54 research outputs found

    Un estudio transversal sobre las actitudes de los estudiantes de pregrado y máster en ciencias de la educación hacia las personas con discapacidad

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    The objective of the study is to explore the attitudes toward people with disabilities of students of Degree of qualifications related to primary and secondary education, at the Complutense University of Madrid.The measuring instrument used was the Scale of Attitudes towards Persons with Disabilities -EAPD- (MA Verdugo, Arias, B., and Jenaro, C., (1995), with reliability level, in the application of Alpha de Cronbach = 0.92 This scale measures the Factors: Assessment of Capacities and Limitations, Recognition / Negotiation, Personal Involvement, Generic Qualification and Assumption of Roles.From the results, with a sample of 314 students, it is highlighted that the students have positive attitudes, although significant differences have been found between the different subgroups of the scale and degrees.El objetivo del estudio es explorar las actitudes hacia las personas con discapacidad de estudiantes de Grado de titulaciones relacionadas con la educación primaria y secundaria, en la Universidad Complutense de Madrid. El instrumento de medida utilizado fue la Escala de Actitudes hacia las Personas con Discapacidad –EAPD- (M. A. Verdugo, Arias, B., y Jenaro, C., (1995), con nivel de fiabilidad, en la aplicación del Alpha de Cronbach = 0.92. Esta escala mide los Factores: Valoración de las Capacidades y Limitaciones; Reconocimiento/Negociación, Implicación Personal; Calificación Genérica y Asunción de Roles. De los resultados, con una muestra de 314 alumnos, se destaca que el alumnado tiene actitudes positivas, si bien se han encontrado diferencias significativas entre los diferentes subgrupos de la escala y titulaciones

    Mindfulness dirigido a estudiantes de Educación Social: programa de formación y su impacto en entidades socio-educativas

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    Mindfulness conocida también como “atención plena” o “conciencia plena” (e.g. Baer, 2003; Kabat-Zinn, 1990, 2003a, 2003b; Mañas, 2009; Miró, 2006; Simón, 2006; Vallejo, 2006) es una técnica de meditación “centrada en el presente, no elaborativa ni condenatoria, en la cual cada pensamiento, sentimiento o sensación que surge en el campo atencional es reconocido y aceptado tal y como es” (e.g. Kabat-Zinn, 2003a, 2003b; Shapiro y Schwartz, 2000; Segal et al., 2002). Así la meditación tiene como componente principal la concentración y la capacidad de mantener la atención de manera consciente en la mente, de ahí, que su práctica continua permita al cuerpo adquirir altos niveles de relajación. El proyecto de innovación se ha diseñado bajo dos objetivos generales dirigidos principalmente a estudiantes de Educación Social. El primero, centrado en la formación y el segundo, en la aplicación del Mindfulness en las prácticas curriculares que realizan dichos estudiantes: 1.Diseñar y evaluar la eficacia de un programa formativo introductorio de entrenamiento en Mindfulness dirigido a estudiantes de Educación Social, para reducir el nivel de estrés percibido y aumentar el bienestar psicológico, la atención plena y la compasión. 2.Valorar intervenciones en Mindfulness llevadas a cabo por estudiantes de Educación Social quienes han recibido formación en atención plena, en las entidades en donde realizan sus prácticas. Los resultados del programa señalan una disminución del estrés percibido y un incremento en el bienestar bienestar, atención plena y compasión

    Severe manifestations of SARS-CoV-2 in children and adolescents: from COVID-19 pneumonia to multisystem inflammatory syndrome: a multicentre study in pediatric intensive care units in Spain

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    Background Multisystem inflammatory syndrome temporally associated with COVID-19 (MIS-C) has been described as a novel and often severe presentation of SARS-CoV-2 infection in children. We aimed to describe the characteristics of children admitted to Pediatric Intensive Care Units (PICUs) presenting with MIS-C in comparison with those admitted with SARS-CoV-2 infection with other features such as COVID-19 pneumonia. Methods A multicentric prospective national registry including 47 PICUs was carried out. Data from children admitted with confirmed SARS-CoV-2 infection or fulfilling MIS-C criteria (with or without SARS-CoV-2 PCR confirmation) were collected. Clinical, laboratory and therapeutic features between MIS-C and non-MIS-C patients were compared. Results Seventy-four children were recruited. Sixty-one percent met MIS-C definition. MIS-C patients were older than non-MIS-C patients (p = 0.002): 9.4 years (IQR 5.5-11.8) vs 3.4 years (IQR 0.4-9.4). A higher proportion of them had no previous medical history of interest (88.2% vs 51.7%, p = 0.005). Non-MIS-C patients presented more frequently with respiratory distress (60.7% vs 13.3%, p < 0.001). MIS-C patients showed higher prevalence of fever (95.6% vs 64.3%, p < 0.001), diarrhea (66.7% vs 11.5%, p < 0.001), vomits (71.1% vs 23.1%, p = 0.001), fatigue (65.9% vs 36%, p = 0.016), shock (84.4% vs 13.8%, p < 0.001) and cardiac dysfunction (53.3% vs 10.3%, p = 0.001). MIS-C group had a lower lymphocyte count (p < 0.001) and LDH (p = 0.001) but higher neutrophil count (p = 0.045), neutrophil/lymphocyte ratio (p < 0.001), C-reactive protein (p < 0.001) and procalcitonin (p < 0.001). Patients in the MIS-C group were less likely to receive invasive ventilation (13.3% vs 41.4%, p = 0.005) but were more often treated with vasoactive drugs (66.7% vs 24.1%, p < 0.001), corticosteroids (80% vs 44.8%, p = 0.003) and immunoglobulins (51.1% vs 6.9%, p < 0.001). Most patients were discharged from PICU by the end of data collection with a median length of stay of 5 days (IQR 2.5-8 days) in the MIS-C group. Three patients died, none of them belonged to the MIS-C group. Conclusions MIS-C seems to be the most frequent presentation among critically ill children with SARS-CoV-2 infection. MIS-C patients are older and usually healthy. They show a higher prevalence of gastrointestinal symptoms and shock and are more likely to receive vasoactive drugs and immunomodulators and less likely to need mechanical ventilation than non-MIS-C patients

    Severe manifestations of SARS-CoV-2 in children and adolescents: from COVID-19 pneumonia to multisystem inflammatory syndrome: a multicentre study in pediatric intensive care units in Spain

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    Background Multisystem inflammatory syndrome temporally associated with COVID-19 (MIS-C) has been described as a novel and often severe presentation of SARS-CoV-2 infection in children. We aimed to describe the characteristics of children admitted to Pediatric Intensive Care Units (PICUs) presenting with MIS-C in comparison with those admitted with SARS-CoV-2 infection with other features such as COVID-19 pneumonia. Methods A multicentric prospective national registry including 47 PICUs was carried out. Data from children admitted with confirmed SARS-CoV-2 infection or fulfilling MIS-C criteria (with or without SARS-CoV-2 PCR confirmation) were collected. Clinical, laboratory and therapeutic features between MIS-C and non-MIS-C patients were compared. Results Seventy-four children were recruited. Sixty-one percent met MIS-C definition. MIS-C patients were older than non-MIS-C patients (p = 0.002): 9.4 years (IQR 5.5–11.8) vs 3.4 years (IQR 0.4–9.4). A higher proportion of them had no previous medical history of interest (88.2% vs 51.7%, p = 0.005). Non-MIS-C patients presented more frequently with respiratory distress (60.7% vs 13.3%, p < 0.001). MIS-C patients showed higher prevalence of fever (95.6% vs 64.3%, p < 0.001), diarrhea (66.7% vs 11.5%, p < 0.001), vomits (71.1% vs 23.1%, p = 0.001), fatigue (65.9% vs 36%, p = 0.016), shock (84.4% vs 13.8%, p < 0.001) and cardiac dysfunction (53.3% vs 10.3%, p = 0.001). MIS-C group had a lower lymphocyte count (p < 0.001) and LDH (p = 0.001) but higher neutrophil count (p = 0.045), neutrophil/lymphocyte ratio (p < 0.001), C-reactive protein (p < 0.001) and procalcitonin (p < 0.001). Patients in the MIS-C group were less likely to receive invasive ventilation (13.3% vs 41.4%, p = 0.005) but were more often treated with vasoactive drugs (66.7% vs 24.1%, p < 0.001), corticosteroids (80% vs 44.8%, p = 0.003) and immunoglobulins (51.1% vs 6.9%, p < 0.001). Most patients were discharged from PICU by the end of data collection with a median length of stay of 5 days (IQR 2.5–8 days) in the MIS-C group. Three patients died, none of them belonged to the MIS-C group. Conclusions MIS-C seems to be the most frequent presentation among critically ill children with SARS-CoV-2 infection. MIS-C patients are older and usually healthy. They show a higher prevalence of gastrointestinal symptoms and shock and are more likely to receive vasoactive drugs and immunomodulators and less likely to need mechanical ventilation than non-MIS-C patients

    Revisiting the usefulness of the short acute octreotide test to predict treatment outcomes in acromegaly

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    Introduction: We previously described that a short version of the acute octreotide test (sAOT) can predict the response to first-generation somatostatin receptor ligands (SRLs) in patients with acromegaly. We have prospectively reassessed the sAOT in patients from the ACROFAST study using current ultra-sensitive GH assays. We also studied the correlation of sAOT with tumor expression of E-cadherin and somatostatin receptor 2 (SSTR2) .Methods: A total of 47 patients treated with SRLs for 6 months were evaluated with the sAOT at diagnosis and correlated with SRLs' response. Those patients whose IGF1 decreased to = 3SDS, were considered non-responders. The 2 hours GH value (GH2h) after s.c. administration of 100 mcg of octreotide was used to define predictive cutoffs. E-cadherin and SSTR2 immunostaining in somatotropinoma tissue were investigated in 24/47 and 18/47 patients, respectively.Results: In all, 30 patients were responders and 17 were non-responders. GH(2h) was 0.68 (0.25-1.98) ng/mL in responders vs 2.35 (1.59-9.37) ng/mL in non-responders (p<0.001). GH(2h) = 1.4ng/mL showed the highest ability to identify responders (accuracy of 81%, sensitivity of 73.3%, and specificity of 94.1%). GH(2h) = 4.3ng/mL was the best cutoff for non-response prediction (accuracy of 74%, sensitivity of 35.3%, and specificity of 96.7%). Patients with E-cadherin-positive tumors showed a lower GH(2h) than those with E-cadherin-negative tumors [0.9 (0.3-2.1) vs 3.3 (1.5-12.1) ng/mL; p<0.01], and patients with positive E-cadherin presented a higher score of SSTR2 (7.5 +/- 4.2 vs 3.3 +/- 2.1; p=0.01).Conclusion: The sAOT is a good predictor tool for assessing response to SRLs and correlates with tumor E-cadherin and SSTR2 expression. Thus, it can be useful in clinical practice for therapeutic decision-making in patients with acromegaly

    Variables psicológicas implicadas en la actitud e iniciativa emprendedora (II): personalidad, cognición y emoción

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    El proyecto titulado: Variables implicadas en la actitud e iniciativa emprendedora (II): personalidad, cognición y emoción, es la continuidad de otro presentado en la convocatoria anterior (2016-2017) cuyo objetivo era evaluar variables psicológicas en la actitud emprendedora de los estudiantes universitarios de la Universidad Complutense de Madrid (UCM). Este segundo proyecto ha tenido por objetivo principal ampliar la evaluación a otras facultades y áreas de conocimiento de nuestra universidad a fin de obtener el mapa y perfil de la iniciativa emprendedora del universitario UCM
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