y afectiva. Es evidente la necesidad de diseñar y desarrollar cursos post-grados sobre comunicación para los profesores de Enfermería en nuestra facultad. Por otra parte se demostró la utilización de la enseñanza tradicional basada en la transmisión de los conocimientos así como se pudo identificar que la relación alumno-profesor debe ser más profunda

Efectividad en el logro de las habilidades en la asignatura Fundamentos de Enfermería I

Introducción: en la Facultad de Ciencias Médicas de Mayabeque, el nuevo modelo pedagógico para la carrera de enfermería se implantó a partir del curso 2003–2004. Ha sido constante el propósito de contribuir a elevar, cada vez más, la calidad del proceso docente en esta carrera, conscientes de que egresados con mayor dominio de todas las habilidades y conocimientos previstos en su plan de estudio estarán más aptos para brindar una atención con calidad en los escenarios laborales. Objetivo: evaluar la efectividad del proceso educativo en cuanto al logro de las habilidades previstas en los objetivos educacionales de la asignatura Fundamentos de Enfermería I. Métodos: se realizó un estudio observacional descriptivo longitudinal retrospectivo en la Facultad de Ciencias Médicas de Mayabeque. El universo de estudio quedó constituido por los resultados de todos los exámenes prácticos de la asignatura Fundamentos de Enfermería I realizados en los cursos 2010-2011, 2011-2012 y 2012-2013. El universo fue estudiado en su totalidad. Resultados: cada año son más los estudiantes que evidencian dificultades en el cumplimiento de todo el algoritmo de trabajo necesario para la ejecución de técnicas y procedimientos. En la presentación y defensa, las principales dificultades estuvieron relacionadas con orden lógico utilizado para la presentación, el uso del vocabulario técnico y su expresión oral, el dominio y la integración de los conocimientos y la utilización de la documentación establecida. Conclusiones: el logro de las habilidades previstas en los objetivos educacionales de la asignatura presenta una tendencia a la disminución

Circulating myeloid-derived suppressor cells may be a useful biomarker in the follow-up of unvaccinated COVID-19 patients after hospitalization

© 2023 Jiménez-Cortegana, Salamanca, Palazón-Carrión, Sánchez-Jiménez, Pérez-Pérez, Vilariño-García, Fuentes, Martín, Jiménez, Galván, Rodríguez-Chacón, Sánchez-Mora, Moreno-Mellado, Gutiérrez-Gutiérrez, Álvarez, Sosa, Garnacho-Montero, de la Cruz-Merino, Rodríguez-Baño and Sánchez-Margalet. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.SARS-CoV-2 infection is the cause of the disease named COVID-19, a major public health challenge worldwide. Differences in the severity, complications and outcomes of the COVID-19 are intriguing and, patients with similar baseline clinical conditions may have very different evolution. Myeloid-derived suppressor cells (MDSCs) have been previously found to be recruited by the SARS-CoV-2 infection and may be a marker of clinical evolution in these patients. We have studied 90 consecutive patients admitted in the hospital before the vaccination program started in the general population, to measure MDSCs and lymphocyte subpopulations at admission and one week after to assess the possible association with unfavorable outcomes (dead or Intensive Care Unit admission). We analyzed MDSCs and lymphocyte subpopulations by flow cytometry. In the 72 patients discharged from the hospital, there were significant decreases in the monocytic and total MDSC populations measured in peripheral blood after one week but, most importantly, the number of MDSCs (total and both monocytic and granulocytic subsets) were much higher in the 18 patients with unfavorable outcome. In conclusion, the number of circulating MDSCs may be a good marker of evolution in the follow-up of unvaccinated patients admitted in the hospital with the diagnosis of COVID-19.The author(s) declare financial support was received for the research, authorship, and/or publication of this article. CTS-151 Junta de Andalucía.Peer reviewe

Comportamientos, problemas y avances

Libro electrónicoNo obstante los empeños emprendidos por muchos de los estudiosos del turismo en Latinoamérica, se destaca que una de las limitaciones más enfáticamente reiteradas sobre el quehacer científico es la escasa conjunción de esfuerzos para potencializar y difundir sus investigaciones sobre las problemáticas sociales, culturales, ambientales, económicas y políticas que presenta el turismo en la región (Osorio, 2016; Pearce, 2013). Esta exigua coordinación y trabajo en red de los académicos latinoamericanos ha inhibido la construcción de una sinergia colaborativa que visibilice y comparta los conocimientos entorno a una región geográfica con retos comunes. Justo con la intención de contribuir a superar esta limitante, se integra la presente obra, cuyo propósito radica en conjuntar distintos casos de estudio sobre la planificación y gestión del turismo en México, Chile, Argentina y Brasil, como una muestra indicativa de los objetos de estudio, los marcos teórico-metodológicos y las aportaciones de conocimiento que se están desarrollando en la región, para con ello desvelar su contribución al estado del arte de los estudios espaciales del turismo.Colección PASOS Edita Academia Mexicana de Investigación Turística Universidad del Carib

Recovery of dialysis patients with COVID-19 : health outcomes 3 months after diagnosis in ERACODA

Background. Coronavirus disease 2019 (COVID-19)-related short-term mortality is high in dialysis patients, but longer-term outcomes are largely unknown. We therefore assessed patient recovery in a large cohort of dialysis patients 3 months after their COVID-19 diagnosis. Methods. We analyzed data on dialysis patients diagnosed with COVID-19 from 1 February 2020 to 31 March 2021 from the European Renal Association COVID-19 Database (ERACODA). The outcomes studied were patient survival, residence and functional and mental health status (estimated by their treating physician) 3 months after COVID-19 diagnosis. Complete follow-up data were available for 854 surviving patients. Patient characteristics associated with recovery were analyzed using logistic regression. Results. In 2449 hemodialysis patients (mean ± SD age 67.5 ± 14.4 years, 62% male), survival probabilities at 3 months after COVID-19 diagnosis were 90% for nonhospitalized patients (n = 1087), 73% for patients admitted to the hospital but not to an intensive care unit (ICU) (n = 1165) and 40% for those admitted to an ICU (n = 197). Patient survival hardly decreased between 28 days and 3 months after COVID-19 diagnosis. At 3 months, 87% functioned at their pre-existent functional and 94% at their pre-existent mental level. Only few of the surviving patients were still admitted to the hospital (0.8-6.3%) or a nursing home (∼5%). A higher age and frailty score at presentation and ICU admission were associated with worse functional outcome. Conclusions. Mortality between 28 days and 3 months after COVID-19 diagnosis was low and the majority of patients who survived COVID-19 recovered to their pre-existent functional and mental health level at 3 months after diagnosis

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries