29 research outputs found
Factores De Deserción En Los Estudiantes De La Licenciatura En Derecho, Generación 2016-2020, En La Universidad Júarez Autónoma De Tabasco, División Académica Multidisciplinaria De Los Ríos
Las causas de la deserción escolar son multifactoriales, es decir, no se deben a un mismo factor. En éste trabajo se identificó cada uno de los factores de riesgo de deserción, en los alumnos que estudian la licenciatura en derecho a través de la aplicación técnico-documental, recopilando información de los estudiantes que desertan, basándose en los registros de inscripción y sistema de baja, y por otro lado contó con un enfoque cualitativo observando de esta forma los comportamientos y actitudes que tienen éstos. Los resultados demostraron que la deserción se da principalmente por: falta de recursos económicos y orientación vocacional, marginación en el contexto social, problemas en diferentes ámbitos (salud y familia). Profundizando más en la problemática, se puede inclusive hasta abordar el tema de la delincuencia, porque al no haber empleo los individuos buscarán por otro lado para satisfacer sus necesidades, si los jóvenes hoy en día no se preparan, en un futuro transitaran por muchas dificultades monetarias y no solo ellos sino también sus familiares. La deserción escolar es el fenómeno en el cual el estudiante deja de asistir a las aulas y queda fuera del sistema educativo sin recibir título de escolaridad, es un problema pedagógico que afecta al desarrollo de la sociedad.
t The causes of school dropout are multifactorial, that is, they are not due to same factor. This paper focuses on identifying each risk factors of dropout in law students through the application of technical documentation. It involves the process of collecting information from students who drop out based on registration records and school control system. It has a qualitative focus and it aims to ascertain the behaviors and attitudes of deserter students. The results show that students drop out of school mainly due to low economic resources, bad vocational orientation, marginalization in social context, and problems in different areas like health and family. Delving deep into this problem, it can result to crime because in the absence of employment, an individual will search for other ways to meet his needs. If the young people of today don´t prepare, they will go through a lot monetary difficulties in the future alongside their relatives. The school dropout is a phenomenon in which students stop attending classes and finally quit the educational system without receiving a school degree. This is basically a pedagogical problem that affects the development of a society
Estudo comparativo do VO2 max. obtido após a aplicação de dois testes de campo em jovens universitários em 2600 metros sobre o nivel do mar
Compare the VO2 Max. obtained after the application of two field tests at 2,600 meters above sea level. Methodology: Descriptive and cross-sectional study carried out in 185 trained young university students with a minimum training three times a week or practitioners of some sports discipline for more than a year. To obtain the VO2 Max. the Cooper Test (CRT) and the Course Navette or Leger Test (SRT-20m) were used as field tests. Results: The average age of the participants was 20,3 ± 2,0; in the CRT test the average VO2 Max. obtained was 38,3 ±10 ml/kg/min for both genders while the SRT-20m was 53 ± 6,5 ml/kg/min for both sexes. VO2 Max. per-CRT, is significantly lower (p=0,00) than the VO2 Max. obtained through the SRT-20m. Conclusions: The CRT underestimates the values of VO2 Max. in trained young adults living at 2,600 m.a.s.l.Comparar o VO2 Max. obtido após a aplicação de dois testes de campo em 2600 metros sobre o nivel do mar. Metodologia: Estudo descritivo e transversal, realizado com 185 jovens universitários treinados, com um nível mínimo de treinamento de três vezes por semana ou praticantes de alguma disciplina esportiva por mais de um ano. Foram utilizados como os testes: teste de Cooper (CRT) e teste de Course Navette (SRT-20m). Resultados: O promedio de idade dos participantes foi de 20,3 ± 2,0; no teste de CRT, o VO2 Max. promedio obtido foi de 38,3 ± 10 ml/kg/min para os dois sexos, enquanto no SRT- 20m foi de 53 ± 6,5 ml/kg/min para os dois gêneros. Conclusões: O VO2 Max. pela CRT foi significativamente menor (p= 0,00) que o VO2 Max. atingido no SRT-20m. O CRT subestima os valores de VO2 Max. em jovens adultos treinados que vivem a 2600 msnm
Consenso de expertos sobre recomendaciones basadas en evidencia para el diagnóstico, tratamiento y seguimiento de enfermedad de Fabry en pediatría
Antecedentes: La enfermedad de Fabry (EF) es una enfermedad rara ligada a X secundaria al depósito lisosomal de glicoesfingolípidos debido a la deficiencia de la enzima alfa galactosidasa A (α-Gal A). A pesar de su baja frecuencia, es una condición que afecta la calidad de vida de los pacientes y disminuye su esperanza de vida.
Objetivo: Generar recomendaciones informadas en evidencia para el diagnóstico y tratamiento de pacientes pediátricos (menores de 8 años) con EF.
Métodos: Se realizó una revisión de literatura en bases de datos y literatura gris a partir del 2010, incluyendo guías de práctica clínica, revisiones sistemáticas, estudios primarios. La calidad de evidencia se evalúo de acuerdo con el tipo de evidencia. Las recomendaciones se sometieron a consenso de expertos a través de metodología Delphi modificada. El acuerdo se definió a partir del 80%.
Resultados: A partir del análisis de la evidencia recolectada, se formularon un total de 45 recomendaciones para tamización, diagnóstico y tratamiento de paciente pediátrico con enfermedad de Fabry. El panel revisor estuvo conformado por once expertos en el tema. Las recomendaciones fueron aprobadas con puntuaciones entre 82.3% y 100%.
Conclusiones: Las recomendaciones resultantes del consenso de expertos permitirán la toma de decisiones clínicas y estandarización de la práctica en la atención de pacientes pediátricos con EF a nivel nacional y regional; el diagnóstico temprano y oportuno garantiza una disminución del impacto en la calidad de vida de los pacientes y sus familiares.
Palabras clave: Enfermedad de Fabry, niños, diagnóstico, terapeutica, biomarcadore
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
Association Between Preexisting Versus Newly Identified Atrial Fibrillation and Outcomes of Patients With Acute Pulmonary Embolism
Background Atrial fibrillation (AF) may exist before or occur early in the course of pulmonary embolism (PE). We determined the PE outcomes based on the presence and timing of AF. Methods and Results Using the data from a multicenter PE registry, we identified 3 groups: (1) those with preexisting AF, (2) patients with new AF within 2 days from acute PE (incident AF), and (3) patients without AF. We assessed the 90-day and 1-year risk of mortality and stroke in patients with AF, compared with those without AF (reference group). Among 16 497 patients with PE, 792 had preexisting AF. These patients had increased odds of 90-day all-cause (odds ratio [OR], 2.81; 95% CI, 2.33-3.38) and PE-related mortality (OR, 2.38; 95% CI, 1.37-4.14) and increased 1-year hazard for ischemic stroke (hazard ratio, 5.48; 95% CI, 3.10-9.69) compared with those without AF. After multivariable adjustment, preexisting AF was associated with significantly increased odds of all-cause mortality (OR, 1.91; 95% CI, 1.57-2.32) but not PE-related mortality (OR, 1.50; 95% CI, 0.85-2.66). Among 16 497 patients with PE, 445 developed new incident AF within 2 days of acute PE. Incident AF was associated with increased odds of 90-day all-cause (OR, 2.28; 95% CI, 1.75-2.97) and PE-related (OR, 3.64; 95% CI, 2.01-6.59) mortality but not stroke. Findings were similar in multivariable analyses. Conclusions In patients with acute symptomatic PE, both preexisting AF and incident AF predict adverse clinical outcomes. The type of adverse outcomes may differ depending on the timing of AF onset.info:eu-repo/semantics/publishedVersio
CIBERER : Spanish national network for research on rare diseases: A highly productive collaborative initiative
Altres ajuts: Instituto de Salud Carlos III (ISCIII); Ministerio de Ciencia e Innovación.CIBER (Center for Biomedical Network Research; Centro de Investigación Biomédica En Red) is a public national consortium created in 2006 under the umbrella of the Spanish National Institute of Health Carlos III (ISCIII). This innovative research structure comprises 11 different specific areas dedicated to the main public health priorities in the National Health System. CIBERER, the thematic area of CIBER focused on rare diseases (RDs) currently consists of 75 research groups belonging to universities, research centers, and hospitals of the entire country. CIBERER's mission is to be a center prioritizing and favoring collaboration and cooperation between biomedical and clinical research groups, with special emphasis on the aspects of genetic, molecular, biochemical, and cellular research of RDs. This research is the basis for providing new tools for the diagnosis and therapy of low-prevalence diseases, in line with the International Rare Diseases Research Consortium (IRDiRC) objectives, thus favoring translational research between the scientific environment of the laboratory and the clinical setting of health centers. In this article, we intend to review CIBERER's 15-year journey and summarize the main results obtained in terms of internationalization, scientific production, contributions toward the discovery of new therapies and novel genes associated to diseases, cooperation with patients' associations and many other topics related to RD research
All-cause mortality in the cohorts of the Spanish AIDS Research Network (RIS) compared with the general population: 1997Ł2010
Abstract Background: Combination antiretroviral therapy (cART) has produced significant changes in mortality of HIVinfected persons. Our objective was to estimate mortality rates, standardized mortality ratios and excess mortality rates of cohorts of the AIDS Research Network (RIS) (CoRIS-MD and CoRIS) compared to the general population. Methods: We analysed data of CoRIS-MD and CoRIS cohorts from 1997 to 2010. We calculated: (i) all-cause mortality rates, (ii) standardized mortality ratio (SMR) and (iii) excess mortality rates for both cohort for 100 personyears (py) of follow-up, comparing all-cause mortality with that of the general population of similar age and gender. Results: Between 1997 and 2010, 8,214 HIV positive subjects were included, 2,453 (29.9%) in CoRIS-MD and 5,761 (70.1%) in CoRIS and 294 deaths were registered. All-cause mortality rate was 1.02 (95% CI 0.91-1.15) per 100 py, SMR was 6.8 (95% CI 5.9-7.9) and excess mortality rate was 0.8 (95% CI 0.7-0.9) per 100 py. Mortality was higher in patients with AIDS, hepatitis C virus (HCV) co-infection, and those from CoRIS-MD cohort (1997. Conclusion: Mortality among HIV-positive persons remains higher than that of the general population of similar age and sex, with significant differences depending on the history of AIDS or HCV coinfection
Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions
Comparative study of the VO2 Max. obtained after the application of two field tests in young university at 2600 meters above the sea level
Comparar o VO2 Max. obtido após a aplicação de dois testes de campo em 2600 metros sobre o nivel do mar. Metodologia: Estudo descritivo e transversal, realizado com 185 jovens universitários treinados, com um nível mínimo de treinamento de três vezes por semana ou praticantes de alguma disciplina esportiva por mais de um ano. Foram utilizados como os testes: teste de Cooper (CRT) e teste de Course Navette (SRT-20m). Resultados: O promedio de idade dos participantes foi de 20,3 ± 2,0; no teste de CRT, o VO2 Max. promedio obtido foi de 38,3 ± 10 ml/kg/min para os dois sexos, enquanto no SRT- 20m foi de 53 ± 6,5 ml/kg/min para os dois gêneros. Conclusões: O VO2 Max. pela CRT foi significativamente menor (p= 0,00) que o VO2 Max. atingido no SRT-20m. O CRT subestima os valores de VO2 Max. em jovens adultos treinados que vivem a 2600 msnm.Compare the VO2 Max. obtained after the application of two field tests at 2,600 meters above sea level. Methodology: Descriptive and cross-sectional study carried out in 185 trained young university students with a minimum training three times a week or practitioners of some sports discipline for more than a year. To obtain the VO2 Max. the Cooper Test (CRT) and the Course Navette or Leger Test (SRT-20m) were used as field tests. Results: The average age of the participants was 20,3 ± 2,0; in the CRT test the average VO2 Max. obtained was 38,3 ±10 ml/kg/min for both genders while the SRT-20m was 53 ± 6,5 ml/kg/min for both sexes. VO2 Max. per-CRT, is significantly lower (p=0,00) than the VO2 Max. obtained through the SRT-20m. Conclusions: The CRT underestimates the values of VO2 Max. in trained young adults living at 2,600 m.a.s.l
Feria del libro : una propuesta didáctica en educación infantil
Anexo de dossier con fotografias del desarrollo de la feria del libro. Tercer premio de los Premios a la Innovación Educativa 2000Proyecto realizado por el claustro de profesoras del Centro de Educación Infantil Virgen de Begoña de Cartagena, Murcia de organización de la feria del libro. Sus objetivos son: implicar a todos los componentes de la comunidad educativa, incluidos padres, madres, abuelos, avanzar en el respeto y cuidado de los libros, estimular el trabajo cooperativo y producir textos de diferente complejidad. Se desarrollan actividades preparatorias: elaboración del cartel anunciador, cartas y mensajes a casa, invitaciones a otros centros, elaboración de cuentos de aula, conocimiento de autores como Alberti y Arturo Pérez-Reverte y críticas literarias de libros. Ya en la feria se realizan exposiciones de libros y una jornada de puestas abiertas del centro, elaboración e imposición de la medalla con normas sobre el cuidado del libro, visita de otro centro y cuentacuentos. Se produce evaluación al final por parte del profesorado de la actividad.CIDEMinisterio Educación CIDEBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín, 5 - 3 Planta; 28014 Madrid; Tel. +34917748000; Fax +34917748026; [email protected]