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Esta investigación valoró los efectos de un programa didáctico gamificado sobre la ansiedad ante el fracaso en Educación Física. Además, pudimos reconocer las posibles causas al analizar las impresiones del alumnado sobre la experiencia. Participaron 143 estudiantes de 5º y 6º de primaria. Se siguió un diseño pre-experimental, pre-test, post-test de un solo grupo, cuantitativo-cualitativo. Se administró la subescala Ansiedad y Agobio ante el Fracaso del Test de Motivación del Logro para el Aprendizaje en Educación Física (versión validada por Ruiz-Pérez et al. (2015) del Achievement Motivation in Physical Education Test, AMPET, de Nishida (1988)) y un cuestionario ad hoc con cuatro preguntas abiertas. Los datos cuantitativos mostraron que, tras la intervención didáctica, la ansiedad disminuyó de manera significativa. Los resultados cualitativos desvelaron aspectos positivos que pudieron promover dicha disminución, como: la superación de pruebas, el trabajo cooperativo, el disfrute de los elementos de la gamificación, la superación personal, el aprendizaje y la mejora de aspectos curriculares. Sin embargo, también se reconocieron otros aspectos negativos, como el trabajo de la resistencia y los grupos estables, lo cual deja entrever algunos aspectos de mejora en este planteamiento gamificado. Abstract: This research assessed the effects of a gamified project on anxiety about failure in Physical Education, perceiving the possible causes through the impressions of the students. 143 students from 5th and 6th grade participated. A pre-experimental, pre-test, post-test single-group, quantitative-qualitative design was followed. The Anxiety and Stress subscale was administered before the Failure of the Motivation Test of Achievement for Learning in Physical Education and open questions were used after the experience (version validated by Ruiz-Pérez et al. (2015) of the Achievement Motivation in Physical Education Test, AMPET, by Nishida (1988)) and an ad hoc questionnaire with four open questions. The quantitative data showed that anxiety decreased significantly after the intervention. The qualitative results revealed positive aspects that could promote said decrease: passing tests, cooperative work, enjoyment of the elements of gamification, personal improvement, learning and improvement of curricular aspects. However, other negative aspects were also recognized, such as resistance work and stable groups, which suggests some aspects of improvement in this gamified approach.

Introducción: Es creciente el uso de nuevos agentes hemostáticos para controlar la hemorragia en entornos militares. Objetivos: Sintetizar y analizar la evidencia disponible sobre la eficacia de diferentes agentes hemostáticos utilizados en ambientes tácticos, transportados por los combatientes del ejército. Desarrollo: Se realizó una revisión narrativa de artículos publicados en inglés y español, en las bases de datos Medline (PubMed), Cochrane, Web of Science y en revistas, protocolos, libros y manuales del ámbito de urgencias y emergencias en el campo de batalla, que analizaron el fenómeno de estudio y cumplieron los criterios de inclusión y exclusión. Tras la búsqueda y selección de los estudios, 7 artículos fueron incluidos en la síntesis narrativa. En los estudios se utilizaron los siguientes agentes hemostáticos QuikClot®, HemCon®, Celox® y el ChitoGauze HemCon®; en la mayoría de los estudios, los agentes hemostáticos tuvieron una eficacia superior al 88 % para detener, disminuir y controlar la hemorragia externa en víctimas de combate, sobre todo en zonas de unión (articulaciones) y para reducir la morbilidad y mortalidad. Solo QuikClot® tuvo efectos secundarios negativos, al provocar quemaduras. El correcto manejo de los agentes hemostáticos requiere de formación previa, lo que evita errores de administración. Conclusiones: Los agentes hemostáticos son eficaces para el abordaje de la hemorragia externa y aumentan la supervivencia en víctimas de combate. Es necesario formar a los profesionales para evitar errores en su manejo. Futuros estudios deben indagar cuál de estos agentes es más eficaz.

Introduction: The use of new hemostatic agents to control hemorrhage in military environments is growing. Objectives: To synthesize and analyze the available evidence about the effectiveness of the different hemostatic agents utilized in tactical environments that are transported by army fighters. Development: A narrative review of articles published in English and Spanish, in Medline (PubMed), Cochrane and Web of Science, and magazines, protocols, books, and manuals in the field of emergency and battlefield emergencies, who analyzed the study phenomenon and met the inclusion and exclusion criteria. After searching and selecting the studies, 7 articles were included in the narrative synthesis. In the studies, the following hemostatic agents were used QuikClot®, HemCon®, Celox®, and ChitoGauze HemCon®, in most studies, hemostatic agents were more than 88 % effective in stopping, reducing, and controlling external hemorrhage in combat victims, especially in union areas, also decreasing morbidity and mortality. Only QuikClot® had negative side effects causing burns. The correct handling of hemostatic agents requires prior training, which avoids administration mistakes. Conclusions: Hemostatic agents are effective for treating external hemorrhage in combat victims and increasing their survival. It is necessary to train professionals to avoid mistakes in their handling. Future studies should investigate which of these agents is more effective.

Objective. Analyze and integrate studies that inquire on the benefits of nursing educational interventions to manage post-surgical pain. Methods. A systematic search was conducted in the databases of Scopus, Medline (Pubmed), Web of Science, The Cochrane Library, and CINAHL of systematic reviews, randomized clinical trials, and quasiexperimental studies published in English and Spanish until 2018 that analyzed the effectiveness of educational interventions in managing post-surgical pain in adult patients. Results. Twelve studies complied inclusion criteria, of which nine reported less pain in the group receiving the educational intervention. These interventions also helped to diminish the level of anxiety and improved functionality to perform activities of daily life. The level of quality of the studies was medium. Conclusion. Although the review showed that nursing educational interventions could influence on the relief of post-surgical pain, more rigorous studies are necessary, with bigger sample sizes and higher methodological quality, which help to establish the real effectiveness in managing post-surgical patients with pain. How to cite this article: Reaza-Alarcón A, RodríguezMartín B. Effectiveness of nursing educational interventions in managing post-surgical pain. Systematic review. Invest. Educ. Enferm. 2019; 37(2):e10.

En este artículo se realiza un análisis didáctico-musical de los programas informáticos que podemos utilizar en las clases de música en la Etapa Secundaria Obligatoria. Por la extensión de los puntos desarrollados en cada uno de los programas incluidos en el presente artículo, hemos optado por comentar sólo los programas informáticos considerados como abiertos, ya en otro artículo del siguiente número, explicaremos el otro grupo de programas, que son denominados como cerrados.

The 17th International HLA and Immunogenetics Workshop (IHIW) organizers conducted a Pilot Study (PS) in which 13 laboratories (15 groups) participated to assess the performance of the various sequencing library preparation protocols, NGS platforms and software in use prior to the workshop. The organizers sent 50 cell lines to each of the 15 groups, scored the 15 independently generated sets of NGS HLA genotyping data, and generated "consensus" HLA genotypes for each of the 50 cell lines. Proficiency Testing (PT) was subsequently organized using four sets of 24 cell lines, selected from 48 of 50 PS cell lines, to validate the quality of NGS HLA typing data from the 34 participating IHIW laboratories. Completion of the PT program with a minimum score of 95% concordance at the HLA-A, HLA-B, HLA-C, HLA-DRB1 and HLA-DQB1 loci satisfied the requirements to submit NGS HLA typing data for the 17th IHIW projects. Together, these PS and PT efforts constituted the 17th IHIW Quality Control project. Overall PT concordance rates for HLA-A, HLA-B, HLA-C, HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1, HLA-DRB3, HLA-DRB4 and HLA-DRB5 were 98.1%, 97.0% and 98.1%, 99.0%, 98.6%, 98.8%, 97.6%, 96.0%, 99.1%, 90.0% and 91.7%, respectively. Across all loci, the majority of the discordance was due to allele dropout. The high cost of NGS HLA genotyping per experiment likely prevented the retyping of initially failed HLA loci. Despite the high HLA genotype concordance rates of the software, there remains room for improvement in the assembly of more accurate consensus DNA sequences by NGS HLA genotyping software., (Copyright © 2019 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved.)