Educació en el lleure i l'ús de les tecnologies de la informació als hospitals pediàtrics: un estat de la qüestió

Estat de la qüestió sobre l'ús de les tecnologies de la informació als hospitals pediàtrics per tal d'educar en el lleure i pal·liar l'aïllament d'infants i adolescents i les seves famílies durant l'estada a l'hospital. A partir del grau d'implantació de les tecnologies, s'ha fet una anàlisi de diverses experiències d'arreu del món. S'han identificat dos models diferents pel que fa als objectius: els que centren la seva atenció en aspectes curriculars i els que potencien aspectes lúdics. Ambdós compten amb la implicació del personal sanitari vinculat als pacients i amb la figura del voluntari per a gestionar aquests serveis. Les principals diferències entre els projectes estudiats són les fonts de finançament, la tipologia de serveis que ofereixen i la naturalesa de les entitas que els promociona.

Les Biblioteques per a infants malalts als hospitals: a la recerca d'un espai propi

Les "Pautas para bibliotecas al servicio de pacientes de hospital, ancianos y discapacitados en centros de atención de larga duración" elaborades per l'IFLA són el marc normatiu de les biblioteques per a pacients. La seva existència, però, no garanteix el seu compliment; és per això que trobem realitats ben diverses, des dels hospitals que les reinterpreten i adeqüen a les seves necessitats i mitjans fins als que les ignoren o les desconeixen. En aquesta comunicació farem un recorregut per diverses alternatives o interpretacions als espais hospitalaris dedicats tant a l'oci com a la informació dels pacients en un context internacional. Es conclou que la biblioteca per a pacients és un servei en si mateix i es reivindica com un servei més al qual el malalt té dret.

Surrogate decision making for patients with end-stage dementia.

OBJECTIVE: We aim to explore how health surrogates of patients with dementia proceed in decision making, which considerations are decisive, and whether family surrogates and professional guardians decide differently. METHODS: We conducted an experimental vignette study using think aloud protocol analysis. Thirty-two family surrogates and professional guardians were asked to decide on two hypothetical case vignettes, concerning a feeding tube placement and a cardiac pacemaker implantation in patients with end-stage dementia. They had to verbalize their thoughts while deciding. Verbalizations were audio-recorded, transcribed, and analyzed according to content analysis. By experimentally changing variables in the vignettes, the impact of these variables on the outcome of decision making was calculated. RESULTS: Although only 25% and 31% of the relatives gave their consent to the feeding tube and pacemaker placement, respectively, 56% and 81% of the professional guardians consented to these life-sustaining measures. Relatives decided intuitively, referred to their own preferences, and focused on the patient's age, state of wellbeing, and suffering. Professional guardians showed a deliberative approach, relied on medical and legal authorities, and emphasized patient autonomy. Situational variables such as the patient's current behavior and the views of health care professionals and family members had higher impacts on decisions than the patient's prior statements or life attitudes. CONCLUSIONS: Both the process and outcome of surrogate decision making depend heavily on whether the surrogate is a relative or not. These findings have implications for the physician-surrogate relationship and legal frameworks regarding surrogacy. Copyright © 2011 John Wiley & Sons, Ltd.

Do brief alcohol motivational interventions work like we think they do?

BACKGROUND: Questions remain about how brief motivational interventions (BMIs) for unhealthy alcohol use work, and addressing these questions may be important for improving their efficacy. Therefore, we assessed the effects of various characteristics of BMIs on drinking outcomes across 3 randomized controlled trials (RCTs). METHODS: Audio recordings of 314 BMIs were coded. We used the global rating scales of the Motivational Interviewing Skills Code (MISC) 2.1: counselor's acceptance, empathy, and motivational interviewing (MI) spirit, and patient's self-exploration were rated. MI proficiency was defined as counselor's rating scale scores ≥5. We also used the structure, confrontation, and advice subscale scores of the Therapy Process Rating Scale and the Working Alliance Inventory. We examined these process characteristics in interventions across 1 U.S. RCT of middle-aged medical inpatients with unhealthy alcohol use (n = 124) and 2 Swiss RCTs of young men with binge drinking in a nonclinical setting: Swiss-one (n = 62) and Swiss-two (n = 128). We assessed the associations between these characteristics and drinks/d reported by participants 3 to 6 months after study entry. RESULTS: In all 3 RCTs, mean MISC counselor's rating scales scores were consistent with MI proficiency. In overdispersed Poisson regression models, most BMI characteristics were not significantly associated with drinks/d in follow-up. In the U.S. RCT, confrontation and self-exploration were associated with more drinking. Giving advice was significantly associated with less drinking in the Swiss-one RCT. Contrary to expectations, MI spirit was not consistently associated with drinking across studies. CONCLUSIONS: Across different populations and settings, intervention characteristics viewed as central to efficacious BMIs were neither robust nor consistent predictors of drinking outcome. Although there may be alternative reasons why the level of MI processes was not predictive of outcomes in these studies (limited variability in scores), efforts to understand what makes BMIs efficacious may require attention to factors beyond intervention process characteristics typically examined.

Mourning becomes Electra d'Eugene O'Neill: Èsquil i Plató per a crear un drama fosc?

The fundamental debt of E. O'Neill's Mourning Becomes Electra to Aeschylus, and to a lesser degree to Sophocles and Euripides, has been always recognised but, according to the author's hypothesis, O'Neill might have taken advantage of the Platonic image of the cave in order to magnify his both Greek and American drama. It is certainly a risky hypothesis that stricto sensu cannot be proved, but it is also reader's right to evaluate the plausibility and the possible dramatic benefit derived from such a reading. Besides indicating to what degree some of the essential themes of Platonic philosophy concerning darkness, light or the flight from the prison of the material world are not extraneous to O'Neill's work, the author proves he was aware of the Platonic image of the cave thanks to its capital importance in the work of some of his intellectual mentors such as F. Nietzsche or Oscar Wilde. Nevertheless, the most significant aim of the author's article is to emphasize both the dramatic benefits and the logical reflections derived, as said before, from reading little by little O'Neill's drama bearing in mind the above mentioned Platonic parameter.

Mourning becomes Electra de Eugene O'Neill: ¿Esquilo y la caverna de Platón para crear un drama oscuro?

The fundamental debt of E. O'Neill's Mourning Becomes Electra to Aeschylus, and to a lesser degree to Sophocles and Euripides, has been always recognised but, according to the author's hypothesis, O'Neill might have taken advantage of the Platonic image of the cave in order to magnify his both Greek and American drama. It is certainly a risky hypothesis that stricto sensu cannot be proved, but it is also reader's right to evaluate the plausibility and the possible dramatic benefit derived from such a reading. Besides indicating to what degree some of the essential themes of Platonic philosophy concerning darkness, light or the flight from the prison of the material world are not extraneous to O'Neill's work, the author proves he was aware of the Platonic image of the cave thanks to its capital importance in the work of some of his intellectual mentors such as F. Nietzsche or Oscar Wilde. Nevertheless, the most significant aim of the author's article is to emphasize both the dramatic benefits and the logical reflections derived, as said before, from reading little by little O'Neill's drama bearing in mind the above mentioned Platonic parameter.

Carbon in Humic Fractions of Organic Matter in Soil Treated with Organic Composts under Mango Cultivation

ABSTRACT Soil organic matter (SOM) plays a key role in maintaining the productivity of tropical soils, providing energy and substrate for the biological activity and modifying the physical and chemical characteristics that ensure the maintenance of soil quality and the sustainability of ecosystems. This study assessed the medium-term effect (six years) of the application of five organic composts, produced by combining different agro-industrial residues, on accumulation and chemical characteristics of soil organic matter. Treatments were applied in a long-term experiment of organic management of mango (OMM) initiated in 2005 with a randomized block design with four replications. Two external areas, one with conventional mango cultivation (CMM) and the other a fragment of regenerating Caatinga vegetation (RCF), were used as reference areas. Soil samples were collected in the three management systems from the 0.00-0.05, 0.05-0.10, and 0.10-0.20 m layers, and the total organic carbon content and chemical fractions of organic matter were evaluated by determining the C contents of humin and humic and fulvic acids. Organic compost application significantly increased the contents of total C and C in humic substances in the experimental plots, mainly in the surface layer. However, compost 3 (50 % coconut bagasse, 40 % goat manure, 10 % castor bean residues) significantly increased the level of the non-humic fraction, probably due to the higher contents of recalcitrant material in the initial composition. The highest increases from application of the composts were in the humin, followed by the fulvic fraction. Compost application increased the proportion of higher molecular weight components, indicating higher stability of the organic matter.

Sugestões docentes para melhorar o ensino de surdos

Este artigo trata de uma pesquisa realizada junto a professoras de surdos, numa perspectiva de valorização das percepções docentes sobre temas relacionados ao seu fazer pedagógico, visando a sua melhoria. Teve por objetivo investigar o tipo e o nível de reflexão dessas professoras. Para tanto, foram entrevistadas 13 professoras de duas grandes escolas para surdos que trabalhavam sob a concepção da Comunicação Total. Os dados obtidos foram analisados a partir de quatro eixos temáticos, os quais emergiram dos próprios depoimentos. Evidenciou-se, nos relatos, uma preocupação com as questões pedagógicas, inseridas numa visão de "normalidade" e de "adaptação social". Persiste, portanto, uma concepção clínica de surdez e de pessoa surda.

Estudantes surdos no ensino superior: reflexões sobre a inclusão

O objetivo deste estudo é compreender a vivência universitária de estudantes surdos que frequentaram escolas bilíngues e se identificam com a cultura surda. O ponto de partida foi uma pesquisa de campo com cinco jovens - três moças e dois rapazes, com idades entre 21 e 27 anos - matriculados em cursos de graduação por no mínimo três semestres. O trabalho consistiu em entrevistas individuais semiestruturadas, aplicadas por uma bolsista surda e gravadas em vídeo e, depois, traduzidas para a língua portuguesa e submetidas à análise de conteúdo. Os resultados descrevem o desafio da adaptação dos sujeitos surdos a um universo majoritariamente ouvinte, as dificuldades de transitar entre a língua de sinais e a língua portuguesa, a necessidade de manter referenciais identitários valorizados aos olhos dos ouvintes, além da importância de reorganizar as estratégias de ensino e de avaliar a participação do intérprete de língua de sinais.

Casagrande, Massimo: Gli impiantianti di adduzione idrica romani in Byzacena e in Zeugitana, Studi di Storia Antica e di Archeologia 4, Nuove Grafiche Puddu, Ortacesus, 2008, 351 p.

La obra de Massimo Casagrande es altamente interesante por dos motivos. Por un lado, llena un vacío en los trabajos relativos al norte de África romano y, por otro lado, se integra en una corriente mundial de máxima actualidad: la visión holística y diacrónica de la hidráulica antigua. Esta tendencia en la investigación está siendo protagonizada de modo incuestionable a escala internacional por la profesora Ella Hermon (Université de Laval) y su «Chaire de recherche du Canada en interactions société - environnement natural dans l¿Empire romain». En España es obligatorio mencionar el Seminario Agustín de Horozco (Universidad de Cádiz) y su proyecto «Captación, usos y administración del agua en los municipios de la Bética romana».

Iowa State Capitol Interior Floors Map, 2013

Iowa State Capitol Interior Floors Map with cell phone audio information that can be used with a smartphone audio and video.

Today in the Senate/House 85th Iowa General Assembly, 2013

Today in the Senate/House 85th Iowa General Assembly, Cell Phone Audio Daily Committee Meeting Schedules for the Senate and House of Representatives.

Today in the Senate/House 85th Iowa General Assembly, 2013

Today in the Senate/House 85th Iowa General Assembly, Cell Phone Audio Daily Committee Meeting Schedules for the Senate and House of Representatives.

L'adquisició de competències narratives i audiovisuals mitjançant el llibre il·lustrat, la tira còmica i el cinema d'animació

El propòsit d'aquest estudi té un doble objectiu: d'una banda, des del punt de vista històric, assenyalar la confluència existent, a cavall dels segles XIX i XX, d'un magma comú de pràctiques del dibuix que permeteren l'eclosió de certes arts narratives com el llibre il-lustrat, la tira còmica i el cinema d'animació, materials que cent anys després de la seva gènesi encara no han trobat el seu lloc en l'ensenyament i, de l'altra, des del punt de vista educatiu, aportar instruments de reflexió per a l'adquisició de millors competències narratives i audiovisuals a partir d'aquests materials.

Guia de contingut digital accessible: vídeo

La guia consta d’un conjunt de documents en format pdf i d’una web (http://www.videoaccessible.udl.cat) que es complementen per donar pautes, recomanacions i exemples necessaris per poder mostrar informació en format vídeo digital accessible per a les persones amb diferents discapacitats