Juegos multi-inteligentes: programa de estimulación de las inteligencias múltiples en Educación Infantil

El presente trabajo, desarrolla un programa, que pretende potenciar y estimular las ocho inteligencias múltiples en el alumnado de infantil, trabajándolas de forma conjunta, de ahí, la denominación de “Juegos Multi-Inteligentes”. Va dirigido a niños a partir de cuatro años, pertenecientes al tercer ciclo de Educación Infantil. La metodología que propone este programa es activa, lúdica, participativa y global. Además, el aula se organiza por rincones, uno para cada inteligencia, donde los niños podrán jugar diariamente durante una hora y media. El programa tiene una duración de 3 meses, primer trimestre, con un total de 10 sesiones, de dos horas y media de duración, y realizadas una vez a la semana. Además, en cada sesión se llevan a cabo dos tipos de actividades: unas actividades de clase, en las que se trabajan los contenidos de la unidad correspondiente y una actividad para casa, realizada conjuntamente entre el niño y sus padres. Por tanto, para su implementación, se necesita de un dinamizador, el tutor del grupo clase, y de la cooperación de las familias. Por último, para la evaluación, se tienen previstas acciones de seguimiento del programa y una evaluación final en la que quedan reflejados los progresos del niño.Universidad de Granada. Facultad de Ciencias de la Educación. Grado en Educación Infanti

Who is commited to inclusion? Leadership and Inclusive Attention to diversity in Higher Education

El presente trabajo es una investigación de corte cualitativo cuyo objetivo es interpretar el compromiso con la atención inclusiva a la diversidad en la educación superior. Se trata de un estudio de caso en una universidad pública localizada en la Comunidad Autónoma andaluza. Para este paper seleccionamos, del trabajo de campo realizado, seis entrevistas semiestructuradas a líderes institucionales de distintos niveles de liderazgo (Vicerrectorado, dirección de centros, dirección de departamento, dirección de servicios específicos, jefatura de servicios de personal de administración y servicios y presidencia de Consejo de Estudiantes) y equidad en género. Se ha procedido a un análisis temático siguiendo la tipología establecida por Dillon y Bourke (2016) para definir el estilo de liderazgo inclusivo; concretamente, la primera dimensión: compromiso. La herramienta de análisis utilizada ha sido el software Atlas.ti (v.8.2.3) a través de una codificación inductiva. Los resultados reflejan tres niveles de compromiso con la inclusión derivadas de la interpretación de los discursos de los y las líderes institucionales sobre qué entienden por diversidad y a qué colectivos se debe proteger: (1) ausencia de compromiso, (2) compromiso superficial y (3) compromiso declarado con sentido de justicia social.The present work is a qualitative research whose objective is to interpret the commitment with the inclusive attention of diversity in higher education. It is a case study in a public university located in the Autonomous Community of Andalusia. For this paper, we selected six semi-structured interviews with institutional leaders from different levels of leadership (Vice-rectorate, center management, department management, specific services management, staff services management and student council presidency) and equity in gender and different. A thematic analysis has been carried out following the typology established by Dillon and Bourke (2016) to define the style of inclusive leadership, specifically, the first dimension: commitment. The analysis tool used was the Atlas.ti software (v.8.2.3) through an inductive coding. The results reflect three levels of commitment to inclusion derived from the interpretation of the discourses of the institutional leaders on what they understand by diversity and to which groups they must protect: (1) absence of commitment, (2) commitment superficial and (3) declared commitment with a sense of social justice

Service-Learning and Woman in Film: the Making of teaching innovation

El artículo se enmarca en un proyecto de innovación docente (2019-3-4005) desarrollado en el curso académico 2019/2020 en 2.º curso en los Grados de Educación Infantil y Educación Primaria en la asignatura Convivencia en la Escuela y Cultura de Paz. Se propuso utilizar el cine como texto cultural para el análisis y crítica de los sesgos de género y de los modelos patriarcales en las sociedades actuales; del mismo modo, como vehículo de acción transformadora en los espacios educativos. Mediante la metodología de Aprendizaje-Servicio (ApS) los y las estudiantes utilizaron el cine para analizar los sesgos de género y para hacer propuestas de acción socioeducativa, relacionando de esta manera aprendizajes académicos con experiencias más prácticas y vivenciales que se desarrollan fuera de las aulas. Las actividades realizadas han consistido en: selección de la temática, documentación, realización de entrevistas con expertas en materia de cine y educación, visualización de documental relacionado con la desigualdad de género, análisis reflexivo de los datos producidos y, por último, elaboración de un servicio para movilizar recursos y aprendizajes que propongan acciones alternativas a los modelos patriarcales en distintos espacios, formales y no formales. Además, el trabajo de visualización y diálogo con mujeres directoras de trabajos fílmicos ha permitido la visibilización de éstas y la interacción dentro del aula sobre la acción coeducativa.This article is part of a teaching innovation project (2019-3-4005) developed during the 2019/2020 academic year in the 2nd year of the Infant and Primary Education Grades in the subject Coexistence in the School and Culture of Peace. It was proposed to use film as a cultural text for the analysis and criticism of gender biases and patriarchal models in today's societies; likewise, as a vehicle for transformative action in educational spaces. Through the Service-Learning (SL) methodology, students used film to analyze gender biases and to make proposals for social and educational action, thus relating academic learning to more practical and experiential experiences that take place outside the classroom. The activities carried out consisted of: selection of the theme, documentation, interviews with experts in the field of cinema and education, viewing of documentaries related to gender inequality, reflective analysis of the data produced and, finally, development of a service to mobilize resources and learning to propose alternative actions to patriarchal models in different spaces, formal and non-formal. In addition, the work of visualization and dialogue with women directors of film works has allowed the visibility of these and the interaction within the classroom on the co-educational action

Ellipsometric characterization of Bi and Al2O3 coatings for plasmon excitation in an optical fiber sensor

The authors present the results of the ellipsometric characterization of thin layers of bismuth and aluminum oxide deposited over the waist of a tapered optical fiber by pulsed laser deposition. The characteristics of the deposits are studied by spectroscopic ellipsometry. From the effective thicknesses determined by the ellipsometric characterization, it is shown by simulations that surface plasmon resonances (SPRs) can occur in the fiber device, and it is demonstrated experimentally. These results show the feasibility of employing bismuth as a plasmonic material in SPR fiber sensors based on doubly-deposited uniform-waist tapered optical fibers, which show excellent performance and versatility

Exhaled volatilome analysis as a useful tool to discriminate asthma with other coexisting atopic diseases in women of childbearing age

©2021. The authors. This document is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by /4.0/ This document is published version of a Published Work that appeared in final form in Scientifc Reports. To access the final edited and published work see https://doi.org/10.1038/s41598-021-92933-2The prevalence of asthma is considerably high among women of childbearing age. Most asthmatic women also often have other atopic disorders. Therefore, the diferentiation between patients with atopic diseases without asthma and asthmatics with coexisting diseases is essential to avoid underdiagnosis of asthma and to design strategies to reduce symptom severity and improve quality of life of patients. Hence, we aimed for the frst time to conduct an analysis of volatile organic compounds in exhaled breath of women of childbearing age as a new approach to discriminate between asthmatics with other coexisting atopic diseases and non-asthmatics (with or without atopic diseases), which could be a helpful tool for more accurate asthma detection and monitoring using a noninvasive technique in the near future. In this study, exhaled air samples of 336 women (training set (n= 211) and validation set (n= 125)) were collected and analyzed by thermal desorption coupled with gas chromatography-mass spectrometry. ASCA (ANOVA (analysis of variance) simultaneous component analysis) and LASSO+LS (least absolute shrinkage and selection operator+ logistic regression) were employed for data analysis. Fifteen statistically signifcant models (p-value< 0.05 in permutation tests) that discriminated asthma with other coexisting atopic diseases in women of childbearing age were generated. Acetone, 2-ethyl-1-hexanol and a tetrahydroisoquinoline derivative were selected as discriminants of asthma with other coexisting atopic diseases. In addition, carbon disulfde, a tetrahydroisoquinoline derivative, 2-ethyl-1-hexanol and decane discriminated asthma disease among patients with other atopic disorders. Results of this study indicate that refned metabolomic analysis of exhaled breath allows asthma with other coexisting atopic diseases discrimination in women of reproductive ag

Safety and Revisit Related to Discharge the Sixty-one Spanish Emergency Department Medical Centers Without Hospitalization in Patients with COVID-19 Pneumonia. A Prospective Cohort Study UMC-Pneumonia COVID-19

Background: Information is needed on the safety and efficacy of direct discharge from the emergency department (ED) of patients with COVID-19 pneumonia. Objectives: The objectives of the study were to study the variables associated with discharge from the ED in patients presenting with COVID-19 pneumonia, and study ED revisits related to COVID-19 at 30 days (EDR30d). Methods: Multicenter study of the SIESTA cohort including 1198 randomly selected COVID patients in 61 EDs of Spanish medical centers from March 1, 2020, to April 30, 2020. We collected baseline and related characteristics of the acute episode and calculated the adjusted odds ratios (aOR) for ED discharge. In addition, we analyzed the variables related to EDR30d in discharged patients. Results: We analyzed 859 patients presenting with COVID-19 pneumonia, 84 (9.8%) of whom were discharged from the ED. The variables independently associated with discharge were being a woman (aOR 1.890; 95%CI 1.176-3.037), age 1200/mm(3) (aOR 4.667; 95%CI 1.045-20.839). The EDR30d of the ED discharged group was 40.0%, being lower in women (aOR 0.368; 95%CI 0.142-0.953). A total of 130 hospitalized patients died (16.8%) as did two in the group discharged from the ED (2.4%) (OR 0.121; 95%CI 0.029-0.498). Conclusion: Discharge from the ED in patients with COVID-19 pneumonia was infrequent and was associated with few variables of the episode. The EDR30d was high, albeit with a low mortality

Soy Niña

Este libro pretende contribuir al reencuentro de la educación con esas finalidades que verdaderamente importan a una niña o un niño: ser feliz, jugar, vivir juntos y (no) aprender. Para ello hemos puesto el arte, nuestras experiencias y el saber acumulado al servicio del disfrute, el cuestionamiento, el análisis crítico y la construcción común de un presente deseable. Un texto colaborativo coordinado por Ignacio Calderón Almendros y realizado por alumnado de Educación y Cambio Social en el Grado en Educación Infantil de la Universidad de Málaga

Seven-versus 14-day course of antibiotics for the treatment of bloodstream infections by Enterobacterales: a randomized, controlled trial

[Objective] To prove that 7-day courses of antibiotics for bloodstream infections caused by members of the Enterobacterales (eBSIs) allow a reduction in patients' exposure to antibiotics while achieving clinical outcomes similar to those of 14-day schemes.[Methods] A randomized trial was performed. Adult patients developing eBSI with appropriate source control were assigned to 7 or 14 days of treatment, and followed 28 days after treatment cessation; treatments could be resumed whenever necessary. The primary endpoint was days of treatment at the end of follow-up. Clinical outcomes included clinical cure, relapse of eBSI and relapse of fever. A superiority margin of 3 days was set for the primary endpoint, and a non-inferiority margin of 10% was set for clinical outcomes. Efficacy and safety were assessed together with a DOOR/RADAR (desirability of outcome ranking and response adjusted for duration of antibiotic risk) analysis.[Results] 248 patients were assigned to 7 (n = 119) or 14 (n = 129) days of treatment. In the intention-to-treat analysis, median days of treatment at the end of follow-up were 7 and 14 days (difference 7, 95%CI 7–7). The non-inferiority margin was also met for clinical outcomes, except for relapse of fever (–0.2%, 95%CI –10.4 to 10.1). The DOOR/RADAR showed that 7-day schemes had a 77.7% probability of achieving better results than 14-day treatments.[Conclusions] 7-day schemes allowed a reduction in antibiotic exposure of patients with eBSI while achieving outcomes similar to those of 14-day schemes. The possibility of relapsing fever in a limited number of patients, without relevance to final outcomes, may not be excluded, but was overcome by the benefits of shortening treatments.This work received technical support from the Spanish Network of Research in Infectious Diseases (REIPI) and the Spanish Clinical Research Network (SCReN) of the Instituto de Salud Carlos III, Ministerio de Economía y Competitividad, Spanish Government (PT13/0002/0010).Peer reviewe

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation

Clustering COVID-19 ARDS patients through the first days of ICU admission. An analysis of the CIBERESUCICOVID Cohort

Background Acute respiratory distress syndrome (ARDS) can be classified into sub-phenotypes according to different inflammatory/clinical status. Prognostic enrichment was achieved by grouping patients into hypoinflammatory or hyperinflammatory sub-phenotypes, even though the time of analysis may change the classification according to treatment response or disease evolution. We aimed to evaluate when patients can be clustered in more than 1 group, and how they may change the clustering of patients using data of baseline or day 3, and the prognosis of patients according to their evolution by changing or not the cluster.Methods Multicenter, observational prospective, and retrospective study of patients admitted due to ARDS related to COVID-19 infection in Spain. Patients were grouped according to a clustering mixed-type data algorithm (k-prototypes) using continuous and categorical readily available variables at baseline and day 3.Results Of 6205 patients, 3743 (60%) were included in the study. According to silhouette analysis, patients were grouped in two clusters. At baseline, 1402 (37%) patients were included in cluster 1 and 2341(63%) in cluster 2. On day 3, 1557(42%) patients were included in cluster 1 and 2086 (57%) in cluster 2. The patients included in cluster 2 were older and more frequently hypertensive and had a higher prevalence of shock, organ dysfunction, inflammatory biomarkers, and worst respiratory indexes at both time points. The 90-day mortality was higher in cluster 2 at both clustering processes (43.8% [n = 1025] versus 27.3% [n = 383] at baseline, and 49% [n = 1023] versus 20.6% [n = 321] on day 3). Four hundred and fifty-eight (33%) patients clustered in the first group were clustered in the second group on day 3. In contrast, 638 (27%) patients clustered in the second group were clustered in the first group on day 3.Conclusions During the first days, patients can be clustered into two groups and the process of clustering patients may change as they continue to evolve. This means that despite a vast majority of patients remaining in the same cluster, a minority reaching 33% of patients analyzed may be re-categorized into different clusters based on their progress. Such changes can significantly impact their prognosis