scholarly journals Necesidades educativas en la etapa infantil en menores con cardiopatías congénitas. Descripción de una cohorte y revisión de la bibliografía

2021 ◽  
Vol 39 (2) ◽  
pp. 395-418
Author(s):  
Mª del Rosario Mendoza Carretero ◽  
Susana Ares Segura ◽  
Belén Sáenz-Rico de Santiago

Las cardiopatías congénitas (CC) constituyen una de las principales causas de mortalidad en España. Se quiere identificar la existencia de (co)morbilidades en el neurodesarrollo de estos menores para evidenciar la necesidad de participar en programas de Atención Temprana (AT) para optimizar su desarrollo y al mismo tiempo ofrecer una revisión sistemática a modo de estado de la cuestión de este campo de intervención. Se valoró, con la Escala de Desarrollo Infantil Bayley-III, a infantes cardiópatas ( 25 meses), en el Hospital Universitario La Paz, en el Hospital 12 de Octubre y en la Fundación Menudos Corazones. Se describen las características biomédicas y de desarrollo de 90 participantes. El 68% presenta un desarrollo cognitivo dentro del promedio, sucediendo lo mismo en el área del lenguaje (42%) y motor (44%). En estas últimas se evidencia un desarrollo normal-lento (35% y 24%, respectivamente) y limítrofe (15% y 12%). Congenital Heart Disease (CHD) is one of the leading causes of mortality in Spain. This study aims (i) to identify the existence of (co)morbidities in the neurodevelopment of a sample of these children and (ii) to demonstrate the need for them to receive educational intervention as soon as possible through early care programs so that their maturational development can be optimized. This study also presents a systematic review of the research available in the field. With the Bayley-III Child Development Scale, cardiac infants ( = 25.3 months) at the University Hospital La Paz, at the Hospital 12 de Octubre and the Menudos Corazones Foundation were assessed. The biomedical and developmental characteristics of 90 participants are described. 68% have an average cognitive development. Average rates were also reported for linguistic (42%) and motor (44%) development. For the latter category, normal-slow (35% and 24%, respectively) and bordeline (15% and 12%) development rates were found. The review of the scientific literature in this regard corroborates that the communicative-linguistic and the motor areas are the poorest dimensions of development.

2021 ◽  
Vol 39 (1) ◽  
pp. 169-188
Author(s):  
Mª del Carmen Pegalajar Palomino

Este trabajo realiza una revisión sistemática para identificar los principales hallazgos reportados en la literatura científica sobre la percepción del estudiante universitario hacia la práctica de estrategias de gamificación en su proceso de aprendizaje. La búsqueda documental se ha llevado a cabo a partir de la triangulación de las publicaciones incluidas en las bases de datos “Web of Science” y “Scopus” durante el período 2010-2019. Tras aplicar los criterios de selección y calidad, se han identificado un total de 20 estudios como muestra final. Los resultados demuestran el interés creciente de la comunidad científica por plantear trabajos sobre gamificación en Educación Superior. Además, se corrobora una predisposición favorable en el alumnado hacia el desarrollo de experiencias didácticas innovadoras basadas en la gamificación. Entre sus potencialidades, destaca el aumento de la motivación, el interés y la participación del alumnado en el proceso de enseñanza-aprendizaje, así como la mejora del rendimiento académico y el desarrollo de las habilidades y competencias necesarias para su desarrollo profesional. This work performs a systematic review to identify the main findings reported in the scientific literature on the perception of the university student towards the practice of gamification strategies in their learning process. The documentary search was carried out based on the triangulation of the publications included in the "Web of Science" and "Scopus" databases during the period 2010-2019. After applying the selection and quality criteria, a total of 20 studies have been identified as the final sample. The results demonstrate the growing interest of the scientific community to propose works on gamification in Higher Education. Furthermore, a favorable predisposition in the students towards the development of innovative didactic experiences based on gamification is corroborated. Among its potential, the increase in motivation, interest and participation of students in the teaching-learning process stands out, as well as improving academic performance and developing the skills and competences necessary for their professional development


2017 ◽  
Vol 26 (4) ◽  
pp. 1027-1038 ◽  
Author(s):  
Rafael Toro-Flores ◽  
Pilar Bravo-Agüi ◽  
María Victoria Catalán-Gómez ◽  
Marisa González-Hernando ◽  
María Jesús Guijarro-Cenisergue ◽  
...  

Background: In the last decades, there have been important developments in the scientific and technological areas of healthcare. On certain occasions this provokes conflict between the patients' rights and the values of healthcare professionals which brings about, within this clinical relationship, the problem of conscientious objection. Aims: To learn the opinions that the Nurses of the Madrid Autonomous Community have regarding conscientious objection. Research design: Cross-cutting descriptive study. Participants and research context: The nurses of 9 hospitals and 12 Health Centers in the Madrid Autonomous Community. The study was done by means of an auto completed anonymous questionnaire. The variables studied were social-demographical and their opinions about conscientious objections. Ethical considerations: The study was approved by the Ethical Community of Clinical Research of the University Hospital Príncipe de Asturias. Participants were assured of maximum confidentiality and anonymity. Findings: A total of 421 nurses answered the questionnaire. In total, 55.6% of the nurses confirmed they were religious believers, and 64.3% declared having poor knowledge regarding conscientious objection. The matters that caused the greatest objections were voluntary abortions, genetic embryo selection, refusal of blood transfusions, and therapy refusal. Discussion: Different authors state that the most significant cases of conscientious objections for health professionals are those regarding carrying out or assisting in abortions, euthanasia, the practice of assisted reproduction and, finally, the prescription and dispensing of the morning-after pill. In our study, the most significant cases in which the nurses would declare conscientious objections would be the refusal to accept treatment, the selection of embryos after genetic diagnosis preimplantation, the patient’s refusal to receive blood transfusions due to religious reasons and pregnant women’s request for voluntary abortions within the first 14 weeks. Conclusion: Nurses’ religious beliefs influence their opinions regarding conscientious objection. The nurses who declare themselves as religious believers object in a higher percentage than those without religious beliefs.


2016 ◽  
Vol 19 (3) ◽  
pp. 111
Author(s):  
Camila Feier Viegas ◽  
Tulio De Lucena Pires ◽  
Paulo Tadeu de Souza Figueiredo ◽  
Andre Ferreira Leite ◽  
Clemes Alves Mesquita

<p align="justify"><span style="font-family: Arial, serif;"><span><span lang="en-US"><span>Cowden Syndrome</span></span></span></span><span style="font-family: Arial, serif;"><span><span lang="en-US"> is an autosomal dominant disorder characterized by the development of several hamartomas in a variety of tissues, including the skin, gastrointestinal tract, adipose tissue, and bone and connective tissues. This syndrome is associated with a high risk of developing malignancies, especially breast, thyroid and endometrium cancers. This report presents a case of a 53-year-old patient who sought assistance at the Dentistry Department of the University Hospital of Brasilia (HUB) to receive basic dental treatment. The current and past medical history and oral and facial manifestations led to the diagnosis of </span></span></span><span style="font-family: Arial, serif;"><span><span lang="en-US"><span>Cowden syndrome</span></span></span></span><span style="font-family: Arial, serif;"><span><span lang="en-US">. This case report aims to highlight the importance of a dental surgeon in the diagnosis of this syndrome, based on the observation of oral manifestations and medical history.</span></span></span></p><p align="justify"><span style="font-family: Arial, serif;"><span><span lang="en-US"><strong>Keywords</strong></span></span></span></p><p align="justify"><span style="font-family: Arial, serif;"><span><span lang="en-US">Cowden Syndrome; Multiple Hamartoma Syndrome.</span></span></span></p>


2019 ◽  
Vol 12 (3) ◽  
pp. 16-36 ◽  
Author(s):  
Antonio-Manuel Rodríguez-García ◽  
María Aránzazu Fernández Mora ◽  
Antonio José Moreno Guerrero

RESUMEN: Este artículo tiene por objetivo analizar la evolución de la investigación sobre enseñanza de lenguas en el ámbito universitario dentro de la colección principal de la Web of Science (1900-2019). Para ello, se ha desarrollado un estudio bibliométrico por revisión sistemática, tomando en consideración los siguientes indicadores: producción diacrónica, geográfica, autores y de fuente. A su vez, se ha realizado un análisis del desarrollo estructural de los temas sobre una muestra de 2978 referencias procedentes de seis búsquedas combinadas. Los análisis realizados determinan un patrón de crecimiento exponencial de la literatura científica sobre la enseñanza de idiomas en el ámbito universitario durante la última década (2010-2019); período que contempla el 87,2% de la producción científica actual. En relación a la evolución de los temas del campo, se observa que las líneas de investigación actual se están centrando mayormente en la introducción de la tecnología para el apoyo de la enseñanza de idiomas en el contexto universitario. PALABRAS CLAVE: enseñanza de idiomas; universidad; educación superior; revisión sistemática.   ABSTRACT: The aim of this article is to analyse the evolution of research on language teaching at the university level within the main collection of the Web of Science (1900-2019). To this end, a bibliometric study has been developed through systematic review, taking into consideration the following indicators: diachronic, geographical, authors and source productions. At the same time, an analysis of the structural development of the topics has been carried out on a sample of 2978 references from six combined searches. The analyses carried out determine an exponential growth pattern in the scientific literature on language teaching in universities over the last decade (2010-2019), a period that covers 87.2% of the current scientific production. In relation to the evolution of topics in the field, it is observed that current lines of research are focusing mainly on the introduction of technology to support language teaching in the university context. KEYWORDS: language teaching; university; higher education; systematic review.


2017 ◽  
Vol 9 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Ana López Carrasco ◽  
Alicia Hernández Gutiérrez ◽  
Paula Alegría Hidalgo Gutiérrez ◽  
Roberto Rodríguez González ◽  
Patricia Isabel Salas Bolívar ◽  
...  

Introduction Endometriosis affecting the sciatic nerve is extremely uncommon. Its main symptom is catamenial sciatica but it can result in neuropathy. The diagnosis is usually delayed for years. Our objective is to communicate our experience in the diagnosis, management and treatment of this pathology by presenting two patients. Methods Retrospective revision of medical charts of all sciatic endometriosis cases treated in the Endometriosis Unit of the University Hospital, La Paz, Spain. Results Two nulliparous patients 35 and 39 years old, with unilateral sciatica related to sciatic nerve endometriosis are presented. The lag time between the onset of symptoms and diagnosis was 8 and 5 years. Both patients had problems with locomotion and muscle atrophy, so laparoscopic neurolysis was performed with success in pain control but not total recovery of deambulation defect. Conclusions Directed anamnesis and magnetic resonance imaging (MRI) are good tools for diagnosis of endometriosis affecting sciatic nerve. In absence of neuropathy, hormonal pharmacotherapy can be used to control symptoms, but when it is present, surgical nerve decompression must not be delayed, and laparoscopic approach is feasible for trained surgeons. In our cases, neurolysis improved pain but complete recovery of motor function has not been reached. Physicians responsible for primary care need to be aware of the catamenial sciatica due to the nerve damage caused by endometriosis, even when it is very uncommon, because the consequences of the delay in assessment and treatment by a specialized multidisciplinary team in dedicated units may be irreversible.


VASA ◽  
2004 ◽  
Vol 33 (2) ◽  
pp. 78-81 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Jeanneret ◽  
Labs ◽  
Jäger

Background: Haemostatic puncture closure devices for rapid and effective hemostasis after arterial catheterisation are a comfortable alternative to manual compression. Implanting a collagen plug against the vessel wall may become responsible for other kind of vascular injuries i.e. thrombotic or stenotic lesions and peripheral embolisation. The aim of this paper is to report our clinically relevant vascular complications after Angio-Seal® and to discuss the results in the light of the current literature. Patients and methods: We report the symptomatic vascular complications in 17 of 7376 patients undergoing diagnostic or therapeutic catheterisation between May 2000 and March 2003 at the University Hospital Basel. Results: Most patients presented with ischaemic symptoms, arterial stenoses or occlusions and thrombotic lesions (n = 14), whereas pseudoaneurysms were extremely rare (n = 3). Most patients with ischaemic lesions underwent vascular surgery and all patients with a pseudoaneurysm were successfully treated by ultrasound-guided compression. Conclusions: Severe vascular complications after Angio-Seal® are rare, consistent with the current literature. There may be a shift from pseudoaneurysms to ischaemic lesions.


1993 ◽  
Vol 32 (05) ◽  
pp. 365-372 ◽  
Author(s):  
T. Timmeis ◽  
J. H. van Bemmel ◽  
E. M. van Mulligen

AbstractResults are presented of the user evaluation of an integrated medical workstation for support of clinical research. Twenty-seven users were recruited from medical and scientific staff of the University Hospital Dijkzigt, the Faculty of Medicine of the Erasmus University Rotterdam, and from other Dutch medical institutions; and all were given a written, self-contained tutorial. Subsequently, an experiment was done in which six clinical data analysis problems had to be solved and an evaluation form was filled out. The aim of this user evaluation was to obtain insight in the benefits of integration for support of clinical data analysis for clinicians and biomedical researchers. The problems were divided into two sets, with gradually more complex problems. In the first set users were guided in a stepwise fashion to solve the problems. In the second set each stepwise problem had an open counterpart. During the evaluation, the workstation continuously recorded the user’s actions. From these results significant differences became apparent between clinicians and non-clinicians for the correctness (means 54% and 81%, respectively, p = 0.04), completeness (means 64% and 88%, respectively, p = 0.01), and number of problems solved (means 67% and 90%, respectively, p = 0.02). These differences were absent for the stepwise problems. Physicians tend to skip more problems than biomedical researchers. No statistically significant differences were found between users with and without clinical data analysis experience, for correctness (means 74% and 72%, respectively, p = 0.95), and completeness (means 82% and 79%, respectively, p = 0.40). It appeared that various clinical research problems can be solved easily with support of the workstation; the results of this experiment can be used as guidance for the development of the successor of this prototype workstation and serve as a reference for the assessment of next versions.


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