84 research outputs found
Mediação e convivência nos contextos educativos: Socialização e (Trans) formação em ação para uma educação de qualidade
No contexto escolar, indivíduos com caraterísticas distintas interagem e convivem. Dessa convivência podem resultar conflitos que afetem o quotidiano escolar e as pessoas que nele estão envolvidas. A escola deve reconhecer o seu papel nestas in-terações e promover iniciativas que respondam, preventivamente, a estas situações. Com o objetivo de se compreender os contributos dos programas de convivência e mediação, progressivamente implementados nas escolas, realizou-se uma investi-gação utilizando procedimentos de recolha de dados quanti-qualitativos em dois contextos educativos formais de dois países: Portugal e Espanha. Para o efeito, foi construído e aplicado um questionário a alunos, encarregados de educação e pro-fessores. Neste trabalho apresentam-se aspetos teóricos sobre o tema, bem como alguns resultados preliminares obtidos através do questionário. Os participantes na investigação reconhecem a importância de a escola trabalhar (a par dos saberes cognitivos) a convivência, bem como o contributo da mediação para a promoção de uma educação de qualidade e de um maior sentido de justiça na escola. Os resul-tados apontam também para a importância de um plano de convivência dotado de estratégias de mediação para o desenvolvimento de habilidades relacionais, e o diá-logo cooperativo e a mediação são as estratégias mais valorizadas pelos inquiridos para garantir uma boa convivência na escola.Projeto de investigação financiado pela FCT — Fundação para a Ciência e Tecnologia (SFRH/BD/118361/2016
Conflict mediation in the improvement plan: contribution in a school context
El Plan de Mejora es un documento estratégico de las escuelas en Portugal. Se hizo pertinente preguntar sobre la posición atribuida a la mediación de conflictos dentro del contexto de la estrategia de mejora, definida en este tipo de documento de estructurante. Este artículo presenta un estudio cualitativo, de cuatro Planes de Mejora, de una escuela en la región Centro de Portugal, utilizando la técnica de análisis de contenido. Con el apoyo del software webQDA®, se obtuvieron categorías emergentes: mediación, dominios/ejes, acciones, oficina de mediación, áreas/problemas, objetivos e indicadores de puntos de inicio y finalización. Se concluyó que la consagración de la mediación en los Planes de Mejora puede permitir a la escuela asumir esta metodología de intervención como una estrategia para la realización del cambio cultural y la mejora socioeducativa, a través de la inscripción y promoción de valores, dispositivos, acciones y prácticas en la cultura escolar.The Improvement Plan is a strategic document for schools in Portugal. It became pertinent to inquire about the position attributed to conflict mediation within the scope of the improvement strategy, defined in this type of structuring document. This article presents a qualitative study, of four Improvement Plans, of a school in the Center of Portugal region, using the content analysis technique. With the support of the webQDA® software, emerging categories were obtained: mediation, domains/axes, actions, mediation office, areas/problems, objectives and indicators of starting and ending points. It was concluded that the consecration of mediation in the Improvement Plans can allow the school to assume this intervention methodology as a strategy for the realization of cultural change and socio-educational improvement, through the the inscription and promotion of values, devices, actions and practices in school culture.O Plano de Melhoria é um documento estratégico das escolas em Portugal. Tornou-se pertinente indagar qual a posição atribuída à mediação de conflitos no âmbito da estratégia de melhoria, definida nesse tipo de documento estruturante. Neste artigo apresenta-se um estudo qualitativo, de quatro Planos de Melhoria, de uma escola da região Centro de Portugal, recorrendo à técnica de análise de conteúdo. Com o apoio do software webQDA®, obtiveram-se as categorias emergentes: mediação, domínios/eixos, ações, gabinete de mediação, áreas/problemas, objetivos e indicadores de ponto de partida e ponto de chegada. Concluiu-se que a consagração da mediação nos Planos de Melhoria pode permitir à escola assumir esta metodologia de intervenção como uma estratégia para a concretização de uma mudança cultural e de melhoria socioeducativa, através da inscrição e promoção de valores, dispositivos, ações e práticas na cultura escolar.peerReviewe
Event-related brain potential evidence for animacy processing asymmetries during sentence comprehension
The animacy distinction is deeply rooted in the language faculty. A key example is differential object marking, the phenomenon where animate sentential objects receive specific marking. We used event-related potentials to examine the neural processing consequences of case-marking violations on animate and inanimate direct objects in Spanish. Inanimate objects with incorrect prepositional case marker ‘a’ (‘al suelo’) elicited a P600 effect compared to unmarked objects, consistent with previous literature. However, animate objects without the required prepositional case marker (‘el obispo’) only elicited an N400 effect compared to marked objects. This novel finding, an exclusive N400 modulation by a straightforward grammatical rule violation, does not follow from extant neurocognitive models of sentence processing, and mirrors unexpected “semantic P600” effects for thematically problematic sentences. These results may reflect animacy asymmetry in competition for argument prominence: following the article, thematic interpretation difficulties are elicited only by unexpectedly animate objects
Bronchial Thermoplasty Global Registry (BTGR) : 2-year results
Funding This study was sponsored by Boston Scientific Corporation, Marlborough, MA, USA.Objectives Bronchial thermoplasty (BT) is a device-based treatment for subjects ≥18 years with severe asthma not well controlled with inhaled corticosteroids and long-acting beta-agonists. The Bronchial Thermoplasty Global Registry (BTGR) collected real-world data on subjects undergoing this procedure. Design The BTGR is an all-comer, prospective, open-label, multicentre study enrolling adult subjects indicated for and treated with BT. Setting Eighteen centres in Spain, Italy, Germany, the UK, the Netherlands, the Czech Republic, South Africa and Australia Participants One hundred fifty-seven subjects aged 18 years and older who were scheduled to undergo BT treatment for asthma. Subjects diagnosed with other medical conditions which, in the investigator's opinion, made them inappropriate for BT treatment were excluded. Primary and secondary outcome measures Baseline characteristics collected included demographics, Asthma Quality of Life Questionnaire (AQLQ), Asthma Control Test (ACT), medication usage, forced expiratory volume in one second and forced vital capacity, medical history, comorbidities and 12-month baseline recall data (severe exacerbations (SE) and healthcare utilisation). SE incidence and healthcare utilisation were summarised at 1 and 2 years post-BT. Results Subjects' baseline characteristics were representative of persons with severe asthma. A comparison of the proportion of subjects experiencing events during the 12 months prior to BT to the 2-year follow-up showed a reduction in SE (90.3% vs 56.1%, p<0.0001), emergency room visits (53.8% vs 25.5%, p<0.0001) and hospitalisations (42.9% vs 23.5 %, p=0.0019). Reductions in asthma maintenance medication dosage were also observed. AQLQ and ACT scores improved from 3.26 and 11.18 at baseline to 4.39 and 15.54 at 2 years, respectively (p<0.0001 for both AQLQ and ACT). Conclusions The BTGR demonstrates sustained improvement in clinical outcomes and reduction in asthma medication usage 2 years after BT in a real-world population. This is consistent with results from other BT randomised controlled trials and registries and further supports improvement in asthma control after BT. Trial registration number NCT02104856
The scope of language contact as a constraint factor in language change: The periphrasis haber de plus infinitive in a corpus of language immediacy in modern Spanish
In this work an empirical study grounded in the principles and methods of the comparative variationist framework is conducted to measure the scope of language contact as a factor constraining some potentially diverging uses of a Spanish verbal periphrasis that has undergone a sharp decline over the last century (haber de plus infinitive). The analysis is based on three independent samples of text that correspond to three dialectal areas of peninsular Spanish (monolingual zones, Catalan-speaking linguistic territories and the north-western linguistic area). These samples, extracted from a corpus made up of texts of communicative immediacy from the 19th and the first half of the 20th centuries, confirm the existence of a certain linguistic convergence in the expressive habits of the speakers in the bilingual communities. In each region, however, the outcomes are different, due to parallel differences in the structural position of the periphrasis in each language. However, a thorough analysis of the variable context that surrounds the periphrasis shows that the observed differences do not affect the essence of the underlying grammar of this variant, whose decline (which favours tener que plus infinitive and becomes faster as the 20th century advances) is constrained by identical linguistic and extralinguistic conditioning factors in all the dialectal areas
Bronchoscopist's perception of the quality of the single-use bronchoscope (Ambu aScope4™) in selected bronchoscopies: a multicenter study in 21 Spanish pulmonology services
Background: The disposable bronchoscope is an excellent alternative to face the problem of SARS-CoV-2 and other cross infections, but the bronchoscopist's perception of its quality has not been evaluated.
Methods: To evaluate the quality of the Ambu-aScope4 disposable bronchoscope, we carried out a cross-sectional study in 21 Spanish pulmonology services. We use a standardized questionnaire completed by the bronchoscopists at the end of each bronchoscopy. The variables were described with absolute and relative frequencies, measures of central tendency and dispersion depending on their nature. The existence of learning curves was evaluated by CUSUM analysis.
Results: The most frequent indications in 300 included bronchoscopies was bronchial aspiration in 69.3% and the median duration of these was 9.1 min. The route of entry was nasal in 47.2% and oral in 34.1%. The average score for ease of use, image, and aspiration quality was 80/100. All the planned techniques were performed in 94.9% and the bronchoscopist was satisfied in 96.6% of the bronchoscopies. They highlighted the portability and immediacy of the aScope4TM to start the procedure in 99.3%, the possibility of taking and storing images in 99.3%. The CUSUM analysis showed average scores > 70/100 from the first procedure and from the 9th procedure more than 80% of the scores exceeded the 80/100 score.
Conclusions: The aScope4™ scored well for ease of use, imaging, and aspiration. We found a learning curve with excellent scores from the 9th procedure. Bronchoscopists highlighted its portability, immediacy of use and the possibility of taking and storing images
Infinitive Wh-relatives in romance : consequences for the truncation-versus-intervention debate
Romance clitic left dislocation is widespread across all kinds of nonroot contexts, but it is forbidden in infinitive wh-relatives. This article investigates the extent and nature of this restriction and the consequences it raises for the truncation and intervention analyses of the left periphery of embedded sentences. We will show that current proposals cannot account for the whole gamut of data. In consequence, we will propose that infinitive wh-relatives display a maximally syncretic left periphery, whereas infinitive wh-interrogatives have a full-fledged left periphery, crucially involving ForceP, because they are selected by a higher predicate. This crucial difference between infinitive relatives and interrogatives will also be shown to be consistent with the existence of specialized complementizers for the former but not the latte
Final results from the PERUSE study of first-line pertuzumab plus trastuzumab plus a taxane for HER2-positive locally recurrent or metastatic breast cancer, with a multivariable approach to guide prognostication
Background: The phase III CLinical Evaluation Of Pertuzumab And TRAstuzumab (CLEOPATRA) trial established the combination of pertuzumab, trastuzumab and docetaxel as standard first-line therapy for human epidermal growth factor receptor 2 (HER2)-positive locally recurrent/metastatic breast cancer (LR/mBC). The multicentre single-arm PERtUzumab global SafEty (PERUSE) study assessed the safety and efficacy of pertuzumab and trastuzumab combined with investigator-selected taxane in this setting. Patients and methods: Eligible patients with inoperable HER2-positive LR/mBC and no prior systemic therapy for LR/mBC (except endocrine therapy) received docetaxel, paclitaxel or nab-paclitaxel with trastuzumab and pertuzumab until disease progression or unacceptable toxicity. The primary endpoint was safety. Secondary endpoints included progression-free survival (PFS) and overall survival (OS). Prespecified subgroup analyses included subgroups according to taxane, hormone receptor (HR) status and prior trastuzumab. Exploratory univariable analyses identified potential prognostic factors; those that remained significant in multivariable analysis were used to analyse PFS and OS in subgroups with all, some or none of these factors. Results: Of 1436 treated patients, 588 (41%) initially received paclitaxel and 918 (64%) had HR-positive disease. The most common grade 653 adverse events were neutropenia (10%, mainly with docetaxel) and diarrhoea (8%). At the final analysis (median follow-up: 5.7 years), median PFS was 20.7 [95% confidence interval (CI) 18.9-23.1] months overall and was similar irrespective of HR status or taxane. Median OS was 65.3 (95% CI 60.9-70.9) months overall. OS was similar regardless of taxane backbone but was more favourable in patients with HR-positive than HR-negative LR/mBC. In exploratory analyses, trastuzumab-pretreated patients with visceral disease had the shortest median PFS (13.1 months) and OS (46.3 months). Conclusions: Mature results from PERUSE show a safety and efficacy profile consistent with results from CLEOPATRA and median OS exceeding 5 years. Results suggest that paclitaxel is a valid alternative to docetaxel as backbone chemotherapy. Exploratory analyses suggest risk factors that could guide future trial design
Controversy surrounding the increased expression of TGFβ1 in asthma
Asthma is a waxing and waning disease that leads to structural changes in the airways, such as subepithelial fibrosis, increased mass of airway smooth muscle and epithelial metaplasia. Such a remodeling of the airways futher amplifies asthma symptoms, but its etiology is unknown. Transforming growth factor β1 is a pleiotropic cytokine involved in many fibrotic, oncologic and immunologic diseases and is believed to play an essential role in airway remodeling that occurs in asthmatic patients. Since it is secreted in an inactive form, the overall activity of this cytokine is not exclusively determined by its level of expression, but also by extensive and complex post-translational mechanisms, which are all importanin modulating the magnitude of the TGFβ1 response. Even if TGFβ1 upregulation in asthma is considered as a dogma by certain investigators in the field, the overall picture of the published litterature is not that clear and the cellular origin of this cytokine in the airways of asthmatics is still a contemporaneous debate. On the other hand, it is becoming clear that TGFβ1 signaling is increased in the lungs of asthmatics, which testifies the increased activity of this cytokine in asthma pathogenesis. The current work is an impartial and exhaustive compilation of the reported papers regarding the expression of TGFβ1 in human asthmatics. For the sake of comparison, several studies performed in animal models of the disease are also included. Inconsistencies observed in human studies are discussed and conclusions as well as trends from the current state of the litterature on the matter are proposed. Finally, the different points of regulation that can affect the amplitude of the TGFβ1 response are briefly revised and the possibility that TGFβ1 is disregulated at another level in asthma, rather than simply in its expression, is highlighted
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