COMPETÊNCIA GLOBAL COMEÇA NA PRÉ-ESCOLA: UMA INVESTIGAÇÃO DE COMO ESTIMULAR A EMPATIA EM CRIANÇAS PEQUENAS

This collaborative action research study examines the effects of the implementation of Global Thinking Routines and Thinking Routines on the development of empathy, a global competent disposition, in preschool children. The study investigates how students are able to identify their emotions and the emotions of others, and consequently, how they attempt to manage those emotions. The Emotion Cards pre-test was applied to a sample of 44 preschoolers, who then participated in classroom learning experiences, including Visible Thinking and Global Thinking routines. Afterwards, the Emotion Cards post-test was applied. The purpose was to examine the implementation of these routines and their impact on preschoolers’ development of empathy, a component of Emotional Intelligence and global competence. A collaborative action research study approach was used, with qualitative data in the form of documentation, which included videos, pictures, notes, parents’ feedback, kindergarten teacher’s feedback, ongoing study group discussions and reflections with the researcher, the teachers and atelierista. Quantitative data with descriptive statistics were also collected, comparing the quantitative pre- and post-data. The main findings indicate that (1) preschoolers demonstrated growth in the development of empathy and (2) teachers also demonstrated the development of empathy. The findings also indicated (3) a possible change in the traditional discipline system commonly implemented in today’s classroom, with a more innovative and constructive method that could potentially decrease negative behaviors in children with behavioral challenges.Este estudio de investigación acción colaborativa, examinó los efectos de la implementación de las Rutinas de Pensamiento Global y Rutinas de Pensamiento en el desarrollo de la empatía, un componente de Competencia Global, en niños pre-escolares. El estudio investiga como estudiantes consiguen identificar las propias emociones y las emociones de los otros y, consecuentemente, como se relacionan con ellas. El pre-test Tarjetas de emociones fue aplicado a una muestra de 44 pre-escolares, que después participaron de experiencias de aprendizaje en clase, incluyendo Pensamiento Visible y rutinas de Pensamiento Global. Posteriormente, fue aplicado el pos-test Tarjetas de emociones. El objetivo era examinar la implementación de esas rutinas y sus impactos en el desarrollo de empatía en pre-escolares, un componente de Inteligencia Emocional y de Competencia Global. Fue utilizado como abordaje de estudio la investigación acción colaborativa, con documentos de datos cuantitativos, que incluyen videos, fotos, anotaciones, parecer de los padres, parecer del profesor de la pre-escuela, discusiones y reflexiones en el grupo de estudios y reflexiones con el investigador, profesores y profesores de taller. Fueron también recolectados datos cuantitativos con estatística descriptiva y fueron comparados los datos pre y pos cuantitativos. Los principales resultados indican que (1) los pre-escolares demuestran aumento en el desarrollo de la empatía y (2) los profesores también demostraron el desarrollo de la empatía. Los resultados también indicaron (3) una posibilidad de cambio en el sistema disciplinar tradicional comumente implementado en las clases de hoy, con un método más innovador y constructivo que podría disminuir los comportamientos negativos en niños con desafíos de conducta. Este estudo de pesquisa-ação colaborativa examinou os efeitos da implantação das Rotinas de Pensamento Global e Rotinas de Pensamento no desenvolvimento da empatia, um componente de Competência Global, em crianças pré-escolares. O estudo investiga como estudantes conseguem identificar as próprias emoções e as emoções dos outros e, consequentemente, como buscam lidar com elas. O pre-test Cartões das emoções foi aplicado em uma amostra de 44 pré-escolares, que depois participaram de experiências de aprendizagem em sala de aula, incluindo Pensamento Visível e rotinas de Pensamento Global. Posteriormente, foi aplicado o pós-test Cartões das emoções. O objetivo era examinar a implementação dessas rotinas e seus impactos no desenvolvimento da empatia em pré-escolares, um componente de Inteligência Emocional e de Competência Global. Foi utilizada como abordagem de estudo a pesquisa-ação colaborativa, com documentação de dados quantitativos, que incluem vídeos, fotos, anotações, parecer dos pais, parecer do professor da pré-escola, discussões e reflexões no grupo de estudos e reflexões com o pesquisador, professores e atelierista. Foram também coletados dados quantitativos com estatística descritiva e foram comparados os dados pré e pós-quantitativos. Os principais resultados indicam que (1) os pré-escolares demonstraram aumento no desenvolvimento da empatia e (2) os professores também demonstraram o desenvolvimento da empatia. Os resultados também indicaram (3) uma possibilidade para mudança no sistema disciplinar tradicional comumente implementado nas salas de aula de hoje, com um método mais inovador e construtivo que poderia diminuir os comportamentos negativos em crianças com desafios comportamentais

A INTERNACIONALIZAÇÃO DA FILOSOFIA EDUCACIONAL REGGIO EMILIA

This article presents the history and framework of the Reggio Emilia philosophy, an educational approach to early childhood education that places children as the main participants and protagonists of the curriculum. It also showcases the growing influence of the Reggio Emilia philosophy around the world, through key regional and national organizations. The association of the Emilia fundamental values of the Reggio Emilia with the globally competent soft skills helps this philosophy to overcome the growing need worldwide. Ultimately, the internationalization of this approach has inspired teaching practices all over the world. Within different nations, organizations that advocate the application of Reggio Emilia principles in various schools has grown, prompting a need to educate children to that they will develop emotionally and cognitively, in making thinking visible.Este artículo presenta la historia y la estructura de la filosofía Reggio Emilia. Es un enfoque educacional para la educación infantil que coloca a los niños como los principales participantes y protagonistas del currículo. El artículo también muestra la creciente influencia de la filosofía de Reggio Emilia en todo el mundo por medio de organizaciones clave regionales y nacionales. La asociación de los valores fundamentales de Reggio Emilia trabaja con habilidades sensibles globalmente competentes, lo que contribuye para que esta filosofía satisfaga las necesidades crecientes en todo el mundo. En último análisis, la internacionalización de este abordaje inspiró prácticas educativas en todo el mundo. Las organizaciones que defienden la aplicación de Reggio Emilia en las escuelas han crecido en diversos países, mostrando la necesidad de educar a los niños para desarrollarse emocionalmente y cognitivamente en el hacer y pensar visible. Este artigo apresenta a história e a estrutura da filosofia Reggio Emilia. É uma abordagem educacional para a educação infantil, a qual coloca as crianças como os principais participantes e protagonistas do currículo. O artigo também mostra a crescente influência da filosofia de Reggio Emilia em todo o mundo por meio de organizações regionais e nacionais. A associação dos valores fundamentais de Reggio Emilia lida com habilidades sensíveis globalmente competentes, o que contribui para que esta filosofia supra as necessidades crescentes em todo o mundo. Em última análise, a internacionalização desta abordagem inspirou práticas de ensino em todo o mundo. Dentro de diferentes nações, organizações que defendem a aplicação de Reggio Emilia em várias escolas têm crescido, solicitando a necessidade de educar as crianças para se desenvolver emocionalmente e cognitivamente no fazer pensar visível.

Brainstem infarction in a patient with internal carotid dissection and persistent trigeminal artery: a case report

<p>Abstract</p> <p>Background</p> <p>The primitive trigeminal artery (PTA) is the most commonly described fetal anastomosis between the carotid and vertebrobasilar circulations.</p> <p>Case presentation</p> <p>We report a 42-year-old patient presenting with internal carotid dissection, and imaging features of brainstem infarction.</p> <p>Conclusion</p> <p>Based on the imaging studies we presume occlusive carotid dissection with extensive thrombosis within a persistent trigeminal artery as the cause of this brainstem ischemia.</p

Adherence to oral anticoagulant therapy in secondary stroke prevention &ndash; impact of the novel oral anticoagulants

Background: Oral anticoagulant therapy (OAT) potently prevents strokes in patients with atrial fibrillation. Vitamin K antagonists (VKA) have been the standard of care for long-term OAT for decades, but non-VKA oral anticoagulants (NOAC) have recently been approved for this indication, and raised many questions, among them their influence on medication adherence. We assessed adherence to VKA and NOAC in secondary stroke prevention. Methods: All patients treated from October 2011 to September 2012 for ischemic stroke or transient ischemic attack with a subsequent indication for OAT, at three academic hospitals were entered into a prospective registry, and baseline data and antithrombotic treatment at discharge were recorded. At the 1-year follow-up, we assessed the adherence to different OAT strategies and patients' adherence to their respective OAT. We noted OAT changes, reasons to change treatment, and factors that influence persistence to the prescribed OAT. Results: In patients discharged on OAT, we achieved a fatality corrected response rate of 73.3% (n=209). A total of 92% of these patients received OAT at the 1-year follow-up. We observed good adherence to both VKA and NOAC (VKA, 80.9%; NOAC, 74.8%; P=0.243) with a statistically nonsignificant tendency toward a weaker adherence to dabigatran. Disability at 1-year follow-up was an independent predictor of lower adherence to any OAT after multivariate analysis, whereas the choice of OAT did not have a relevant influence. Conclusion: One-year adherence to OAT after stroke is strong (>90%) and patients who switch therapy most commonly switch toward another OAT. The 1-year adherence rates to VKA and NOAC in secondary stroke prevention do not differ significantly between both therapeutic strategies

The RULER Approach in VPK Classrooms: An Investigation of the Impact of Nurturing Emotional Intelligence on School Readiness in Young Children Who are At-Risk

This interactive workshop will share a collaborative action research study that examines the effects of the implementation of the RULER approach, an evidence-based approach to social and emotional learning, in combination with Visible Thinking Routines and Global Thinking Routines in Voluntary Prekindergarten (VPK) classrooms in Head Start Programs in Miami-Dade County

Adherence to oral anticoagulant therapy in secondary stroke prevention - impact of the novel oral anticoagulants

Background: Oral anticoagulant therapy (OAT) potently prevents strokes in patients with atrial fibrillation. Vitamin K antagonists (VKA) have been the standard of care for long-term OAT for decades, but non-VKA oral anticoagulants (NOAC) have recently been approved for this indication, and raised many questions, among them their influence on medication adherence. We assessed adherence to VKA and NOAC in secondary stroke prevention. Methods: All patients treated from October 2011 to September 2012 for ischemic stroke or transient ischemic attack with a subsequent indication for OAT, at three academic hospitals were entered into a prospective registry, and baseline data and antithrombotic treatment at discharge were recorded. At the 1-year follow-up, we assessed the adherence to different OAT strategies and patients' adherence to their respective OAT. We noted OAT changes, reasons to change treatment, and factors that influence persistence to the prescribed OAT. Results: In patients discharged on OAT, we achieved a fatality corrected response rate of 73.3% (n=209). A total of 92% of these patients received OAT at the 1-year follow-up. We observed good adherence to both VKA and NOAC (VKA, 80.9%; NOAC, 74.8%; P=0.243) with a statistically nonsignificant tendency toward a weaker adherence to dabigatran. Disability at 1-year follow-up was an independent predictor of lower adherence to any OAT after multivariate analysis, whereas the choice of OAT did not have a relevant influence. Conclusion: One-year adherence to OAT after stroke is strong (>90%) and patients who switch therapy most commonly switch toward another OAT. The 1-year adherence rates to VKA and NOAC in secondary stroke prevention do not differ significantly between both therapeutic strategies

A novel biomarker-based prognostic score in acute ischemic stroke: The CoRisk score.

OBJECTIVES To derive and externally validate a copeptin-based parsimonious score to predict unfavorable outcome 3 months after an acute ischemic stroke (AIS). METHODS The derivation cohort consisted of patients with AIS enrolled prospectively at the University Hospital Basel, Switzerland. The validation cohort was prospectively enrolled after the derivation cohort at the University Hospital of Bern and University Hospital Basel, Switzerland, as well as Frankfurt a.M., Germany. The score components were copeptin levels, age, NIH Stroke Scale, and recanalization therapy (CoRisk score). Copeptin levels were measured in plasma drawn within 24 hours of AIS and before any recanalization therapy. The primary outcome of disability and death at 3 months was defined as modified Rankin Scale score of 3 to 6. RESULTS Overall, 1,102 patients were included in the analysis; the derivation cohort contributed 319 patients, and the validation cohort contributed 783. An unfavorable outcome was observed among 436 patients (40%). For the 3-month prediction of disability and death, the CoRisk score was well calibrated in the validation cohort, for which the area under the receiver operating characteristic curve was 0.819 (95% confidence interval [CI] 0.787-0.849). The calibrated CoRisk score correctly classified 75% of patients (95% CI 72-78). The net reclassification index between the calibrated CoRisk scores with and without copeptin was 46% (95% CI 32-60). CONCLUSIONS The biomarker-based CoRisk score for the prediction of disability and death was externally validated, was well calibrated, and performed better than the same score without copeptin. CLINICALTRIALSGOV IDENTIFIER NCT00390962 (derivation cohort) and NCT00878813 (validation cohort)

Quantitative Signal Intensity in Fluid-Attenuated Inversion Recovery and Treatment Effect in the WAKE-UP Trial

International audienceBackground and Purpose— Relative signal intensity of acute ischemic stroke lesions in fluid-attenuated inversion recovery (fluid-attenuated inversion recovery relative signal intensity [FLAIR-rSI]) magnetic resonance imaging is associated with time elapsed since stroke onset with higher intensities signifying longer time intervals. In the randomized controlled WAKE-UP trial (Efficacy and Safety of MRI-Based Thrombolysis in Wake-Up Stroke Trial), intravenous alteplase was effective in patients with unknown onset stroke selected by visual assessment of diffusion weighted imaging fluid-attenuated inversion recovery mismatch, that is, in those with no marked fluid-attenuated inversion recovery hyperintensity in the region of the acute diffusion weighted imaging lesion. In this post hoc analysis, we investigated whether quantitatively measured FLAIR-rSI modifies treatment effect of intravenous alteplase. Methods— FLAIR-rSI of stroke lesions was measured relative to signal intensity in a mirrored region in the contralesional hemisphere. The relationship between FLAIR-rSI and treatment effect on functional outcome assessed by the modified Rankin Scale (mRS) after 90 days was analyzed by binary logistic regression using different end points, that is, favorable outcome defined as mRS score of 0 to 1, independent outcome defined as mRS score of 0 to 2, ordinal analysis of mRS scores (shift analysis). All models were adjusted for National Institutes of Health Stroke Scale at symptom onset and stroke lesion volume. Results— FLAIR-rSI was successfully quantified in stroke lesions in 433 patients (86% of 503 patients included in WAKE-UP). Mean FLAIR-rSI was 1.06 (SD, 0.09). Interaction of FLAIR-rSI and treatment effect was not significant for mRS score of 0 to 1 ( P =0.169) and shift analysis ( P =0.086) but reached significance for mRS score of 0 to 2 ( P =0.004). We observed a smooth continuing trend of decreasing treatment effects in relation to clinical end points with increasing FLAIR-rSI. Conclusions— In patients in whom no marked parenchymal fluid-attenuated inversion recovery hyperintensity was detected by visual judgement in the WAKE-UP trial, higher FLAIR-rSI of diffusion weighted imaging lesions was associated with decreased treatment effects of intravenous thrombolysis. This parallels the known association of treatment effect and elapsing time of stroke onset