248 research outputs found
Intersectional competence in educator preparation
No full textIn this chapter, four teacher educators situated in special education examine the role that intersectional competence plays in their work. In conversation with the notion of intercultural competence–and with the other authors of this volume–we highlight how the Black feminist notion of intersectionality serves to support teaching collaboration across differences. We summarize the literature of those who apply and refer to intersectional competence in educational research since Mildred Boveda first named the intersectional competence construct. We then revisit experiences from our work in university-based teacher education programs in the United States. We conclude the chapter by offering suggestions for how to enact intersectional competence when engaged in intercultural educational exchanges
Use and misuse of instant messaging in clinical data sharing: The EHRA-SMS survey
No full textInstant messaging (IM) enables medical professionals to quickly share clinical data to their peers for counselling. Purpose of this survey is to assess the habits related to IM, their application in clinical practice and the perceived pros and cons. An online survey was distributed to the medical community via newsletters, Twitter, LinkedIn, and Facebook. The survey consisted of 22 questions made on an individual-basis and collected anonymously on SurveyMonkey. A total of 287 subjects from 33 countries responded to the survey (mean age 43 years, 74.8% male). Of all respondents, 88.3% routinely send and 90.3% receive clinical data through IM which was second only to face-To-face contact as the preferred method for sharing clinical data. Twelve-lead electrocardiograms (88.6%), medical history (61.4%), and echo loops (55.7%) were the data shared most often. Nearly half of the clinical data that are sent (43%) or received (44%) are not anonymized. In the same way, 29.3% of the respondents were not aware of the European General Data Protection Regulation (GDPR) at the time of the survey. IM apps are used by medical professionals worldwide to share and discuss clinical data and are preferred to many other methods of data sharing, being second only to face-To-face contact. IM are often used to share many different types of clinical data, being perceived as a fast and easy way of communication. Medical professionals should be aware of the appropriate use of IM to prevent legal and privacy issues
The use of social media for professional purposes by healthcare professionals: the #intEHRAct survey
No full textSocial media (SoMe) represents a medium of communication in everyday life and has gained importance for professional use among clinicians. In the #intEHRAct survey, we aimed to describe the use of SoMe by the healthcare community in a professional setting. The EHRA e-Communication Committee and the Scientific Initiatives Committee prepared a questionnaire and distributed it via newsletters, Twitter, LinkedIn, and Facebook. The survey consisted of 19 questions made on an individual basis and collected anonymously. Two hundred and eighty-five responders from 35 countries (72.3% male, age 49 ± 11 years old) completed the survey. Most respondents (42.7%) declared to use SoMe as passive users while 38.3% and 19.0% declared to share content on a non-daily and daily basis, respectively. The respondents estimated they spent a median of 5 (Q1-Q3: 2-10) h per week on SoMe. The most widely used SoMe was LinkedIn (60.8%), but the use of each platform was heterogeneous between countries. Among the advantages of SoMe, respondents indicated the chance of being updated on recent publications (66.0%), networking (48.5%), and the availability of rare or interesting cases (47.9%) as the most useful. Regarding the disadvantages of SoMe, the respondents underlined the loss of personal contact (40.7%), the inability to get 'hands-on' training (38.7%), and the lack of control regarding quality of scientific evidence (37.1%). Social media is increasingly used for professional purposes for scientific updating, networking, and case-based learning. The results of this survey encourage scientific societies, journals, and authors to enhance the quality, reach and impact of scientific content provided through SoMe
Peri-procedural management, implantation feasibility, and short-term outcomes in patients undergoing implantation of leadless pacemakers: European Snapshot Survey
No full textThe aim of this European Heart Rhythm Association (EHRA) prospective snapshot survey is to assess procedural settings, safety measures, and short-term outcomes associated with implantation of leadless pacemakers (LLPM), across a broad range of tertiary European electrophysiology centres. An internet-based electronic questionnaire (30 questions) concerning implantation settings, peri-procedural routines, complications, and in-hospital patient outcomes was circulated to centres routinely implanting both LLPMs and transvenous pacemakers (TV-PM). The centres were requested to prospectively include consecutive patients implanted with either LLPMs or TV-PMs during the 10-week enrolment period. Overall, 21 centres from four countries enrolled 825 consecutive patients between November 2018 and January 2019, including 69 (9%) implanted with LLPMs. Leadless pacemakers were implanted mainly under local anaesthesia (69%), by an electrophysiologist (60%), in the electrophysiology laboratory (71%); 95% of patients received prophylactic antibiotics prior to implantation. Most patients on chronic oral anticoagulation were operated on-drug (35%), or during short-term (to 48 h) drug withdrawal (54%). Implantation was successful in 98% of patients and the only in-hospital procedure-related complication was groyne haematoma in one patient. This EHRA snapshot survey provides important insights into LLPM implantation routines and patient outcomes. These findings suggest that despite the unfavourable clinical profile of pacemaker recipients, LLPM implantation is associated with relatively low risk of complications and good short-term outcomes
Polymorphic Wide QRS Complex Tachycardia: Differential Diagnosis
No full textPolymorphic wide QRS complex tachycardia is defined as a tachyarrhythmia showing variable and frequently alternating morphologies of the QRS complex with irregular R-R intervals. It may present with a specific and reproducible pattern including torsade de pointes and bidirectional ventricular tachycardia or with a nonspecific and very irregular pattern, different from ventricular fibrillation. Polymorphic ventricular tachycardia is a challenging diagnosis and is associated with a high risk for sudden cardiac death. Although rare, preexcited atrial fibrillation over multiple accessory pathways can also generate a polymorphic wide QRS complex tachycardia mimicking polymorphic ventricular tachycardia
Cardiac pacing and lead devices management: 25 years of research at EP Europace journal
No full textAims: Cardiac pacing represents a key element in the field of electrophysiology and the treatment of conduction diseases. Since the first issue published in 1999, EP Europace has significantly contributed to the development and dissemination of the research in this area. Methods: In the last 25 years, there has been a continuous improvement of technologies and a great expansion of clinical indications making the field of cardiac pacing a fertile ground for research still today. Pacemaker technology has rapidly evolved, from the first external devices with limited longevity, passing through conventional transvenous pacemakers to leadless devices. Constant innovations in pacemaker size, longevity, pacing mode, algorithms, and remote monitoring highlight that the fascinating and exciting journey of cardiac pacing is not over yet. Conclusion: The aim of the present review is to provide the current 'state of the art' on cardiac pacing highlighting the most important contributions from the Journal in the field
Persistent atrial fibrillation from the onset: a specific subgroup of patients with biatrial substrate involvement and poorer clinical outcome
No full textAbstract not availableHan S. Lim, Arnaud Denis, Melissa E. Middeldorp, Dennis H. Lau, Rajiv Mahajan, Nicolas Derval, Jean-Paul Albenque, Serge Boveda, Stephan Zellerhoff, Seigo Yamashita, Benjamin Berte, Saagar Mahida, Yuki Komatsu, Matthew Daly, Laurence Jesel, Carole Pomier, Valentin Meillet, MSC, Remi Dubois, Sana Amraoui, Ashok Shah, Frédéric Sacher, Hubert Cochet, Mélèze Hocini, Pierre Jaïs, Prashanthan Sanders, Michel Haïssaguerr
boveda pintada
No full textLa información de esta miniguía se basa en los trabajos de Ramón Carrasco, H.E.D. Pollock y Reneé Lorelei ZapataA diferencia del lugar donde se asentaron la mayoría de los antiguos habitantes de la llamada área Chenes (en las colinas naturales de la región), los de Dzibilnocac eligieron una amplia planicie en la que se construyó la antigua ciudad. Dzibilnocac presenta un patrón de asentamiento urbanístico caracterizado por un conjunto de patios y plazas intercomunicados. En la parte central de los Chenes se ubica la mayor parte de la arquitectura más voluminosa, con mejor calidad de construcción y conforme se va alejando hacia la periferia, como si se tratara de círculos concéntricos, la volumetría y la calidad de la arquitectura va decreciendo hasta llegar a las zonas rurales.</p
Relationship between public and private self-focused attention and auditory verbal hallucinations as an interpersonal process
No full textPerona-Garcelan, S; Ubeda-Gomez, J; Leon-Palacios, MG; Escudero-Perez, S; Barros-Albarran, MD; Lopez-Jimenez, AM; Vallina-Fernandez, O; Jimenez-Garcia-Boveda, R; Diez-Alegria, C; Rodriguez-Testal, JF; Ruiz-Veguilla, M; Garcia-Montes, JM; Perez-Alvarez, M
Generación de células madre neurales a partir de iPSCs derivadas de pacientes con enfermedad de Alzheimer
No full textMemoria de Trabajo fin de Máster presentada por Leire Boveda Altube, para obtener el Máster en Genética y Biología Celular por la Universidad Autónoma de Madrid (UAM), realizada bajo la dirección de la Dra. Eva Díaz Guerra y el Dr. Carlos Vicario Abejón.-- 35 páginas.Neural stem cells (NSCs) have opened a new way to investigate neurodegenerative diseases such as Alzheimer´s Disease (AD). However, little is known about their biology and, even less, about the impact that sporadic and familial AD could have on them. For this reason, in this Master Thesis we aimed to establish the optimum conditions for the maintenance of NSCs generated from human induced pluripotent stem cells (iPSCs). In addition, we have studied in NSCs the impact of the ε4 allele of the APOE gene, which is the main risk factor for sporadic AD. We have also analysed the effect of the G206D mutation in the Presenilin 1 gene, which causes familial AD, on the biology of NSCs. In proliferation, multipotency and gene expression analysis we observed that the protocol for generating human NSCs from iPSCs grown on mouse embryonic fibroblasts (MEFs), promote the differentiation of iPSCs grown without MEFs into astrocyte progenitors. This could be due to the presence of CNTF in the culture medium. Furthermore, we have noted differences in proliferation and gene expression levels of NSCs between distinct AD genotypes compared to the healthy control, being these differences greater in cells from the sporadic AD patient, who carries the ε4 allele in homozygosis.Las células madre neurales (NSCs) han abierto una nueva vía para la investigación de enfermedades neurodegenerativas como la Enfermedad de Alzheimer (EA). Sin embargo, se conoce poco acerca de su biología e, incluso menos, del impacto que puede tener la EA tanto esporádica como familiar en ellas. Por ello, en este TFM se ha tratado de establecer las condiciones óptimas para el mantenimiento de NSCs generadas a partir de células madre pluripotentes inducidas humanas (iPSCs). Además, se ha estudiado el impacto del alelo ε4 del gen APOE, principal factor de riesgo de EA esporádico (SAD), y de la mutación G206D en el gen Presenilina 1, desencadenante de EA familiar, sobre la biología de las NSCs. En ensayos de proliferación, multipotencia y de expresión génica, se ha encontrado que el protocolo de generación de NSCs humanas establecido en iPSCs crecidas sobre fibroblastos embrionarios de ratón (MEFs), promueve la diferenciación de iPSCs crecidas sin MEFs hacia progenitores de astrocitos. Este hecho podría deberse a la presencia del factor neurotrófico CNTF en el cultivo. Además, se han observado diferencias en la proliferación y expresión génica de las NSCs entre los distintos genotipos de EA respecto a un sujeto sano, siendo estas diferencias mayores en las células del paciente SAD, portador del alelo ε4 en homocigosis
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