Difficulties faced by adult Latin American immigrants in learning English as a second language in Edmonton, Canada

Formato de encuesta y tablas.Esta monografía tiene como objetivo comprender los principales problemas de los estudiantes latinoamericanos cuando aprenden inglés como segundo idioma en una escuela privada de ESL en Edmonton, Canadá. El estudio se desarrolla utilizando una combinación de enfoques cuantitativos y cualitativos para comprender sus experiencias personales y patrones de estudio a lo largo de sus clases en New Hope ESL. A lo largo de esta monografía, se desarrolla un análisis basado en las percepciones de los estudiantes sobre su proceso de aprendizaje de inglés a través de una encuesta y documentación profesional sobre este tema para recopilar suficiente información y así identificar sus principales desafíos. En conclusión, los problemas personales y económicos son los factores más importantes que impiden que los estudiantes aprendan inglés. Asimismo, hablar y escuchar son las áreas donde los estudiantes hispanos de ESL tienen más dificultades. La escuela debe abordar diferentes estilos de aprendizaje, tipos de inteligencia, necesidades y motivaciones con planes de estudio y planes de lecciones personalizados para mantener a los alumnos involucrados en actividades divertidas y didácticas, como juegos interactivos y realia junto con scaffolding y retroalimentación para facilitar su proceso de aprendizaje.This monograph aims to understand Latin American learners' main problems when learning English as a Second Language in a private ESL school in Edmonton, Canada. The study is developed using a mix of quantitative and qualitative approaches through interviews and statistical information to understand their personal experiences and study patterns throughout their classes at New Hope ESL. Throughout this monograph, I developed an analysis based on students' perceptions of their English learning process and professional documentation on this topic to gather enough information to identify their main struggles. In conclusion, personal and economic problems are the most significant factors that prevent students from learning English. At the same time, speaking and listening are the areas where ESL Hispanic students have more difficulties. The school should address different learning styles, types of intelligence, needs, and motivations with tailored lesson planning and curricula to keep learners engaged in enjoyable and didactic activities such as interactive games and realia alongside scaffolding and feedback to facilitate their learning process

Identidad profesional de estudiantes de educación parvularia pertenecientes a una universidad pública regional chilena a través de sus autobiografías

Esta investigación parte del supuesto de que la identidad profesional de las educadoras de niños y niñas está fuertemente determinada por estereotipos de género y entrampada en el imaginario de mujer-madre. Esta feminización de la identidad profesional sería efecto del discurso histórico, heredero de la beneficencia asistencialista y la proyección del rol maternal, que relevan el rol emocional de la educadora. El objetivo de este estudio es interpretar la identidad profesional de estudiantes de Educación Parvularia pertenecientes a una universidad pública regional, a través de 53 autobiografías profesionales escritas por estudiantes de último año de las cohortes 2016, 2017, 2018 y 2019. La metodología, de tipo interpretativo, se enmarca en el Análisis del Discurso, desde la Lingüística Cognitiva y la teoría de las metáforas. El análisis se desarrolla en dos etapas. La primera de ellas es un acercamiento interpretativo a la identidad profesional a través del análisis metafórico. En la segunda etapa, se revisan hitos autobiográficos para definir elementos comunes a las historias de vida que permiten interpretar su identidad profesional. El estudio permite comprobar el supuesto inicial y establecer cómo configuran su identidad a través del tropo de la madre

Social-ecological factors influencing tourist satisfaction in three ecotourism lodges in the southeastern Peruvian Amazon

This an accepted author's manuscript (AAM) version of an article published in Tourism Management, 33 (2012) 545-55

A Case Report of Acute Severe Myelitis and Meningitis Secondary to Varicella Zoster Virus Reactivation in a Patient with Acquired Immunodeficiency Syndrome

Background: Myelitis post Herpes-Zoster is a rare condition that is typically associated with immunocompromised states. It usually starts as an acute loss of sensory and motor functions below the affected spinal cord level. The condition can range in severity from a mild to a fatal presentation. Other neurological complications include meningitis, atypical presentations should encourage the search for undiagnosed immunosuppression states. The Case: We describe the case of a 42-year-old man, with previously undiagnosed HIV, who developed acute myelitis and meningitis after the appearance of the classic zoster lesions. On lumbar puncture and subsequent CSF analysis, the patient was found to have Froin's Syndrome. The patient was initiated with ceftriaxone, vancomycin, and acyclovir regimen and prophylactic antiphymic treatment was also added. After 14 days in the hospital, the fever, headache, and neck stiffness subsided while the sphincter function and lower limb paraplegia did not improve. Conclusion: Varicella zoster virus reactivation suggests underlying immunosuppression. This case demonstrates the importance of being cognizant to the wide range of clinical manifestations that may suggest spinal cord involvement after clinical reactivation. Furthermore, physicians also need to be mindful that Acquired Immunodeficiency Syndrome (AIDS) and other immunodeficiency states could present with atypical clinical manifestations

Factores relacionados con costos por atención médica de siniestros de tránsito en Bucaramanga, Colombia

OBJECTIVE To determine the factors related to overall healthcare costs of road traffic accidents in Bucaramanga, Colombia. METHODS A descriptive cross-sectional study was conducted through the analysis of road traffic accident records that took place in 2019 in Bucaramanga, Colombia. Cost quartiles in dollars were compared using Pearson’s chi-squared and Fisher’s exact tests. Odds ratios were also calculated in logistic regression. RESULTS 3,150 road accidents were reported in 2019 involving 7,038 people, of which 812 had information related to healthcare costs in health care institutions. The median cost was 56.59 USD (RI = 29.35–140.15), average cost of 290.11 USD ± 731.22 (95%CI: 239.74–340.48). A higher possibility to be in the 4th quartile was found when persons were under 18 years of age (OR = 4.88; 95%CI: 1.30–18.32) or 46–60 years (OR = 3.66; 95%CI: 1.01–13.30), the type of vehicle involved is motorcycle (OR = 2.79; 95%CI: 1.25–6.24), bicycle (OR = 7.66; 95%CI: 2.70–21.68), having a head injury (OR = 4.50; 95%CI: 2.61–7.76) and hypothetical drunk driving (OR = 12.44; 95%CI: 2.01–76.87). CONCLUSIONS Relevant factors in healthcare costs were riding a motorcycle or bicycle, having a head injury, being under 18 years of age or 46 to 60 years of age and hypothetical drunk driving. It is important to implement prevention measures based on identified factors to reduce road accident rate and therefore, its socioeconomic costs.OBJETIVO Determinar los factores relacionados con los costos generales durante la atención en salud de siniestros de tránsito en Bucaramanga, Colombia. MÉTODOS Estudio descriptivo, transversal, con análisis de registros de siniestros de tránsito durante 2019 en Bucaramanga, Colombia. Se realizó una comparación entre cuartiles de los costos en dólares con pruebas estadísticas de Chi-cuadrado de Pearson y exacta de Fisher. También, se calcularon odds ratio en regresión logística. RESULTADOS En 2019 se registraron 3.150 siniestros, con 7.038 personas involucradas, de los cuales 812 tenían información de costos generados por atención en instituciones de salud. La mediana de costos fue US$56,59 (RI = 29,35–140,15), promedio de US$ 290,11 ± 731,22 (IC95% 239,74–340,48). Se observó mayor posibilidad para estar en cuartil 4 de los costos si la persona tenía menos de 18 años (OR = 4,88; IC95% 1,30–18,32) o entre los 46–60 años de edad (OR = 3,66; IC95% 1,01–13,30), cuando el tipo de vehículo es la motocicleta (OR = 2,79; IC95% 1,25–6,24) y la bicicleta (OR = 7,66; IC95% 2,70–21,68), si la lesión ocurre en la cabeza (OR = 4,50; IC95% 2,61–7,76) y si la hipótesis está relacionada con embriaguez (OR = 12,44; IC95% 2,01–76,87). CONCLUSIÓN Los factores relevantes en los costos fueron la motocicleta, bicicleta, lesión en la cabeza, ser menor de 18 años o tener entre los 46 años y los 60 años y embriaguez como hipótesis. Es relevante implementar medidas de prevención según los factores identificados para disminuir la accidentalidad y, por ende, sus costos socioeconómicos

Number and nature of psychiatric emergency department visits in a tertiary hospital before, during, and after coronavirus pandemic

Introduction: The COVID-19 pandemic has significantly impacted mental health globally, leading to a deterioration in the overall mental health of the population and changes across all healthcare levels, including emergency departments (ED). However, the evolution of the quantity and nature of psychiatric ED visits in the post-pandemic period remains uncertain. Aims: To examine changes in the number and nature of psychiatric emergencies at a general hospital before, during, and after the COVID-19 pandemic. Materials and methods: Psychiatric ED visits from a tertiary hospital in the Basque Country (Spain) between January 2019 and November 2023 were investigated. Electronical health registers detailing the number and nature of psychiatric care consultations were analyzed for the study timeframe. Three periods were then compared: pre-pandemic (from January 2019 to February 2020), pandemic (from March 2020 to January 2022), and post-pandemic (from February 2022 onwards). Results: 16,969 psychiatric ED visits were recorded for the study period. The number of psychiatric ED visits remained stable from pre-pandemic (269.93 visits/month) to pandemic (264.48 visits/month) periods but experienced a significant rise during the post-pandemic period (330.00 visits/month; t=-6.42; p<0.001), which was not reflected in medical and traumatological visits. The proportion of visits for anxiety (Z=-2.97; p=0.003), suicidal ideation (Z=-5.48; p<0.001), and administrative and social consultations (Z=-5.69; p<0.001) increased over the course of the pandemic. In contrast, visits for schizophrenia and other psychotic disorders (Z=4.85; p<0.001), as well as unspecified behavioral alterations (Z=2.51; p=0.012), significantly decreased. Conclusion: The COVID-19 pandemic and its aftermath have altered the patterns of urgent psychiatric care, characterized by a sharp increase of average monthly number of consultations and a shift in their nature. Future efforts should focus on characterizing this surge in demand and enhancing both emergency services and outpatient settings

Asuntos del clima en Colombia vistos desde El Niño

Previsiones sobre El Niño para el 2010, y medidas para la zona andina de Colombia donde el clima cambia con los solsticios y los equinoccios. Mientras el Niño y La Niña no son desastres sino fenómenos naturales, sí es un desastre natural la alteración antrópica de la máquina atmosférica, causa de la actual crisis del agua. Se señalan medidas urgentes e inaplazables para Colombia, útiles para enfrentar la amenaza climática del calentamiento global, dado que a las sequías intensas le suceden inviernos cada vez más crudos

Producción del radiofármaco nano-coloide de albumina marcado con 99mTC para estudios centellograficos del sistema linfático y medula ósea

El objeto del presente trabajo fue realizar la producción, de un nuevo radiofármaco, para la detección de cáncer, el control de calidad por medio de la pureza radioquímica, control microbiológico y calidad organoléptica, evaluar la biodistribución en ratas y comprobar su estabilidad.   El fármaco NANO-COLOIDE DE ALBUMINA, se marcó con 99mTc. La biodistribución se evaluó en ratas albinas y los resultados se sometieron a un análisis de varianza de una vía y comparaciones múltiples

Mental Health Problems and Related Factors in Ecuadorian College Students

Although the mental health problems of college students have been the subject of increasing research, there are no studies about its prevalence in Ecuadorian college students. The aim of this study was to determine the mental health problems and their associated factors in Ecuadorian freshmen university students. A sample of 1092 students (53.7% women; mean age = 18.3 years) were recruited from the Technical Particular University of Loja (Ecuador). Socio-demographic, academic, and clinical characteristics were gathered, as well as information on the participants’ mental health through a number of mental health screens. Prevalence of positive screens was 6.2% for prevalence of major depressive episodes, 0.02% for generalized anxiety disorders, 2.2% for panic disorders, 32.0% for eating disorders, 13.1% for suicidal risk. Mental health problems were significantly associated with sex, area of study, self-esteem, social support, personality and histories of mental health problems. The findings offer a starting point for identifying useful factors to target prevention and intervention strategies aimed at university studentsThis study was funded by grant PY250 from the Universidad Técnica Particular de Loja (Ecuador)S