Medical Evaluation Processes in Clinical settings. Qualitative Analysis through the Experience of Teachers and Studens

Evaluation processes in clinical practice have not been well, being their study focused on the technical issues concerning these processes. This study tried an approach to the evaluation processes through the analysis of perceptions from teachers and students about the methodology of evaluation considering the teachinglearning processes performed in a clinical practice of the Medicine Program –Universidad El Bosque from Bogota. With this purpose we conducted interviews with teachers and students searching the manner in which the evaluative, learning and teaching processes are done; then we analyzed the perception from both agents concerning the way these processes are related. The interviews were categorized bath deductively and inductively, and then contrasted with some current theories of learning, teaching and evaluation in medicine. The study showed that nowadays the evaluation and, in general, the educative processes are affected by several factors which are associated to the manner the professional practice is developed, and the educative process of the current teachers. We concluded there is no congrency between the approach of the evaluation, mainly conductivist, and the learning and teaching strategies mainly constructivist. This fact cause dissent in teachers and students.

¿Son los Planes de Desarrollo un mecanismo eficaz para el fortalecimiento de las democracias participativas?

El autor se interroga acerca de si el Consejo Nacional de Planeación, al igual que los consejos territoriales, son escenarios para el ejercicio de la democracia y si su participación, en la construcción de los planes de desarrollo, constituye un instrumento eficaz para su fortalecimiento o son, por el contrario, un espejismo en la praxis de la democracia en Colombia. En la primera parte se mencionan algunas versiones de democracia desde Lincoln, pasando por las versiones de Tocqueville, Shumpeter, Dahl, Bryce, Borón y Sartori. Se identifican en cada caso los elementos fundamentales para tenerlos como referente y soporte de análisis para dar cuenta, en la segunda parte, cuál o cuáles formas de esas democracias describen el modus operandi en el seno de los consejos de planeación en los niveles nacional o territorial. Igualmente se analiza el rol de los consejos de planeación, su legitimidad, la calidad y trascendencia de las intervenciones de sus miembros, así como la capacidad de incidir en el proyecto de ley del Plan Nacional de Desarrollo, para lo cual se recurre a entrevistar a miembros y ex miembros de los consejos Nacional y Distrital de planeación. El autor, además de responder algunos interrogantes que se plantea sobre el tema objeto de esta reflexión, deja planteados otros para la consideración de los lectores.

Definition of an it project portfolio management methodology for a pharmaceutical company

Con la creciente popularidad de las soluciones de IT como factor clave para aumentar la competitividad y la creación de valor para las empresas, la necesidad de invertir en proyectos de IT se incrementa considerablemente. La limitación de los recursos como un obstáculo para invertir ha obligado a las empresas a buscar metodologías para seleccionar y priorizar proyectos, asegurándose de que las decisiones que se toman son aquellas que van alineadas con las estrategias corporativas para asegurar la creación de valor y la maximización de los beneficios. Esta tesis proporciona los fundamentos para la implementación del Portafolio de dirección de Proyectos de IT (IT PPM) como una metodología eficaz para la gestión de proyectos basados en IT, y una herramienta para proporcionar criterios claros para los directores ejecutivos para la toma de decisiones. El documento proporciona la información acerca de cómo implementar el IT PPM en siete pasos, el análisis de los procesos y las funciones necesarias para su ejecución exitosa. Además, proporciona diferentes métodos y criterios para la selección y priorización de proyectos. Después de la parte teórica donde se describe el IT PPM, la tesis aporta un análisis del estudio de caso de una empresa farmacéutica. La empresa ya cuenta con un departamento de gestión de proyectos, pero se encontró la necesidad de implementar el IT PPM debido a su amplia cobertura de procesos End-to-End en Proyectos de IT, y la manera de asegurar la maximización de los beneficios. Con la investigación teórica y el análisis del estudio de caso, la tesis concluye con una definición práctica de un modelo aproximado IT PPM como una recomendación para su implementación en el Departamento de Gestión de Proyectos.

Demand of children in Colombia : guessing or planning

El artículo analiza los determinantes de la presencia de hijos no deseados en Colombia. Se utiliza la información de la Encuesta Nacional de Demografía y Salud (ENDS, 2005), específicamente para las mujeres de 40 años o más. Dadas las características especiales de la variable que se analiza, se utilizan modelos de conteo para verificar si determinadas características socioeconómicas como la educación o el estrato económico explican la presencia de hijos no deseados. Se encuentra que la educación de la mujer y el área de residencia son determinantes significativos de los nacimientos no planeados. Además, la relación negativa entre el número de hijos no deseados y la educación de la mujer arroja implicaciones clave en materia de política social.

Education and literacy. 'Educación y alfabetización'.

Resumen tomado de la publicación.Monográfico : las condiciones de aprendizaje de la lengua escrita

A prática pedagógica nos “descaminhos” do ensino da língua portuguesa : a formação do leitor para uma vida inteira

O presente trabalho procurou abordar as práticas de leitura desenvolvidas no ensino médio nas aulas de Língua Portuguesa na rede pública estadual de Quipapá-PE, tendo como questão norteadora: a origem do insucesso da formação leitora está focalizada nos educandos ou n ausência de uma ação potencializadora de um educador leitor? Nessa perspectiva, no decorrer deste estudo, são debatidas algumas concepções teóricas e metodológicas que propõem uma reflexão sobre as relações que estruturam as práticas pedagógicas, sugerindo o redimensionamento dos saberes docentes dos professores de Língua Portuguesa e das práticas de leitura. Apontando multiplicidade de fatores envolvidos que dificultam, mas não impossibilitam a necessária adesão à perspectiva de linguagem textual- interacionista como subsídio na libertação do professor de Língua Portuguesa do seu aprisionamento à tradição metodológica do ensino de gramática, em detrimento as atividades de leitura no cotidiano escolar. Posto que a escola como espaço privilegiado para formação de leitores, não tem correspondido às demandas sociais, nem esta tem estado, tem sido priorizada na ação educativa. Visto que a esses profissionais, por vezes, falta clareza a respeito da concepção de linguagem que norteia seu fazer pedagógico, derivado das lacunas em sua formação acadêmica, que resultam em contradições, conflitos, rupturas e permanências, contribuindo para uma visão contraditória das concepções construídas a respeito do seu papel como professor de língua materna. Usamos como aporte teórico as contribuições advindas da linguística aplicada, com base na perspectiva sócio interacionista da linguagem. Do ponto de vista metodológico, optamos pela pesquisa quantitativa e qualitativa com aplicação de questionários aos alunos, itens apresentados sob a modalidade Likert, bem como entrevistas aos professores. Contudo, com a análise, nos veio à confirmação de que no modelo de ensino vigente, a leitura como processo de interação e sentido, não está totalmente efetivada na ação docente, pois as atividades de gramática têm predominado; relegando ao segundo plano a formação do leitor crítico. Em razão disso, coloca-se a questão da aprendizagem do professor que, enquanto sujeito singular que possui uma história de vida, aprende e reconstrói seus saberes na experiência, podendo a partir de novos conhecimentos, para os quais intentamos contribuir, aderir a essa perspectiva teórica. Diante desse contexto apresentado, acreditamos que essa pesquisa pode trazer uma importante contribuição para despertar estes profissionais sobre o tratamento que deve ser dado a leitura por todos os professores, dada a importância decisiva para a formação e o exercício efetivo da cidadania.

Leitura de mundo, leitura da palavra : construção da competência leitora

Nossa intenção, na presente investigação é seguir um procedimento analógico ao da construção da competência leitora e refletir sobre as influências educacionais, sobretudo, no interesse, ou falta dele, pela leitura, competência fundamental para o desenvolvimento do indivíduo na sociedade. Iniciamos pelo processo de aprendizagem e ensino da leitura e finalizamos com as reflexões: como a prática pedagógica do docente, desperta ou reconcilia o jovem leitor com a leitura? Compreendemos que somos capazes de contribuir para o desenvolvimento e aprofundamento dos hábitos de leitura dos estudantes, principalmente escolar, a fim de “aprimorar” os níveis de leitura e promover no estudante o prazer de ler, desde que, nós enquanto figuras mediadoras e motivadoras em sala de aula, o professor, sintam verdadeiramente esse desejo de desperta no outro o prazer de ler. Como resultado, depreende-se que o próprio professor ainda não incorporou seu papel enquanto figura motivadora, importantíssima, na construção de alunos leitores. Simultaneamente constatamos que o professor é sabedor das lacunas no seu processo de formação acadêmica e da necessidade de formação continuada para “aperfeiçoamento” da sua prática e da posição que ocupam como sujeitos de suas leituras e que seu hábito de leitura, ou ausência dele, tem consequência na prática de ensino/aprendizagem e em seu posicionamento frente aos estudantes como ícone motivador da mesma. Concomitantemente, aferimos que a concepção que predomina nas práticas da leitura ainda é a noção de leitura como decodificação de palavras, essa percepção é notada não só na fala dos estudantes, mas também na do professor. Aferimos também, que a maioria dos estudantes investigados não tem o hábito da leitura e consequentemente não tem consciência das estratégias usadas nesse processo de produção de significados. Esperamos que as discussões aqui apresentadas, e os resultados obtidos nesta investigação proporcionem reflexões sobre a prática pedagógica, favorecendo alterações que colaborem para a melhoria do ensino/aprendizagem de leitura.

Reflections: 50 Years of Medieval Archaeology, 1957-2007

This volume celebrates the 50th anniversary of the Society for Medieval Archaeology (established in 1957), presenting reflections on the history, development and future prospects of the discipline. The papers are drawn from a series of conferences and workshops that took place in 2007-2008, in addition to a number of contributions that were commissioned especially for the volume. They range from personal commentaries on the history of the Society and the growth of the subject, to historiographical, regional and thematic overviews of major trends in the evolution and current practice of medieval archaeology in Britain. Critical overviews are presented of the archaeology of medieval landscapes, buildings and material culture; new developments in the scientific study of medieval health, diet and materials; and innovations in social approaches to medieval archaeology. A series of papers on southern Europe provide a comparative perspective, featuring overviews on medieval archaeology in Italy, Spain and southeastern Europe.

Design for design: support for creative practice in computer-supported collaborative work (CSCW) in design

This paper describes a novel methodology for observing and analysing collaborative design by using the concepts of cognitive dimensions related to concept-based misfit analysis. The study aims at gaining an insight into support for creative practice of graphical communication in collaborative design processes of designers while sketching within a shared white board and audio conferencing environment. Empirical data on design processes have been obtained from observation of groups of student designers solving an interior space-planning problem of a lounge-diner in a shared virtual environment. The results of the study provide recommendations for the design and development of interactive systems to support such collaborative design activities.

A review of the use of demonstration projects to achieve widespread adoption of innovative practices

The UK construction industry has embarked on one of the largest experiments in the implementation of innovative technologies and practices in its history. Following Rethinking Construction[1], generally known as the Egan Report, the Movement for Innovation was established with the aim of using demonstration projects as practical examples of innovation in order to encourage others to follow the example. The number of demonstration projects has exceeded the original plans and more are being added. This paper reviews the approach in terms of the practice of using demonstration projects to achieve widespread take up of innovation, the modifications to the programme and its management and considers future developments to improve its, effectiveness.

The automatic identification and prioritisation of criminal networks from police crime data

The identification of criminal networks is not a routine exploratory process within the current practice of the law enforcement authorities; rather it is triggered by specific evidence of criminal activity being investigated. A network is identified when a criminal comes to notice and any associates who could also be potentially implicated would need to be identified if only to be eliminated from the enquiries as suspects or witnesses as well as to prevent and/or detect crime. However, an identified network may not be the one causing most harm in a given area.. This paper identifies a methodology to identify all of the criminal networks that are present within a Law Enforcement Area, and, prioritises those that are causing most harm to the community. Each crime is allocated a score based on its crime type and how recently the crime was committed; the network score, which can be used as decision support to help prioritise it for law enforcement purposes, is the sum of the individual crime scores.

Barriers and commitment of facilities management profession to the sustainability agenda

The practice of sustainable facilities management (FM) is rapidly evolving with the increasing interest in the discourse of sustainable development. This paper examines a recent survey of the experiences of facilities managers in the rapidly growing and evolving industry in regard to the barriers and their commitment to the sustainability agenda. The survey results show that time constraints, lack of knowledge and lack of senior management commitment are the main barriers for the implementation of consistent and comprehensive sustainable FM policy and practice. The paper concludes that the diversity of the FM role and the traditional undervaluation of the contribution it makes to the success of organisations are partially responsible for lack of success in achieving sustainable facilities. The overwhelming barrier for sustainable FM practice is the lack of understanding, focus and commitment of senior executives in appreciating the opportunities, threats and need for strategic leadership and direction in driving essential change, and hence further the sustainability agenda.

Spectacle/gender/history: the case of Gone with the Wind

The essay asserts that, since pioneering work in the 1970s and 80s (in Screen in particular), the study of classical Hollywood cinema has failed adequately to acknowledge and understand the role of spectacle therein. This essay outlines theoretical but, even more, practical understandings of particular kinds of spectacle; they are susceptible to the practice of close analysis. Seeking to discuss spectacle in precise terms and in particular contexts, I define two kinds of spectacle associated with the historical film: ‘the decor of history’ and ‘the spectacular vista’. The example of Gone with the Wind illustrates the interrelationship between these two kinds of spectacle and their associations with particular ideas of femininity and masculinity. This gendering of spectacle is related to ‘the historical gaze’, a performative gesture that exemplifies the wider rhetoric of historical films, in their seeking to address the historical knowledge of the film spectator and to uphold a vision of history as being driven by powerful men, aware of their own destiny. Over the course of the three famous hilltop scenes in Gone with the Wind, one can plot Scarlett O'Hara's increased access to this kind of foresight and fortitude coded as ‘masculine’. This character arc can also be traced through Scarlett's shifting place within the film's use of spectacle: she begins the film wholly preoccupied with the domestic world of lavish parties and beautiful gowns; however, after her encounter with cataclysmic history visualized as a vast, terrible spectacle (the fall of Atlanta), Scarlett assumes the role occupied by her broken and emasculated father.

On the determinants of optimal border enforcement

We extend the current immigration-enforcement literature by incorporating both the practice of people smuggling and a role for non-wage income into a two-country, dynamic general equilibrium model. We use the model economy to examine three questions. First, how does technological progress in the smuggling industry affect the level of migration and capital accumulation for a given level of enforcement? Second, do changes in border enforcement affect the level of migration, capital accumulation, and smuggling activity? Third, is the optimal level of enforcement sensitive to technological progress in the smuggling industry? We show that the government chooses to devote resources to border enforcement only if the deterrent effect on smugglers is large enough. Otherwise, it is not worth taxing host-country natives as the taxes paid will more than offset any income gain resulting from fewer migrants.

Impact of earthworms on trace element solubility in contaminated mine soils amended with green waste compost

The common practice of remediating metal contaminated mine soils with compost can reduce metal mobility and promote revegetation, but the effect of introduced or colonising earthworms on metal solubility is largely unknown. We amended soils from an As/Cu (1150 mgAs kg−1 and 362 mgCu kg−1) and Pb/Zn mine (4550 mgPb kg−1 and 908 mgZn kg−1) with 0, 5, 10, 15 and 20% compost and then introduced Lumbricus terrestris. Porewater was sampled and soil extracted with water to determine trace element solubility, pH and soluble organic carbon. Compost reduced Cu, Pb and Zn, but increased As solubility. Earthworms decreased water soluble Cu and As but increased Pb and Zn in porewater. The effect of the earthworms decreased with increasing compost amendment. The impact of the compost and the earthworms on metal solubility is explained by their effect on pH and soluble organic carbon and the environmental chemistry of each element.