Medición del sentido del humor docente en profesores de la Comuna de Melipilla : un estudio descriptivo

Tesis (Profesor de Educación General Básica, Licenciado en Educación)OBJETIVOS DE INVESTIGACIÓN 1. Identificar el grado en que se presenta el sentido de humor en los profesores de educación general básica de primer ciclo de los colegios urbanos de la comuna de Melipilla. 2. Identificar rasgos asociados al sentido del humor en el quehacer docente de los profesores de educación general básica de los colegios urbanos de la comuna de Melipill

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

II jornadas de intercambio de prácticas educativas en las aulas especializadas

Las Aulas Especializadas han sido un recurso de calidad y ha presentado un avance notable en las condiciones de escolarización del alumnado con trastornos del espectro autista, con trastornos específico del lenguaje, con discapacidad motriz y con polidiscapacidad. La satisfacción de los padres y madres, del profesorado y los progresos del alumnado avalan el camino emprendido. Lo que en el año 2002 eran experiencias de innovación pedagógica son una realidad repartida por toda la geografía andaluza. Se ha avanzado mucho, pero se debe seguir haciéndolo, completando la red de aulas, consolidando una oferta especializada en todas las provincias y, sobre todo, elevando el nivel técnico de los profesionales mediante actividades de formación como estas II Jornadas de Intercambio de Prácticas Educativas. Con ellas se ha querido facilitar que los maestros y maestras de toda Andalucía compartan sus recurso, sus estrategias metodológicas y sus conocimientos para conseguir una escuela más eficiente, más justa y más solidaria.AndalucíaInstituto Psicopedagógico Dulce Nombre de María (Málaga); Calle Manuel de Palacio, 17; 29017 Málaga; +34902290499; [email protected]