Search results for "Critical"

What it Means to be a Stranger to Oneself

2009

In adult education there is always a problem of prefabricated and in many respect fixed opinions and views of the world. In this sense, I will argue, that the starting point of radical education should be in the destruction of these walls of belief that people build around themselves in order to feel safe. In this connection I will talk about ‘gentle shattering of identities’ as a problem and a method of radical education. When we as adult educators are trying to gently shatter these solidified identities and pre‐packed ways of being and acting in the world, we are moving in the field of questions that Sigmund Freud tackled with the concepts of ‘de‐personalization’ and ‘de‐realization’. The…

Topicality of Critical Thinking in the Post-Soviet Educational Space

2009

After the reestablishment of independence in 1991, Latvia implemented large-scale educational reforms that enabled the transformation of the educational system from Soviet ideology to a democratic society. The critical thinking approach has been purposefully put into practice in the educational system of Latvia since 1998, as it was regarded as an instrument of the education and democratization of the whole society. The Soviet ideological heritage, which is manifest in the value orientation and daily experience of teachers and parents, encumbers the implementation of the educational reform, as it creates a gap between the reform's objectives and the reality of modifications at the level of …

The Pedagogical Problem: Vygotsky’s Encounter with Marx’s Phenomenal Forms

2016

As advanced at the end of the previous chapter, the present one underscores the need to reassess Karl Marx’s contribution from the standpoint of pedagogy, in order for this field to come to terms with his sophisticated theory of the Erscheinungsformen or phenomenal forms. This analysis seems particularly pertinent in relation to the work of the early-Soviet scholar Lev Vygotsky, who allegedly deployed this concept in his own account of cognitive development in human beings. Indeed, despite the many educational fields that Marx’s work has impacted on—most obviously sociology of education, but also educational psychology, particularly thanks to the theoretical developments made by the author …

Manejo perioperatorio de pacientes portadores de sistemas electrónicos implantables para el control del dolor crónico

2019

Exploring nursing competence to care for older patients in municipal in‐patient acute care: A qualitative study

2019

Aim To identify critical aspects of nursing competence to care for older patients in the context of municipal in-patient acute care. Background An increasingly complex and advanced primary healthcare system requires attention to the extent of nursing competence in municipal services. However, competence in complex and advanced care settings must be explored using perspectives which acknowledge the complexity of nurses' performance. Design A phenomenological hermeneutic, qualitative approach with individual in-depth interviews was used. COREQ reporting guidelines have been applied. Methods A sample of eight nurses and two physicians employed in municipal in-patient acute care units (MAUs) we…

Prone positioning and convalescent plasma therapy in a critically ill pregnant woman with COVID-19

2020

Abstract Prone positioning is feasible in pregnancy and may have contributed to the positive outcome in this case. Doctors should not be reluctant to move a patient to a prone position just because they are pregnant.

Analysis and review of the perioperative management of COVID-19 patients in thoracic surgery.

2021

Resumen Debido a la grave situacion de pandemia que vivimos causada por el COVID-19, la Seccion de Anestesia Cardiaca, Vascular y Toracica de la SEDAR pretende dar informacion de los aspectos mas relevantes a considerar en pacientes con sospecha o infeccion confirmada por coronavirus que van a ser sometidos a cirugia toracica. Creemos que es esencial mantener una optima transmision de informacion para llevar a cabo maniobras seguras, tanto para los pacientes como para el personal sanitario. La estrategia de manejo debe basarse en una organizacion exquisita del trabajo, definiendo quien, como y cuando va a realizar cada tarea y procedimiento. Las recomendaciones que se proponen, tras valorar…

Implementation of veno-venous extracorporeal membrane oxygenation in a COVID-19 convalescent

2020

Hiperinfección por Strongyloides stercoralis

2010

El Strongyloides stercoralis (Ss) es un nematodo endémico en países de clima tropical y subtropical, y en España se han descrito casos, sobre todo en la costa mediterránea. La infección por Ss suele ser asintomática o manifestarse por síntomas predominantemente digestivos, y en los casos de hiperinfestación produce una estrongiloidiasis diseminada con sobreinfecciones bacterianas sistémicas que provocan una disfunción multiorgánica con resultado letal. Los factores de riesgo más importantes para que una infección en principio intestinal y en muchas ocasiones asintomática adquiera características de gravedad son la inmunosupresión y la utilización de corticoides, por su capacidad de alterar …

Oleic Acid-Injection in Pigs As a Model for Acute Respiratory Distress Syndrome

2018

The acute respiratory distress syndrome is a relevant intensive care disease with an incidence ranging between 2.2% and 19% of intensive care unit patients. Despite treatment advances over the last decades, ARDS patients still suffer mortality rates between 35 and 40%. There is still a need for further research to improve the outcome of patients suffering from ARDS. One problem is that no single animal model can mimic the complex pathomechanism of the acute respiratory distress syndrome, but several models exist to study different parts of it. Oleic acid injection (OAI)-induced lung injury is a well-established model for studying ventilation strategies, lung mechanics and ventilation/perfus…