Digital competence of teachers in the use of ICT for research work: development of an instrument from a PLS-SEM approach.

All spheres of our life are being affected using technology, particularly its integration in the research processes carried out by teachers. The success of the integration of specific digital resources in research work can be affected by several factors, such as: digital skills for finding information, managing it, analyzing it, and communicating results; digital flow; anxiety in the use of ICT; digital ethics; quality of digital resources; and finally, the behavioral intention to integrate ICT. The purpose of this study is to examine the factors that influence the integration of ICT in the research process of the Higher Education teacher, and the relation between them. An online survey was used to collect data, and 1740 participants. This study used a causal model through partial least squares structural equations modeling (PLS-SEM). With this, the hypotheses established between the integration of ICT and its possible incident factors were verified. The findings revealed a significant influence path from factor integration to digital skills, ethics, flow digital, and behavior intention. Although, resource quality and ICT anxiety had significant effects on the causal model, they did not have a large impact on teachers' integration of digital resources. The total of these factors corresponded to 48.20% of the variance in the integration of the researcher of the specific digital resources to be used in the research process. These results confirm that this model is effective in explaining the technological integration of teachers to use ICT in research work.

Digital competence of higher education professor according to DigCompEdu. Statistical research methods with ANOVA between fields of knowledge in different age ranges.

The tasks of the university educators must be linked to the digital demands posed by the more sophisticated professions of the twenty-first century. Faced with this panorama, the objective of this study is to examine and compare the degree of digital competence of Higher Education educators from different fields of knowledge and different age ranges according to the DigCompEdu framework. A non-probabilistic ex post facto sampling was utilized with 2180 university professors from Andalusia (Spain). The main results of the study provide evidence of an intermediate level of digital competence, for men and women. More specifically, the male professors in Architecture and Judicial & Social Sciences, younger and older than 40, possessed a higher level, as compared to the other fields. For the female professors, the highest level was found once again in Judicial and Social Sciences, in this case for both age ranges, without a clear trend found for the rest of the fields. For each dimension of the DigCompEdu instrument, the level of competence follows the same trend with respect to the overall level. More research is recommended to validate these preliminary results, as well as the development of training lines of action that are specific and adapted to each field of knowledge.

Autologous cell therapy with CD133+ bone marrow-derived stem cells for refractory Asherman's syndrome and endometrial atrophy: a pilot cohort study.

STUDY QUESTION: Could cell therapy using autologous peripheral blood CD133+ bone marrow-derived stem cells (BMDSCs) offer a safe and efficient therapeutic approach for patients with refractory Asherman's syndrome (AS) and/or endometrial atrophy (EA) and a wish to conceive? SUMMARY ANSWER: In the first 3 months, autologous cell therapy, using CD133+ BMDSCs in conjunction with hormonal replacement therapy, increased the volume and duration of menses as well as the thickness and angiogenesis processes of the endometrium while decreasing intrauterine adhesion scores. WHAT IS KNOWN ALREADY: AS is characterized by the presence of intrauterine adhesions and EA prevents the endometrium from growing thicker than 5 mm, resulting in menstruation disorders and infertility. Many therapies have been attempted for these conditions, but none have proved effective. STUDY DESIGN, SIZE, DURATION: This was a prospective, experimental, non-controlled study. There were 18 patients aged 30-45 years with refractory AS or EA were recruited, and 16 of these completed the study. Medical history, physical examination, endometrial thickness, intrauterine adhesion score and neoangiogenesis were assessed before and 3 and 6 months after cell therapy. PARTICIPANTS/MATERIALS, SETTING, METHODS: After the initial hysteroscopic diagnosis, BMDSC mobilization was performed by granulocyte-CSF injection, then CD133+ cells were isolated through peripheral blood aphaeresis to obtain a mean of 124.39 million cells (range 42-236), which were immediately delivered into the spiral arterioles by catheterization. Subsequently, endometrial treatment after stem cell therapy was assessed in terms of restoration of menses, endometrial thickness (by vaginal ultrasound), adhesion score (by hysteroscopy), neoangiogenesis and ongoing pregnancy rate. The study was conducted at Hospital Clínico Universitario of Valencia and IVI Valencia (Spain). MAIN RESULTS AND THE ROLE OF CHANCE: All 11 AS patients exhibited an improved uterine cavity 2 months after stem cell therapy. Endometrial thickness increased from an average of 4.3 mm (range 2.7-5) to 6.7 mm (range 3.1-12) ( ITALIC! P = 0.004). Similarly, four of the five EA patients experienced an improved endometrial cavity, and endometrial thickness increased from 4.2 mm (range 2.7-5) to 5.7 mm (range 5-12) ( ITALIC! P = 0.03). The beneficial effects of the cell therapy increased the mature vessel density and the duration and intensity of menses in the first 3 months, with a return to the initial levels 6 months after the treatment. Three patients became pregnant spontaneously, resulting in one baby boy born, one ongoing pregnancy and a miscarriage. Furthermore, seven pregnancies were obtained after fourteen embryo transfers, resulting in three biochemical pregnancies, one miscarriage, one ectopic pregnancy, one baby born and one ongoing pregnancy. LIMITATIONS, REASONS FOR CAUTION: Limitations of this pilot study include the small sample size and the lack of control group. WIDER IMPLICATIONS OF THE FINDINGS: This novel autologous cell therapy is a promising therapeutic option for patients with these incurable pathologies and a wish to conceive. STUDY FUNDING/COMPETING INTERESTS: This study was funded by the Spanish Ministry of Science and Innovation (SAF 2012-31017, Principal Investigator C.S.), Spanish Ministry of Health (EC11-299, Principal Investigator C.S.) and Regional Valencian Ministry of Education (PROMETEOII/2013/018, Principal Investigator C.S.). Four authors (X.S., I.C., A.P. and C.S.) are co-inventors of the patent resulting from this work (Application number: 62/013,121). S.C., C.A., F.R., J.F., J.P. and J.R. have no conflict of interest in relation to this work. TRIAL REGISTRATION NUMBER: This study was registered with ClinicalTrials.gov (NCT02144987).

COVID-19 Outbreak: Infection Control and Management Protocol for Vascular and Interventional Radiology Departments-Consensus Document.

COVID-19 (SARS-CoV-2 virus) pandemic was recently declared by the WHO as a global health emergency. A group of interventional radiology senior experts developed a consensus document for infection control and management of patients with COVID-19 in interventional radiology (IR) departments. This consensus statement has been brought together at short notice with the help of different protocols developed by governmental entities and scientific societies to be adapted to the current reality and needs of IR Departments. Recommendations are the specific strategies to follow in IR departments, preventive measures and regulations, step by step for donning and doffing personal protective equipment, specific IR procedures which can not be delayed, and aerosol-generating procedures in IR with COVID-19 patients. It is advisable with this document to be adapted to local workplace policies.

Endovascular stent grafting for acute thoracic aortic pathology.

BACKGROUND: Endovascular repair of the thoracic aorta has shown reduced morbidity and mortality compared with open surgery. We describe our experience with endovascular stent grafting in the treatment of acute thoracic aortic pathology. METHODS: From October 2003 to January 2008, 25 patients underwent endovascular stent graft repair of the thoracic aorta. The underlying pathology was a complicated Stanford type B dissection (n = 13), a symptomatic or ruptured thoracic aorta aneurysm (n = 6), a symptomatic penetrating atherosclerotic ulcer (n = 5), or a traumatic aortic injury (n = 1). There were 21 males and four female patients with a mean age of 61.3 years (30-91 years). Routine surveillance included clinical evaluation and contrast-enhanced spiral computed tomography scans before discharge and at 3, 6, and 12 months after the procedure and yearly thereafter. RESULTS: Stent graft placement was technically successful in all patients. There was no intraoperative mortality. Hospital mortality was of two patients (8%). Paraparesis occurred in one patient (4%). Average intensive care unit and hospital stay was 1 and 10 days, respectively. The mean follow-up was 30 months (range, 7-53). Late mortality was in one patient (4%), due to a type A dissection. During the follow-up, four patients (16%) required a second procedure for type I endoleak. CONCLUSIONS: Mortality and morbidity in our small series were low. Close follow-up is mandatory and long-term results have to be awaited.

Aortoesophageal fistula after thoracic stent grafting.

Aortoesophageal fistula after thoracic stent grafting is rare and usually fatal. A 66-year-old woman developed an aortoesophageal fistula 1 month after endovascular stent grafting of the thoracic aorta for a complicated type B dissection. She had a fatal episode of massive bleeding before she could be treated. The limited treatment options are discussed.

Utilización de Internet y dependencia a teléfonos móviles en adolescentes / Using Internet and dependence on mobile phones in adolescents / A utilização da Internet e a dependência de celulares dos adolescentes

El objetivo principal del presente trabajo ha sido analizar el uso que los adolescentes realizan de Internet y los teléfonos móviles. Se utilizó un diseño descriptivo, para la muestra se seleccionaron aleatoriamente 10 centros educativos, registrando 874 encuestas. Los adolescentes utilizan masivamente la Red, accediendo a la misma cada vez más a través del teléfono móvil, no aparecen casos llamativos de dependencia en el empleo del teléfono móvil. Otro de los problemas detectados ha sido el del tiempo de conexión a Internet, que aumenta de manera significativa al igual que destacan otros estudios similares. Es fundamental potenciar el papel de familias y centros educativos para dotar a los jóvenes de estrategias que les permitan realizar unos usos adecuados.

The main objective of this study was to analyze the use made of the teenagers Internet and mobile phones. A descriptive design was used, for the sample were randomly selected 10 schools, registering 874 surveys. Teens use Internet massively, increasingly accessed via mobile phone, although do not show a lot of cases of dependency on the use of mobile phone. Another of the problems identified was the Internet connection time, which increases significantly as others similar studies indicates. It is essential to enhance the role of families and schools to equip young people with strategies to do adequate use.

O principal objetivo deste estudo foi analisar o uso da Internet e de celulares pelos adolescentes. Utilizou-se um modelo descritivo. Para a amostra, a seleção ocorreu de forma aleatória em 10 centros educativos, registrando 874 respostas. Os adolescentes utilizam massivamente a Internet e a acessam cada vez mais por meio dos smartphones. Não constam, nesta pesquisa, casos marcantes de dependência no emprego do smartphone. Outro dos problemas detectados tem sido o do tempo de conexão à Internet, que aumenta de maneira significativa, conforme destacam outros estudos similares. É fundamental reforçar o papel das famílias e das escolas na hora de adotar estratégias que permitam aos jovens utilizar a internet de modo adequado, visando a potencialização de suas capacidades cognitivas.

Hepatic arterial infusion of doxorubicin-loaded microsphere for treatment of hepatocellular cancer: a multi-institutional registry.

BACKGROUND: Hepatic intra-arterial therapy for unresectable hepatocellular cancer (HCC) has been shown to improve overall survival, but can have significant toxicity. A recent prospective randomized controlled trial demonstrated superior response rates and significantly less morbidity and doxorubicin-related adverse events with drug-eluting beads with doxorubicin (DEBDOX) compared with conventional chemoembolization. The aim of this study was to confirm the efficacy of DEBDOX for the treatment of unresectable HCC. STUDY DESIGN: This open-label, multicenter, multinational single-arm study included 118 intermediate-staged HCC patients who were not candidates for transplantation or resection. Patients received DEBDOX at each treatment. Complications and response rates to treatment were analyzed. RESULTS: There were 118 patients who received a total of 186 DEBDOX treatments with a median total treatment dose of 75 mg (range 38 to 150 mg), and median overall total hepatic exposure of 150 mg (range 150 to 600 mg). Five lesions were targeted, with a median size of 5.3 cm (range 1.0 to 16.9 cm). Severe adverse events related to liver dysfunction were seen after 4% of treatments. Overall survival was a median of 14.2 months (range 5 to 30 months), with progression-free survival of 13 months and hepatic-specific progression-free survival of 16 months. Okuda class less than 1 at time of treatment, reduction of alpha-fetoprotein of 1,000 ng/mL at the first post-treatment evaluation, delivery of more than 200 mg doxorubicin, and less than 25% liver involvement were all predictors of favorable overall survival assessed by multivariable analyses. CONCLUSIONS: Hepatic intra-arterial injection of DEBDOX is safe and effective in the treatment of HCC, as demonstrated by a minimal complication rate and robust and durable tumor response.

Impacto de una acción formativa en la prevalencia de automedicación del alumnado de la Facultad de Ciencias de la Educación de la Universidad de Málaga / Impact of a training action on the prevalence of self-medication among students from the Faculty of Education Sciences at the University of Malaga

OBJETIVOS: Primario: analizar la prevalencia y perfil de automedicación de los alumnos de la Facultad de Educación de la Universidad de Málaga. Secundarios: reconocer posibles factores de riesgo relacionados con la automedicación, evaluar el grado de conocimiento sobre automedicación y uso racional de los medicamentos y valorar a 6 meses el efecto de una intervención educativa sobre los objetivos previamente referidos. MÉTODOS: Estudio descriptivo y transversal de prevalencia de automedicación y factores de riesgo relacionados con la misma, mediante realización de encuesta anónima diseñada para tal fin, así como estudio analítico cuasi-experimental, del tipo antes-después, para detectar diferencias en la prevalencia y perfil de automedicación tras la realización de la intervención educativa. RESULTADOS: La prevalencia de automedicación reconocida por los alumnos fue del 72,7%, siendo mayor entre aquellos que aconsejaban o prestaban medicamentos, opinaban que la automedicación es una práctica eficaz y cuyos progenitores no poseían estudios universitarios. Tras la intervención educativa no disminuyó la prevalencia de automedicación, pero sí el hábito de recomendar y prestar medicamentos, el consumo de anticonceptivos y la creencia en la eficacia de la automedicación. Se observó una mejora en la clasificación correcta de los grupos farmacológicos, pasando del 45,4% al 58,2%, fundamentalmente en relación con un reconocimiento más adecuado de la antibioterapia y discriminación correcta de analgésicos y antiinflamatorios. CONCLUSIONES: Los resultados demuestran una alta prevalencia de automedicación en población universitaria, y sugieren la necesidad de implementar intervenciones educativas específicas en salud y uso racional de los medicamentos

OBJECTIVES: Primary: analyze the prevalence and profile of self-medication habits among the students of the Faculty of Education Sciences at the University of Malaga. Secondary: identify posibles factores de riesgo relacionados con la automedicación, possible risk factors related to self-medication, evaluate the degree of knowledge about self-medication and rational use of medicines, this was re-assessed 6 months after an educational intervention. METHODS: Descriptive, cross-sectional study on the prevalence of self-medication habits and the risk factors derived from said habits. It was based on a specially designed anonymous survey and a quasi-experimental before-and-after analytical study in order to detect differences in the prevalence of self-medication and the profile of those with a tendency to self-medicate after completing the educational intervention. RESULTS: The prevalence of self-medication, as acknowledged by the students, was 72.7%. Self-medication was much more common among those students who recommended or lent medication to others, who considered that self-medication is an effective practice and whose parents do not have university studies. After the educational intervention, self-medication prevalence did not decrease regardless of the variable under analysis. What did decrease, however, was the habit of recommending and lending medication, the use of contraceptives and the belief that self-medication is an effective practice. We should highlight a higher accuracy in the classification of pharmacological groups (from 45.4% to 58.2%), particularly as regards a better understanding of antibiotic treatments and a correct distinction between painkillers and anti-inflammatory drugs. CONCLUSIONS: The results show a high prevalence of self-medication in university population, and suggest the need to implement specific educational interventions in health and rational use of medicines

Congenital splenic cyst treated with percutaneous sclerosis using alcohol.

We report a case of successful percutaneous treatment of a congenital splenic cyst using alcohol as the sclerosing agent. A 14-year-old female adolescent presented with a nonsymptomatic cystic mass located in the spleen that was believed to be congenital. After ultrasonography, a drainage catheter was placed in the cavity. About 250 ml of serous liquid was extracted and sent for microbiologic and pathologic studies to rule out an infectious or malignant origin. Immediately afterwards, complete drainage and local sclerotherapy with alcohol was performed. This therapy was repeated 8 days later, after having observed 60 ml of fluid in the drainage bag. One year after treatment the cyst has practically disappeared. We believe that treatment of splenic cyst with percutaneous puncture, ethanolization, and drainage is a valid option and it does not rule out surgery if the conservative treatment fails.

Tratamiento percutáneo de la fístula i trombosada / Percutaneus treatment of thrombosed fistula

No disponible

Tratamiento percutáneo con anfotericina B en un caso de aspergilosis pulmonar invasiva / Percutaneous treatment with amphotericin B in a case of invasive pulmonary aspergillosis

La aspergilosis pulmonar invasiva (API) es una complicación grave que ocurre en pacientes inmunocomprometidos. Necesitamos una terapia rápida y efectiva tanto para tratar la aspergilosis como para poder continuar, lo más pronto posible, el tratamiento de su enfermedad de base. Presentamos un caso de tratamiento percutáneo de las lesiones pulmonares en un varón de 55 años con API en el contexto de una leucemia mieloide aguda (LMA). Con control de tomografía computarizada (TC) y utilizando una aguja fina inyectamos intralesional una solución de anfotericina B (AB) (5 mg/ml de suero glucosado al 5 por ciento). Evaluamos las complicaciones y la eficacia en relación con la mejoría clínica y reducción del tamaño de la lesión (AU)