Relaci?n entre el modelo pedag?gico social constructivista, y las pr?cticas pedag?gicas de los docentes de la instituci?n educativa INEM Manuel Murillo Toro de la ciudad de Ibagu?

202 p. Recurso Electr?nicoLa presente investigaci?n tuvo como objetivo establecer las caracter?sticas del modelo social constructivista que se evidencia en las pr?cticas pedag?gicas de los docentes de la instituci?n educativa INEM Manuel Murillo Toro de la ciudad de Ibagu?; para ello, se emple? una metodolog?a de tipo mixto (cualitativo y cuantitativo), mediante la aplicaci?n de diferentes instrumentos que incluyeron, encuestas a docentes y directivos de la instituci?n, el an?lisis documental, as? como la observaci?n directa a las clases de algunos docentes . Dentro de los resultados obtenidos se puede evidenciar que existe un nivel de incoherencia entre los planteamientos institucionales y las pr?cticas de ense?anza y aprendizaje que llevan a cabo los docentes. As? mismo, se recomienda a la instituci?n dise?ar estrategias con las cuales se logre una mayor apropiaci?n del modelo pedag?gico; esto, mediante un seguimiento constante y pertinente a los procesos que permiten la materializaci?n de sus componentes.The objective of this research was to establish the characteristics of the constructivist social model that is evident in the pedagogical practices of the teachers of the educational institution I NEM Manuel Murillo Toro of the city of Ibagu?; To this end, a mixed-type methodology (qualitative and quantitative) was used, by means of the application of different instruments that included, surveys to teachers and managers of the institution, the documentary analysis, as well as the direct observation to the classes of some teachers. Among the results obtained, it can be seen that there is a level of incoherence between the institutional approaches and the teaching and learning practices carried out by the teachers. The institution is also encouraged to design strategies to achieve a greater appropriation of the pedagogical model; This, through constant and pertinent monitoring of the processes that allow the materialization of its components. Keywords: Constructivist social pedagogical model, pedagogical practices, teaching-learning, didactic strategies, components, follow-up

Myocardial infarction with non-obstructive coronary arteries: A comprehensive review and future research directions

Acute coronary syndromes constitute a variety of myocardial injury presentations that include a subset of patients presenting with myocardial infarction with non-obstructive coronary arteries (MINOCA). This acute coronary syndrome differs from type 1 myocardial infarction (MI) regarding patient characteristics, presentation, physiopathology, management, treatment, and prognosis. Two-thirds of MINOCA subjects present ST-segment elevation; MINOCA patients are younger, are more often female and tend to have fewer cardiovascular risk factors. Moreover, MINOCA is a working diagnosis, and defining the aetiologic mechanism is relevant because it affects patient care and prognosis. In the absence of relevant coronary artery disease, myocardial ischaemia might be triggered by an acute event in epicardial coronary arteries, coronary microcirculation, or both. Epicardial causes of MINOCA include coronary plaque disruption, coronary dissection, and coronary spasm. Microvascular MINOCA mechanisms involve microvascular coronary spasm, takotsubo syndrome (TTS), myocarditis, and coronary thromboembolism. Coronary angiography with non-significant coronary stenosis and left ventriculography are first-line tests in the differential study of MINOCA patients. The diagnostic arsenal includes invasive and non-invasive techniques. Medical history and echocardiography can help indicate vasospasm or thrombosis, if one finite coronary territory is affected, or specify TTS if apical ballooning is present. Intravascular ultrasound, optical coherence tomography, and provocative testing are encouraged. Cardiac magnetic resonance is a cornerstone in myocarditis diagnosis. MINOCA is not a benign diagnosis, and its polymorphic forms differ in prognosis. MINOCA care varies across centres, and future multi-centre clinical trials with standardized criteria may have a positive impact on defining optimal cardiovascular care for MINOCA patients

Interplay between detrital and diagenetic processes since the last glacial maximum on the northwest Iberian continental shelf

Author Posting. © The Author(s), 2010. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Quaternary Research 73 (2010): 507-520, doi:10.1016/j.yqres.2010.02.003.Integrated analyses of magnetic, geochemical and textural data on six cores from the northwestern Iberian continental shelf allowed the reconstruction of the paleoenvironmental evolution of this area since the last glacial maximum (LGM). Four sedimentary units were identified, representing a succession from fluvial and subaerial settings to high and finally low-energy marine deposits subsequent to the post-LGM sea evel rise. The uppermost unit was deposited during the Holocene and its magnetic properties were controlled by the interplay between detrital input and early diagenetic reductive dissolution of magnetic minerals. Identification of a primary steady-state early diagenetic signal allowed the recognition of periods of increased detrital input bounded by intervals of lower detrital input and intensified reductive diagenesis related related to upwelling intensifications in the area. These paleoenvironmental alternations are consistent with the climatic evolution of the late Holocene. During the Roman Warm Period (RWP) and Medieval Warm Period (MWP), the combined effect of greater humidity and intense agricultural and mining activities led to a greater erosion and transport of detrital sediments to the shelf. In contrast, enhanced diagenetic reduction intervals, caused by upwelling intensification, were roughly coincident with the colder Dark Ages (DA) and the Little Ice Age (LIA).Contribution to projects CTM2007-61227/MAR and REN2003-02822 funded by the Spanish MICINN. Partial contribution to projects PGIDIT06TAM31201PR and IN825B funded by Xunta de Galicia and NACSA 236962 and ANCORIM funded by the EU. The EU Paleostudies program funded the stay of Kais J. Mohamed in Bremen. K. J. Mohamed wishes to acknowledge joint funding from the Fulbright Program and the Spanish Ministry of Education and Science and the Marie Curie International Outgoing Fellowships within the 7th European Community Framework Programme

Pharmaceutical companies information and antibiotic prescription patterns: A follow-up study in Spanish primary care

OBJECTIVES: To assess the impact of sources of drug information on antibiotic prescribing patterns (quantity and quality) among primary care physicians. METHODS: We conducted a cohort study on primary care physicians who were actively engaged in medical practice in 2010 in a region in north-west Spain (Galicia), fulfilling inclusion criteria (n = 2100). As the independent variable, we took the perceived utility of 6 sources of information on antibiotics, as measured by the validated KAAR-11 questionnaire. As dependent variables, we used: (1) a quality indicator (appropriate quality, defined as any case where 6 of the 12 indicators proposed by the European Surveillance of Antimicrobial Consumption Network [ESAC-Net] were better than the mean values for Spain); and, (2) a quantity indicator (high prescribing), defined as any case where defined daily doses (DDD) per 1 000 inhabitants per day of antibacterials for systemic use were higher than the mean values for Spain. The adjusted odds ratio for a change in the interquartile range (IqOR) for each sources of information on antibiotics was calculated using Generalized Linear Mixed Models. RESULTS: The questionnaire response rate was 68%. Greater perceived utility of pharmaceutical sales representatives increases the risk of having high prescribing (1/IqOR = 2.50 [95%CI: 1.63-3.66]) and reduces the probability of having appropriate quality (1/IqOR = 2.28 [95%CI: 1.77-3.01]). Greater perceived utility of clinical guidelines increases the probability of having appropriate quality (1/IqOR = 1.25 [95%CI: 1.02-1.54]) and reduces the probability of high prescribing (1/IqOR = 1.25 [95%CI: 1.02-1.54]). CONCLUSIONS: Sources of information on antibiotics are an important determinant of the quantity and quality of antibiotic prescribing in primary care. Commercial sources of information influence prescribing negatively, and clinical guidelines are associated with better indicators.Instituto de Salud Carlos IIIThe European Regional Development Fund (ERDF)Mutua Madrileñ

Psychiatric comorbidities in Asperger syndrome are related with polygenic overlap and differ from other Autism subtypes

There is great phenotypic heterogeneity within autism spectrum disorders (ASD), which has led to question their classification into a single diagnostic category. The study of the common genetic variation in ASD has suggested a greater contribution of other psychiatric conditions in Asperger syndrome (AS) than in the rest of the DSM-IV ASD subtypes (Non_AS). Here, using available genetic data from previously performed genome-wide association studies (GWAS), we aimed to study the genetic overlap between five of the most related disorders (schizophrenia (SCZ), major depression disorder (MDD), attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorders (OCD) and anxiety (ANX)), and AS, comparing it with the overlap in Non_AS subtypes. A Spanish cohort of autism trios (N = 371) was exome sequenced as part of the Autism Sequencing Consortium (ASC) and 241 trios were extensively characterized to be diagnosed with AS following DSM-IV and Gillberg's criteria (N = 39) or not (N = 202). Following exome imputation, polygenic risk scores (PRS) were calculated for ASD, SCZ, ADHD, MDD, ANX, and OCD (from available summary data from Psychiatric Genomic Consortium (PGC) repository) in the Spanish trios' cohort. By using polygenic transmission disequilibrium test (pTDT), we reported that risk for SCZ (Pscz = 0.008, corrected-PSCZ = 0.0409), ADHD (PADHD = 0.021, corrected-PADHD = 0.0301), and MDD (PMDD = 0.039, corrected-PMDD = 0.0501) is over-transmitted to children with AS but not to Non_AS. Indeed, agnostic clustering procedure with deviation values from pTDT tests suggested two differentiated clusters of subjects, one of which is significantly enriched in AS (P = 0.025). Subsequent analysis with S-Predixcan, a recently developed software to predict gene expression from genotype data, revealed a clear pattern of correlation between cortical gene expression in ADHD and AS (P < 0.001) and a similar strong correlation pattern between MDD and AS, but also extendable to another non-brain tissue such as lung (P < 0.001). Altogether, these results support the idea of AS being qualitatively distinct from Non_AS autism and consistently evidence the genetic overlap between AS and ADHD, MDD, or SCZ

Impacto de la responsabilidad social corporativa, influenciada por la cultura organizacional, en el desempe?o de las empresas textiles manufactureras de Lima, considerando el rol mediador de la capacidad de innovaci?n

El presente estudio propone investigar si existe un impacto de las actividades de responsabilidad social corporativa, en el desempe?o organizacional de las empresas textiles manufactureras lime?as. Durante la revisi?n literaria, se encontr? indicios de una participaci?n antecesora de la cultura organizacional, as? como una acci?n mediadora de la capacidad de innovaci?n en la relaci?n entre responsabilidad social corporativa y desempe?o organizacional, hallazgos que juegan un rol importante en el marco integrador de la cuarta etapa evolutiva de la responsabilidad social corporativa. Para validar estas relaciones, se propone realizar un estudio bajo una metodolog?a cuantitativa, a trav?s de la aplicaci?n de encuestas a los gerentes generales de 97 empresas textiles manufactureras formales de Lima. Las variables involucradas, cultura organizacional, responsabilidad social corporativa, capacidad de innovaci?n y desempe?o organizacional ser?n medidas a trav?s de escala de Likert. Se espera encontrar una influencia de la cultura organizacional en las actividades de responsabilidad social corporativa que junto a la capacidad de innovaci?n pueda mejorar el desempe?o organizacional de las empresas manufactureras textiles de Lima, logrando incentivar a empresas, incluso de distintos tama?os y sectores, a apostar por este modelo de gesti?n empresarial

Plasma?-III tubulin, neurofilament light chain and glial fibrillary acidic protein are associated with neurodegeneration and progression in schizophrenia

Schizophrenia is a progressive disorder characterized by multiple psychotic relapses. After every relapse, patients may not fully recover, and this may lead to a progressive loss of functionality. Pharmacological treatment represents a key factor to minimize the biological, psychological and psychosocial impact of the disorder. The number of relapses and the duration of psychotic episodes induce a potential neuronal damage and subsequently, neurodegenerative processes. Thus, a comparative study was performed, including forty healthy controls and forty-two SZ patients divided into first-episode psychosis (FEP) and chronic SZ (CSZ) subgroups, where the CSZ sub group was subdivided by antipsychotic treatment. In order to measure the potential neuronal damage, plasma levels of beta-III tubulin, neurofilament light chain (Nf-L), and glial fibrillary acidic protein (GFAP) were performed. The results revealed that the levels of these proteins were increased in the SZ group compared to the control group (P < 0.05). Moreover, multiple comparison analysis showed highly significant levels of beta-III tubulin (P = 0.0002), Nf-L (P = 0.0403) and GFAP (P < 0.015) in the subgroup of CSZ clozapine-treated. In conclusion, beta-III tubulin, Nf-L and GFAP proteins may be potential biomarkers of neurodegeneration and progression in SZ

Wage inequality, segregation by skill and the price of capital in an assignment model

Some pieces of empirical evidence suggest that in the U.S., over the last few decades, (i) wage inequality between-plants has risen much more than wage inequality within-plants and (ii) there has been an increase in the segregation of workers by skill into separate plants. This paper presents a frictionless assignment model in which these two features can be explained simultaneously as the result of the decline in the relative price of capital. Additional implications of the model regarding the skill premium and the dispersion in labor productivity across plants are also consistent with the empirical evidence. [resumen de autor

Genome-wide association analysis of dementia and its clinical endophenotypes reveal novel loci associated with Alzheimer's disease and three causality networks: The GR@ACE project

INTRODUCTION: Large variability among Alzheimer's disease (AD) cases might impact genetic discoveries and complicate dissection of underlying biological pathways. METHODS: Genome Research at Fundacio ACE (GR@ACE) is a genome-wide study of dementia and its clinical endophenotypes, defined based on AD's clinical certainty and vascular burden. We assessed the impact of known AD loci across endophenotypes to generate loci categories. We incorporated gene coexpression data and conducted pathway analysis per category. Finally, to evaluate the effect of heterogeneity in genetic studies, GR@ACE series were meta-analyzed with additional genome-wide association study data sets. RESULTS: We classified known AD loci into three categories, which might reflect the disease clinical heterogeneity. Vascular processes were only detected as a causal mechanism in probable AD. The meta-analysis strategy revealed the ANKRD31-rs4704171 and NDUFAF6-rs10098778 and confirmed SCIMP-rs7225151 and CD33-rs3865444. DISCUSSION: The regulation of vasculature is a prominent causal component of probable AD. GR@ACE meta-analysis revealed novel AD genetic signals, strongly driven by the presence of clinical heterogeneity in the AD series

Estimating Exposome Score for Schizophrenia Using Predictive Modeling Approach in Two Independent Samples: The Results From the EUGEI Study

Exposures constitute a dense network of the environment: exposome. Here, we argue for embracing the exposome paradigm to investigate the sum of nongenetic "risk" and show how predictive modeling approaches can be used to construct an exposome score (ES; an aggregated score of exposures) for schizophrenia. The training dataset consisted of patients with schizophrenia and controls, whereas the independent validation dataset consisted of patients, their unaffected siblings, and controls. Binary exposures were cannabis use, hearing impairment, winter birth, bullying, and emotional, physical, and sexual abuse along with physical and emotional neglect. We applied logistic regression (LR), Gaussian Naive Bayes (GNB), the least absolute shrinkage and selection operator (LASSO), and Ridge penalized classification models to the training dataset. ESs, the sum of weighted exposures based on coefficients from each model, were calculated in the validation dataset. In addition, we estimated ES based on meta-analyses and a simple sum score of exposures. Accuracy, sensitivity, specificity, area under the receiver operating characteristic, and Nagelkerke's R2 were compared. The ESMeta-analyses performed the worst, whereas the sum score and the ESGNB were worse than the ESLR that performed similar to the ESLASSO and ESRIDGE. The ESLR distinguished patients from controls (odds ratio [OR] = 1.94, P < .001), patients from siblings (OR = 1.58, P < .001), and siblings from controls (OR = 1.21, P = .001). An increase in ESLR was associated with a gradient increase of schizophrenia risk. In reference to the remaining fractions, the ESLR at top 30%, 20%, and 10% of the control distribution yielded ORs of 3.72, 3.74, and 4.77, respectively. Our findings demonstrate that predictive modeling approaches can be harnessed to evaluate the exposome