Magazine of the Faculty of Education. Volume 3 No. 4 May 1987

Con beneplácito entregamos en este cuarto número de la Revista de la Facultad de Educación Preescolar, el resultado de algunas de las actividades que nos hemos propuesto. En la sección Nuestra Facultad incluimos un resumen de la propuesta de rediseño curricular del Programa de Licenciatura en Educación Preescolar cuya implementación estamos iniciando, así como las colaboraciones de estudiantes y docentes.With pleasure we deliver in this fourth issue of the Magazine of the Faculty of Preschool Education, the result of some of the activities that we have proposed. In the Our Faculty section we include a summary of the proposal of curricular redesign of the Bachelor's Program in Preschool Education whose implementation we are beginning, as well as the collaborations of students and teachers.Modalidad Presencia

Creatividad e innovación en las organizaciones

El propósito de esta conferencia es explorar algunos de los principales aportes de la creatividad y la innovación en las organizaciones

Creativity: Pedagogical implications

La primera parte de este artículo presenta un rápido recuento de los principales enfoques psicológicos de la creatividad. En la segunda parte se hace un análisis de las implicaciones pedagógicas del estudio de la creatividad haciendo énfasis en la educación de los primeros años por considerar ‘que es en esta época cuando se configuran los principales obstáculos para su desarrollo. Finalmente se plantean algunas tareas que debe abordar el estudio futuro de la Creatividad en la educación.The first part of this article presents a quick review of the main psychological approaches to creativity. In the second part, an analysis is made of the pedagogical implications of the study of creativity, with emphasis on early childhood education, considering that it is in this period when the main obstacles to its development are configured. its development. Finally, some tasks to be addressed by the future study of creativity in education are proposed.Modalidad Presencia

La creatividad en los procesos educativos universitarios

Muchas y muy variadas son las demandas que la sociedad palntea a la Universidad hoy. entre ellas se destaa la encesidad de fomentar el espííritu crítico y estimular el desarrollo de la creatividad tanto a nviel de investigación como de tecnología y cultura

La creatividad en los procesos educativos universitarios

Muchas y muy variadas son las demandas que la sociedad palntea a la Universidad hoy. entre ellas se destaa la encesidad de fomentar el espííritu crítico y estimular el desarrollo de la creatividad tanto a nviel de investigación como de tecnología y cultura

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society