Aportaciones innovadoras de la pedagogía al tratamiento del autismo.

El siguiente documento expone un proyecto de innovación que ofrece, desde mi punto de vista, nuevas alternativas pedagógicas . C oncretamente, este proyecto se enfoca en el CEE Hermano Pedro, ya que hay gran cantidad de alumnado que presenta el trastorno del espectro autista (TEA). Hay que destacar que este trabajo se ha enfocado hacia ese sector no solo por ser un trastorno muy com ún en nuestra sociedad sino , también, porque he tenido la oportunidad de realizar el prácticum en un centro destinado a la educación especial , lo cual, me ha permitido tener una visión más cercana sobre este trastorno y el tipo de metodología utilizada por el profesorado. Por tanto, el fin de este proyecto consiste en innovar realizando metodologías y actividades centradas en las necesidades de estos alumnos/as . Es decir, con este proyecto de innovación lo que se pretende es ofrecer actividades como guía, p ara llevarlas a cabo con todo tipo de alumnado que presente diferentes grados de autismo sin necesidad de adaptarlas a cada uno/a de ellos/as, sino que todos/as puedan realizarla sin ningún tipo de impedimento. Por consiguiente, este proyecto debería poner se en marcha pues, el autismo es importante tanto en nuestra sociedad como en el sistema educativoThe following document presents an innovation project that offers, from my point of view, new pedagogical alternatives. Specifically, this project focuses on the CEE Hermano Pedro, since there is a large number of students with autism spectrum disorder (ASD). It should be noted that this work has focused on this sector not only because it is a very common disorder in our society but also because I a lso had the opportunity to do the exercise in a center dedicated to special education, which has given me a vision closer to this disorder and the type of methodology used by the teaching staff. Therefore, the purpose of this project is to innovate by carr ying out activities and methodologies focused on the needs of these students. That is, with this innovation project, which means that it can be carried out as a guide, to carry out a type of work with all the students that present different degrees of auti sm without having to adapt them to each one of them. , but all / if you have to do it without any kind of impediment. Therefore, this project should be launched, autism is important both in our society and in the education syste

Prevalence, Distribution, and Impact of Mild Cognitive Impairment in Latin America, China, and India: A 10/66 Population-Based Study

A set of cross-sectional surveys carried out in Cuba, Dominican Republic, Peru, Mexico, Venezuela, Puerto Rico, China, and India reveal the prevalence and between-country variation in mild cognitive impairment at a population level

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence of aMCI by country, gender, and age group.

a<p>Direct standardization for age gender and educational level using the whole sample as the standard population.</p

Sociodemographic characteristics of participants by country.

<p>MV, missing values; NPI-Q severity: total severity in neuro-psychiatric inventory.</p

Association between aMCI and disability (WHODAS-12), and the association between aMCI and neuropsychiatric symptoms (NPI–Q; depression, anxiety, apathy, and irritability).

<p><b>Association between aMCI and disability</b> is measured by exponentiated coefficients from a zero inflated binomial model and representing the increase in disability of aMCI participants compared to normal. Zero inflation fitted using age, gender, educational level, number of household assets, depression, arthritis, visual problems, hearing problems, cough and breathing problems, heart problems, gastrointestinal problems, fainting, limb and skin problems, hypertension and stroke. <b>The association between aMCI and neuropsychiatric symptomsis</b> measured by the risk ratio from a regression using a Poisson working model and model robust standard errors, and representing the risk for having the symptom in aMCI participants compared to normal.</p>a<p>Adjusted for age, gender, and educational level, number of household assets and of physical limiting impairments, psychosis, and stroke.</p>b<p>Depression and irritability were additionally adjusted for pain. The four NPI–Q symptoms are all associated but in the four models presented in the table we have not adjusted each of them for the other three.</p>c<p>China was not adjusted for psychosis</p>d<p>The pooled fixed-effect model meta-analytical estimate for depression and anxiety were done without China.</p><p>NC, not calculable due to zero cell sizes.</p