7 research outputs found
Innovation in thinking and educational practice. A dialogue with Alain Goussot on Special Educational Needs = Innovazione del pensiero e della pratica educativa. Un dialogo con Alain Goussot sui Bisogni Educativi Speciali
No full textWithin the prolific scientific production of Alain Goussot, an intellectual with a fine erudition and a passionate scientific vocation, the subject of special educational needs has assumed prominence. Through the critical examination of the construct that the author proposes, at times even radical, the contribution focuses its reflection on some of the key nodes of the special educational discourse.
The concept of BES, articulated in its analytical meanings, shows the contradictions of the pathologising dynamics inherent in some approaches to difficulties and resistance in learning processes. In this respect, teachers' professionalism and didactic action represent the 'antidotes' for the development of authentic processes of emancipation, respectful of human diversity. The multiple elements that emerge from the survey contribute to the continuous qualification of the Italian model of school inclusion
Le NT-proBNP, un marqueur associé à la survenue de néphropathie induite par les produits de contraste à la phase aiguë de l infarctus du myocarde
No full textINTRODUCTION : La néphropathie induite par les produits de contraste (NPC) après angioplastie pour un infarctus du myocarde avec élévation du segment ST (IDM ST+) est fréquente et associée à une augmentation du risque de décès et à une altération de la fonction rénale à long terme. Il parait donc nécessaire d améliorer l identification des facteurs de risques de NPC.BUT : Evaluer l association entre le NT-proBNP, un biomarqueur de dysfonction ventriculaire et d insuffisance rénale, et la survenue de NPC.METHODE : A partir de l obseRvatoire régional des Infarctus de Côte d Or (RICO), tous les patients consécutifs bénéficiant d une angioplastie pour IDM ST+ 26.5 mol/L ou > 50% dans les 48h après l angioplastie par rapport à la valeur de base. Le NT-Pro BNP a été mesuré à l admission.RESULTATS : Parmi les 1243 patients inclus, la NPC est survenue chez 130 patients (10,4%). Les patients qui ont développé une NPC avaient un taux de NT-proBNP 5 fois plus élevé que les patients n ayant pas présenté de NPC (1275(435-4022) vs 247(79-986) pg/mL, p<0.001). La mortalité hospitalière était significativement plus élevée chez les patients présentant une NPC (6.9% vs 1.1%, p<0.001). En analyse univariée, la survenue d une NPC était associée au taux de NT-proBNP, au tabagisme, diabète, aux antécédents d AVC, à l hypertension artérielle, à l'âge, à l altération du débit de filtration glomérulaire de base, à l anémie, à la fréquence cardiaque d admission et à l altération de la FEVG. En analyse multivariée, les niveaux de NT-proBNP restaient associés à la survenue de la NPC, même après ajustement sur les facteurs de risque, les traitements, les données cliniques et biologiques (OR (IC à 95%) : 1.91 (1.40-2.60) p<0.001).CONCLUSION : Dans cette étude prospective avec un effectif important, notre travail suggère que les taux de NT-proBNP à l'admission pourraient aider à identifier les patients à risque de NPC en plus des facteurs de risque traditionnels.DIJON-BU Médecine Pharmacie (212312103) / SudocSudocFranceF
“Il Tempo e la Storia”. Un libro, un luogo e un film per la Pedagogia Speciale
No full textStarting from some suggestions of the television program Il Tempo e la Storia, broadcasted by RAI, the author identifies a book, a place and a movie as emblematic elements characterizing the Special Pedagogy. In continuity with previous personal and other scholars’ (Gatto, Canevaro, Trisciuzzi, Crispiani, De Anna, Goussot, d'Alonzo, Pavone, Mura, Galanti, Zappaterra and others’) papers, the author in this article tries to highlight some typical historical events of the education of disabled people, who seldom are included in the History of Education and Pedagogy. In particular, also here emerges what seems to be a peculiarity of Special Pedagogy, that is, bringing out issues related to the education of all (starting from the most vulnerable ones) but often not immediately visible to all (and among these, even those should be insiders)
History of Material for Disabled and Teacher Training on the use of Technologies in a Periodical for Teachers (1985)
No full textIn the Italian school, an explicit recognition of the importance of technology and media for education first appeared in the 1985 “Primary School Educational Programs”. As can be seen from the reading of many contributions published in the 1980s in the didactic and pedagogical periodical entitled "L'Educatore", this attention to technology and the electronic media was prompted by the spread of computers, by their entry into schools, by the heated debate that arose in those years on the effects of computers on children, and on new educational challenges. Mentioning computers and information technology, the 1985 Programs documented, in fact, the profound transformations that took place in the 30 years that separated them from the previous Programs of the 1955, and the challenges of complexity that have been posed to the school in the second half of the twentieth century.
Within the most recent theoretical framework of Italian pedagogical historiography, which has begun to study pedagogical tools and teaching materials as historical sources, this contribution will analyze an article published in 1985 in the periodical for teachers “L’Educatore”, that reconstructs the history of pedagogical materials ‒ from historical ones to new technologies ‒ and discusses their implications for teaching. The article has revealed very clearly a lack of knowledge of the teaching materials and a teachers training reshaped, from generation to generation, on generic moral attitudes. As a result, the attitude of teachers towards the technologies was affected by a naive approach, oscillating between deep mistrust and infatuation or miraculous expectation. To renew teacher training, starting from special education teachers, the article proposed a thorough knowledge of all pedagogical materials, both historical and new technologies.
References
Bocci F., Una mirabile avventura: storia dell’educazione dei disabili da Jean Itard a Giovanni Bollea, Firenze, Le Lettere, 2011.
Caldin R., Sulla «storia emancipativa» dei giovani ciechi in Italia, in Sani R., Ascenzi A., a cura di, Inclusione e promozione sociale nel sistema formativo italiano dall’Unità ad oggi, Milano, FrancoAngeli, 2020, pp. 269-287.
Canevaro A., Gaudreau J., L’educazione degli handicappati: dai primi tentativi alla pedagogia moderna, Roma, La Nuova Italia Scientifica, 1988.
Canevaro A., Goussot A. (Eds.), La difficile storia degli handicappati. Roma, Carocci, 2000.
Canevaro A., I materiali, in rubrica Pratica educativa: Per il sostegno, «L’Educatore. Periodico di pedagogia, didattica e problemi professionali per la scuola dell’obbligo», Milano, Fabbri editori, anno XXXII, n. 19, 1° aprile 1985, pp. 16-20.
Chiosso G., La stampa pedagogica e scolastica in Italia tra Otto e Novecento, «Revista História da Educação», 2019, vol. 23, pp. 1-51. http://dx.doi.org/10.1590/2236-3459/84270
D.P.R. 12 febbraio 1985, n. 104. Programmi didattici per la scuola primaria. (G.U.R.I. n. 76 del 29 marzo 1985). https://www.gazzettaufficiale.it/eli/id/1985/03/29/085U0104/sg
De Giorgi, F., Grandi, W., Trabalzini, P. (2021). Maria Montessori, her times and our years. History, vitality and perspectives of an innovative pedagogy, «Rivista di Storia dell’Educazione», 2021, vol. 8, n. 2, pp. 3-8. doi: 10.36253/rse-12307
Debè A., Orfani dello Stato: le istituzioni assistenziali e rieducative per sordomuti, ciechi e tardomentali nell’Italia liberale, in Sani R., Ascenzi A., a cura di, Inclusione e promozione sociale nel sistema formativo italiano dall’Unità ad oggi, Milano, FrancoAngeli, 2020, pp. 212-215.
Depaepe M., Simon F., Sources in the Making of Histories of Education: Proofs, Arguments, and Other Forms of Reasoning from the Historian’s Workplace, In P. Smeyers, M. Depaepe (Eds.), Educational research: Proofs, arguments, and other reasonings, Dordrecht, Springer, 2009, pp. 23-39.
DPR 14 giugno 1955, n. 503 Programmi didattici per la scuola primaria. (GU Serie Generale n.146 del 27-06-1955) https://www.gazzettaufficiale.it/eli/id/1955/06/27/055U0503/sg
Genovesi G. (a cura di), Rileggendo Itard. Problemi educativi e prospettive pedagogiche dei Memories, Bologna, Pitagora, 2000.
Giaconi C., La difficile integrazione degli alunni con disabilità nella scuola italiana dagli anni settanta del Novecento ad oggi: una riflessione di pedagogia e didattica speciale, in Sani R., Ascenzi A., a cura di, Inclusione e promozione sociale nel sistema formativo italiano dall’Unità ad oggi, Milano, FrancoAngeli, 2020, pp. 261-268.
Goussot A., Storia e handicap: fonti, concetti, problematiche, in Canevaro A., Goussot A., La difficile storia degli handicappati, Roma, Carocci, 2000.
Michelet M., Les outils de l’enfance 1. The pedagogy of l’action, Neuchâtel, Delachaux et Niestlé Editeurs, 1972a.
Michelet M., Les outils de l’enfance 2. The conquest of intelligence, Neuchâtel, Delachaux et Niestlé Editeurs, 1972b.
Montessori M., Montessori method. Scientific pedagogy as applied to child education in “the children's houses” with additions and revisions by the author (tr. By Anne E. George), New York, Frederick A. Stokes Company, 1912.
Morandini M. C., Dall’esclusione all’integrazione: i disabili nel sistema formativo italiano tra Otto e Novecento, in Sani R., Ascenzi A., a cura di, Inclusione e promozione sociale nel sistema formativo italiano dall’Unità ad oggi, Milano, FrancoAngeli, 2020, pp. 193-205.
Pironi T., Gallerani M., Maria Montessori’s thought and work between past and present, «Ricerche di Pedagogia e Didattica. Journal of Theories and Research in Education», 2021, vol. 16, n. 2, pp. 1-22.
Sandri P., L’educazione degli “ineducabili”: i contributi di Jean Itard, Édouard Séguin e Maria Montessori, «MeTis», 2014, vol. 4, n. 2, pp. 67-77.
Sani R., Ascenzi A., Inclusione e promozione sociale nel sistema formativo italiano dall’Unità ad oggi, Milano, FrancoAngeli, 2020.
Séguin É., Idiocy and its Treatment by the Physiological Method, 1866.
Weyland B., Didattica sensoriale. Oggetti e materiali tra educazione e design. EDDES/2, Milano, Guerini e Associati, 2017.
Zago G., Protagonisti e itinerari della Pedagogia speciale in Italia dall’Unità al secondo dopoguerra, in Sani R., Ascenzi A., a cura di, Inclusione e promozione sociale nel sistema formativo italiano dall’Unità ad oggi, Milano, FrancoAngeli, 2020, pp. 219-241
0120: B-type Nt-proBNP as a marker for contrast induced nephropathy in patients with primary percutaneous coronary intervention for ST segment elevation myocardial infarction
No full textIntroductionContrast induced nephropathy (CIN) after Percutaneous Coronary Intervention (PCI) for ST segment elevation myocardial infarction (STEMI) is frequent and associated with mortality and long term renal impairement. Improving risk stratification of such patients by early markers is needed.AimTo assess the association between Nt-proBNP, as an integrated biomarker for altered ventricular dysfunction and renal function, and the development of CIN.MethodsFrom the (RICO) survey, consecutive patients undergoing a PCI for a STEMI were included. Patients with cardiogenic shock or severe kidney disease were excluded. Serum creatinine (Cr) was measured at admission and 48h after PCI. CIN was defined as a rise in Cr >26.5µmol/L or >50% from baseline. Nt-proBNP was assessed on admission.ResultsAmong the 1243 patients included, CIN occurred in 130 (10.4%) patients. Patients who developed CIN had a 5 fold increase in Nt-proBNP levels when compared with patients without CIN (1275(435-4022) vs 247(79-986)pg/ml, p<0.001). Hospital mortality was markedly higher in patients with CIN (6.9% vs 1.1%, p<0.001). Nt-proBNP levels were univariate estimate for CIN as well as age, hypertension, diabetes, smoking, prior stroke, history of renal insufficiency, heart rate, altered LVEF, anemia, CRP, and eGFR<30ml/min/1.73m2. By multivariate analysis, Nt-proBNP levels remains strongly associated with the occurrence of CIN even after adjustment for risk factors, treatments, clinical, and biological variables (OR(95%CI): 1.91(1.40-2.60), p<0.001).ConclusionFrom this large contemporary prospective study, our work suggests that Nt-proBNP levels at admission could help to identify patients at risk of CIN beyond traditional risk factors
Relation of outcomes to ABC (Atrial Fibrillation Better Care) pathway adherent care in European patients with atrial fibrillation: an analysis from the ESC-EHRA EORP Atrial Fibrillation General Long-Term (AFGen LT) Registry
No full textInternational audienceAbstract Aims There has been an increasing focus on integrated, multidisciplinary, and holistic care in the treatment of atrial fibrillation (AF). The ‘Atrial Fibrillation Better Care’ (ABC) pathway has been proposed to streamline integrated care in AF. We evaluated the impact on outcomes of an ABC adherent management in a contemporary real-life European-wide AF cohort. Methods and results Patients enrolled in the ESC-EHRA EURObservational Research Programme in AF General Long-Term Registry with baseline data to evaluate ABC criteria and available follow-up data were considered for this analysis. Among the original 11 096 AF patients enrolled, 6646 (59.9%) were included in this analysis, of which 1996 (30.0%) managed as ABC adherent. Patients adherent to ABC care had lower CHA2DS2-VASc and HAS-BLED scores (mean ± SD, 2.68 ± 1.57 vs. 3.07 ± 1.90 and 1.26 ± 0.93 vs. 1.58 ± 1.12, respectively; P < 0.001). At 1-year follow-up, patients managed adherent to ABC pathway compared to non-adherent ones had a lower rate of any thromboembolic event (TE)/acute coronary syndrome (ACS)/cardiovascular (CV) death (3.8% vs. 7.6%), CV death (1.9% vs. 4.8%), and all-cause death (3.0% vs. 6.4%) (all P < 0.0001). On Cox multivariable regression analysis, ABC adherent care showed an association with a lower risk of any TE/ACS/CV death [hazard ratio (HR): 0.59, 95% confidence interval (CI): 0.44–0.79], CV death (HR: 0.52, 95% CI: 0.35–0.78), and all-cause death (HR: 0.57, 95% CI: 0.43–0.78). Conclusion In a large contemporary cohort of European AF patients, a clinical management adherent to ABC pathway for integrated care is associated with a significant lower risk for cardiovascular events, CV death, and all-cause death
Global variations in heart failure etiology, management, and outcomes
No full textImportance: Most epidemiological studies of heart failure (HF) have been conducted in high-income countries with limited comparable data from middle- or low-income countries.
Objective: To examine differences in HF etiology, treatment, and outcomes between groups of countries at different levels of economic development.
Design, Setting, and Participants: Multinational HF registry of 23 341 participants in 40 high-income, upper–middle-income, lower–middle-income, and low-income countries, followed up for a median period of 2.0 years.
Main Outcomes and Measures: HF cause, HF medication use, hospitalization, and death.
Results: Mean (SD) age of participants was 63.1 (14.9) years, and 9119 (39.1%) were female. The most common cause of HF was ischemic heart disease (38.1%) followed by hypertension (20.2%). The proportion of participants with HF with reduced ejection fraction taking the combination of a β-blocker, renin-angiotensin system inhibitor, and mineralocorticoid receptor antagonist was highest in upper–middle-income (61.9%) and high-income countries (51.1%), and it was lowest in low-income (45.7%) and lower–middle-income countries (39.5%) (P < .001). The age- and sex- standardized mortality rate per 100 person-years was lowest in high-income countries (7.8 [95% CI, 7.5-8.2]), 9.3 (95% CI, 8.8-9.9) in upper–middle-income countries, 15.7 (95% CI, 15.0-16.4) in lower–middle-income countries, and it was highest in low-income countries (19.1 [95% CI, 17.6-20.7]). Hospitalization rates were more frequent than death rates in high-income countries (ratio = 3.8) and in upper–middle-income countries (ratio = 2.4), similar in lower–middle-income countries (ratio = 1.1), and less frequent in low-income countries (ratio = 0.6). The 30-day case-fatality rate after first hospital admission was lowest in high-income countries (6.7%), followed by upper–middle-income countries (9.7%), then lower–middle-income countries (21.1%), and highest in low-income countries (31.6%). The proportional risk of death within 30 days of a first hospital admission was 3- to 5-fold higher in lower–middle-income countries and low-income countries compared with high-income countries after adjusting for patient characteristics and use of long-term HF therapies.
Conclusions and Relevance: This study of HF patients from 40 different countries and derived from 4 different economic levels demonstrated differences in HF etiologies, management, and outcomes. These data may be useful in planning approaches to improve HF prevention and treatment globally
