9 research outputs found
Characteristics of Children and Young Adults with Marfan syndrome and aortic root dilatation in a randomized trial comparing atenolol and losartan therapy
Characteristics of Children and Young Adults with Marfan syndrome and aortic root dilatation in a randomized trial comparing atenolol and losartan therap
Rationale and design of a randomized clinical trial of beta blocker therapy (atenolol) vs. angiotensin II receptor blocker therapy (losartan) in individuals with Marfan syndrome
Classical supravalvar aortic stenosis and peripheral pulmonary stenosis
Supravalvar aortic stenosis as well as peripheral pulmonary stenosis are rare forms of congenital
heart disease, which occur, however, relatively frequently in association. This article reports and
discusses the classical findings of SVAS and PPS upon clinical examination and imaging in a sixyear-old
girl that presented with repeated respiratory tract infections and failure to thrive.peer-reviewe
Cardiovascular malformations: Changes in prevalence and birth status, 1972-1990
Through an ongoing hospital-based active malformation surveillance program, we identified cardiovascular malformations (CVMs) in 3.3 per 1,000 liveborn and stillborn infants, and fetuses from pregnancies terminated electively during a 15-year period. We excluded the children of mothers who had planned delivery elsewhere, but were transferred for care of anomalies that had been detected in prenatal screening, Birth status changed markedly during the study with a significant increase in elective terminations of fetuses with a CVM from 0 to 22% (P < 0.01 based on a test for trend). The proportion of liveborn infants with CVMs decreased from 90% to 73% (P < 0.01); the frequency of stillbirths did not change, During the study period, there was a significant increase in the prevalence of CVMs in all births (P < 0.01) and elective terminations (P < 0.01), The increase in liveborn prevalence was not statistically significant (P = 0.08), Stillborn prevalence was unchanged. The number of mothers having prenatal ultrasonography (P < 0.01 for trend) and amniocentesis (P < 0.01 for trend) increased steadily. There were significant increases in the pro-portion of mothers having any ultrasound examination (P < 0.01 for trend), the number of initial ultrasound examinations occurring in the second trimester (P < 0.01 for trend), and the proportion of mothers having amniocentesis (P < 0.01 for trend), There was a significant increasing trend in the proportion of mothers who were 35 years and older (10% in 1972-1974, 26% in 1988-1990, P < 0.01), This hospital-based active surveillance program suggests that more frequent elective terminations had a significant effect on overall birth prevalence of CVMs, This trend would not have been detected by most other surveillance systems which determine prevalence of common birth defects from birth certificates and other forms of administrative reporting, and exclude elective terminations of pregnanc
A aderência à medicação em pacientes portadores de transtorno mental em uma unidade básica de saúde.
Trabalho de Conclusão de Curso - Universidade Federal de Santa Catarina. Curso de Medicina. Departamento de Saúde Pública
Atenolol versus losartan in children and young adults with Marfan's syndrome
BACKGROUND : Aortic-root dissection is the leading cause of death in Marfan's syndrome. Studies suggest that with regard to slowing aortic-root enlargement, losartan may be more effective than beta-blockers, the current standard therapy in most centers.
METHODS : We conducted a randomized trial comparing losartan with atenolol in children and young adults with Marfan's syndrome. The primary outcome was the rate of aortic-root enlargement, expressed as the change in the maximum aortic-root-diameter z score indexed to body-surface area (hereafter, aortic-root z score) over a 3-year period. Secondary outcomes included the rate of change in the absolute diameter of the aortic root; the rate of change in aortic regurgitation; the time to aortic dissection, aortic-root surgery, or death; somatic growth; and the incidence of adverse events.
RESULTS : From January 2007 through February 2011, a total of 21 clinical centers enrolled 608 participants, 6 months to 25 years of age (mean [+/- SD] age, 11.5 +/- 6.5 years in the atenolol group and 11.0 +/- 6.2 years in the losartan group), who had an aorticroot z score greater than 3.0. The baseline-adjusted rate of change (+/- SE) in the aortic-root z score did not differ significantly between the atenolol group and the losartan group (-0.139 +/- 0.013 and -0.107 +/- 0.013 standard-deviation units per year, respectively; P = 0.08). Both slopes were significantly less than zero, indicating a decrease in the degree of aortic-root dilatation relative to body-surface area with either treatment. The 3-year rates of aortic-root surgery, aortic dissection, death, and a composite of these events did not differ significantly between the two treatment groups.
CONCLUSIONS : Among children and young adults with Marfan's syndrome who were randomly assigned to losartan or atenolol, we found no significant difference in the rate of aorticroot dilatation between the two treatment groups over a 3-year period
0000
iatlij fain Attn •JttttM
\
TWENTY-THIRD YEAR.
EIGHT PAGES.
PALO ALTO, CAL.. WEDNESDAY. MAY 3.35 DURING HOTPOINT WEEK
MAY 3-8
No specie! dishes required. T"se ordinary utensils tgrantte ware
Included) on top; Ior broiling, etc., an extra deep underdlab is
provided As economic*!, convenient rooking device st a remarkably low price. Remember, S3.3~> for one week only. Get yours
today.
PALO ALTO HARDWARE CO.
»SA*4
**«
»**s300
for a lot 60x1 50 in
Palo Alto
Six blocks from
Station
THE UNIVERSITY
REALTY CO.
Palo Alto—Han Fraadeeo.
Fertilizers
In*- ip Mi -. Tree Sprays. I"t. .
CoviiU-real lime
i ..I'l Powder
1 nl m.i.. *s t.-ln*.
Tohecco i .-*.if "40"
Arsvc-natr I-end
Nitrate of Soda
I'..-i.i- 1 ii.nr
I-awn l.nlurt
Cottonseed Meal
llorde-aax Ml store
In-1..*.tie I tnu 1-|nn
Mn.e-Sulplnir Solution
rovtilt-ra-sl Sulphur
Atomic Sulphur
W. 0. Horabin
*-**" Hamilton Avenue.
"■IH IN I. P. A. oo.
"Do It Now PAINT"
PALO ALTO PAINT Co.
Contracting Painters and Paper Hangers
We carry ready mixed paints or mixed to order.
Oils. Varnishes, disss and Wall Paper
Silveroid Roofing
Phone 460 L |223 University Ave.
Felt Soles
The new materials
for soles.
We are showing some specially nice styles
in women's pumps
and low shoes with
the new feature.
3^v*3^C5~
Vacation Duds!
OlTIS.i .-I/1THSSI- "SHORT
SIIIRTS. K.I Ah IK. KTI'.
INIIKSTRITTO THI XKK — SILK
A.iKXTS.
WIIMKVK SILK (-OATH from Sll.
The Regent
PHONE 3 HtEK 1-EIalVKlttKS.
Home or Hart, thttatber Jt Mars
Clothes, "Klirtirst" guaranties-. I
Hose evi',-iiiafeil •( >i«r slurs-
TAXI?
• l-iio.NK 0
15
AMiRt'S taai M-niin:
ttp|-*.«(.e Depot.
Autos For Hire
seven and Five I'saset
-louring Can aad Tails
25c
BARGAIN
One-acre home; sli-room buaga*
low, adjoining city limits; forty (nil
hearing fruit trees. l'rtre 13,1100;
eaay terms.
Have a client with from 1,000 to
13,000 to loan on Orat-class mort*
Rages.
J. J. Morris
100 Initrrsiij Ave., p.],. Alto
Take tho Hatter} Boc-tof- Advice
t's i-lii'iijH-i to let the doctor keep
your storage battery In good health,
than to let It die of neglect and have
tn buy a new one or pay a big repair
bill WllUrd Battery Expect, al
■i"-1-' >t.ir&
Phone 978K. 801 High St.
Fl RST
National
Bank
The l-odge. established three
years sgo by E. II. Mitchell '12. haa
been granted a charter hy Phi Kap-
|ia Sigma and will henceforth be
ranked among the other nineteen
fralernlilea on the campus It ts
planned to have the Installation take
place Immedlately preceding com.
mencement.
Ram'a Head Society announces
the election to membership of M. P,
Oelela H. W P. Bacon gr' J. W.
Bennett 1... W. B. Curtis 16. B.
m. Levy l« aad P. O Solon If..
SUP'TTEMPLETON LIST CHIPPIE
IS RE-ELECTED OUT TODAY
For Ninth Time Receives Sump, Palo Alto Students Are Among
of Approval of Hii Professional ! Contributors to Big Issue of
Work Stanford Comic
Welt Qualified as Man. as Judge | Miss Margery Baily and James
of Teschera. as Disciplinarian ' M. Wallace Authors of
and Athletic Adviser Clever Cartoons
The board of education reorganised last night by re-electing Walter
Hays president and J. A. Tall aecre-
tirv j. c. Templeton was re-elect'
ed superintendent of srhools for tbe
year 191.1-1 a*.
This is tbe ninth consecutive elec-
Hon of *t,lr. Templeton ns hesd of the
Palo Alto schools and will mwet with
ihe approval of a large majority of
the people of the dlslrlrl. The au-
Iterlnteniieucv of i,...,'■ in a college
town l» never n sinecure, tt is be-
-et with dirtieiilties that mtul be met
with the nimoi-t tart and Rood Judgment. Mr. Templeton'a continued
• ii.ti-M In this poaltlon Is an Indication ot his blah quail (test ion fur the
place.
There has been a widespread feeling of dissatisfaction wllh tbe re-
aulta achieved by public schools
J. C. Templeton
throughout the i-oimlri. New demands are being made a-onnlnntl.--
DpOfl the schools. Vocational training. 1 nn,min lul training, thr sciences, the modern languages, me-
j-hanical and free-hand drawing, economics, music, kindergarten work,
physical culture, all Ihese and other
subjects are demanded, nnd si the
same lime more Intensive study of
eadlnc. writing snd arlthmcllr 1-
Inslsted upon by critics of Ihe
schools.
Mr. Tcmpleton's efforts t«i meet
the Incresslng demands of parents
have been successful to a degree
that Is commented upon by other superintendents In the slate and hy visiting teachers. It may fstrly be
aald that a better system of school*
cannot be found In California tbar
Pslo Alto schools taken ss a
whole.
Su|ierlntenclcnt Ite-i-ia-lble
The board of education hss pur
sued tor years Ihe wise i-ollry of
electing the teachers who nre recommended hy the sti|ierlnteinlent. Thi*
makes him responsible for Ihe careful Investigation Of Ihelr professional qualification*, and eventually responsible for the work done In the
-arlous departments. Mr. Temple-
ton's recommendations have usually
been Justified by the result*.
This aystem of giving Ihe appointive power lo the superintendent, the
board retaining the veto (tower, has
been adopted to advantage In the
leading school systems of the eoiin-
tr> nnd has worked to the !*est ad-
vantage. Nothing I* more deatru -
live or Rood order or onthiMinsin for
educational progress than a division
of authority and a consequent lack
or loyalty of the leaching corps to
the head of the system.
No Reform School Method**.
Mr. Templeton Is regarded as an
„Jclenl disciplinarian, his polLrr
running In the direction of prevenl-
The last number of the Chaparral.
Stanford's comic patter. Just oft* The
; Times' press, made He n|fp*-aranee
[-today at the university and the Palo
Alto bookstores
It Is a large Issue with a four-
color 1 u vet and contains many
prose, verse and art contributions.
The frontispiece is the picture of a
pretty coed In a cap nud gown, entitled "A Ciredtiale hy Request."
wllh a trlolel verse It |s from the
bruab of Miss llniel Clark '15, who
Is also the author of two nth
contributions.
Miss Margery Bailey of Pslo Alto
contribute* s full-page cartoon with
one of her Inimitable verses. J. M.
Wallace '17, also of Pslo Alto, con
tributes severs) cartoons of an unusual nature. "Observations ot a
Misogynist" Is the title of a scries
of quips at the eipciiae of the fair
sex.
A critique of the Kngllsh Club
play "Sherwood" by .1. C Crome
deals with ibe Alfred Noyes' dmnia
In » keenly searching manner. The
last page of Ihe hook Is devoted tn
a picture .of tbe present editor giving over his sledge tn 11. M l-n '16.
Ihe new Chappie This Is an annual
custom of the mngnrlne
ee seeaaeeeeeseessae.......
Ing trouble rather than curing tt after It happens. Visits lo Ihe schools
rev en I n disposition on ibe part of
high school students nnd the younn-
er children to devoir themselves to
business volunlnrlly without reform-
ss'hool methods or repressive measures.
\VI*4* \ I hla** la (amtnl
The athletic vlrlorles of the blgb
school have been marked by parent
nnd ti'i.-i-t.i as nn in.li .' nm of 1
u hcilc-Mittie ntlltiide existing between
nhideins and teachers. Student
lire required lit he iu*nllc|enl In their
i-Millies before Ihey can he ni'icplecl
ns members of any organization rep
resenting Palo Alio High School.
Sti|ier|ntendenl Templeton |s one
of Ihe founders of the California In
lerscholssllc Federation, thai regit
tales sports for high schools through'
out the slate. Palo Alio lielong* to
ihe North Coast section of the C. I
P- and of tbls section Mr. Templeton In president. The first state
field inaset nt Kn-siio recently lltiii
irnleci the orderly workings of Ihe
federation nnd proves tluit the ortgl
nalor of the federation iierformed a
service lo Ihe whole alate. B1
nally high school athletic* will probably require special suiiervlslun by
tbe state board of education,
the meanwhile Ihe C. I F. Is Ihe
nest best way lo hsndle Ihe sllus-
tlon. In a proper educational spirit
Al Ihe stale learhern association.
Superintendent Templeton takes
rank wltb the I,est men of Ibe state.
(Continued on Page Right.)
HEALTH REPORT
IS ISSUED
Officer H. F. Gray Submits Statement telling Conditions in
Palo Alto
Special Attention Is Called to
Unusually High Grade of
Milk in Local Dairies
The re (tort of Health Officer Orav
for April, submitted to the board of
public safety at lu regular monthly
meetlag. shows Ihe health conditions
In Palo Alto to be excellent. There
were thirty-three cases of communicable diseases during the month, of
which Iwentv-elnht were whooping
cough; Ihe one ense of malaria was
contracted In Panama.
There were eight births during*
the month, four boys snd four girls.
Two deaths were recorded, both
male .iiged -sit nnd ft? years.
During Ihe month seventeen diagnostic tests were made and tlilrtr-
slx sample- •*! milk and cream were
tested Thirteen nuisance* wee*
abated and sis cases are pending.
The health officer mad four sanitary.
Ave dairy and ten food Inspections,
and twenty-eight for communlcabl*
diseases; the sanitary - Inspector
mitde I.t41 Unitary, eight dairy and
two food itr-|.i- tsi.ti-
All meal markets and bakeries
were recorded, and In every rasa
there wan a marked Improvement.
The report anyn: "In practically all
cases the hreadsluffs and meals are
handled In a rredltably cleanly man
ner, the principal difficulty confronting the local dealers being the lack
of specially constructed sanitary
buildings.
The milk supply continues up Ua
standard In case of one dairy supplying ""Inspected/' milk the acor*
w*s ■•-. per cent, and with Improvements now being made . this acort*
will he advsnre-d
During the month lir. 11. W. Chap-
pel gsvn two lectures snd demonstrations tn teachers of the public
schools on the ekrly diagnosis of
communicable disease* of children.
"Thus assisting the teachers Io ree-
ognlse cases nt the earliest possible
moment, (he teachers can be of the
greatest naslstance tn the health des-
pnrlment without In any way adding
lo Ihe burden of Ihelr work," says
Ihe report
The police department reported
hut one arrest during tbe month, a
violation of a city ordinance, tbe arrested person being given a slxty-
dsy sentence In the county Jail.
J. S. Elliott, practical dry cleaner,
108 Circle, solicits your patronage.
See my adjl on page V I'hone 467K.
Jt-rt-Jt**—Advl.
Miss Harker's School
Tales-hnneJJO
B-*nHisf anal Das ~*h-*>l for G:fh*~|SSj
Atttri.tr l |a mlleff
Mi.si , lli.fi.-i'.. Science, An* aad Crafts
lnleinvr-1-atr anal Primary f.tttn
Mnnlnaorl Opjim.rtit
-i--!ifi| lacro bc|ini Jan. A, 1915
MARQUEE
THEATER
Ileal Ventilation
House ol Salety. Sumptuously Furnished
Heac Our 10,000 'Fotoplayer*
Tuesday and Wednesday
WILLIAM FARNUM
"Samson"
<Nol a Biblical play.)
Tbls |n Die IIva*.reel production UuU the critics maid w>* * "*».ii»*»Ii*
Ing" good pn tun-—the term tits toumctly.
"PATHES WEEKLY"
. li*n-*.i'i\ M (Ml CHILDREN' 10 (TVW
FIRST SHOW 7:15- SECOND 8*45-
t»l It MIHIC AI/tlNK IS WORTH MANY TIM*-* THE PRICE t»P
ADMlKriHlN'.
In
"IF WE MUST DIE"
said Spsrtacus. addressing the Roman gladiator, "let us die together."
Spartacun should bare reflected that
THERE IS NO IF ABOUT DYING
Tbe only certain thing In an uncertain life la the ultimate csll
for tbe undertaker. The '.rim Reaper t* alwsys on the Job.
Your turn may come next. Think it over, and If your conclude
" that this I* true, ask UK aboot the excellent i-ollcle* offered by the
San Francisco Life Insurance Company
WILLIAM S. MILLER. Agent. I'hone IM. P. <». Bos Mo. I'alo Alio
Santa Fe Lumber Co.
Mayiield. Cal.
I'hone J68
Design of a didactic sequence of Spanish language in the framework of the principles of Universal Design for Learning
En la actualidad la educación requiere de constantes innovaciones para responder a la diversidad en el aula, donde todos los niños, las niñas y los jóvenes tengan igualdad de oportunidades de participación. Es por ello, que nace la presente investigación que tiene como objetivo general, el diseño de una secuencia didáctica para el grado cuarto en el marco de los principios del Diseño Universal para el Aprendizaje, que fortalezca el acceso y la participación de todos los estudiantes con o sin discapacidad. El Diseño Universal para el aprendizaje (DUA) es un camino pedagógico que responde a prácticas diversificadas, basadas en los diferentes estilos de aprendizaje, la realidad que viven los estudiantes, el contexto, las necesidades y los intereses. La metodología para esta investigación se enmarca en el diseño de participación acción con un enfoque cualitativo, la muestra fue de once estudiantes y cuatro maestras del grado cuarto de una institución privada en Floridablanca. Las fases de la investigación fueron cuatro. La primera, la fase de planeación, que contempló el diseño de una entrevista semiestructurada dirigida a las maestras y un taller para caracterizar las necesidades e intereses de los estudiantes. La segunda, la fase de acción, permitió la ejecución de la entrevista y el taller. La fase tercera, observación, tuvo en cuenta el análisis y la triangulación de los resultados, los cuales sugieren responder a prácticas diversificadas. La cuarta fase, de reflexión, tuvo como fin el diseño de la secuencia didáctica en el marco del Diseño Universal para el Aprendizaje en el área de lengua castellana y la validación de expertos de la secuencia didáctica, la cual sirve como modelo para planear en el marco del DUA. Por último, una de las conclusiones de la investigación es que el Diseño Universal para el Aprendizaje, brinda múltiples experiencias a través de varias vías de acceso, para que todos los estudiantes desde su propio estilo individual alcancen el máximo potencial del conocimiento.Resumen 9
Introducción 11
Capítulo I: Planteamiento del problema 14
Descripción del Problema de investigación 14
Pregunta de investigación. 17
Objetivos de la investigación 17
Objetivo General 17
Objetivos específicos 17
Supuestos cualitativos 18
Justificación de la investigación 18
Capítulo II. Marco de referencia 22
Antecedentes 22
Antecedentes regionales 22
Antecedentes nacionales 26
Antecedentes Internacionales 29
Marco conceptual 33
Diseño Universal de aprendizaje (DUA) 33
Currículo Flexible 36
La inclusión como proceso 38
Reconocimiento de la diversidad 40
Secuencia didáctica universal 41
Estudiante con discapacidad desde el modelo social 43
Barreras, tipos de barreras y ajustes razonables 45
Proyecto Individual de Ajustes Razonables (PIAR) 47
Marco legal 48
Capítulo III. Metodología 51
Método y tipo de investigación 51
Fases de investigación 52
Población y muestra 54
Aplicación de técnicas e Instrumentos de recolección de datos. 56
Validación de los instrumentos 60
Aspectos éticos 61
Capítulo IV. Resultados y análisis 62
Resultados de la entrevista semiestructurada 62
Resultados del diario de campo realizado en el taller 69
Análisis de los resultados 71
Resultado de la validación de la secuencia didáctica 79
Diseño de secuencia didáctica 80
Capítulo V. Conclusiones y recomendaciones 101
Conclusiones 101
Recomendaciones 104
Referencias 106MaestríaNowadays, education requires constant innovations to respond to diversity in the classroom, where all children and young people have equal opportunities for participation. For this reason, the present research was born with the general objective of designing a didactic sequence for the fourth grade within the framework of the principles of Universal Design for Learning, which strengthens access and participation of all students with or without disabilities. The Universal Design for Learning (UDL) is a pedagogical path that responds to diversified practices, based on the different learning styles, the reality that students live, the context, needs and interests. The methodology for this research is framed in the design of action participation with a qualitative approach, the sample consisted of eleven students and four teachers of the fourth grade of a private institution in Floridablanca. There were four phases of the research. The first, the planning phase, involved the design of a semi-structured interview with the teachers and a workshop to characterize the needs and interests of the students. The second, the action phase, allowed for the execution of the interview and the workshop. The third phase, observation, took into account the analysis and triangulation of the results, which suggested responding to diversified practices. The fourth phase, reflection, was aimed at the design of the didactic sequence in the framework of the Universal Design for Learning in the area of Spanish language and the validation by experts of the didactic sequence, which serves as a model for planning in the framework of the UDL. Finally, one of the conclusions of the research is that the Universal Design for Learning provides multiple experiences through various access routes, so that all students, from their own individual style, reach the maximum potential of knowledge.Modalidad Presencia
