Parent, teacher and administrator perceptions of the benefits and costs to students participating in an integrated program

The primary purpose of this qualitative case study is to examine the benefits and costs to students participating in an integrated program. The data were collected through participant observation and informal interviews with parents, teachers, administrators and students. Results indicate that benefits to students consist of improved attendance, influence on postsecondary, career and lifestyle choices, increased environmental awareness or appreciation, and an increase in physical fitness, confidence, maturity, persistence, and social skills. Results also indicate that costs to students include scheduling and time commitments, having to live with the stigma of taking a “bird course,” the inability to meet diverse learning needs, and high financial cost. Participants believe that benefits outweigh costs

Nivel de depresión en estudiantes de la Facultad de Sociología de una Universidad Nacional en Huancayo, 2020.

La investigación se planteó como objetivo determinar el Nivel de depresión en estudiantes de la Facultad de Sociología de una Universidad Nacional en Huancayo, 2020. Para lo cual se formuló el problema con la siguiente interrogante: ¿Cuál es el nivel de depresión predominante en estudiantes de la Facultad de Sociología de una Universidad Nacional en Huancayo, 2020? ; la investigación está ubicada dentro del enfoque cuantitativo, tipo de investigación básica, con un nivel de investigación descriptivo y diseño de investigación descriptiva simple, la población estuvo conformada por 371 estudiantes de la Facultad de Sociología de una Universidad de Huancayo, de los cuales 188 conformaron la muestra de estudio y a los que se les aplicó el instrumento de investigación Inventario de Depresión de Beck (BDI-II). Al finalizar la investigación se llegó a la siguiente conclusión: Se determinó que el nivel de depresión predominante en los estudiantes de la Facultad de Sociología de una Universidad Nacional en Huancayo, 2020 es mínimo, ya que el 51,6% de la muestra lo presenta, mientras que el 21,3% presenta depresión leve, de igual manera el 19,1% depresión moderada y el 8% depresión severa, en vista a los datos arrojados se hace hincapié en la necesidad de prestar atención a la salud emocional de la población universitaria puesto que el 27% del total presenta depresión que va de moderada a severa, de igual manera es importante enfatizar en la elaboración de talleres o programas de promoción y prevención con el fin de abordar esta problemática de manera oportuna.Tesi

Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe

Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31â127 anaesthetic procedures in 30â874 children with a mean age of 6·35 years (SD 4·50) were included. The incidence of perioperative severe critical events was 5·2% (95% CI 5·0â5·5) with an incidence of respiratory critical events of 3·1% (2·9â3·3). Cardiovascular instability occurred in 1·9% (1·7â2·1), with an immediate poor outcome in 5·4% (3·7â7·5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10â000. This was independent of type of anaesthesia. Age (relative risk 0·88, 95% CI 0·86â0·90; p<0·0001), medical history, and physical condition (1·60, 1·40â1·82; p<0·0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0·99, 0·981â0·997; p<0·0048 for respiratory critical events, and 0·98, 0·97â0·99; p=0·0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia. Funding European Society of Anaesthesiology

Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe

Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31 127 anaesthetic procedures in 30 874 children with a mean age of 6.35 years (SD 4.50) were included. The incidence of perioperative severe critical events was 5.2% (95% CI 5.0-5.5) with an incidence of respiratory critical events of 3.1% (2.9-3.3). Cardiovascular instability occurred in 1.9% (1.7-2.1), with an immediate poor outcome in 5.4% (3.7-7.5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10 000. This was independent of type of anaesthesia. Age (relative risk 0.88, 95% CI 0.86-0.90; p<0.0001), medical history, and physical condition (1.60, 1.40-1.82; p<0.0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0.99, 0.981-0.997; p<0.0048 for respiratory critical events, and 0.98, 0.97-0.99; p=0.0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia