Social factors related to the clinical severity of influenza cases in Spain during the A(H1N1)2009 virus pandemic

Background During the 2009 influenza pandemic, a change in the type of patients most often affected by influenza was observed. The objective of this study was to assess the role of individual and social determinants in hospitalizations due to influenza A (H1N1) 2009 infection. Methods We studied hospitalized patients (cases) and outpatients (controls) with confirmed influenza A (H1N1) 2009 infection. A standardized questionnaire was used to collect data. Variables that might be related to the hospitalization of influenza cases were compared by estimation of the odds ratio (OR) and 95% confidence intervals (CI) and the variables entered into binomial logistic regression models. Results Hospitalization due to pandemic A (H1N1) 2009 influenza virus infections was associated with non-Caucasian ethnicity (OR: 2.18, 95% CI 1.17 − 4.08), overcrowding (OR: 2.84, 95% CI 1.20 − 6.72), comorbidity and the lack of previous preventive information (OR: 2.69, 95% CI: 1.50 − 4.83). Secondary or higher education was associated with a lower risk of hospitalization (OR 0.56, 95% CI: 0.36 − 0.87) Conclusions In addition to individual factors such as comorbidity, other factors such as educational level, ethnicity or overcrowding were associated with hospitalization due to A (H1N1) 2009 influenza virus infections.

Pandemic influença A (H1N1) infection in pregnant and nonpregnant women in Spain (2009-2010)

The present study aimed to compare the main features of infection with pandemic influenza A virus in pregnant and nonpregnant women admitted to hospitals in Spain during the first waves of the 2009-2010 influenza pandemic. This was a prospective (November 2009 to June 2010), multicenter observational study. All cases were women of reproductive age who had not been vaccinated against seasonal or pandemic influenza A. Influenza infection was confirmed by reverse transcription-polymerase chain reaction (RT-PCR). The sociodemographic and clinical data of all cases were reviewed. A total of 219 inpatients, including 49 pregnant women and 170 nonpregnant women, were enrolled in the study upon admission to participating hospitals. The most substantially different symptoms between the groups were respiratory distress and unilobar consolidation, both of which were more frequent among nonpregnant women. Antibiotics and systemic corticosteroids were more frequently used in nonpregnant women; however, there were no differences in the rates of treatment with antivirals. Our findings indicated that the compared with nonpregnant women, pregnant women in this study did not have significantly different symptoms and were not at increased risk of complications from pandemic influenza virus infection.

Guillem Masó, mercader de Sant Joan de les Abadesses: bestiar, draps i crèdit en una vila monàstica al darrer quart del segle XIV

El present treball es fonamenta amb el contingut del llibre particular o extraordinari del mercader Guillem Masó, de Sant Joan de les Abadesses, actiu durant la segona meitat del segle XIV. La majoria d’assentaments que conté el volum fan referència a tractes de bestiar, amb la inclusió de diverses tipologies o variants en els contractes, des de la simple compravenda fins a comandes-parceria. L’activitat del mercader Masó, tanmateix, no se centra exclusivament en aquests negocis. S’intueix una diversificació de les seves activitats que es vinculen, fonamentalment, amb la producció i comercialització de draps de llana i de lli. El context social i econòmic de la vila de Sant Joan durant aquest període afavoreix la presència d’aquests empresaris tèxtils que, per a aconseguir els seus objectius, s’introdueixen en els ressorts del poder civil de la vila i en els dels gremis i confraries que regulen i controlen els processos de fabricació dels productes

Experiencias interdisciplinarias mediante las canciones para niños de Apel·les Mestres

Con este artículo queremos exponer una experiencia didáctica interdisciplinar con la intervención de las áreas de expresión visual, literaria y musical, y, al mismo tiempo, rendir homenaje a una parte pequeña, pero no por eso menos significativa, de nuestro autor: sus canciones para niños.Apel·les Mestres, figura polifacética y en estrecha comunión con su tiempo, nos dejó un amplio legado en todas las áreas o disciplinas que cultivó: la música, la literatura, el dibujo, la poesía, etc

Sociodemographic Factors and Clinical Conditions Associated to Hospitalization in Influenza A (H1N1) 2009 Virus Infected Patients in Spain, 2009-2010

The emergence and pandemic spread of a new strain of influenza A (H1N1) virus in 2009 resulted in a serious alarm in clinical and public health services all over the world. One distinguishing feature of this new influenza pandemic was the different profile of hospitalized patients compared to those from traditional seasonal influenza infections. Our goal was to analyze sociodemographic and clinical factors associated to hospitalization following infection by influenza A(H1N1) virus. We report the results of a Spanish nationwide study with laboratory confirmed infection by the new pandemic virus in a case-control design based on hospitalized patients. The main risk factors for hospitalization of influenza A (H1N1) 2009 were determined to be obesity (BMI≥40, with an odds-ratio [OR] 14.27), hematological neoplasia (OR 10.71), chronic heart disease, COPD (OR 5.16) and neurological disease, among the clinical conditions, whereas low education level and some ethnic backgrounds (Gypsies and Amerinds) were the sociodemographic variables found associated to hospitalization. The presence of any clinical condition of moderate risk almost triples the risk of hospitalization (OR 2.88) and high risk conditions raise this value markedly (OR 6.43). The risk of hospitalization increased proportionally when for two (OR 2.08) or for three or more (OR 4.86) risk factors were simultaneously present in the same patient. These findings should be considered when a new influenza virus appears in the human population

Treball final de màster

Desenvolupament d’una unitat didàctica dissenyada per al centre d’educació secundària IES Ramon Turró i Darder de Malgrat de Mar que està basada principalment en corrents i teories psicopedagògiques com els processos de la piràmide o taxonomia de Bloom i la teoria de l’aprenentatge significatiu de David Ausubel. Per portar a terme les activitats de la unitat didàctica, des de les inicials fins a les de síntesi, s’han seguit els processos de la piràmide o taxonomia de Bloom en la qual es van superant i es va augmentant el nivell de dificultat de les activitats de l’alumnat fins a aconseguir arribar a nivells de reflexió i de creació per part dels alumnes. Per una altra banda, es destacaria la teoria de l’aprenentatge significatiu de David Ausubel en la qual els nous coneixements es van incorporant en l’alumne a partir d’una sèrie de passos i d’aspectes que s’han de tenir en compte. En relació amb la piràmide de Bloom, l’alumnat rep una informació que desconeixia fins aquell moment i que ha relacionat amb els coneixements que ja portava incorporats. Perquè els diferents passos es puguin desenvolupar cal que per part del docent es produeixi un guiatge i unes explicacions a partir d’uns materials que han d’adequar-se a les capacitats dels alumnes

Competencias creativas en el aula de música = Creative competences in music classes

En el marco de las competencias profesionales del educador musical, la creatividad ocupa una posición que a menudo ha sido definida como sistémica. La labor del educador y/o formador en el aula de música requiere, de forma genérica, el despliegue de competencias que incorporen la creatividad. En este artículo se presentan los resultados de un trabajo realizado con dos muestras de alumnos, de tercer curso de magisterio y de un curso postgrado. Se ofrecen y se analizan los datos recogidos con la finalidad de desplegar un mapa que integre competencias creativas genéricas, específicas y disciplinares