La familia Alberdi: ¿Puede una intervención de trabajo social individual-familiar contribuir al bienestar social de la comunidad?

Duración (en horas): De 11 a 20 horas. Destinatario: Estudiante y Docente

Behavioral profile of adults with Prader-Willi syndrome : correlations with individual and environmental variables

Background: Maladaptive behavior has been reported as a phenotypical feature in Prader–Willi syndrome (PWS). It severely limits social adaptation and the quality of life of children and adults with the syndrome. Different factors have been linked with the intensity and form of these behavioral disturbances but there is no consensus about the cause. Consequently, there is still controversy regarding management strategies and there is a need for new data. Methods: The behavior of 100 adults with PWS attending a dedicated center was assessed using the Developmental Behavior Checklist for Adults (DBC-A) and the PWS-specific Hyperphagia Questionnaire. The DBC-A was completed separately by trained caregivers at the center and relatives or caregivers in a natural setting. Genotype, gender, age, degree of obesity and cognitive impairment were analyzed as variables with a hypothetical influence on behavioral features. Results: Patients showed a relatively high rate of behavioral disturbances other than hyperphagia. Disruptive and social relating were the highest scoring DBC-A subscales whereas anxiety/antisocial and self-absorbed were the lowest. When hospital caregiver and natural caregiver scores were compared, scores for the latter were higher for all subscales except for disruptive and anxiety/antisocial. These effects of institutional management were underlined. In the DBC-A, 22 items have descriptive indications of PWS behavior and were used for further comparisons and correlation analysis. In contrast to previous reports, rates of disturbed behavior were lower in patients with a deletion genotype. However, the behavioral profile was similar for both genotypes. No differences were found in any measurement when comparing type I and type II deletions. The other analyzed variables showed little relevance. Conclusions: Significant rates of behavioral disorders were highlighted and their typology described in a large cohort of adults with PWS. The deletion genotype was related to a lower severity of symptoms. Some major behavioral problems, such as hyperphagia, may be well controlled if living circumstances are adapted to the specific requirements of individuals with PWS.

E. U. Magisterio de Vitoria-Gasteiz. Plan general Practicum II. Comisión de prácticas, 21 de marzo de 2012

[ES]El Módulo de Practicum se organiza en dos materias: Prácticas escolares (38 créditos ECTS), y Trabajo fin de grado (12 créditos ECTS). Las prácticas escolares se realizarán en los dos ciclos de Educación Infantil (0-3, 3-6) y en los tres de Primaria (1ª-2º, 3º-4º, 5º-6º). Al tratarse de un Practicum progresivo, los estudiantes de los grados de Magisterio cursan la materia a lo largo del segundo, tercer y cuarto curso (Practicum I, Practicum II y Practicum III) con contenidos que tienen continuidad y que suponen un nivel de competencia superior respecto el anterior. El Practicum supone para el alumnado una oportunidad de adquirir e integrar las habilidades, los conocimientos, las competencias y la práctica necesarios para el ejercicio de su profesión, así como una ocasión para reflexionar de forma individual y grupal acerca del aprendizaje realizado. El Practicum I pretende que el alumnado establezca un primer contacto como futuros profesionales con un centro escolar, y realice una observación de carácter global, integrando los conocimientos aprendidos en la Escuela de Magisterio, ajustándolos a la diversidad del aula, a la escuela y al entorno social de ésta, y dedicando una especial atención al tratamiento de género. El Practicum II, al que se refiere esta guía, corresponde al tercer curso y se centra en el desarrollo docente de experiencias de enseñanza y aprendizaje con alumnado de la etapa, la implicación en la vida del ciclo y etapa y el ejercicio de la autocrítica y la reflexión en relación al propio desarrollo formativo y profesional. Se pretende que los estudiantes reflexionen de forma crítica sobre su conocimiento práctico inicial puesto en acción en esos contextos y sobre las condiciones que determinan su forma de pensar y actuar. El Practicum III está relacionado con las menciones (minor) y con la participación en proyectos de innovación.

E. U. Magisterio de Vitoria-Gasteiz. Plan general Practicum III. Comisión de prácticas, 4 de julio de 2014

[ES]Las Prácticas Escolares se realizarán en los dos ciclos de Educación Infantil (0-3, 3-6) y en los tres de Educación Primaria (1º-2º, 3º-4º, 5º-6º). Al tratarse de un Prácticum progresivo, cada estudiante cursa la materia a lo largo del segundo, tercer y cuarto curso (Prácticum I, Prácticum II y Prácticum III) con contenidos que tienen continuidad y que suponen un nivel de competencia superior respecto el anterior. Además, el alumnado que en 4º curso se matricule en el minor de Educación Física deberá realizar su periodo de prácticas junto a una maestra o maestro especialista en esta materia, quien tutorizará sus prácticas. El Prácticum supone para el alumnado una oportunidad de adquirir e integrar las habilidades, los conocimientos, las competencias y la práctica necesarios para el ejercicio de su profesión, así como una ocasión para reflexionar de forma individual y grupal acerca del aprendizaje realizado y de la práctica llevada a cabo.

The prevalence of diabetes-related complications and multimorbidity in the population with type 2 diabetes mellitus in the Basque Country

Background: Type 2 diabetes mellitus is associated with a diverse range of pathologies. The aim of the study was to determine the incidence of diabetes-related complications, the prevalence of coexistent chronic conditions and to report multimorbidity in people with type 2 diabetes living in the Basque Country. Methods: Administrative databases, in four cross sections (annually from 2007 to 2011) were consulted to analyse 149,015 individual records from patients aged >= 35 years with type 2 diabetes mellitus. The data observed were: age, sex, diabetes-related complications (annual rates of acute myocardial infarction, major amputations and avoidable hospitalisations), diabetes-related pathologies (prevalence of ischaemic heart disease, renal failure, stroke, heart failure, peripheral neuropathy, foot ulcers and diabetic retinopathy) and other unrelated pathologies (44 diseases). Results: The annual incidence for each condition progressively decreased during the four-year period: acute myocardial infarction (0.47 to 0.40%), major amputations (0.10 to 0.08%), and avoidable hospitalisations (5.85 to 5.5%). The prevalence for diabetes-related chronic pathologies was: ischaemic heart disease (11.5%), renal failure (8.4%), stroke (7.0%), heart failure (4.3%), peripheral neuropathy (1.3%), foot ulcers (2.0%) and diabetic retinopathy (7.2%). The prevalence of multimorbidity was 90.4%. The highest prevalence for other chronic conditions was 73.7% for hypertension, 13.8% for dyspepsia and 12.7% for anxiety. Conclusions: In the type 2 diabetes mellitus population living in the Basque Country, incidence rates of diabetes complications are not as high as in other places. However, they present a high prevalence of diabetes related and unrelated diseases. Multimorbidity is very common in this group, and is a factor to be taken into account to ensure correct clinical management.

Pivoting between Calmodulin Lobes Triggered by Calcium in the Kv7.2/Calmodulin Complex

Kv7.2 (KCNQ2) is the principal molecular component of the slow voltage gated M-channel, which strongly influences neuronal excitability. Calmodulin (CaM) binds to two intracellular C-terminal segments of Kv7.2 channels, helices A and B, and it is required for exit from the endoplasmic reticulum. However, the molecular mechanisms by which CaM controls channel trafficking are currently unknown. Here we used two complementary approaches to explore the molecular events underlying the association between CaM and Kv7.2 and their regulation by Ca2+. First, we performed a fluorometric assay using dansylated calmodulin (D-CaM) to characterize the interaction of its individual lobes to the Kv7.2 CaM binding site (Q2AB). Second, we explored the association of Q2AB with CaM by NMR spectroscopy, using N-15-labeled CaM as a reporter. The combined data highlight the interdependency of the N- and C-lobes of CaM in the interaction with Q2AB, suggesting that when CaM binds Ca2+ the binding interface pivots between the N-lobe whose interactions are dominated by helix B and the C-lobe where the predominant interaction is with helix A. In addition, Ca2+ makes CaM binding to Q2AB more difficult and, reciprocally, the channel weakens the association of CaM with Ca2+.