Rationale: Critical care patients develop severe stress, inflammation and a clinical state that may raise the utilization and metabolic replacement of many nutrients as zinc, depleting their body reserves.

The reason why a specific subject is chosen by the students has been frequently interpreted from several points of view. The aim of this study is to analyze the reasons why different types of subjects with particular characteristics are chosen. Specifically, two of these subjects are free electives: one of them - Fotoproteccion- is imparted through the Andalusian Virtual Campus, and the other one - Aplicacion de la Tecnologia Farmaceutica en el tratamiento del cancer y del dolor-through the virtual campus of the University of Granada. The third subject chosen is optional - Farmacia Practica- and it is at present imparted within the Degree in Pharmacy. The different reasons why a student chooses one subject against other have been analyzed using one of the most used tools: an anonymous survey to all the students enrolled. The conclusions of this study are diverse, but it is mainly to be remarked in the case of the virtual subjects their accessibility and easy implementation as well as the importance of an attractive title for the selection of a subject. The main reason in the case of the optional subject is to learn something new in relation to their Degree, followed very closely by its timetable. Therefore, as final conclusion, it is interesting to remark that the students want in both cases to learn something attractive that can be easily adapted to their study schedule.

Rationale: Nearly one-third of intensive care patients are obese, thus understanding the consequences of obesity on critical illness has great public health importance. Hence the aim of the study was to assess the impact of excess weight and obesity in the outcome of a critically ill patient. Methods: 130 patients admitted in the intensive care unit (ICU) were included in the study. In order to make the assessment, it was used demographic data, Acute Physiology and Chronic Health Evaluation II (APACHE II), weight, height, body mass index (BMI), days of mechanical ventilation, number of nosocomial infections, ICU mortality and hospital mortality. The data was collected from each clinical process during patient remaining time in the ICU. BMI was used to characterize nutritional state, allowing the classification in normal weight, excess weight and obesity. Results: 84 (64.4%) males and 46 (35.6%) females with an average age of 61.6±18.7 years old were enrolled in the study. Patients remained in the ICU in an average of 13.8±9.9 days. 39% (51) had a normal BMI, 38% (49) had excess weight and 17% (22) were obese. The average of APACHE II score in the three groups was 19.9±8.2, 21.1±7.8 and 21.6±7.3, respectively. The group that was presented with more nosocomial infections was the normal BMI group (16), followed by the excess weight group (11) and the obese group (6). Conclusion: The present study did not found a statistically significant relation between higher BMI and the prevalence of nosocomial infections. However, as it has been demonstrated, the impact of obesity in morbidity and mortality in the general population is grand, so continued research efforts will be needed to address the impact of excess weight in a critically ill patient.

espanolEl motivo de eleccion de una determinada asignatura por parte de los alumnos, ha sido frecuentemente interpretado bajo diferentes puntos de vista. En esta comunicacion nuestro objetivo ha sido analizar los motivos de eleccion en distintos tipos de asignaturas con caracteristicas peculiares cada una de ellas, concretamente dos de ellas son de libre configuracion, siendo una de imparticion en el campus andaluz virtual �Fotoproteccion- y la otra en el campus virtual de la Universidad de Granada �Aplicacion de la Tecnologia Farmaceutica en el tratamiento del cancer y del dolor-. La tercera asignatura seleccionada es una optativa -Farmacia Practica- que se imparte actualmente en la Licenciatura en Farmacia. Se ha realizado un analisis de los diferentes motivos que impulsan a un alumno a la eleccion de una disciplina frente a otra, para ello se ha utilizado una de las herramientas de mayor uso, la encuesta anonima a todos aquellos que estaban matriculados. Las conclusiones de este estudio son diversas pero ante todo cabe senalar en el caso de las virtuales la facilidad de acceso y realizacion de las asignaturas virtuales, y destacar tambien que un titulo atractivo es fundamental en su eleccion. En el caso de la optativa el motivo fundamental ha sido aprender algo nuevo relacionado con su licenciatura y seguido muy de cerca por la facilidad de horario. Por tanto como conclusion definitiva es interesante destacar que tanto en un caso como en otro el alumno desea aprender algo atractivo y que se acomode facilmente a su horario de estudio. EnglishThe reason why a specific subject is chosen by the students has been frequently interpreted from several points of view. The aim of this study is to analyze the reasons why different types of subjects with particular characteristics are chosen. Specifically, two of these subjects are free electives: one of them �Fotoproteccion- is imparted through the Andalusian Virtual Campus, and the other one �Aplicacion de la Tecnologia Farmaceutica en el tratamiento del cancer y del dolorthrough the virtual campus of the University of Granada. The third subject chosen is optional - Farmacia Practica- and it is at present imparted within the Degree in Pharmacy. The different reasons why a student chooses one subject against other have been analyzed using one of the most used tools: an anonymous survey to all the students enrolled. The conclusions of this study are diverse, but it is mainly to be remarked in the case of the virtual subjects their accessibility and easy implementation as well as the importance of an attractive title for the selection of a subject. The main reason in the case of the optional subject is to learn something new in relation to their Degree, followed very closely by its timetable. Therefore, as final conclusion, it is interesting to remark that the students want in both cases to learn something attractive that can be easily adapted to their study schedule.

A important issue regarding the educational practice in the EEES, is the interest in the students' global work from which curricular ECST system has been established. This particular approach requires a revision of the methodology applied in teaching.It is well known that the Information and Communication Technologies (ICT) have been extended to all social sectors and have produced a special impact on the educational system. In this context, Internet has proved to be not only important as a channel for the transmission of contents but also as a potential educational tool since incorporates interactivity, allows a personalized use of multiple resources, is adaptable to particular needs in the formative process and allows to combine different kinds of resources.The application of ICT in the University studies is more extended every day. In spite of the limitations imposed by the existence of groups formed by a high number of students, a clear trend seems to consolidate nowadays: the creation of virtual environments supporting on-site teaching and which are integrated as much as possible in the study schedules.The present communication focuses on these general aspects in relation with the experience accumulated in the development of several educational resources and the creation of a specific virtual environment for students which enrolled in Physical-Chemistry (Pharmacy section) during the past academic years.The virtual environment developed is a) a designed space not for accumulating static HTML pages but structured for allowing to update it with periodical contributions; b) an interactive space where the usual communicative exchange between students and teacher as well as between students is facilitated; c) a reference in which to incorporate complementary resources in order to support 'on site' teaching; and d) a place to integrate different tools with application in educational matters.

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