Inclusão escolar de um aluno com deficiência intelectual: um estudo de caso desenvolvido em Portugal

The Individual Education Program (IEP) is a document that disregards learning measures through a student's systematic guidance and development for some who need substrates other than teaching and learning processes, and not what goals should meet their needs and student singularities, may benefit or process of inclusion. This work aimed to analyze the student's IEP with an intellectual disability registered in regular school in Portugal, in order to choose one of the objectives proposed to this student in the area of reading and writing and to elaborate an intervention that meets the needs of this student, seeking to evaluate continuously the performance of the student. In this work, we applied the teaching of recognition of 10 words beginning with the letter P, taught two by two, using the matching-to-sample (MTS) and the constructed response matching to sample model (CRMTS) procedures. The results showed that the student presented partial advances in the performance of target skills; and he did not present maintenance in the evaluation after one month. The data indicated that the investment in planning systematized and appropriate teaching becomes extremely relevant to the teaching and learning process and the importance of multidisciplinary.El Programa de Enseñanza Individualizada (PEI) es un documento que describe las medidas de aprendizaje a través de la orientación y el desarrollo sistematizado de la enseñanza para los estudiantes que necesitan de apoyo en el proceso de enseñanza y aprendizaje, en el que los objetivos deben satisfacer las necesidades y singularidades, beneficiándose el proceso de inclusión. El presente trabajo tuvo como objetivo analizar el PEI de un alumno con discapacidad intelectual matriculado en una escuela regular de Portugal, de manera a elegir uno de los objetivos que se le propusieron en el área de la lectura y escrita y realizar una intervención que satisficiera sus necesidades, evaluándose continuamente su desempeño. En este trabajo se realizó la enseñanza de reconocimiento de 10 palabras iniciadas con la letra P, enseñadas dos a dos, empleándose los procedimientos de emparejamiento con el modelo (matching-to-sample [MTS]) y emparejamiento con el modelo con respuesta construida (constructed response matching to sample [CRMTS]). Los resultados mostraron que el estudiante presentó avances parciales en el desempeño de las habilidades blanco y no hubo mantenimiento en la evaluación después de un mes. Los datos indicaron que la inversión en la planificación de la enseñanza sistematizada y adecuada se vuelve de extrema importancia para el proceso de enseñanza y aprendizaje y el trabajo multidisciplinario.O Programa de Ensino Individualizado (PEI) é um documento que descreve as medidas de aprendizagem por meio de orientações e desenvolvimento sistematizado de ensino para alunos que necessitam de suporte no processo de ensino e aprendizagem, no qual as metas devem atender às necessidades e singularidades do aluno, beneficiando o processo de inclusão. O presente trabalho teve como objetivo analisar o PEI de um aluno com deficiência intelectual matriculado em uma escola regular de Portugal, de modo a eleger um dos objetivos a ele propostos na área da leitura e escrita e elaborar uma intervenção que atendesse às suas necessidades, avaliando seu desempenho continuamente. Neste trabalho, realizou-se o ensino de reconhecimento de 10 palavras iniciadas com a letra P, ensinadas duas a duas, empregando-se os procedimentos de emparelhamento com o modelo (matching-to-sample [MTS]) e emparelhamento com o modelo com resposta construída (constructed response matching to sample [CRMTS]). Os resultados mostraram que o aluno apresentou avanços parciais no desempenho de habilidades alvo e não houve manutenção na avaliação após um mês. Os dados indicaram que o investimento no planejamento de ensino sistematizado e adequado torna-se de extrema relevância para o processo de ensino e aprendizado e o trabalho multidisciplinar

Web Health Application for ADHD Monitoring (WHAAM): Context-Driven Framework

The Framework (FW) summarizes the experiences and vision of the WHAAM project partners, providing the basis for the development of the WHAAM app and online services. There are many approaches to the treatment of ADHD, with excellent resources available. This FW is a working tool based on partners' experiences, inspiring subsequent project activities. It is divided into three parts: part A explores general issues related to ADHD, focusing on key life contexts such as school, family, and social relationships. Each context is explored in terms of assessment, intervention and support. Part B delves into the relationship between ICT use and ADHD treatment. Finally, Part C briefly explains the main features of the WHAAM app, including functionality and interfaces. The WHAAM project considers the app and online service accessible via PC and mobile devices as a significant advancement in monitoring process management

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)