Discurso narrativo y diálogo intercultural. Hacia una pedagogía de la relación

.Un primer apartado de la ponencia perfila los principales modelos de actuación de las sociedades receptoras de inmigrantes en situaciones de multiculturalidad. A continuación se centra en la necesidad de concebir la función socioeducativa, en un proyecto de interculturalidad, desde una perspectiva ecológica. Así se enfatiza el rol de agente social de los educadores, cuya tarea cumpliría una función básica de lucha contra la cronificación de situaciones de marginalidad

Creating stimulating environments for young people in residential care : the Israeli youth village 'ecological' model

In many industrialised countries, the use of residential education and care for children and youth at risk has decreased over recent years (Knorth & Van de Ploeg, 1994). There are many reasons for this, however, some are certainly related to the negative stigma attached today to any kind of institutionalised setting. Such programmes are now considered in many European countries as a last resort used only when all other interventions have failed. In addition, the ever-increasing cost of treating a child in a residential care therapeutic programme is encouraging policy makers to look for less expensive solutions, even though their effectiveness has not always been proven (Grupper, 2002)

Introduction to the special issue on inclusion

This special issue of the International Journal of Child, Youth and Family Studies (IJCYFS) is dedicated to a most important and current subject – inclusion – as an answer of social educators and many other social agents to one of the most crucial social phenomena of our time: namely, social exclusion. We are witnessing around the world incidents of aggression and violence that are sometimes attributed to the effects of exclusion, either at an individual or more collective level. Our social and economic structures appear designed to exclude all too many from the benefits and fruits of society. The African concept of “Ubuntu” (“I am a person because of other persons”) seems very relevant here. How do we share spaces, resources, opportunities, and create a sense of belonging across our many differences and contexts? Inclusion was the theme of a world congress of the International Federation of Educative Communities (FICE), held in Bern, Switzerland in October 2013. Most of the articles in this special issue are based on presentations made at that congress. We would like to thank all contributors for formalizing and revising their presentations with input from our editors for this special issue. Additionally, we would like to acknowledge the valuable contributions of Carol Kelly and Varda Mann-Feder to the review process. Finally, we are also most thankful to the co-editors of the IJCYFS, Drs. Sibylle Artz and Jennifer White, for inviting us to contribute this quite unique special issue related to the work and history of FICE International

New challenges for extra-familial care in Israel : enhancing parental involvement in education

There is an increasing awareness among those who work in the field of residential child care that it is essential to change the character of relationships between residential staff and the families of children in residential group care (Grupper, 1998; Garfat & McElwee, 2004). This is particularly important when it comes to education. In order to obtain a real and meaningful change, it is essential that families are encouraged to take an active part in their children’s lives while they are growing up in residential schools. By involving the parents in the life of the group home, it might provide opportunities for professional staff to empower the parents and help them rehabilitate the relationship between parent and child (Buhler-Niederberger, 1999)

Burden of heart failure and underlying causes in 195 countries and territories from 1990 to 2017.

Abstract Aims To provide the first systematic analysis of the burden and underlying causes of heart failure (HF) in 195 countries and territories from 1990 to 2017. Methods and results We collected detailed information on prevalence, years lived with disability (YLDs), and underlying causes of HF from the Global Burden of Disease study 2017. Numbers and age-standardized rates of HF prevalence and YLDs were compared by age, sex, socio-demographic index (SDI), and location. The proportions of HF age-standardized prevalence rates due to 23 underlying causes were also presented. Globally, the age-standardized prevalence and YLD rates of HF in 2017 were 831.0 and 128.2 per 100 000 people, a decrease of −7.2% and −0.9% from 1990, respectively. Nevertheless, the absolute numbers of HF prevalent cases and YLDs have increased by 91.9% and 106.0% from 1990, respectively. There is significant geographic and socio-demographic variation in the levels and trends of HF burden from 1990 to 2017. Among all causes of HF, ischaemic heart disease accounted for the highest proportion (26.5%) of age-standardized prevalence rate of HF in 2017, followed by hypertensive heart disease (26.2%), chronic obstructive pulmonary disease (23.4%). Conclusion HF remains a serious public health problem worldwide, with increasing age-standardized prevalence and YLD rates in countries with relatively low SDI. More geo-specific strategies aimed at preventing underlying causes and improving medical care for HF are warranted to reduce the future burden of this condition

Risk Factors for Mortality in Patients with Carbapenem-Resistant Acinetobacter baumannii Bacteremia: Impact of Appropriate Antimicrobial Therapy

This study investigated predictors associated with 14-day mortality, and focused especially on the impact of appropriate antimicrobial treatment among patients with carbapenem-resistant Acinetobacter baumannii (CRAB) bacteremia. This retrospective study was performed at a tertiary care hospital in Korea from June 2007 to June 2010. Antibiotic therapy was considered appropriate if the antibiotics were administered via an appropriate route within 24 hr after the result of blood culture, had in vitro sensitivity to isolated strains, and of an adequate dosage according to the current guidelines. Ninety-five patients with A. baumannii bacteremia were included; of these, 53 (55.8%) were infected with CRAB. The overall infection-related 14-day mortality was higher in patients receiving inappropriate antimicrobial therapy than in patients receiving appropriate therapy (59.5% [22/37] vs 13.8% [8/58], P < 0.05). Multivariate analysis showed that septic shock (OR 10.5, 95% CI, 1.93-57.4; P = 0.006), carbapenem-resistance (OR 7.29, 95% CI 1.57-33.8; P = 0.01), pneumonia as a source of bacteremia (OR 5.29, 95% CI 1.07-26.1; P = 0.04), and inappropriate antimicrobial therapy (OR 8.05, 95% CI 1.65-39.2; P = 0.009) were independent risk factors for 14-day mortality. Early definite antimicrobial therapy had an influence on favorable outcomes in patients with A. baumannii bacteremia

Fulminant Staphylococcus lugdunensis septicaemia following a pelvic varicella-zoster virus infection in an immune-deficient patient: a case report

<p>Abstract</p> <p>Introduction</p> <p>The deadly threat of systemic infections with coagulase negative <it>Staphylococcus lugdunensis </it>despite an appropriate antibiotic therapy has only recently been recognized. The predominant infectious focus observed so far is left-sided native heart valve endocarditis, but bone and soft tissue infections, septicaemia and vascular catheter-related bloodstream infections have also been reported. We present a patient with a fatal <it>Staphylococcus lugdunensis </it>septicaemia following zoster bacterial superinfection of the pelvic region.</p> <p>Case presentation</p> <p>A 71-year old male diagnosed with IgG kappa plasmocytoma presented with a conspicuous weight loss, a hypercalcaemic crisis and acute renal failure. After initiation of haemodialysis treatment his condition improved rapidly. However, he developed a varicella-zoster virus infection of the twelfth thoracic dermatome requiring intravenous acyclovir treatment. Four days later the patient presented with a fulminant septicaemia. Despite an early intravenous antibiotic therapy with ciprofloxacin, piperacillin/combactam and vancomycin the patient died within 48 hours, shortly before the infective isolate was identified as <it>Staphylococcus lugdunensis </it>by polymerase chain reaction.</p> <p>Conclusion</p> <p>Despite <it>S. lugdunensis </it>belonging to the family of coagulase-negative staphylococci with an usually low virulence, infections with <it>S. lugdunensis </it>may be associated with an aggressive course and high mortality. This is the first report on a <it>Staphylococcus lugdunensis </it>septicaemia following a zoster bacterial superinfection of the pelvic region.</p