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1.
PLoS One ; 15(1): e0227353, 2020.
Article de Anglais | MEDLINE | ID: mdl-31899782

RÉSUMÉ

Improvement projects (IPs) are a fundamental element in any quality management system from any organization. In Higher Education Institutions (HEIs), IPs are constantly implemented to maintain excellence in academic and administrative processes. In this study, we propose a model for IP implementation that is based on the Baldrige Performance Excellence Program (BPEP). As a part of the model, we propose a series of research hypotheses to be tested. The data used to test the hypotheses were gathered from a questionnaire that was developed after an extensive literature review. The survey was administered to Mexican public HEIs, and more than 700 responses were collected. The data were assessed in terms of convergent and discriminant validity, obtaining satisfactory results. To test the proposed relationships between the model constructs, we utilized Structural Equation Modeling (SEM) using the software IBM SPSS Amos. The analysis confirmed the statistical validity of both the model and the hypotheses. In conclusion, our model for IP implementation is a useful tool for HEIs that seek to attain excellence in their processes through IPs.


Sujet(s)
Performance scolaire/normes , Efficacité fonctionnement/normes , Universités/normes , Humains , Mexique
2.
Salud pública Méx ; 61(4): 495-503, Jul.-Aug. 2019. tab, graf
Article de Espagnol | LILACS | ID: biblio-1099326

RÉSUMÉ

Resumen: Objetivo: Evaluar el desempeño de las facultades y escuelas de medicina (FEM) utilizando como subrogado los resultados del Examen Nacional para Aspirantes a Residencias Médicas (ENARM). Material y métodos: Se analizaron las bases de datos oficiales del ENARM 2016 y 2017, empleando cinco criterios de desempeño (CD) por cada FEM: dos oficiales y tres creados exprofeso. Resultados. En 2016 y 2017 se registraron sustentantes de 112 y 115 FEM, respectivamente. Dependiendo del CD, la FEM que quedó clasificada en el primer lugar obtuvo entre 5 y 20 puntos más que la del segundo lugar, y entre 23 y 98 puntos más que la FEM ubicada en el último lugar. Aproximadamente 25% de los sustentantes fueron calificados como "deficientes en conocimientos" y aproximadamente 80% de éstos provenían de menos de un tercio de las FEM. Conclusiones: El ENARM arroja información sobre el desempeño de las FEM. Aproximadamente uno de cada cuatro sustentantes obtuvo puntajes menores al aprobatorio en cualquier especialidad.


Abstract: Objective: To assess the performance of medical schools (FEM) by analyzing the results of their applicants in the Examen Nacional para Aspirantes a Residencias Médicas (ENARM). Materials and methods: Five performance criteria, two official and three created on purpose, were calculated from the ENARM-2016 and -2017 official databases to assess FEM performance. Results: In 2016 and 2017, applicants registered from 112 and 115 FEM, respectively. Depending on the performance criteria, the FEM in the first place obtained 5 to 20 points more than the one placed second, and 23 to 98 points more than the FEM in the last place. Approximately 25% applicants were classified as "knowledge-deficient," and about 80% of these originated from less than one third of the FEM. Conclusion: The ENARM results provide information on the performance of the FEM. Approximately one of every four applicants obtained scores lower than the approval threshold of any specialty.


Sujet(s)
Humains , Mâle , Femelle , Adulte , Écoles de médecine/normes , Performance scolaire/normes , Internat et résidence , Qualité des soins de santé , Écoles de médecine/statistiques et données numériques , Modèles linéaires , Facteurs sexuels , Bases de données factuelles , Médecine de famille/enseignement et éducation , Médecine générale/enseignement et éducation , Performance scolaire/statistiques et données numériques , Mexique
3.
Salud Publica Mex ; 61(4): 495-503, 2019.
Article de Espagnol | MEDLINE | ID: mdl-31314216

RÉSUMÉ

OBJECTIVE: To assess the performance of medical schools (FEM) by analyzing the results of their applicants in the Examen Nacional para Aspirantes a Residencias Médicas (ENARM). MATERIALS AND METHODS: Five performance criteria, two official and three created on purpose, were calculated from the ENARM-2016 and -2017 official databases to assess FEM performance. RESULTS: In 2016 and 2017, applicants registered from 112 and 115 FEM, respectively. Depending on the performance criteria, the FEM in the first place obtained 5 to 20 points more than the one placed second, and 23 to 98 points more than the FEM in the last place. Approximately 25% applicants were classified as "knowledge-deficient," and about 80% of these originated from less than one third of the FEM. CONCLUSIONS: The ENARM results provide information on the performance of the FEM. Approximately one of every four applicants obtained scores lower than the approval threshold of any specialty.


OBJECTIVE: Evaluar el desempeño de las facultades y escuelas de medicina (FEM) utilizando como subrogado los resultados del Examen Nacional para Aspirantes a Residencias Médicas (ENARM). MATERIALS AND METHODS: Se analizaron las bases de datos oficiales del ENARM 2016 y 2017, empleando cinco criterios de desempeño (CD) por cada FEM: dos oficiales y tres creados exprofeso. RESULTS: En 2016 y 2017 se registraron sustentantes de 112 y 115 FEM, respectivamente. Dependiendo del CD, la FEM que quedó clasificada en el primer lugar obtuvo entre 5 y 20 puntos más que la del segundo lugar, y entre 23 y 98 puntos más que la FEM ubicada en el último lugar. Aproximadamente 25% de los sustentantes fueron calificados como "deficientes en conocimientos" y aproximadamente 80% de éstos provenían de menos de un tercio de las FEM. CONCLUSIONS: El ENARM arroja información sobre el desempeño de las FEM. Aproximadamente uno de cada cuatro sustentantes obtuvo puntajes menores al aprobatorio en cualquier especialidad.


Sujet(s)
Performance scolaire/normes , Internat et résidence , Écoles de médecine/normes , Performance scolaire/statistiques et données numériques , Adulte , Bases de données factuelles , Médecine de famille/enseignement et éducation , Femelle , Médecine générale/enseignement et éducation , Humains , Modèles linéaires , Mâle , Mexique , Qualité des soins de santé , Écoles de médecine/statistiques et données numériques , Facteurs sexuels
5.
Salud Publica Mex ; 61(2): 125-135, 2019.
Article de Anglais | MEDLINE | ID: mdl-30958955

RÉSUMÉ

OBJECTIVE: To assess the assumption of 'equity' of Mexico's resident-selection assessment tool, the Examen Nacional para Aspirantes a Residencias Médicas (ENARM). MATERIALS AND METHODS: Official ENARM-2016 and -2017 databases were analyzed. Differences in the absolute number of correct answers (multivariable linear regression) and the number of applicants reaching their specialty minimum score (SMS) per test day (odds ratio [OR]) were calculated. Applicants affected by test-day inequity were estimated. RESULTS: There were 36 114 applicants in 2016, and 38 380 in 2017. In 2016, day-2 applicants had significantly higher scores and more reached the SMS than on days 1-3-4 (OR 1.55), and 5 (OR 3.8); 3 565 non-passing applicants were affected by inequity (equivalent to 44.64% of those selected). In 2017, day-1 and -2 applicants had significantly higher scores and more reached the SMS than on days 3-4 (OR 1.85), and 5 (OR 4.04); 3,155 non-passing applicants were affected by inequity (37.2% of those selected). CONCLUSIONS: Analysis of official ENARM databases does not support the official attribution of equity, suggesting the test should be redesigned.


OBJETIVO: Evaluar el atributo de "equidad" asignado al Examen Nacional para Aspirantes a Residencias Médicas (ENARM). MATERIAL Y MÉTODOS: Se analizaron las bases de datos oficiales del ENARM 2016 y 2017. Se compararon las diferencias inter-día de respuestas correctas (regresión linear multivariable) y de sustentantes que alcanzaron el puntaje mínimo de su especialidad (PME) (razón de momios [RM]). Se estimó a los afectados por la inequidad. RESULTADOS: Hubo 36 114 sustentantes en 2016 y 38 380 en 2017.Los días 2 (ENARM-2016) y 1-2 (ENARM-2017) registraronpuntajes significativamente más altos, y más sustentantes alcanzaron el PME que en los días 1-3-4 (RM .55) y 5 (RM 3.8) en 2016, y los días 3-4 (RM 1.85) y 5 (RM 4.04) en 2017. Se estimó que cuatro de cada diez sustentantes que aprobaron el ENARM no lo hubieran hecho si el examen fuera equitativo. CONCLUSIONES: Los resultados sugieren que el atributo de equidad del ENARM está en duda.


Sujet(s)
Évaluation des acquis scolaires/normes , Internat et résidence/statistiques et données numériques , Sélection du personnel/normes , Performance scolaire/normes , Adulte , Bases de données factuelles , Femelle , Humains , Modèles linéaires , Mâle , Mexique , Odds ratio
6.
Salud pública Méx ; 61(2): 125-135, Mar.-Apr. 2019. tab
Article de Anglais | LILACS | ID: biblio-1058965

RÉSUMÉ

Abstract: Objective: To assess the assumption of 'equity' of Mexico's resident-selection assessment tool, the Examen Nacional para Aspirantes a Residencias Médicas (ENARM). Materials and methods: Official ENARM-2016 and -2017 databases were analyzed. Differences in the absolute number of correct answers (multivariable linear regression) and the number of applicants reaching their specialty minimum score (SMS) per test day (odds ratio [OR]) were calculated. Applicants affected by test-day inequity were estimated. Results: There were 36 114 applicants in 2016, and 38 380 in 2017. In 2016, day-2 applicants had significantly higher scores and more reached the SMS than on days 1-3-4 (OR 1.55), and 5 (OR 3.8); 3 565 non-passing applicants were affected by inequity (equivalent to 44.64% of those selected). In 2017, day-1 and -2 applicants had significantly higher scores and more reached the SMS than on days 3-4 (OR 1.85), and 5 (OR 4.04); 3,155 non-passing applicants were affected by inequity (37.2% of those selected). Conclusion: Analysis of official ENARM databases does not support the official attribution of equity, suggesting the test should be redesigned.


Resumen_ Objetivo: Evaluar el atributo de "equidad" asignado al Examen Nacional para Aspirantes a Residencias Médicas (ENARM). Material y métodos: Se analizaron las bases de datos oficiales del ENARM 2016 y 2017. Se compararon las diferencias inter-día de respuestas correctas (regresión linear multivariable) y de sustentantes que alcanzaron el puntaje mínimo de su especialidad (PME) (razón de momios [RM]). Se estimó a los afectados por la inequidad. Resultados: Hubo 36 114 sustentantes en 2016 y 38 380 en 2017. Los días 2 (ENARM-2016) y 1-2 (ENARM-2017) registraron puntajes significativamente más altos, y más sustentantes alcanzaron el PME que en los días 1-3-4 (RM 1.55) y 5 (RM 3.8) en 2016, y los días 3-4 (RM 1.85) y 5 (RM 4.04) en 2017. Se estimó que cuatro de cada diez sustentantes que aprobaron el ENARM no lo hubieran hecho si el examen fuera equitativo. Conclusión: Los resultados sugieren que el atributo de equidad del ENARM está en duda.


Sujet(s)
Humains , Mâle , Femelle , Adulte , Sélection du personnel/normes , Évaluation des acquis scolaires/normes , Internat et résidence/statistiques et données numériques , Modèles linéaires , Odds ratio , Bases de données factuelles , Performance scolaire/normes , Mexique
7.
Work ; 62(3): 393-410, 2019.
Article de Anglais | MEDLINE | ID: mdl-30856146

RÉSUMÉ

BACKGROUND: Considering that, environments with information and communication technology innovations, including educational institutions, are providing more interaction among individuals anywhere in the world and contributing to higher learning flexibility, it is necessary to pay extra attention to the radiation dissipated by technological equipment in these environments. OBJECTIVE: Investigate whether the behavior of the globe temperature (tg) in relation to the air temperature (ta) could affect the performance of students in information technology laboratories (ITLs). METHODS: The methodological procedures adopted consisted of the following analyses in six institutions: thermal variables - mean radiant temperature (trm) and (tg-ta); students' performance and architectural elements. RESULTS: ITL G was the ITL with the highest incidence of thermal radiation, thus a mathematical model was proposed for this sample to determine whether (tg - ta) and trm are related to overall student performance (Dt). For each increase of one degree in the difference between the globe temperature and the air temperature (tg-ta), the students' performance in the institution G decreased by approximately 29%. CONCLUSION: As well as productivity can be altered due to changes in air temperature in air-conditioned teaching environments, in this specific case, if tg> >ta, possibly the thermal radiation may interfere with the performance of the people present in the environment technological innovations of communication and information.


Sujet(s)
Performance scolaire/normes , Cognition/physiologie , Environnement , Technologie de l'information/statistiques et données numériques , Température , Performance scolaire/statistiques et données numériques , Évaluation des acquis scolaires/méthodes , Humains , Laboratoires/normes , Laboratoires/statistiques et données numériques , Modèles théoriques
9.
Rev. méd. Chile ; 146(10): 1197-1204, dic. 2018. tab, graf
Article de Espagnol | LILACS | ID: biblio-978756

RÉSUMÉ

Background: Outcomes-based education is a trend in medical education and its assessment is one of the main challenges. The Objective Structured Clinical Examination (OSCE) is one of the tools used to assess clinical competencies. Although Chilean medical schools have used OSCEs for 18 years, there is a vast variability in the way these examinations are administered. Aim: To design and implement an integrated OSCE to assess clinical competencies at the end of the medical program in Chilean medical schools, aiming to reduce variability between these schools. Material and Methods: Seven medical schools, supported by experts from the National Board of Medical Examiners, designed a 12 station OSCE to measure clinical outcomes at the end of the seventh year of medical training. Unlike traditional OSCEs, this new examination incorporated the assessment of clinical reasoning and communication skills, evaluated from patients' perspective. Results: One hundred twenty-five volunteers took the same exam at five different venues. The internal consistency was 0.62. Following a compensatory approach, 85% of students passed the exam. Communication assessment showed poorer results than those reported in the literature. Conclusions: Among Chilean medical students, the assessment of clinical outcomes in a collaborative way, through a valid and reliable exam, is feasible. A consensus on how to teach and assess clinical reasoning across the medical curriculum is required. The assessment of students' communication skills requires further development.


Sujet(s)
Humains , Mâle , Femelle , Étudiant médecine , Compétence clinique/normes , Performance scolaire/normes , Relations médecin-patient , Pratique professionnelle , Valeurs de référence , Chili , Communication , Enseignement spécialisé en médecine/normes
10.
Rev. medica electron ; 40(4): 1257-1270, jul.-ago. 2018.
Article de Espagnol | CUMED, LILACS | ID: biblio-1103687

RÉSUMÉ

La motivación es un elemento importante a considerar en el proceso de enseñanza-aprendizaje. Se entiende como la intención de producir en el estudiante la ejecución consciente y deseada de una actividad. Con este artículo se pretendió valorar la motivación en el contexto del proceso enseñanza-aprendizaje en carreras de las Ciencias Médicas. Se identificaron los elementos esenciales de la motivación y se reflexionó sobre los factores que inciden en el alumno, así como aquellos elementos que deben tenerse en cuenta a la hora de afrontar la actividad docente. La interacción entre los contextos creados por el profesorado y las características con las que el alumno aborda el trabajo escolar, así como las implicaciones de la interacción entre las actuaciones del profesor, la respuesta del alumnado y los efectos, paso a paso, de las formas en que estos acometen sus tareas, son cuestiones a tener en cuenta al tratar la motivación. Se abordó la preocupación de los directivos y docentes en el diseño curricular que ofrece alternativas de acción a los profesores, donde se incluye la motivación hacia la profesión elegida como encargo social, aseverándose que los futuros profesionales de la salud, deben estar bien motivados al elegir esta carrera que demanda de perenne amor, consagración y entrega intensa al trabajo. Por ello el docente deberá dirigir la práctica hacia la consecución de la motivación para el aprendizaje, como vía para la formación de un futuro profesional de la salud, competente, capaz de afrontar disímiles dificultades más allá de nuestras fronteras, y contribuir a elevar la calidad de vida de los pacientes (AU).


Motivation is an important element to take into consideration in the teaching-learning process. It is understood as the intention of producing in the student the conscious and desired performance of an activity. With this article we pretended to assess motivation in the context of the teaching-learning process in specialties of the Medical Sciences. The main elements of the motivation are identified and we took a hard look on the factors striking on the student and also on those elements that have to be taken into account at the time of dealing with the teaching activity. The interaction between the contexts created by the teaching staff and the characteristics of the student's approach to school work, and also the implication between the teacher's performance, the students' answer and the effects, step by step, of the forms in which the latter undertake their tasks, are questions to take into account when dealing with motivation. We approached the concern of managers and teachers in the curricular design offering alternatives of action to teachers, including the motivation to the chosen profession as social task; we affirm that the future health professional should be deeply motivated when choosing this profession demanding perpetual love, dedication and devotion to work. Therefore, the teacher should direct the practice to the attainment of the motivation to learning, as a way of training a future health professional competent, able of affronting dissimilar difficulties beyond our borders, and of contributing to increase the patients' life quality (AU).


Sujet(s)
Humains , Mâle , Femelle , Enseignement/enseignement et éducation , Universités/normes , Motivation , Étudiants en santé publique , Corps enseignant/enseignement et éducation , Performance scolaire/normes , Apprentissage
12.
Rev. habanera cienc. méd ; 17(3): 481-493, mayo.-jun. 2018. tab
Article de Espagnol | LILACS, CUMED | ID: biblio-978545

RÉSUMÉ

Introducción: Los conocimientos en Farmacología tienen un lugar destacado en el ejercicio de la Enfermería. Es imprescindible que el estudiante de Enfermería en lo académico pueda asimilar todos los aspectos de la Farmacología durante la formación universitaria. Objetivo: Describir los resultados académicos en Farmacología de los estudiantes de Enfermería de la Universidad Kimpa Vita de Uíge en Angola. Materiales y Métodos: Estudio retrospectivo de los estudiantes de tercero, cuarto y quinto años de Licenciatura en Enfermería. La Farmacología se impartió por el programa de estudio de 2008 de Cuba, y se utilizó el sistema de evaluación establecido en Angola. Se revisaron las actas de examen y se aplicó una pregunta de respuesta simple para evaluar el nivel de conocimientos en el tema fármacos antimicrobianos y antiparasitarios. Resultados: Los resultados en Farmacología I fueron fundamentalmente:suficiente (74,83 por ciento), y en Farmacologia II: suficiente (61,57 por ciento) y bien (34,01 por ciento). Los resultados del tema evaluado fueron principalmente en los estudiantes de tercer año: suspensos (41,75 por ciento), cuarto año: suficiente (45,10 por ciento), y en quinto año: suficiente (32,58 por ciento) y bien (37,08 por ciento). Conclusiones: Los resultados en Farmacología se obtienen por el progreso en los métodos de estudio, la atencion individualizada al estudiante y la integración de sus contenidos en las disciplinas propias de la profesión(AU)


Introduction: The knowledge of Pharmacology has a significant importance in the practice of Nursing. It is indispensable that the Nursing student achieves the assimilation of knowledge of all the aspects of Pharmacology from the academic point of view during the university formation. Objectives: To describe the academic results in Pharmacology obtained by Nursing students of the Kimpa Vita University of Uíge in Angola. Materials and Methods: A retrospective study was carried out with third, fourth and fifth year Nursing students. Pharmacology was taught according to the Cuban curriculum of 2008, and the evaluation system established in Angola was used. Official documents were reviewed, and a question with a simple answer was applied to evaluate the level of knowledge of antimicrobial and anti-parasitic drugs. Results: The results in Pharmacology I were mainly satisfactory (74.83 percent); and in Pharmacology II they were satisfactory (61.57 percent) and good (34.01 percent). The results of the evaluation related to the topics were: third-year students: failed (41.75 percent); fourth-year students: satisfactory (45.10 percent), and fifth-year ones: satisfactory (32.58 percent and good (37, 08 percent). Conclusions: The results in Pharmacology are achieved by the progress in the study methods, the individualized attention to the student, and the integration of their contents to the disciplines related to the profession(AU)


Sujet(s)
Humains , Mâle , Femelle , Pharmacologie , Performance scolaire/normes , Épidémiologie Descriptive , Études rétrospectives , Enseignement infirmier/méthodes , Angola
14.
Rev Med Chil ; 146(10): 1197-1204, 2018 12.
Article de Espagnol | MEDLINE | ID: mdl-30724985

RÉSUMÉ

BACKGROUND: Outcomes-based education is a trend in medical education and its assessment is one of the main challenges. The Objective Structured Clinical Examination (OSCE) is one of the tools used to assess clinical competencies. Although Chilean medical schools have used OSCEs for 18 years, there is a vast variability in the way these examinations are administered. AIM: To design and implement an integrated OSCE to assess clinical competencies at the end of the medical program in Chilean medical schools, aiming to reduce variability between these schools. MATERIAL AND METHODS: Seven medical schools, supported by experts from the National Board of Medical Examiners, designed a 12 station OSCE to measure clinical outcomes at the end of the seventh year of medical training. Unlike traditional OSCEs, this new examination incorporated the assessment of clinical reasoning and communication skills, evaluated from patients' perspective. RESULTS: One hundred twenty-five volunteers took the same exam at five different venues. The internal consistency was 0.62. Following a compensatory approach, 85% of students passed the exam. Communication assessment showed poorer results than those reported in the literature. CONCLUSIONS: Among Chilean medical students, the assessment of clinical outcomes in a collaborative way, through a valid and reliable exam, is feasible. A consensus on how to teach and assess clinical reasoning across the medical curriculum is required. The assessment of students' communication skills requires further development.


Sujet(s)
Performance scolaire/normes , Compétence clinique/normes , Étudiant médecine , Chili , Communication , Enseignement spécialisé en médecine/normes , Femelle , Humains , Mâle , Relations médecin-patient , Pratique professionnelle/normes , Valeurs de référence
15.
Reumatol Clin (Engl Ed) ; 14(3): 137-141, 2018.
Article de Anglais, Espagnol | MEDLINE | ID: mdl-28161396

RÉSUMÉ

BACKGROUND: The Mexican Accreditation Council for Rheumatology certifies trainees (TR) on an annual basis using both a multiple-choice question (MCQ) test and an objective structured clinical examination (OSCE). For 2013 and 2014, the OSCE pass mark (PM) was set by criterion referencing as ≥6 (CPM), whereas overall rating of borderline performance method (BPM) was added for 2015 and 2016 accreditations. We compared OSCE TR performance according to CPM and BPM, and examined whether correlations between MCQ and OSCE were affected by PM. METHODS: Forty-three (2015) and 37 (2016) candidates underwent both tests. Altogether, OSCE were integrated by 15 validated stations; one evaluator per station scored TR performance according to a station-tailored check-list and a Likert scale (fail, borderline, above range) of overall performance. A composite OSCE score was derived for each candidate. Appropriate statistics were used. RESULTS: Mean (±standard derivation [SD]) MCQ test scores were 6.6±0.6 (2015) and 6.4±0.6 (2016) with 5 candidates receiving a failing score each year. Mean (±SD) OSCE scores were 7.4±0.6 (2015) and 7.3±0.6 (2016); no candidate received a failing CPM score in either 2015 or 2016 OSCE, although 21 (49%) and 19 (51%) TR, respectively, received a failing BPM score (calculated as 7.3 and 7.4, respectively). Stations for BPM ranged from 4.5 to 9.5; overall, candidates showed better performance in CPM. In all, MCQ correlated with composite OSCE, r=0.67 (2015) and r=0.53 (2016); P≤.001. Trainees with a passing BPM score in OSCE had higher MCQ scores than those with a failing score. CONCLUSIONS: Overall, OSCE-PM selection impacted candidates' performance but had a limited affect on correlation between clinical and practical examinations.


Sujet(s)
Performance scolaire/normes , Attestation/normes , Compétence clinique/normes , Enseignement spécialisé en médecine/normes , Évaluation des acquis scolaires/normes , Rhumatologues/enseignement et éducation , Évaluation des acquis scolaires/méthodes , Humains , Mexique , Rhumatologie/enseignement et éducation
17.
Rev Alerg Mex ; 63(1): 32-40, 2016.
Article de Espagnol | MEDLINE | ID: mdl-26943828

RÉSUMÉ

BACKGROUND: Asthma and rhinitis are the most frequent chronic respiratory diseases. Their high impact is associated with the loss of working days, as well as a decrease in academic performance. OBJECTIVE: To assess and compare the impact of rhinitis and asthma as causes of absenteeism and low work performance in a population of children and adults. MATERIAL AND METHOD: A cross sectional study was performed in 10 schools of two cities in Colombia. The student population between 6 to 17 years, as well as the faculty staff over 18 were invited to participate. All of the participants filled a questionnaire assessing parameters related to clinical background, and a review of scores in Math and Spanish, curriculum vitae and number of missed day during the last academic period completed was performed. RESULTS: A total of 1,413 participants were enrolled. The frequency of asthma and/or rhinitis was 36%, there was a greater frequency of absenteeism in the population of children with respiratory symptoms (2.8 vs 1.2 days/year/patient, p<0.01) and there was both a lower academic (failure in 17% vs 9%, p<0.05) and work performance (0.43 vs 0.27, p<0.05) in the symptomatic population. We observed that those patients with good adherence to pharmacologic treatment displayed lower absenteeism and an improved performance. CONCLUSION: Both rhinitis and asthma are associated with lower performance in children and adults and absenteeism in the school; however, adequate treatment may improve clinical control and reduce backlash against job performance.


Antecedentes: el asma y la rinitis son las enfermedades respiratorias crónicas más frecuentes. Su alto efecto clínico se asocia con pérdidas de días laborales y menor rendimiento. Objetivo: evaluar el efecto de la rinitis y el asma como causa de ausentismo y bajo rendimiento laboral en una población de adultos y niños. Material y método: estudio trasversal, realizado en 10 escuelas de dos ciudades de Colombia. Se invitó a participar a población estudiantil entre 6 y 17 años y a los empleados mayores de 18 años de edad. A todos los participantes se les realizó un cuestionario que evaluó parámetros relacionados con la historia clínica y se hizo una revisión de las calificaciones (matemáticas y español), hojas de vida y número de ausentismos durante el último año académico completado. Resultados: aceptaron participar 1,413 personas. La frecuencia de rinitis, asma o ambas fue de 36%. Hubo mayor frecuencia de ausentismo escolar en la población infantil con síntomas respiratorios (2.8 vs 1.2 días/año/paciente, p menor a 0.01) y hubo menor rendimiento académico (reprobó: 17 vs 9%, p menor a 0.05) y laboral (0.43 vs 0.27 p menor a 0.05) en la población sintomática. Observamos que los pacientes con buen apego al tratamiento farmacológico tenían menor ausentismo y mejor rendimiento. Conclusión: la rinitis y el asma se asocian con menor desempeño en la población infantil y adulta, al igual que con mayor ausentismo en la escuela; sin embargo, el tratamiento adecuado puede mejorar el control clínico y reducir el efecto negativo a nivel laboral.


Sujet(s)
Absentéisme , Performance scolaire/normes , Asthme/épidémiologie , Rhinite/épidémiologie , Enseignants/statistiques et données numériques , Étudiants/statistiques et données numériques , Efficacité au travail/normes , Adolescent , Adulte , Enfant , Colombie/épidémiologie , Études transversales , Humains , Adhésion au traitement médicamenteux/statistiques et données numériques
18.
Rev. bras. educ. fís. esp ; 30(1): 119-131, jan.-mar. 2016. tab, graf
Article de Anglais | LILACS | ID: lil-782117

RÉSUMÉ

Abstract In pursuit of promoting the artistic aspects, the current Rhythmic Gymnastics Code of Points (RGCP) has been submeted significant changes that motivated this research, documentary and historical in character, which aimed to analyze the last eight Olympic cycles of RGCP. The research method used in this study is documentary and characterized by the information found in documents (RGCP) that had not received any scientific treatment. From the analysis of different RGCP cycles, we found artistic aspects, and their connection with RG technical requirements. We observed that the RG has distinct stages (technical aspects, flexibility etc). While retaining its artistic roots (from Dance and Rhythm), in pursuit of sportivization and systematization of the sport, the first stage was characterized by a search for the sportivization and standardization of the modality based on the inclusion of new body elements in the RGCP . The second stage confirms our previous hypothesis, that in the last RGCP the artistic component had undergone few changes. We noticed, in an overview, that at the present time the current RGCP brings back the relationship between RG and its origins, influenced by Aesthetic Gymnastics (Swedish), Rhythmic and Dance. Condition observed once the current Code of Points (2013-2016) marks the story of sports, by two aspects: the permissiveness of routines with singing wich has not allowed since since the creation the RGCP and significant changes to the appreciation of the routines’ artistic aspects.


Resumo Em busca de melhor promover os aspectos artísticos, tendo-se em vista os últimos ciclos olímpicos, o atual Código de Pontuação de Ginástica Rítmica (CPGR) foi submetido a significativas mudanças. É a partir desse contexto que essa pesquisa, de caráter documental e histórico, se desenvolve, tendo como objetivo, analisar as mudanças nos últimos oito ciclos Olímpicos de CPGR (1985-2016), com foco nos aspectos artísticos da modalidade. A partir da análise de diferentes ciclos do CPGR, conclui-se que há conexões de interdependência entre os aspectos artísticos e os técnicos, sendo nítido que quando há uma supervalorização do aspecto técnico há uma desvalorização do artístico. Foi possível identificar fases do CPGR, e portanto, da modalidade. Apesar de manter as suas raízes artísticas (de Dança e Ritmo), a busca pela esportivização e sistematização da modalidade, trouxe uma primeira fase caracterizada pela busca do caráter esportivo e pela padronização dos gestos da GR, baseada na inclusão de novos elementos do corpo no CPGR. A segunda fase se caracteriza por uma retomada do aspecto artístico, confirmando nossa hipótese sobre a grande mudança do último CPGR. Constatamos de maneira geral, que o CPGR atual retoma a relação entre a GR e suas origens, influenciado pela Ginástica Estética (sueca), Rítmica e Dança. Tal condição é observada, uma vez que o atual Código de Pontuação (2013-2016) marca a história da modalidade por dois aspectos: a permissão de rotinas com canto, que não eram permitidas desde a criação do CPGR; e mudanças significativas para a valorização de aspectos artísticos dos rotinas.


Sujet(s)
Sports/normes , Performance scolaire/normes , Gymnastique/normes
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