2,295 research outputs found

    Improving the oral language skills of elementary school students through video-recorded performances

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    This study is situated in the context of teaching first language (L1) oral communication in elementary school in Fr-Belgium. According to the literature, the quality of oral performances can be improved through revision. Using video recording could offer this possibility. However, research on this topic addresses neither elementary students, nor L1 instruction. We compared two conditions in which students either did live performances or created video performances with twelve school classes following a 3-week instructional program. Oral communication skills improved under both conditions. However, students in the video condition showed greater improvement in verbal and non-verbal communication for televisual genres

    Enseigner l’écriture : l’impact des étayages et des interactions entre pairs sur le développement de la compétence scripturale

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    Nous relatons ici une expérimentation sur l’enseignement de la composante de révision du processus rédactionnel réalisée auprès de 38 élèves de 10-12 ans, pour lesquels nous avons récolté et analysé 228 productions écrites, comparativement à une classe contrôle de 18 élèves du même âge. Nous examinons les effets, sur le développement de la compétence scripturale, d’un dispositif (Itinéraires) qui propose aux élèves de réécrire leur texte plusieurs fois, en alternant ces moments de réécriture avec des activités amenant les élèves à renforcer leur capacité de révision du texte. Nous montrons également l’impact spécifique de deux activités de renforcement des capacités de révision — à savoir les étayages amenés par les enseignants et les interactions entre pairs — sur les composantes relatives aux savoirs (savoirs, savoir-faire, « savoir-graphier », savoirs sémiotiques) constituants de la compétence scripturale. Les résultats tendent à montrer que les étayages offerts par l’enseignant sont nécessaires pour apporter aux élèves des savoirs nouveaux alors que les interactions entre pairs mobilisent les connaissances déjà-là, apportent une aide pour certaines corrections ponctuelles et préparent la diffusion finale des textes

    AN INTEGRATED MODEL FOR THE ASSESSMENT OF STRESS-RELATED RISK FACTORS IN HEALTH CARE PROFESSIONALS

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    5Abstract To assess the risk from exposure to occupational stress and burnout in health care workers (HCW), a cross-sectional study was planned to compare objective data that can represent potential job stressors in hospital wards and subjective symptoms reported by the workers. Medical doctors, nurses and ancillary workers of the Internal Medicine Wards of a large public hospital in Northern Italy participated in the study. Three subjective questionnaires were administered: the Job Content Questionnaire (JCQ), the State-Trait Anxiety Inventory (STAI), the Maslach Burnout Inventory (MBI). In addition, seven objective parameters were collected as average during the 3 months period prior to the study: a) working understaffed; b) ratio number of patients/HCW on service; c) ratio number of HCW on sick leave/ HCW on service; d) number of skipped days off after night shifts; e) days of sick leave; f) number of deceased patients; g) number of accidents at work. A total group of 230 HCW were examined, employed in six different sub-units of the Medical wards. The female workers were 67.8% and the male workers 32.2%, the mean age was 37.4 years (SD 9.3) in the total group of HCW, 35.1 years (SD 7.9) in females and 42.3 years (SD 10.3) in males. The average scores of subjective and objective parameters resulted significantly higher in the same sub-units. The correlation analysis showed that the subjective questionnaires were highly inter-related. The multivariate analysis showed that the days of sick leave were significantly related to the subjective questionnaires, and the subjective subscales of emotional exhaustion (from MBI), job demand and decision latitude (from JCQ) and STAIt were significantly related to some of the objective parameters. These results support the integrated use of multiple subjective and objective assessment as the most appropriate approach for the evaluation of occupational stress.openopenAlbini, Elisa; Zoni, Silvia; Parrinello, Giovanni; Benedetti, Laura; Lucchini, RobertoAlbini, Elisa; Zoni, Silvia; Parrinello, Giovanni; Benedetti, Laura; Lucchini, Robert

    Impacto da ação educativa sobre a taxa de abandono do serviço de esterilidade conjugal da UNICAMP

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    Orientadores: Carlos Alberto Petta, Luis Guillermo BahamondesDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências MédicasResumo: O objetivo deste estudo foi avaliar o impacto do programa de ação educativa em esterilidade na redução das taxas de abandono do serviço, na área de Esterilidade Conjugal da Universidade Estadual de Campinas. Foi realizado um estudo retrospectivo do tipo pesquisa operacional, comparando a taxa de abandono do serviço antes e após o início do programa de ação educativa. Foram selecionadas as fichas de 167 casais antes da introdução da ação educativa no serviço, e outras 167 após o início deste programa. Foram avaliados dados como a idade e escolaridade da mulher e do homem, distância da residência, tipo e tempo de esterilidade, número de filhos da mulher e do homem com outro(a) parceiro(a) e da mulher com o parceiro atual, fatores etiológicos femininos e masculinos, e o abandono do serviço, incluindo o momento do acompanhamento em que ele ocorreu. Também foram enviadas cartas às mulheres que abandonaram o serviço, questionando o motivo do abandono. Foi utilizado o programa Statistical Analysis System para análise os dados, com um nível de significância de 95% (p< 0,05). Quanto às características dos dois grupos, observou-se que o grupo após a ação educativa foi formado por mulheres com mais idade e melhor nível de escolaridade do casal. Além disso, observou-se neste grupo um predomínio de casais com esterilidade secundária, com maior tempo de esterilidade, e maior porcentagem de mulheres com ligadura tubária. A taxa de abandono no primeiro grupo foi de 70,7%, e no segundo grupo de 61,7%, não tendo sido observada diferença estatisticamente significativa entre os dois grupos. Também não houve diferenças significativas em relação ao momento de abandono, antes e após a ação educativa. Verificou-se, apenas, que a taxa de maior abandono ocorreu com a propedêutica incompleta. Foram encontradas como variáveis preditoras de abandono do serviço, a baixa idade da mulher e o baixo nível de escolaridade do casal. Foi obtida uma taxa de 30,6% de resposta das cartas enviadas às mulheres que abandonaram o serviço, sendo que o motivo de abandono mais apontado foi o fato de morar longe da Universidade Estadual de Campinas. A ação educativa não pareceu ser, portanto, uma intervenção de maior relevância para o abandono do serviço, já que foram encontrados fatores mais importantes, como a baixa idade da mulher e o baixo nível de escolaridade do casal, que pode refletir indiretamente o seu baixo nível socioeconômicoAbstract: The purpose of this study was to evaluate the impact of an educational activity in infertility in reducing dropout rates, at the Infertility Clinic of CAISM/UNICAMP. This was an operational research, comparing dropout rates before and after the implantation of this educational activity in the Clinic. A total of 167 files were evaluated before the implantation of this program, and other 167 after that. Variables included age and scholarity of both men and women, home distance, type and time of infertility, number of children of men and women with other partner, number of children of the couple, male and female factor of infertility, and the dropout rate. At the end of the study, the women with loss of follow up received a letter asking the reason of dropout. The statistical program used to analyse data was SAS (Statistical Analysis System), with 95% of significance (p<0,05). In the second group, women were older and had a better level of scholarity than the first group. In adittion, a higher percentage of the couples in the second group had secondary infertility, greater time of infertility, and there was a greater number of womem with tubal ligation. The dropout rate was 70,7% before the educational activity, and 61,7% after it, without statistical differences. The dropout period also showed no statistical differences. Higher percentage of dropout was observed among couples with an incomplete diagnosis of infertility. The predictors of dropout were low age of womem and low scholarity level of the couple. Only 30,6% of women answered the letters, and the most frequent reason of dropout was the long distance from home to UNICAMP. The educational activity did not show a great impact on reducing dropout rate; the most important predictors of dropout were young aged woman and low scholarity level of the couple, which could reflect the influence of socioeconomic level of couples on the continuation rateMestradoTocoginecologiaMestre em Tocoginecologi

    F18-FDG-PET/CT in a patient affected by Lynch syndrome

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    Lynch syndrome (LS) is the most common hereditary syndrome that predisposes patients to colorectal cancer, and it accounts for 2&#8211;5% of the total burden of colorectal cancer. We report a case of a 61-year-old female affected by Lynch syndrome who underwent multiple adenocarcinoma resections, studied by F18-FDG-PET/CT for 5 years. This case report suggests a potential role of F18-FDG-PET/CT in the evaluation of patients affected by Lynch syndrome. Nuclear Med Rev 2010; 13, 2: 87&#8211;8

    Effects of manganese exposure on olfactory functions in teenagers: A pilot study

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    Long-term exposure to environmental manganese (Mn) affects not only attention and neuromotor functions but also olfactory functions of a pre-adolescent local population who have spent their whole life span in contaminated areas. In order to investigate the effect of such exposure at the level of the central nervous system we set up a pilot fMRI experiment pointing at differences of brain activities between a non-exposed population (nine subjects) and an exposed one (three subjects). We also measured the volume of the olfactory bulb as well as the identification of standard olfactory stimuli. Our results suggest that young subjects exposed to Mn exhibit a reduction of BOLD signal, subjective odor sensitivity and olfactory bulb volume. Moreover a region of interest SPM analysis showed a specifically reduced response of the limbic system in relation to Mn exposure, suggesting an alteration of the brain network dealing with emotional responses

    CADASIL or MS? Consider “Red Flags” but Avoid a Misdiagnosis: Case Series of a Concomitant Diagnosis

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    Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a monogenic autosome-dominant disease with chronic clinical course. Rarely, CADASIL may present with atypical relapsing-remitting manifestations, cerebral and spinal white matter lesions, mimicking inflammatory CNS disease as multiple sclerosis (MS). The rarely co-occurrence of MS and CADASIL may represent a hard challenging diagnosis even for an expert neurologist. Here, we present a case series of two patients with CADASIL showing MRI pattern overlapping MS. They were the only case of co-occurrence of CADASIL and MS in their own family. Both patients were treated with anti-inflammatory and anti-platelet drugs, mostly with good response. Pathogenic hypothesis highlights that genetic events, related to monogenic disease, may expose CNS antigens with a consequent self-immune attack. In CADASIL, the function of Notch3 receptor showed a consistent interplay with immune system activity. Indeed, certain mutations of Notch3 receptor show abnormal upregulation of specific pro-inflammatory patterns. However, even if it is not possible to determinate if the proinflammatory activity may be promoted by pathogenic mutations in Notch3, the "apparent" difference between MS and “inflammatory CADASIL” could be considered more semantic than etiologic
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