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We have a system that is unable to keep students excited about their own learning and educational performance. In light of this situation it is the responsibility of educators to make a broad and global reflection on what must be changed and how this change may be managed. We believe that change is possible and there is no objective more necessary for society than investing in its future project. This paper proposes an exhaustive analysis of the current situation of the secondary school teachers and from there on justifies the change through the teaching practice based on innovation and with a better training in pedagogical and didactical issues.

espanolPoniendo como precedente la historia sobre la ensenanza del diseno; y, segun la experiencia de la autora como estudiante, profesional y docente principalmente de las materias de titulacion; se coloca en mesa de analisis una serie de aspectos que han permitido que la ensenanza del diseno se transforme, convirtiendose en una practica mas avanzada, con nuevas metodologias y conocimientos que le proporcionen un enfoque participativo e innovador, permitiendole la ocupacion de nuevos territorios y la generacion de soluciones efectivas a las demandas de una sociedad y un mundo cambiante. En este documento, se analiza esa transformacion desde la aplicacion de nuevas modalidades y procesos de diseno, promovidos desde las materias de Asesoria y Taller TFG de la Carrera de Diseno Grafico de la Pontificia Universidad Catolica del Ecuador y su visibilizacion a traves de la presentacion de algunos proyectos de titulacion resultado de este trabajo y que al momento se encuentran en proceso de implementacion, constituyendose asi en evidencia de que el diseno puede generar EnglishWith history as a background of design teaching. Thinking also 25 years ago and the author´s experience as a student professional and teacher mainly degree matter. It gets on the analysis table a series of aspects that have allowed design education to be transformed. Becoming a more advanced practice with new methodologies and knowledge that provide a participatory and innovative approach. With a higher level of occupation of new territories and generation of effective solutions of a society and a changing world demands. This document, analyze this transformation from the application of new design modalities and processes, promoted from the subjects of Consulting and TFG Workshop of the Graphic Design Career of the Pontificia Universidad Catolica del Ecuador and its visibility through the presentation of some degree projects, the result of this work and which are currently in the process of being implemented, thus becoming evidence that design can generate high impact contributions for other disciplines as for society.

The Dialogic Self Theory (DST—Hermans et al. Integrative Psychology and Behavioral Sciences, 51(4), 1-31, 2017) is extended here in its dynamic aspects through focusing on the notions of indeterminacy, emptiness and movement. Linking with Husserl, I propose moving the dialogical self (DS) from a clear position in the “repertory of the Self” to an undetermined horizon. This makes it possible to introduce “holes” (emptiness) into the schematic representation of the “repertory of the Self”. Yet Husserl’s concept of horizon seems to focus too much on making the indeterminable determinate. To overcome this limit, I incorporate Bergson’s concept of empty form into the DST. This enables conceptualising the extension and emergence of horizon. Extending Bergson’s concept of organisation, it is possible to see how the expansion of the horizon in a movement of globalisation does not necessarily entail the disorganisation of the DS but rather to its further organisation. Extending the system of DS by Hermans et al. Integrative Psychology and Behavioral Sciences, 51(4), 1-31, (2017), I open by suggesting that movements are both horizontal (between people) and vertical (between the person, the institutions and the norms) connectors. My conceptual propositions are illustrated by parents’ and educators’ discourses in two Canadian socio-educational programs.

Fibroid nonenhancement is considered a relative contraindication to uterine artery embolization (UAE) for symptomatic fibroids. This retrospective study assessed the impact of UAE on nonenhancing fibroids to determine imaging predictors of fibroid shrinkage. All women who underwent UAE for symptomatic fibroids between May 2009 and July 2014 and had follow-up magnetic resonance imaging 6 months after UAE were included. There were 59 fibroids (5 nonenhancing, 54 enhancing) among 18 women aged 40 to 53 (mean 46) years. All fibroids were assessed for size, position, and enhancement on subtraction and apparent diffusion constant (ADC) images. Enhancing fibroids had an average decrease in diameter of 19% ± 3%, not significantly different than nonenhancing fibroids, which decreased 23% ± 6% (P = 0.49). Multiple linear regression with percent change in fibroid diameter as the dependent variable and patient age, fibroid position, and pre-UAE fibroid diameter, enhancement, and ADC as independent variables showed that ADC (P = 0.04) and pre-UAE diameter (P = 0.03) were the only significant independent variables. In conclusion, pre-UAE size and ADC, but not contrast enhancement, predicted fibroid diameter reduction. Enhancing and nonenhancing fibroids had a similar size reduction after UAE. Nonenhancement should not be considered a contraindication to UAE.

Resumo Objetivou-se verificar a adesão às medidas de prevenção em idosos com maior predisposição a formas graves de COVID-19 e sua associação e interação com o apoio social. Trata-se de um estudo transversal realizado em amostra de 3.477 participantes do inquérito telefônico do Estudo Longitudinal da Saúde dos Idosos Brasileiros (iniciativa ELSI-COVID-19), que informaram ter saído de casa na semana anterior à realização do inquérito. A adesão foi aferida pela frequência com que saiu de casa, necessidade de sair de casa, uso de máscara e higienização das mãos. As análises basearam-se no modelo Poisson com variância robusta. Idade ≥ 65 anos, hipertensão, diabetes e obesidade foram considerados fatores predisponentes para formas graves de COVID-19. O apoio social incluiu o arranjo domiciliar e a conexão social na pandemia. Aproximadamente 46% apresentaram melhor adesão, que foi associada positivamente ao número de fatores predisponentes para formas graves. O apoio social não foi associado à adesão e não modificou essa associação, após ajustamentos. Conclui-se que a adesão às medidas de prevenção, que deveria ser estendida a todos, está concentrada nos idosos com maior predisposição a formas graves de COVID-19, independentemente do apoio social.

Despite the high numbers of veterans with opioid dependence, few receive pharmacologic treatment for this disorder. The adoption of buprenorphine treatment within the Veterans Health Administration (VHA) has been slow. To expand capacity for buprenorphine treatment, the VHA sponsored two eight‐hour credentialing courses for the Drug Addiction Treatment Act of 2000. We sought to describe the outcomes of such training. Following the training sessions, 29 participants (18 physicians) were highly satisfied with course content and affirmed their intention to prescribe buprenorphine; after nine‐month follow‐up, two physicians were prescribing. We conclude that providing credentialing courses, while popular, did not markedly promote the prescription of buprenorphine.

A Ilíada, de Homero, tem sido, ao longo de nossa história, largamente associada a uma paideiamilitar. A figura de Aquiles, em larga medida, e, mais timidamente, a figura de Heitor têm sido utilizadas para exemplificação dessa paideia. Este trabalho, todavia, pretende demonstrar como a figura de Heitor, na verdade, representa mais do que um forte guerreiro. Heitor, na Ilíada, apresenta um forte caráter de espírito. Essa força é o que lhe propicia a superação de seus próprios limites, levando-o a enfrentar forças míticas fisicamente superiores a ele. Nesse sentido, Homero faz um elogio à humanidade e fundamenta uma identidade humana no Ocidente.