Introduction: Critically ill children in the pediatric intensive care unit (PICU) are at high risk for developing nutritional deficiencies and undernutrition is known to be a risk factor for morbidity and mortality. Malnutrition represents a continuous spectrum ranging from marginal nutrient status to severe metabolic and functional alterations and this in turn, affects clinical outcome. Objectives: The aim of the study was to assess nutritional status of critically ill children admitted to the PICU and its association to clinical outcomes. Methods: Critically ill children age 6 months to 18 years were prospectively enrolled on PICU admission. Nutritional status was assessed by weight for age (WFA: underweight), weight for height (WFH: wasting), height for age (HFA: stunting) z-scores and mid upper arm circumference (MUAC: wasting) according to the WHO. (1,2) Malnutrition was defined as mild, moderate, and severe if z-scores were > −1, > − 2, and > −3, respectively. Hospital and PICU length of stay (LOS), duration of mechanical ventilation (MV), and risk of mortality (ROM) by the Pediatric Index of Mortality 2 (PIM2) were obtained. Sensitivity and specificity of the MUAC to identify children with wasting (WFH) were calculated. Results: Two hundred and fifty children (136 males), aged 81 months (23-167; median (25-75 th IQR)), were prospectively included in the study. The hospital LOS was 8 (4-16) days; PICU LOS: 2 (1-4) days; duration of MV, 0 (0-1.5) days;

La trashumancia es una práctica ganadera ancestral que lucha por pervivir mientras se apuntala su consideración como patrimonio inmaterial. Su conocimiento en el ámbito universitario se ha ceñido tradicionalmente a los estudios de veterinaria, pero las implicaciones culturales y patrimoniales que subyacen en la misma hacen que pueda ser foco de atención de otras áreas. Ello es lo que se pretende demostrar en el presente trabajo, donde se analizan los resultados de una propuesta práctica, basada en la conjugación de metodologías cuantitativas y cualitativas, desarrollada para vincular con el patrimonio de esta actividad los contenidos teóricos de la asignatura de “Patrimonio Cultural” del Grado en Ciencia y Tecnología Geográficas de la Universidad de Murcia. Las conclusiones obtenidas han puesto de relieve que impulsar ejercicios sostenidos en la educación patrimonial facilita la comprensión y aplicación de las competencias que un futuro geógrafo debe dominar en este campo de trabajo.

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reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. carbon dioxide 30 [27][28][29][30][31][32][33][34][35] mmHg and median temperature 37.1 [36.8-37.3]°C. After removal of artefacts, the mean monitoring time was 22 h08 (8 h54). All patients had impaired cerebral autoregulation during their monitoring time. The mean IAR index was 17 (9.5) %. During H 0 H 6 and H 18 H 24 , the majority of our patients; respectively 53 and 71 % had an IAR index > 10 %. Conclusion According to our data, patients with septic shock had impaired cerebral autoregulation within the first 24 hours of their admission in the ICU. In our patients, we described a variability of distribution of impaired autoregulation according to time. ReferencesSchramm P, Klein KU, Falkenberg L, et al. Impaired cerebrovascular autoregulation in patients with severe sepsis and sepsis-associated delirium. Crit Care 2012; 16: R181. Aries MJH, Czosnyka M, Budohoski KP, et al. Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury. Crit. Care Med. 2012.

La importancia de la producción de cordero en el Sureste, la existencia de un núcleo de trashumantes de ovino en la Sierra de Segura, y la consideración de la trashumancia como manifestación representativa del patrimonio cultural inmaterial nos ha llevado a explorar el potencial docente de la trashumancia con ovino segureño para estudiantes de veterinaria. Entre 2016 y 2019, cuatro profesores y dieciocho estudiantes de veterinaria de las Universidades de Murcia y Cardenal Herrera (UCH-CEU) de Valencia, hemos realizado diecinueve jornadas de trashumancia. Entre las acciones de innovación docente generadas destaca la exposición fotográfica “La Vereda de los Pontoneros” y el documental “Trashumancia, la Última Frontera”. Proponemos la integración de una semana de trashumancia en el periodo de las dos semanas de prácticas tuteladas con la Asociación Nacional de Criadores de Ovino Segureño (ANCOS), discutimos su integración en el grado de Veterinaria de Murcia y evidenciamos el interés docente de esta actividad inmersiva, que supera los propios contenidos del grado de veterinaria. The importance of lamb production in the Southeast, the existence of ovine trashumants in Sierra de Segura and the consideration of transhumance as a representative manifestation of the intangible cultural heritage has leaded us to explore the teaching potential of transhumance with segureño sheep for veterinary students. Between 2016 and 2018, four professors and eighteen veterinary students from the University of Murcia and the University CEU Cardenal Herrera of Valencia have participated during nineteen days in transhumance. Within the generated teaching innovation activities highlights the photographic exposition “La Vereda de los Pontoneros” and the documentary “Trashumancia, la última frontera”. We propose the integration of a week of transhumance within the practical period with the Asociación Nacional de Criadores de Ovino Segureño (ANCOS), we discuss its inclusion in the Veterinary Degree program of the University of Murcia and we evidence the teaching interest of this immersive activity which widely approach others fields than veterinary ones.