Um novo modelo de administração e de prestação de contas no ensino não superior

Trabalho de projetoA realização deste trabalho de projeto insere-se numa época de necessidade explícita de poupança de recursos. É portanto a altura certa, para bem do presente e sustentabilidade do futuro encontrar novos instrumentos e aplicar os já existentes numa plena reforma e modernização da Administração Pública há tanto tempo teorizada. A evolução do Estado acompanhada pela criação dos diversos modelos de Estado tem uma especial influência na trajectória da sociedade e no desenvolvimento de factores e mudanças estando directamente interligados às diversas fases que compõem a reforma da Administra-ção Pública. Os estabelecimentos de ensino não superior existem em grande escala, espalhados por todo o país, e consomem uma considerável percentagem do orçamento do Estado. São, portanto, serviços públicos privilegiados para aplicação de métodos de economia, eficiência e eficácia. O pessoal não docente em concreto o pessoal administrativo, a quem nos estudos com base no ensino e na educação não tem sido dada grande relevância, é o aplicador mais frequente de métodos que permitem melhorar o funcionamento dos serviços públicos e contribuem para uma melhor opinião dos cidadãos especifi-camente sobre a função Educação. Através dos órgãos de gestão administrativa e financeira os gesto-res públicos dos estabelecimentos de ensino podem contribuir para uma melhoria da transparência na prestação de contas criando ou propondo novos instrumentos de preferência baseados em sistemas de informação modernos e actualizados. Da nossa parte e com a intenção de contribuir para tal desiderato, consideramos importante e de relevante interesse a elaboração deste trabalho de projeto sendo que o objetivo principal é melhorar os métodos administrativos e de prestação de contas dos estabelecimentos de ensino não superior, onde a implementação do sistema contabilístico POC Educação é factor chave para solucionar alguns dos problemas ao nível da accountability e da responsabilidade.The accomplishment of this project work is part of a season explicit need saving resources. It is there-fore the right time, for the benefit of present and future sustainability of new tools to find and apply existing in a full reform and modernization of Public Administration so long theorized. The evolution of the State accompanied by the creation of different models of State has a special influence on the trajectory of society and the development of factors and changes being directly linked to the various phases making up the reform of Public Administration. There are schools on a large scale scattered throughout the country, and consume a considera-ble percentage from the State budget. They are therefore privileged public services for application of methods of economy, efficiency and effectiveness. The non-academic staff in particular the adminis-trative personnel, who studies based on teaching and education has not been given great importance, the applicator is more common methods for improving the functioning of public services and contrib-ute to a better opinion of citizens specifically about the function Education. Through the organs of administrative and financial managers of public schools can contribute to improving transparency in accountability by creating or proposing new tools preferably based on modern and updated infor-mation systems. From our part, and with the intent to contribute to such desideratum, we consider important and relevant interest the development of this project work is that the main objective is to improve the methods of administration and accountability of schools where the system implementation POC Edu-cação is key to solving some of the problems at the level of accountability and responsibility

La responsabilidad social desde la percepción de un grupo de estudiantes emprendedores universitarios.

Los estudiantes de Tópicos para el desarrollo personal y profesional: Formación de Emprendedores, representan un grupo de universitarios que en semestre escolar, cursan esta unidad de aprendizaje en la Licenciatura en Nutrición; constituyen un sector estudiantil importante, ya que reciben las herramientas básicas para generar ideas que coadyuven a mejorar las condiciones de su entorno, por lo que su percepción en relación a la responsabilidad social merece nuestra atención. Formar Licenciados en Nutrición con calidad es parte de la Responsabilidad Social de esta dependencia de educación superior, cuya misión es la formación integral de profesionales en salud pública y nutrición en un ambiente global. Es preciso descubrir esta percepción, que nos permitirá conocer de que manera los emprendedores identifican esta responsabilidad en la Universidad en la que se forman, las actividades que se realizan y describir desde su óptica, definiciones de lo que es Responsabilidad Social. Resulta necesario mencionar que la responsabilidad como tal, está expresada en los valores de la Universidad Autónoma de Nuevo León, institución que a través de la Facultad de Salud Pública y Nutrición es la responsable de la formación del nutriólogo, recurso humano indispensable en el equipo de salud y en la sociedad, debido a la mala nutrición que nos aqueja; la responsabilidad está expresada también en la Visión 2020 UANL y en los fundamentos que nos rigen en nuestro quehacer docente y administrativo, a través del Sistema de Administración de la Calidad donde se incluye como distintivo la Responsabilidad Social Universitaria y la clase mundial

A case report of papular-purpuric gloves and socks syndrome: A manifestation of the parvovirus B19

Introduction: The majority of parvovirus B19 infections are asymptomatic. In childhood, however, they may present as the fifth disease and in adults their manifestations can vary from mild, non-specific, cold-like symptoms to other forms of presentations. Papular-purpuric gloves and socks syndrome (PPGSS) is an uncommon form of parvovirus B19 infection, characterized by symmetric, pruriginous and painful erythema and edema of feet and hands. Generally, systemic symptoms are usually mild and dissemination to other body regions occurs in only 50% of the cases. The rash gradually progresses to petechiae and purpura delineating well demarcated "socks" and "gloves" on both feet and hands. The diagnosis is predominantly based on the clinical features. Serologic conversion is not considered as evidence of parvovirus B19 infection and histopathological findings from lesional skin are not specific. There are no definite antiviral drugs or vaccines against parvovirus. Patients with PPGSS require only symptomatic therapy. Case Report: We report the case of a 30-year-old female with this characteristic erythema caused by the parvovirus B19. Nevertheless, this case is remarkable because the patient had significant systemic manifestations and an exuberant perineal and oropharyngeal involvement. Further, the erythema assumed a bullous expression that has not been so commonly reported. A biopsy was performed which was unspecific and the diagnosis was confirmed with the serology and molecular detection of the virus in blood sample as well as on mouth swab. Our patient needed treatment to control pain and pruritus, fever was self-limited. Conclusion: A high index of suspicion is essential to diagnose patients with this syndrome. Early recognition can prevent unproductive measures and the good management of this infection.info:eu-repo/semantics/publishedVersio

Estudios de Caso sobre Ciencias Agropecuarias y Rurales en el siglo XXI.

Libro científico sobre estudios de casos en el medio agropecuario y ruralCon el advenimiento del siglo XXI y el avance de los procesos de globalización, el medio rural presenta diversos cambios económicos, sociales, políticos y culturales. Lo anterior significa que el campo es un objeto de estudio altamente dinámico, complejo e inasible. las ciencias agropecuarias y rurales, en la actualidad, requieren de un abordaje sistémico e interdisciplinario que den cuenta de la heterogeneidad de situaciones y contextos que enfrenta el campo mexicano. La presente obra agrupa 18 estudios de caso, que capturan algunas fotografías de las diversas problemáticas de la ruralidad mexicana, con lo cual se pretende dar cuenta tanto de los objetivos de estudio como de la perspectiva teórico metodológico desde que estos son abordados. lo anterior tiene que ver con el hecho de que las ciencias agropecuarias y rurales manifiestan un alto grado de observación empírica, motivo por el que los estudios de caso se convierten en la perspectiva metodológica idónea que permite ir y venir de la realidad a la teoría y viceversa para la construcción de objetos de estudio. En este volumen se aborda una gran diversidad de casos, que sintetizan la heterogeneidad de enfoques y perspectivas mediante las cuales los fenómenos agropecuarios y rurales han sido abordados en el Instituto de Ciencias Agropecuarias y Rurales de la Universidad Autónoma del Estado de México, en los últimos 30 años

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

A RELAÇÃO DA MISOFONIA COM SINTOMAS DEPRESSIVOS: ESTUDO OBSERVACIONAL

Trabalho Final do Mestrado Integrado em Medicina apresentado à Faculdade de MedicinaIntrodução: A misofonia é um fenómeno caracterizado pela intolerância a padrões de sons altamente específicos, associados a reações emocionais e físicas negativas, que podem levar a um grave comprometimento do funcionamento diário. Alguns estudos demostram uma relação moderada com o diagnóstico de depressão. Por isso, o objetivo deste estudo é clarificar se pessoas com sintomas depressivos têm maior prevalência de sintomas misofónicos do que a população geral. Métodos: A Escala de Misofonia de Amesterdão (A-MISO-S) foi usada para avaliar sintomas misofónicos e a Escala de Avaliação de Hamilton para Depressão de 17-items (HAM-D 17) usada para avaliar sintomas depressivos. O recrutamento de pessoas foi feito em 2 locais: cuidados de saúde primários e ambulatório de psiquiatria. Foi usado um guião para conduzir a entrevista clínica. Em primeiro lugar, recolhemos informações sobre dados demográficos: sexo, idade, estado civil, nível de educação, situação atual do emprego, antecedentes de depressão e uso de medicação psiquiátrica. Na segunda parte aplicaram-se duas escalas: A-MISO-S e HAM-D 17. Sempre que os scores mostravam a presença simultânea de sintomas misofónicos e depressivos clínicos (≥ 5 or ≥ 8, respetivamente), as pessoas era questionadas acerca da idade de início dos sintomas e relação com evento de vida. Resultados: Este estudo contou com 44 participantes. A prevalência de sintomas misofónicos da amostra foi de 25% e 14% apresentaram simultaneamente sintomas misofónicos e depressivos clinicamente significativos. Dos que apresentaram sintomas misofónicos, 90% afirmou que os sintomas começaram durante a idade adulta. A A-MISO-S e a HAM-D 17 não mostraram uma correlação significativamente estatística (ρ=0,140, p=0,365). Os scores da A-MISO-S de pessoas que afirmaram reagir de forma negativa aos sons misofónicos e a idade mostraram uma correlação moderada (ρ=0,434, p=0,044). Discussão: A prevalência de sintomas misofónicos é consistente com outros estudos. Este estudo não mostrou uma correlação significativa entre a severidade de sintomas misofónicos e a severidade de sintomas depressivos, embora tenha sido observada uma tendência para scores mais altos nos cuidados de saúde primários. Contudo, a medicação psiquiátrica poderá ter influenciado os resultados do grupo do ambulatório psiquiátrico. O score da A-MISO-S não foi significativamente diferente entre participantes com sintomas depressivos clinicamente significativos sem sintomas depressivos clinicamente significativos. Em contraste com outros estudos, houve uma correlação entre a idade e a severidade do score e a maioria dos participantes afirmou que o sintomas misofónicos começou durante a idade adulta. Conclusão: O presente estudo não suporta a relação entre sintomas depressivos e sinotmas misofónicos.Introduction: Misophonia is a phenomenon characterized by intolerance to highly specific sound patterns, associated with negative emotional and physical reactions, that can lead to severe impairments in daily functioning. Some studies demonstrate a moderate relationship with depression diagnosis. So, the purpose of this study is to clarify if people with depressive symptoms have higher prevalence of misophonic symptoms than the general population. Methods: The Amsterdam Misophonia Scale (A-MISO-S) was used to assess misophonic symptoms and the Hamilton Depression Rating Scale 17-items (HAM-D 17) was used to assess depressive symptoms. Recruitment was performed in 2 different settings: primary health care and psychiatric outpatient setting. A script was used to conduct the clinical interview. Firstly, we gathered information about demographic data: gender, age, civil status, level of education, current employment situation, depression antecedents, and use of psychiatric medication. In the second part two scales were applied: A-MISO-S and HAM-D 17. Whenever scores showed the simultaneous presence of clinic misophonic and depressive symptoms (≥ 5 or ≥ 8, respectively), people were asked about the onset age and relation to a life event. Results: This study had 44 participants. The prevalence of misophonic symptoms in the sample was 25% (n=11), and 14% presented misophonic and depressive clinically significant symptoms. Of those who presented misophonic symptoms, 90% stated symptoms began during adult age. A-MISO-S and HAM-D 17 did not show a statistically significant correlation (ρ=0,140, p=0,365). A-MISO-S scores of people who affirm reacting negatively to misophonic sounds and age showed a moderate correlation (ρ=0,434, p=0,044). Discussion: The prevalence of misophonic symptoms was consistent with other studies. This study didn’t show a significant correlation between the severity of the misophonic symptoms and the severity of the depressive symptoms, although a trend was observed for higher scores in primary health care. However, psychiatric medication may had influenced psychiatric outpatient setting results. A-MISO-S score was not significantly different in participants with clinically significant depressive symptoms compared with those with no clinically significant depressive symptoms. In contrast with other studies, there was a correlation between the age and score severity, and most participants stated that misophonic symptoms began during adult age. Conclusion: The current study does not support the relation between depressive symptoms and misophonic symptoms

La familia y su influencia en el desarrollo cognitivo del niño.

Identificó que la dinámica familiar de los estudiantes de nivel primario, puede ser un factor de influencia en el desarrollo cognoscitivo. El estudio se realizó en la Escuela Oficial Claudio, ubicada en la 20 Av. 8-98 zona 11, Colonia el Mirador, ciudad de Guatemala, durante el año 2014. Aportó estrategias para los padres de familia contribuyan en la estimulación cognitiva del niño. Se trabajó con una muestra de 31 niños comprendidos en edades 9 a 14 años de edad. Para recolectar datos se utilizaron las técnicas siguientes: rapport de la población, consentimiento informado y la entrevista. Se aplicó el Test de Piaget y Raven. Los instrumentos que se utilizaron fueron: entrevista a padres de familia, Test de Piaget, Test de Raven y técnicas de estimulación cognitiva. Se realizó el análisis de datos y concluyó que, los factores familiares que influyen negativamente en el desarrollo cognitivo de los niños fueron: la resolución de conflictos inadecuados, baja autoestima del niño, conflictos entre hermanos y el desconocimiento de los padres de las formas de estimulación cognitiva