Construcción y confrontación de la teoría a la práctica del docente en primera infancia: caso Centro Regional Buga.

La Corporación Universitaria Minuto de Dios – UNIMINUTO se ha caracterizado por formar personas de manera integral, que no solo se preocupen por su desempeño profesional, sino que tengan un sentido humano dirigido hacia el servicio a los demás. Para ello, su modelo educativo se basa en brindar a los estudiantes unas herramientas para el quehacer, en este caso el pedagógico, orientado hacia una observación inicial de su contexto con todas las implicaciones que de este surjan, la priorización de acciones encaminadas a mejorar las condiciones encontradas en el mismo, el desarrollo de estas y la reflexión de dichas prácticas desarrolladas. Particularmente en la primera infancia, dentro de las prácticas pedagógicas que realizan los estudiantes del programa de Licenciatura en Pedagogía Infantil del Centro Regional Buga está inmerso dicho modelo educativo; en este se logra vislumbrar cómo a través de las diferentes propuestas realizadas en las instituciones educativas de los municipios del centro del Valle se obtiene la transformación de los contextos de manera óptima, siguiendo una a una las fases del modelo para así tener unas mejores prácticas pedagógicas en beneficio de los niños y las niñas del país

Construcción y confrontación de la teoría a la práctica del docente en primera infancia: caso Centro Regional Buga.

La Corporación Universitaria Minuto de Dios – UNIMINUTO se ha caracterizado por formar personas de manera integral, que no solo se preocupen por su desempeño profesional, sino que tengan un sentido humano dirigido hacia el servicio a los demás. Para ello, su modelo educativo se basa en brindar a los estudiantes unas herramientas para el quehacer, en este caso el pedagógico, orientado hacia una observación inicial de su contexto con todas las implicaciones que de este surjan, la priorización de acciones encaminadas a mejorar las condiciones encontradas en el mismo, el desarrollo de estas y la reflexión de dichas prácticas desarrolladas. Particularmente en la primera infancia, dentro de las prácticas pedagógicas que realizan los estudiantes del programa de Licenciatura en Pedagogía Infantil del Centro Regional Buga está inmerso dicho modelo educativo; en este se logra vislumbrar cómo a través de las diferentes propuestas realizadas en las instituciones educativas de los municipios del centro del Valle se obtiene la transformación de los contextos de manera óptima, siguiendo una a una las fases del modelo para así tener unas mejores prácticas pedagógicas en beneficio de los niños y las niñas del país

The impact of muscle relaxation techniques on the quality of life of cancer patients, as measured by the FACT-G questionnaire

Introduction Patients with cancer frequently suffer from emotional distress, characterized by psychological symptoms such as anxiety or depression. The presence of psychological symptoms combined with the complex nature of oncology processes can negatively impact patients' quality of life. We aimed to determine the impact of a relaxation protocol on improving quality of life in a sample of oncological patients treated in the Spanish National Public Health System. Materials and methods We conducted a multicenter interventional study without a control group. In total, 272 patients with different oncologic pathologies and showing symptoms of anxiety were recruited from 10 Spanish public hospitals. The intervention comprised abbreviated progressive muscle relaxation training, according to Bernstein and Borkovec. This was followed by weekly telephone calls to each patient over a 1-month period. We collected sociodemographic variables related to the disease process, including information about mental health and the intervention. Patients' quality of life was assessed using the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire. Bivariate and univariate analyses were performed, along with an analysis of multiple correspondences to identify subgroups of patients with similar variations on the FACT-G. Results Patients showed statistically significant improvements on the FACT-G overall score (W = 16806; p<0.001), with an initial mean score of 55.33±10.42 and a final mean score of 64.49±7.70. We also found significant improvements for all subscales: emotional wellbeing (W = 13118; p<0.001), functional wellbeing (W = 16155.5; p<0.001), physical wellbeing (W = 8885.5; p<0.001), and social and family context (W = ?1840; p = 0.037). Conclusions Patients with cancer who learned and practiced abbreviated progressive muscle relaxation experienced improvement in their perceived quality of life as measured by the FACT-G. Our findings support a previous assumption that complementary techniques (including relaxation techniques) are effective in improving the quality of life of patients with cancer

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

[Leer para aprender y descubrir otras culturas (Barcelona. 2007)]

Copia digital. España : Ministerio de Cultura y Deporte. Subdirección General de Cooperación Bibliotecari

Abstract 17058: Does Intensive Glucose Control Prevent Cognitive Decline in Diabetes? a Meta-analysis

Background: Long term diabetes is associated with cognitive decline. Blood glucose control improves outcomes in patients with diabetes, it is unclear if intensive glucose control prevents cognitive decline. The aim of this study is to conduct a meta-analysis to determine the effects of intensive glucose control on cognitive decline in patients with diabetes. Methods: We searched the MEDLINE database (1966 to December 2013) and supplemented the search with manual searches of bibliographies of key relevant articles. Keywords used for the search were: diabetes mellitus, cognitive decline, cognitive function, cognitive impairment, and glucose control. We selected all randomized studies where a measurement of cognitive decline and the level of glucose control were reported in patients with diabetes. We calculated the weighted standardized mean difference (SMD) of the measurement of cognitive decline between the intensive and standard glucose control arm. We also conducted meta-regression to evaluate the effect of the type of diabetes had on the results and stratified the analysis by type of diabetes. Results: The search strategy yielded 260 studies, of which only 7 met our eligibility criteria. Only three studies included subjects with type 2 diabetes, patients with type 2 diabetes had a median age of 62(59-63), 48(42-60) were female, the median HbA1c was 8% and the median duration of diabetes was 9 years. We included four studies with type 1 diabetes with a median age of 27(16-29) years, 49(49-50) % were female, the median Hba1c was 9% and the median duration of diabetes was 6(5-18) years. The weighted SMD of each cognitive test is shown in Table 1. Conclusions: Intensive glucose control prevents cognitive decline. The largest improvements were seen in the memory and speed processing domains. This was seen mostly in middle-aged type 2 diabetics with diabetes for 9 years and slightly out of control HbA1c

Does Intensive Glucose Control Prevent Cognitive Decline in Diabetes? A Meta-Analysis

Diabetes mellitus is associated with cognitive decline and impaired performance in cognitive function tests among type 1 and type 2 diabetics. Even though the use of tight glucose control has been limited by a reported higher mortality, few reports have assessed the impact of treatment intensity on cognitive function. We conducted a meta-analysis to evaluate if an intensive glucose control in diabetes improves cognitive function, in comparison to standard therapy. We included 7 studies that included type 1 or type 2 diabetics and used standardized tests to evaluate various cognitive function domains. Standardized mean differences (SMDs) were calculated for each domain. We found that type 1 diabetics get no cognitive benefit from a tight glucose control, whereas type 2 diabetics get some benefit on processing speed and executive domains but had worse performances in the memory and attention domains, along with a higher incidence of mortality when using intensive glucose control regimes

Variation rate of the FACT-G questionnaire scores, total and subscales, stratified by clusters.

<p>Variation rate of the FACT-G questionnaire scores, total and subscales, stratified by clusters.</p

Flowchart of study participants.

<p>Flowchart of study participants.</p

Variation rates of the FACT-G questionnaire for the total sample.

<p>Variation rates of the FACT-G questionnaire for the total sample.</p