28 research outputs found
Ciudadanía y educación intercultural en la Unión Europea
Los conceptos de ciudadanía y educación intercultural van íntimamente relacionados. Vivimos en el marco de la Unión Europea y por ello, desde la escuela, hay que implantar el currículum intercultural y fomentar la ciudadanía democrática con la finalidad de construir cada uno nuestra propia identidad europea. Para ello, tenemos que contar con la cooperación de las familias y entre ambos, construir una ciudad accesible a todos los ciudadanos.Grado en Educación Primari
Diagnostic Accuracy, Effectiveness and Cost for Cognitive Impairment and Dementia Screening of Three Short Cognitive Tests Applicable to Illiterates
BACKGROUND: Illiteracy, a universal problem, limits the utilization of the most widely used short cognitive tests. Our objective was to assess and compare the effectiveness and cost for cognitive impairment (CI) and dementia (DEM) screening of three short cognitive tests applicable to illiterates. METHODS: Phase III diagnostic test evaluation study was performed during one year in four Primary Care centers, prospectively including individuals with suspicion of CI or DEM. All underwent the Eurotest, Memory Alteration Test (M@T), and Phototest, applied in a balanced manner. Clinical, functional, and cognitive studies were independently performed in a blinded fashion in a Cognitive Behavioral Neurology Unit, and the gold standard diagnosis was established by consensus of expert neurologists on the basis of these results. Effectiveness of tests was assessed as the proportion of correct diagnoses (diagnostic accuracy [DA]) and the kappa index of concordance (k) with respect to gold standard diagnoses. Costs were based on public prices at the time and hospital accounts. RESULTS: The study included 139 individuals: 47 with DEM, 36 with CI, and 56 without CI. No significant differences in effectiveness were found among the tests. For DEM screening: Eurotest (k = 0.71 [0.59-0.83], DA = 0.87 [0.80-0.92]), M@T (k = 0.72 [0.60-0.84], DA = 0.87 [0.80-0.92]), Phototest (k = 0.70 [0.57-0.82], DA = 0.86 [0.79-0.91]). For CI screening: Eurotest (k = 0.67 [0.55-0.79]; DA = 0.83 [0.76-0.89]), M@T (k = 0.52 [0.37-0.67]; DA = 0.80 [0.72-0.86]), Phototest (k = 0.59 [0.46-0.72]; DA = 0.79 [0.71-0.86]). There were no differences in the cost of DEM screening, but the cost of CI screening was significantly higher with M@T (330.7 ± 177.1 €, mean ± sd) than with Eurotest (294.1 ± 195.0 €) or Phototest (296.0 ± 196. 5 €). Application time was shorter with Phototest (2.8 ± 0.8 min) than with Eurotest (7.1 ± 1.8 min) or M@T (6.8 ± 2.2 min). CONCLUSIONS: Eurotest, M@T, and Phototest are equally effective. Eurotest and Phototest are both less expensive options but Phototest is the most efficient, requiring the shortest application time
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
Proyecto de Aprendizaje-Servicio “Itinerario de Inserción Socio-Laboral para Personas con Autismo de Alto Funcionamiento”
Se diseña un Programa de Aprendizaje-Servicio de manera paralela e independiente a los
itinerarios ya instaurados en la Asociación Autismo Valladolid. La finalidad es la de contribuir
a la inserción socio-laboral y la mejora de las oportunidades de acceso al mercado de trabajo de
las personas con Trastorno del Espectro del Autismo.
La parte teórica es un viaje en el tiempo de lo que ha sido y es el Trastorno del Espectro del
Autismo pasando por tres autores destacados de este campo: Kanner, Asperger y Wing.
La parte práctica es un itinerario de inserción socio-laboral en que irán marcadas las diferentes
partes, empezando por la captación (momento en que el usuario demanda ayuda para encontrar
un empleo) y culminando por el objetivo principal del proyecto: el empleo con apoyo.Departamento de PsicologíaMáster en Psicopedagogí
Aventura multimedia en la Región de Murcia v2.0
En este proyecto solo se aborda la primera fase presentada a la convocatoria de innovación 2006 - 2007Un grupo de 11 profesores de secundaria pertenecientes a tres institutos de la Región de Murcia ha elaborado una serie de materiales multimedia que pretenden ser de utilidad para que los alumnos aprendan las diferentes materias en un entorno que les permita conocer mejor la C.A. de la Región de Murcia. El resultado final es un juego multimedia que permite al alumno aprender las diferentes áreas del currículo. A este juego se le añade un módulo de inteligencia artificial para que pueda adaptarse al nivel del alumno. La planificación del proyecto consta de tres fases. En la primera se han analizado los textos y gráficos a utilizar realizando materiales para las diferentes asignaturas en formato web y en función de esos materiales, se realiza una primera versión del programa. Después se comienza la realización del módulo de evaluación y por último se crean las animaciones que forman parte del juego y parte del módulo correspondiente a inteligencia artificial. Se ha creado una base de datos y unos controles de PHP para gestionar la navegación y más de 300 páginas web de distintas áreas curriculares, entre otros resultados..Consejería de Educación, Ciencia e Investigación. Dirección General de Formación Profesional e Innovación EducativaMurciaConsejería de Educación, Ciencia e Investigación. Servicio de Publicaciones y Estadística; Avda. La Fama, 15; 30006 Murcia; Tel. +34968278685; Fax +34968279835; [email protected]
Characteristics of the short cognitive tests.
<p>M@ T: Memory Alteration Test. T: time in minutes. O: orientation; M: memory; F: verbal fluency; N: naming; C: calculation. RS: record sheet. DEM: dementia; CI: cognitive impairment. *36/37 for individuals without and 37/38 for those with primary schooling.</p
Effectiveness and cost for cognitive impairment.
<p>M@T: Memory Alteration Test. CuP: cutoff point; TP: true positives; TN: true negatives; FP: false positives; FN: false negatives; DA: diagnostic accuracy (proportion of correct diagnoses); k: kappa índex. In parentheses: 95% confidence interval. Mean cost: mean±sd. *36/37 for individuals without primary schooling, 37/38 for those with at least primary schooling.</p
Minimum costs per diagnosis.
<p>PC: Primary Care; CBNU: Cognitive Behavioral Neurology Unit.</p
Socio-demographic characteristics and screening test results by diagnostic group.
<p>CI: cognitive impairment (CInD+DEM). NoCI: no cognitive impairment. CInD: cognitive impairment without dementia. DEM: dementia. NoDEM: no dementia (NoCI+CInD). M@T: Memory Alteration Test. Data are n° individuals (percentage) or mean±sd.</p