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RESUMEN La investigación realizada tuvo como objetivo proponer un Sistema de Medios de enseñanza y aprendizaje en Formato Digital, para el estudio de la Zoología de los invertebrados, que se imparte en la Licenciatura en Educación. Biología en el 2do año del Curso Regular Diurno, de la Facultad de Educación Media del Campus «Félix Varela Morales» en la Universidad Central «Marta Abreu» de Las Villas, Villa Clara, Cuba. Para el desarrollo de esta se utilizaron métodos de recopilación de la información y de procesamiento de la información recopilada como, observación participativa, revisión de documentos, encuesta, entrevista, criterios de expertos, histórico-lógico, analítico-sintético, deductivo-demostrativo, sistémico-estructural, ascenso de lo abstracto a lo concreto, y la modelación. Se utilizan, además, métodos estadísticos y matemáticos. La muestra seleccionada estuvo integrada por 32 estudiantes que se corresponde con la matricula del 2do año del Curso Regular Diurno de la carrera de Licenciatura en Educación. Biología y 10 profesores de diferentes universidades de Cuba. El sistema fue valorado por dos grupos de expertos como pertinente, y se introdujo en el curso 2017-2018, con excelentes resultados. Se concluye que con el sistema se logra una participación más activa en la formación de los conocimientos y una libertad espacio-temporal.

ABSTRACT The research carried out had as objective to propose a Media System for teaching and learning in Digital Format, for the study of Zoology of invertebrates, which is taught in the Bachelor's Degree in Education. Biology in the 2nd year of the Regular Day Course, of the Faculty of Secondary Education of the Campus "Félix Varela Morales" at the Central University "Marta Abreu" of Las Villas, Villa Clara, Cuba. For the development of this study, methods of information collection and processing of the information collected were used, such as participatory observation, document review, survey, interview, expert criteria, historical-logical, analytical-synthetic, deductive-demonstrative, systemic-structural, ascent from the abstract to the concrete, and modeling. Statistical and mathematical methods are also used. The selected sample consisted of 32 students corresponding to the enrollment of the 2nd year of the Regular Day Course of the Bachelor's Degree in Education. Biology and 10 professors from different universities in Cuba. The system was evaluated by two groups of experts as pertinent, and it was introduced in the 2017-2018 course, with excellent results. It is concluded that with the system a more active participation in the formation of knowledge and a spatio-temporal freedom is achieved.

Spatial analysis of care for patients undergoing dialysis therapy in the state of Minas Gerais, Brazil, between 2015 and 2019
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Pereira, Claudio Vitorino

; Leite, Isabel Cristina Gonçalves

; Nogueira, Mário Círio

; Ferreira, Gustavo Fernandes

Revista Brasileira de Epidemiologia

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2024, Volumen 27 elocation e240002

Resumen: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Analisar o fluxo espacial da assistência de pacientes em terapia dialítica nas regionais de saúde do estado de Minas Gerais. Métodos: Estudo ecológico que teve como população pacientes incidentes em terapia dialítica em instituições públicas, filantrópicas ou que tiveram seu tratamento custeado pelo Sistema Único de Saúde em clínicas privadas conveniadas, no estado de Minas Gerais. Os pacientes foram agregados por regional de saúde de residência. Foram calculadas as proporções de pacientes que fizeram diálise, bem como a inscrição na lista de transplante renal em sua própria região de residência ou fora dela. Estimadas as correlações de Person destas proporções com indicadores socioeconômicos e assistenciais das regionais de saúde. Técnicas exploratórias espaciais estimaram coeficientes de correlação espacial geral (I de Moran) e local (LISA). Resultados: Regiões com maior PIB apresentaram maior razão de nefrologistas e maior proporção de inscrições na própria região de residência. Identificou-se um cluster de regiões com PIB baixo mais ao nordeste do estado (também com valores mais baixos de razão de nefrologistas), um cluster de alta proporção de inscritos na lista de transplante no centro do estado, e um cluster de baixa proporção de diálise na mesma região de residência mais ao sudeste. Conclusão: Evidenciou-se disparidades regionais em relação à proporção de inscritos na lista de espera para o transplante renal, proporção de pacientes que realizavam diálise na mesma região de residência e proporção de pacientes inscritos na lista de espera para o transplante renal na mesma região de residência.

ABSTRACT Objective: To analyze the spatial flow of care for patients undergoing dialysis therapy in the health regions of the State of Minas Gerais. Methods: Ecological study whose population was patients undergoing dialysis therapy in public, philanthropic institutions or whose treatment was paid for by the Unified Health System in private clinics in partnership, in the State of Minas Gerais. Patients were grouped by health region of residence. The proportions of patients who underwent dialysis were calculated, as well as enrollment on the kidney transplant list in their own region of residence or outside it. Person correlations of these proportions with socioeconomic and care indicators of the health regions were estimated. Spatial exploratory techniques estimated general (Moran’s I) and local (LISA) spatial correlation coefficients. Results: Regions with higher GDP had a higher number of nephrologists and a higher proportion of registrations in the region of residence. A cluster of regions with low GDP was identified further to the northeast of the State (also with lower nephrologist ratio values), a cluster with a high proportion of those registered on the transplant list in the center of the State, and a cluster with a low proportion of dialysis in the same region of residence further southeast. Conclusion: Regional disparities were evident in relation to the proportion of patients registered on the waiting list for kidney transplantation, the proportion of patients undergoing dialysis in the same region of residence and the proportion of patients registered on the waiting list for kidney transplantation in the same region of residence. residence.

https://doi.org/10.1590/1980-549720240002

Spatial analysis of care for patients undergoing dialysis therapy in the state of Minas Gerais, Brazil, between 2015 and 2019
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Pereira, Claudio Vitorino

; Leite, Isabel Cristina Gonçalves

; Nogueira, Mário Círio

; Ferreira, Gustavo Fernandes

Revista Brasileira de Epidemiologia

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2024, Volumen 27 elocation e240002

Resumen: En Pt | Texto: En Pt | PDF: En | PDF: Pt

https://doi.org/10.1590/1980-549720240002

Staff perception on including students with physical disabilities at a South African university
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Mphohoni, Mashudu R.

; Geiger, Martha

; Visagie, Surona

; Manafe, Mashudu

African Journal of Disability (Online)

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2024, Volumen 13 Paginas 1 - 7

Resumen: En | Texto: En | PDF: En

BACKGROUND: International and local policy frameworks on disability promote inclusive higher education practices for students with disabilities (SWD). However, the actual application of these frameworks concerning students with physical disabilities (SWPD) in any School of Health Care Sciences (SHCS) is uncertain in South African universities. OBJECTIVES: This study aimed to explore the perceptions of academic and admission staff on the inclusion of SWPD in SHCS at a South African university. The study was carried out at a University of Health Sciences in South Africa. METHOD: A qualitative study in which respondents (n = 12) were interviewed in depth about their perceptions on the inclusion of SWPD in the SHCS. Thematic analysis was used in the data assessment. RESULTS: The results revealed three main themes: policy discourse, environmental effects on inclusion and SWPD enrolment. Respondents reported the lack of a disability inclusion policy and disability unit to support SWD in general. The respondents also noted that there were environmental challenges that could potentially affect the inclusion of SWPD in SHCS study programmes. Respondents also indicated that there was no SWPD enrolment as the university's current inclusion and/or quota system does not include SWD. CONCLUSION: The findings of the study showed a lack of disability inclusion policy, environmental challenges and lack of SWPD enrolment. Based on the study findings, it can be concluded that inclusion of SWPD at this university may be negatively influenced. CONTRIBUTION: The study findings contribute to the field of disability and the inclusion of SWPD in higher education institutions (HEIs),

https://doi.org/10.4102/ajod.v13i0.1347

Escolares migrantes en Chile: posibilidades y tensiones en el profesorado de Lengua
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Mora-Olate, María Loreto

Revista científica en ciencias sociales

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2024, Volumen 6 elocation e601107

Resumen: Es En | Texto: Es En | PDF: Es | PDF: En

RESUMEN Se tiene como objetivo caracterizar las potencialidades y tensiones en el profesorado de Lengua con respecto a los estudiantes migrantes en Chile. Se abordó desde un enfoque cualitativo (estudio de caso), transversal y descriptivo. Se entrevistó a 12 docentes de Lenguaje y Comunicación/Lengua y Literatura procedentes de cuatro establecimientos municipalizados con mayor matrícula de estudiantes extranjeros en Chillán (Ñuble-Chile) mediante el muestreo intencional en el 2018. Los criterios de inclusión incluyeron a entrevistados pertenecientes a alguno de los cuatro establecimientos municipalizados con la mayor matrícula de estudiantes migrantes en la comuna de Chillán, Ñuble, Chile, y con un promedio de al menos cinco años de experiencia trabajando con alumnos extranjeros. Se analizaron dos categorías y cinco subcategorías con apoyo de Atlas.ti v7. Los resultados develan como potencialidad, la valoración del estudiantado migrante como aporte a la clase; y como tensión, la concepción ambivalente del currículum y de la evaluación frente a la diversidad cultural migrante. Se concluye que para el profesorado los estudiantes migrantes significan una posibilidad de enriquecimiento de la competencia comunicativa, representándolos como modelos lingüísticos para el estudiantado nacional y también la falta de formación del profesorado para atender a la diversidad cultural.

ABSTRACT The objective is to characterize the potentialities and tensions in Language teachers with respect to migrant students in Chile. It was approached from a qualitative (case study), transversal and descriptive approach. 12 Language and Communication/Language and Literature teachers from four municipal establishments with the highest enrollment of foreign students in Chillán (Ñuble-Chile) were interviewed through intentional sampling in 2018. The inclusion criteria included interviewees belonging to any of the four municipal establishments with the highest enrollment of migrant students in the commune of Chillán, Ñuble, Chile, and with an average of at least five years of experience working with foreign students. Two categories and five subcategories were analyzed with the support of Atlas.ti v7. The results reveal as potential, the valuation of migrant students as a contribution to the class; and as tension, the ambivalent conception of the curriculum and evaluation in the face of migrant cultural diversity. It is concluded that for teachers, migrant students mean a possibility of enriching communicative competence, representing them as linguistic models for national students and also the lack of teacher training to address cultural diversity.

https://doi.org/10.53732/rccsociales/e601107

[SciELO Preprints] - SPECIALIZED EDUCATIONAL ASSISTANCE IN FULL-TIME SCHOOLS
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Gomes-Silva, Amanda Santana Mendes, Enicéia Gonçalves

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Fecha de publicación: 2023-12-19

Resumen: En Es Pt

The contemporary proposals for inclusive and sustainable educational policies are fundamental to overcoming inequalities, as are Special Education from the perspective of inclusive education and full-time Comprehensive Education. Public educational policies recommend the provision of Specialized Educational Assistance (SEA) to Special Education students in the Multifunctional Resource Room during school hours, as well as envisaging an increase in the provision of full-time education. Based on the theoretical-methodological framework of the Policy Cycle Approach, the present study aimed to analyze how specialized educational assistance is offered in full-time schools, given that the student must stay for seven clock hours, on average, in the educational unit. Data collection involved documents, questionnaires and systematic observation in full-time schools with enrollment of public special education students. The results suggest that the policies of Integral Education and Special Education from the perspective of inclusive education have similarities and are consistent, however, there are still serious conflicts between the two policies that need to be better balanced.

Las propuestas contemporáneas de políticas educativas inclusivas y sostenibles son fundamentales para superar las desigualdades, al igual que la Educación Especial desde la perspectiva de la educación inclusiva y la Educación Integral de tiempo completo. Las políticas educativas públicas recomiendan la prestación de Servicio Educativo Especializado (SEE) a los estudiantes de Educación Especial en el Aula de Recursos Multifuncional durante el horario escolar, así como prever un aumento en la oferta de educación a tiempo completo. Con base en el marco teórico-metodológico del Enfoque de Ciclo de Política, el presente estudio tuvo como objetivo analizar cómo se ofrece servicio educativo especializado en las escuelas de tiempo integra, dado que el estudiante debe permanecer siete horas reloj, en promedio, en la unidad educativa. La recolección de datos involucró documentos, cuestionarios y observación sistemática en escuelas de tiempo completo con matrícula de estudiantes públicos de educación especial. Los resultados sugieren que las políticas de Educación Integral y Educación Especial desde la perspectiva de la educación inclusiva tienen similitudes y son consistentes, sin embargo, aún existen serios conflictos entre ambas as políticas que necesitan ser mejor balanceados.

As propostas contemporâneas de políticas educacionais inclusivas e sustentáveis são fundamentais para a superação de desigualdades, assim como a Educação Especial na perspectiva da educação inclusiva e a Educação Integral em tempo integral. As políticas públicas educacionais recomendam a oferta de Atendimento Educacional Especializado (AEE) aos estudantes do público da Educação Especial em Sala de Recursos Multifuncionais no contraturno escolar, assim como, preveem o aumento da oferta de educação em tempo integral. Baseado no referencial teórico-metodológico da Abordagem do Ciclo de Políticas, o presente estudo visou analisar como o atendimento educacional especializado é ofertado em escolas de tempo integral, dado que o estudante deve permanecer por sete horas-relógio, em média na unidade educacional. A coleta de dados envolveu documentos, questionários e observação sistemática em escolas de tempo integral com matrícula de estudantes público da educação especial. Os resultados sugerem que as políticas de Educação Integral e Educação Especial na perspectiva da educação inclusiva tem similaridades e se coadunam, entretanto, há ainda sérios conflitos entre as duas políticas que precisam ser melhor equacionadas.

https://doi.org/10.1590/SciELOPreprints.7704

Third National Registry of Cardiac Rehabilitation Programs in Mexico (RENAPREC III-2022)
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Lara-Vargas, Jorge A.

; Ilarraza-Lomelí, Hermes

; García-Saldivia, Marianna

; Pineda-García, Alfredo D.

; Leyva-Valadez, Eduardo A.

; Justiniano-Cordero, Samuel

; Sahagún-Olmos, Roberto

; Zavala-Ramírez, Juana

; Cassaigne-Guasco, María E.

; Sánchez-Limón, Edgar-F

; Castañeda-López, Javier

; Cerón-Enríquez, Norma

; Ku-González, Andrés

; Arteaga-Martínez, Rodolfo

; Hinojosa-López, Tania

; Vergara-Guzmán, Jéssica

; Pérez-Vázquez, Daniel I.

; Gasca-Zamudio, Pedro D.

; Aranda-Ayala, Zulema L.

; Vacío-Reyes, Martha E.

; Reza-Orozco, Marco

; Alcocer-Gamboa, Miguel A.

; Hernández-González, Pedro A.

; Pérez-Reyes, Angélica A.

; Núñez-Urquiza, Juan P.

; Alonso-Sánchez, Jesús

; Franco-Valles, Sarahí

; Romo-Escamilla, Ricardo E.

; Nuriulú-Escobar, Patricia

; Serna-Santamaría, Iván

; Avilés-González, Jorge

; Salgado-Solorio, María C.

; Muñoz-Gutiérrez, Luz M.

; Mendoza-Díaz, Pedro M.

; Ávila-Estrada, Ángel

; Morales-Medina, Carlos

; Lara-Vázquez, Eduardo

; Rodríguez-Herrera, Paulina

; Galván-López, María

; Segoviano-Mendoza, Georgina

; De-la-Torre-Cruz, Fabiola

; Jiménez-Campos, Cecilia

; Ramírez-Meléndez, Alejandra

; Almaraz-Ríos, Alejandro

; González-Bonilla, Mezthly

; Rojano-Castillo, Jessica

; Rius-Suarez, María D.

Archivos de cardiología de México

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Dic 2023, Volumen 93 Nº 4 Paginas 405 - 416

Resumen: Es En | Texto: Es En | PDF: Es | PDF: En

resumen está disponible en el texto completo

Abstract Introduction: In Mexico, cardiac rehabilitation (CR) as an interdisciplinary intervention with therapeutic impact in patients with heart disease is growing. There is the need to know actual conditions of CR in our country. Objectives: The objective of this National Registry is to follow-up those existing and new CR units in Mexico through the comparison between the two previous registries, RENAPREC-2009 and RENAPREC II-2015 studies. This is a descriptive study focused on diverse CR activities such as assistance training, and certification of health professionals, barriers, reference, population attended, interdisciplinarity, permanence over time, growth prospects, regulations, post-pandemic condition, integrative characteristics, and scientific research. Results: Data were collected from 45 CR centers in the 32 states, 75.5% are private practice units, 67% are new, 33% were part of RENAPREC II-2015, and 17 have continued since 2009. With a better distribution of CR units along the territory, the median reference of candidates for CR programs is 9% with a significant reduction into tiempo of enrollment to Phase II admission (19 ± 11 days). Regarding to previous registries, the coverance of Phases I, II, and III is 71%, 100%, and 93%, respectively; and a coverance increases in evaluation, risk stratification, and prescription, more comprehensive attendance and prevention strategies. Conclusions: CR in Mexico has grown in the past 7 years. Even there is still low reference and heterogeneity in specific processes, there are strengths such as interdisciplinarity, scientific professionalization of specialists, national diversification, and an official society that are consolidated over time.

https://doi.org/10.24875/acm.22000235

Juventude, educação e trabalho no Brasil (2012-2022)
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Menezes, Vitor Matheus Oliveira de

; Santos, Raquel Souza dos

Tempo Social

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Dic 2023, Volumen 35 Nº 3 Paginas 137 - 160

Resumen: En Pt | Texto: En Pt | PDF: En | PDF: Pt

Abstract By analyzing PNAD-C microdata (2012-2022), this article investigates educational opportunities and access to work among young people. The net enrollment rate in secondary education increased among young people aged 15 to 17 years, but a transition model indicates that racial inequalities in access to secondary education grew between 2017 and 2022, while the mother’s education conditions the basic education at proper age. Furthermore, the role of the young student was consolidated among adolescents aged 15 to 17 years, but for the group aged 18 to 24 years, exclusion from studies and work prevails among young black and female students. Finally, living with children is decisive for access to opportunities among poor women.

Resumo Ao analisar os microdados da PNAD-C (2012-2022), este artigo investiga as oportunidades educacionais e de acesso ao trabalho entre os jovens. A taxa líquida de matrícula no ensino médio avançou entre os jovens com 15 a 17 anos, mas um modelo de transições indica que as desigualdades raciais no acesso ao ensino médio aumentaram entre 2017 e 2022, enquanto a escolaridade da mãe condiciona a formação básica na idade adequada. Ademais, o papel do jovem-estudante se consolidou entre os adolescentes com 15 a 17 anos, mas, para o grupo com 18 a 24 anos, a exclusão dos estudos e do trabalho prevalece entre os jovens negros e do sexo feminino. Por fim, a residência com crianças é decisiva para o acesso a oportunidades entre as mulheres pobres.

https://doi.org/10.11606/0103-2070.ts.2023.215306

La inserción escolar de los migrantes internacionales en México, 2020
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Vargas Valle, Eunice D.

Estudios sociológicos

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Dic 2023, Volumen 41 Nº 123 Paginas 699 - 731

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: Based on the 2020 Mexican Population Census, we analyzed the school insertion of recent child migrants from the United States and the Northern Triangle of Central America and their associated factors. To this end, descriptive statistics and multinomial logistic regression models were used. Both types of international migrants have higher school absenteeism and grade repetition rates than non-migrants, with those for Central American migrants being much higher than for those from the United States. The low economic status and parental schooling of Central Americans, as well as the absence of parents in the home among both Central American and US migrants constitute risk factors for school dropout and discontinuity.

Resumen: Con base en el Censo Mexicano de Población 2020, se analiza la inserción escolar de los menores de edad migrantes recientes procedentes de EUA y del Triángulo Norte de Centroamérica y sus factores asociados. Para tal fin, se utiliza estadística descriptiva y modelos de regresión logística multinomial. Ambos tipos de migrantes internacionales presentan mayor inasistencia escolar y rezago en grados que los no migrantes, los migrantes centroamericanos con cifras muy superiores a aquellos de EUA. El bajo estrato económico y la escasa educación de los padres de los centroamericanos, así como la ausencia de los padres en los hogares tanto de los migrantes de Centroamérica como de EUA actúan como factores de riesgo para el abandono y la discontinuidad escolar.

https://doi.org/10.24201/es.2023v41n123.2313

10.

Access and success in higher education: disadvantaged students' lived experiences beyond funding hurdles at a Metropolitan South African university
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Chiramba, O.

; Ndofirepi, E. S.

South African Journal of Higher Education

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Dic 2023, Volumen 37 Nº 6 Paginas 56 - 75

Resumen: En | Texto: En | PDF: En

In the context of South Africa's complex historical legacy of inequality, access to higher education and academic success have become pressing concerns for governments, institutions, and scholars globally. While strides have been made post-1994 in South African higher education, with increased enrollment and opportunities, disparities persist, particularly for marginalized communities in impoverished or rural areas. The study aims to contribute to the discourse on creating a fairer and more inclusive South African higher education system, offering insights that could reshape the understanding of funding challenges and inform potential solutions. The article used the qualitative empirical data of the Council on Higher Education project to understand the challenges faced by students from these backgrounds as they seek higher education, focusing on their lived experiences beyond financial obstacles. The theory of resilience is deployed to understand how they succeed despite the odds. The COVID-19 pandemic has exacerbated these challenges. The findings indicate that students from disadvantaged backgrounds face various funding challenges, and they strive to succeed despite the odds. The article advocates for institutions to teach as well as boost resilience to these students. Also incorporating the voices of disadvantaged students in debates about higher education funding can inform more inclusive and supportive educational environments. We also advocate for institutional resilience in sourcing more funding for this group.

https://doi.org/10.20853/37-6-6021

11.

Caracterización Epidemiológica del Virus de Inmunodeficiencia Adquirida en Itapúa, Paraguay 2017-2021
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Dressler, Diana Paola

; González, Mónica María

Revista de salud publica del Paraguay

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Dic 2023, Volumen 13 Nº 3 Paginas 44 - 48

Resumen: Es En | Texto: Es En | PDF: Es | PDF: En

RESUMEN Introducción: Un mayor conocimiento y difusión acerca del comportamiento epidemiológico de la infección por VIH en el Departamento de Itapúa genera una evidencia significativa para la toma de decisiones a nivel regional. Objetivo: Caracterizar epidemiológicamente a pacientes con VIH que forman parte del PRONASIDA del Hospital Regional de Encarnación desde el año 2017 a 2021. Material y Métodos: Estudio transversal descriptivo en pacientes con VIH captados por el PRONASIDA del Hospital Regional de Encarnación, 7ª Región Sanitaria, durante los años 2017-2021 (n=375). Los datos se expresaron en medidas de tendencia central y dispersión, y tabla de proporciones. Resultados: El mayor número de casos (80) se evidenció en los años 2018 y 2019. El rango etario de 20-29 años reportó el mayor número de casos, 20% (75), con predominancia del sexo femenino 64% (229), el 47% (177) procedente de Encarnación. Se halló un 43% (106) de casos de sida con CD4 menor a 200 células/mL, la mediana de la carga viral fue de 96.030cél/mL con un rango intercuartílico de 401.884,5cél/mL. Conclusión: Se identificó la disminución de nuevos diagnósticos en el año 2020, lo cual guarda relación con las medidas sanitarias a causa de la pandemia por COVID-19. Las características analizadas mostraron predominancia del sexo femenino en grupos etarios en edad joven con procedencia de Encarnación. Se considera importante fortalecer el primer nivel de atención en Itapúa a fin de evidenciar las brechas con el objetivo de ampliar el acceso para captación de pacientes y asegurar un diagnóstico precoz.

ABSTRACT Introduction: Increased knowledge and dissemination about the epidemiological behavior of HIV infection in the Department of Itapúa generates significant evidence for decision-making at the regional level. Objective: To describe the epidemiological characteristics of patients with HIV who are part of the PRONASIDA of the Regional Hospital of Encarnación from 2017 to 2021. Materials and Methods: Cross-sectional study conducted on HIV patients enrolled in the PRONASIDA program at the Regional Hospital of Encarnación, 7th Health Region, during the years 2017-2021 (n=375). Data were expressed in measures of central tendency and dispersion, and proportions table. Results: The highest number of cases (80) was observed in 2018 and 2019. The age range of 20-29 years reported the highest number of cases, 20% (75), predominantly among females 64% (229), with 47% (177) originating from Encarnación. Forty-three percent (106) of AIDS cases had CD4 counts lower than 200 cells/mL, with a median viral load of 96,030 cells/mL and an interquartile range of 401,884.5 cells/mL. Conclusion: A decrease in new diagnoses was identified in the year 2020, likely associated with health measures due to the COVID-19 pandemic. The analyzed characteristics showed a predominance of females in younger age groups originating from Encarnación. It is considered important to strengthen primary care in Itapúa to highlight gaps, aiming to broaden access for patient enrollment and ensure early diagnosis.

https://doi.org/10.18004/rspp.2023.dicie.07

12.

Impacto de un Heart Team en pacientes con estenosis aórtica candidatos a reemplazo percutáneo
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TRIVI, MARCELO S.

; CASTRO, MARÍA F.

; TROSSERO, ROMINA

; CURA, FERNANDO A.

; PICCININI, FERNANDO F.

; CANDIELLO, ALFONSINA

; LAMELAS, PABLO O.

; HENQUIN, RUTH P.

; BOTTO, FERNANDO O.

; RONDEROS, RICARDO R.

Revista argentina de cardiología

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Nov 2023, Volumen 91 Nº 4 Paginas 257 - 262

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT As transcatheter aortic valve implantation (TAVI) for aortic stenosis (AS) became widespread, the need for a Heart Team (HT) arose to choose the best treatment. There are few reports regarding its usefulness. Objectives: To analyze treatment outcomes in patients with AS evaluated by a HT for 10 years. Methods: Consecutive enrollment of all patients with AS who were candidates for TAVI between January 2012 and July 2021 to choose the best treatment, including surgical aortic valve replacement (SAVR) and conservative medical management (CMM). Results: Out of 841 patients, 455 were assigned to TAVI (53%), 213 to SAVR (24%), and 183 to CMM (23%). The percentage assigned to TAVI has increased from 48% to 62% over time (p <0.05). Patients who underwent TAVI versus those who underwent SAVR were older (86 ± 7 vs. 83 ± 7 years), had a higher EUROSCORE II (6.2, 95% CI 5.7-6.6 vs. 5.6; 95% CI 4.4-6.5) and were frailer (1.62 ± 1 vs. 0.91 ± 1), in all cases p <0.01. Actuarial survival (95% CI) at 1 and 2 years was 88% (84-91%) and 82% (77-86%) for TAVI, 83% (76-88%) and 78% (70-84%) for SAVR, and 70% (60-87%) and 59% (48-68%) for CMM, respectively (p <0.001). Conclusions: For the first 10 years after a Heart Team was established for AS decision-making, approximately half of the patients were assigned to TAVI, and the rest were equally assigned in halves to either surgery or observation. Survival for patients who received interventions was similar at 2 years and higher than in those who did not.

RESUMEN La difusión del reemplazo valvular aórtico percutáneo (TAVI) en la estenosis aórtica (EAo) generó la creación de un Heart Team (HT), para elegir el mejor tratamiento. Existen pocos reportes sobre su utilidad. Objetivos: analizar los resultados del tratamiento de los pacientes con EAo evaluados por un HT durante 10 años Material y métodos: Inclusión consecutiva de todos los pacientes con EAo candidatos a TAVI entre enero del 2012 y julio del 2021 para seleccionar el mejor tratamiento, incluyendo además Cirugía de reemplazo valvular aórtico (CRVA) y Tratamiento médico conservador (TMC). Resultados: De 841 pacientes, se asignaron a TAVI 455 (53%), CRVA 213 (24%) y TMC 183 (23%). El porcentaje asignado a TAVI aumentó con el tiempo de 48 a 62% (p < 0,05). Los pacientes que fueron a TAVI, con respecto a los enviados a CRVA, eran mayores (86 ± 7 vs 83 ± 7 años), con mayor EUROSCORE II (6,2, IC95% 5,7-6,6 vs 5,6, IC95% 4,4-6,5) y más frágiles (1,62 ± 1 vs 0,91 ± 1), en todos los casos p <0,01. La sobrevida actuarial (IC 95%) a 1 y a 2 años fue, para TAVI 88% (84-91%) y 82% (77-86%), para CRVA 83% (76-88%) y 78% (70-84%) y para TMC 70% (60-87%) y 59% (48-68%) respectivamente (p <0,001). Conclusiones: Durante los primeros 10 años de establecido un Heart Team para la toma de decisiones en EAo, se asignaron a TAVI aproximadamente la mitad y el resto se asignó por mitades a cirugía u observación. La sobrevida de los pacientes intervenidos fue similar a 2 años y mayor que la de los no intervenidos.

https://doi.org/10.7775/rac.es.v91.i4.20649

13.

Reflexiones sobre la evolución de la matrícula según género en la formación universitaria de la carrera de Nutrición en Chile (2005-2022)
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Roco-Videla, Ángel

; Aguilera-Eguía, Raúl

; Olguín-Barraza, Mariela

; Flores-Fernández, Cherie

Nutrición Hospitalaria

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Oct 2023, Volumen 40 Nº 5 Paginas 1114 - 1115

Resumen: Es | Texto: Es | PDF: Es

https://doi.org/10.20960/nh.04836

14.

Bidirectional associations between hyperopia, myopia, astigmatism, and strabismus, and attention-deficit/hyperactivity disorder in children: a national population-based cohort study
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Chou, Wei-Po

; Chen, Yi-Lung

; Hsiao, Ray C.

; Lai, Yu-Hung

; Yen, Cheng-Fang

Brazilian Journal of Psychiatry

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Oct 2023, Volumen 45 Nº 5 Paginas 397 - 404

Resumen: En | Texto: En | PDF: En

Objectives: The present study analyzed the reciprocal relationships between four common pediatric ophthalmic diseases (i.e., hyperopia, myopia, astigmatism, and strabismus) and attention‐deficit/hyperactivity disorder (ADHD) in children. Methods: This study enrolled 86,028 children with ADHD and 1,798,673 children without ADHD in the Taiwan Maternal and Child Health Database who were born at any time from 2004 to 2017. Cox proportional hazards regression models were used to estimate the bidirectional relationships of the four ophthalmic diseases with ADHD in children after adjusting for age, sex, and gestational age at birth. Survival curves for time-to-event variables were estimated using the Kaplan-Meier method, and the log-rank test was used to compare the curves. Results: The results indicated that ADHD significantly predicted the occurrence of hyperopia, myopia, astigmatism, and strabismus. Furthermore, hyperopia, myopia, astigmatism, and strabismus significantly predicted the occurrence of ADHD. The time between enrollment and ADHD diagnosis was shorter for patients with ophthalmic diseases than for the control group, and the time between enrollment and ophthalmic disease diagnosis was also shorter for ADHD patients than for the control group. Sex differences were found in the associations between ADHD and ophthalmic diseases. Conclusion: Clinicians should monitor children with ADHD for hyperopia, myopia, astigmatism, and strabismus to ensure appropriate treatment, and vice versa.

https://doi.org/10.47626/1516-4446-2023-3156

15.

[SciELO Preprints] - CHALLENGES AND NEEDS OF REFUGEE AND MIGRANT CHILDREN AND ADOLESCENTS IN BRAZIL: ENSURING PROTECTION, ACCESS TO EDUCATION AND SOCIAL INTEGRATION.TÍTULO EM INGLÊS: SUBTÍTULO
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Santos, Mariana Cardoso dos Mota, Angela Karinne Bezerra

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Fecha de publicación: 2023-09-25

Resumen: En Pt

Access to formal education for children and adolescents is an example of a specific protection need mentioned highly by Venezuelan families in the north of the country. According to a needs assessment carried out in 2022, 18% of Venezuelan children are not enrolled in school. This percentage is higher in the states that receive the most Venezuelan migrants, such as Roraima and Amazonas (27%); it increases even more when we look at children living in temporary shelters (63%). Therefore, access to formal education, a fundamental right for the development of children and adolescents and for their integration into the host community, is not being met. The issue of education can be understood in two main ways: lack of places in public schools, due to increased demand; and complex enrollment processes, which create barriers for the migrant population. To gather and analyze the data, we used a qualitative method with a descriptive deductive approach. Qualitative studies focus on human experiences, allowing us to perceive the subjectivity that accompanies our society. The data is secondary, coming from institutions active in the context of responding to the intense migratory movement of Venezuelans on Brazil's northern border. The choice was made due to the active and constant work of these organizations in collecting and publishing data, such as the Interagency Coordination Platform for Refugees and Migrants from Venezuela (R4V), United Nations High Commissioner for Refugees, United Nations agencies and the Brazilian government.

O acesso à educação formal para crianças e adolescentes, é um exemplo de necessidade específica de proteção mencionada altamente por famílias venezuelanas no norte do país. De acordo com estudo de necessidades elaborado em 2022, 18% das crianças venezuelanas não estão matriculadas na escola. Essa porcentagem é mais alta nos estados que mais recebem migrantes venezuelanos, caso de Roraima e Amazonas (27%); aumentando ainda mais quando recortamos em crianças vivendo nos abrigos temporários (63%). Portanto, o acesso à educação formal, direito fundamental para o desenvolvimento de crianças e adolescentes e para sua integração na comunidade de acolhida, não está sendo atendido. A questão da educação pode ser entendida principalmente de duas formas: falta de vagas nas escolas públicas, devido ao aumento da demanda; e processos complexos de matrícula, que criam barreiras para a população migrante. Para levantamento e análise dos dados, foi utilizado o método qualitativo com abordagem descritiva dedutiva. Estudos qualitativos se concentram nas experiências humanas, fazendo com que possamos perceber a subjetividade que acompanha nossa sociedade. Os dados utilizados são secundários, advindos de instituições atuantes no contexto da resposta ao movimento migratório intenso de venezuelanos na fronteira norte do Brasil. A escolha se deu pela atuação ativa e constante dessas organizações na coleta e publicação de dados, como a Plataforma de Coordenação Interagência para Refugiados e Migrantes da Venezuela (R4V), Alto Comissariado da Organização das Nações Unidas para Refugiados, agências da Organização das Nações Unidas e o governo brasileiro.

https://doi.org/10.1590/SciELOPreprints.6984

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