Cáparra : revista de innovación y experiencias educativas de los Centros de Profesores y Recursos de la Provincia de Cáceres

Se describe la experiencia llevada a cabo en el CRA La Jara (Villar del Pedroso, Cáceres) en la que a través de una mascota, Geopaca, se crea un grupo de trabajo que desarrolla un espectáculo de música, teatro, baile y artes plásticas, en el que participan los alumnos, las familias y los profesores, siguiendo el ritmo del cancionero tradicional extremeño adaptado al siglo XXI. Se pretendía convertir la escuela en un lugar abierto y de convivencia; conocer, valorar y respetar el Geoparque a través de la música y el arte; favorecer el trabajo colaborativo y el intercambio de conocimientos a través de grupos intergeneracionales y promover el desarrollo emocional de los participantesES

Geopaca folk rustic performance

El trabajo obtuvo un Premio Tomás García Verdejo a las buenas prácticas educativas en la Comunidad Autónoma de Extremadura para el curso 2018/2019, Modalidad ASe presenta un proyecto llevado a cabo en el CRA La Jara (Villar del Pedroso, Cáceres) articulado a través del área de Música, en el que alrededor de una mascota (Geopaca, una cabra del Geoparque Villuercas Ibores Jara) se forma un grupo que creó un espectáculo de música, teatro, baile y artes plásticas con el alumnado, el profesorado y las familias, con la música del cancionero tradicional extremeño adaptándola a la actualidad. Los objetivos de la experiencia fueron: abrir la escuela a la comunidad; conocer, valorar y respetar el Geoparque a través de la música y el arte; favorecer el aprendizaje colaborativo e intercambio de conocimientos y competencias clave a través de grupos intergeneracionales y promover el desarrollo emocional de los participantesExtremaduraES

Geopaca folk : rustic performance on the road

Convocatoria proyectos de innovación de Extremadura 2019/2020Se presenta un proyecto llevado a cabo en el CRA La Jara (Villar del Pedroso, Cáceres) que supone una continuación de 'Geopaca Folk' para seguir conociendo el entorno del centro, el Geoparque Villuercas Ibores Jara, a través del trabajo intergeneracional en el que se impliquen desde los alumnos de Educación Infantil hasta las personas de edad. Además de mejorar el rendimiento escolar de los alumnos del CRA se pretendía conseguir recuperar la autoestima de las personas que viven en los pueblos del Geoparque e incentivar el emprendimiento desde la escuela, para facilitar el conocimiento de los recursos que tiene la zona y conseguir que se utilicen como medio de vida. El eje vertebrador fue la Educación Musical implicando también otras áreas como Inglés, Tecnología, Religión, Valores éticos y Educación Física. Los contenidos se abordaron de forma transversal, lúdica, original e inclusivaExtremaduraES

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine