Diseño y validación del Cuestionario Socio-familiar de los Dominios de Alfabetización Emergentes en estudiantes de enseñanza pre-escolar chilenos

The purpose of this paper is to present the design and validation of the Socio-Familial Questionnaire of Emerging Literacy Domains (CSDAE), which evaluates the context of socio-familial literacy of Chilean children at early ages. The study included a sample of 213 families of low, low-middle and middle socio-economic levels. The results show a reliability according to Cronbach's alpha of 0.90 and an omega coefficient of 0.94. The first version of the questionnaire grouped the items into five factors that explained a satisfactory fit. The proposed instrument contributes to studies related to the evaluation of the literate socio-familial environment.   El presente trabajo tiene por objetivo dar a conocer el diseño y validación del Cuestionario Socio- Familiar de los Dominios de Alfabetización Emergente (CSDAE), que evalúa el contexto socio-familiar alfabetizador de niños/as chilenos/as en edades tempranas. El estudio contó con una muestra de 213 familias de los niveles socio-económicos bajo, bajo-medio y medio. Los resultados muestran una fiabilidad según alfa de Cronbach de ,90 y un coeficiente de omega ,94. La primera versión del cuestionario agrupó los ítems en cinco factores que explicaron un ajuste satisfactorio. El instrumento es un aporte para la investigación relacionada con la evaluación del ambiente socio-familiar alfabetizador

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Diseño y validación del Cuestionario Socio-familiar de los Dominios de Alfabetización Emergentes en estudiantes de enseñanza pre-escolar chilenos

The purpose of this paper is to present the design and validation of the Socio-Familial Questionnaire of Emerging Literacy Domains (CSDAE), which evaluates the context of socio-familial literacy of Chilean children at early ages. The study included a sample of 213 families of low, low-middle and middle socio-economic levels. The results show a reliability according to Cronbach's alpha of 0.90 and an omega coefficient of 0.94. The first version of the questionnaire grouped the items into five factors that explained a satisfactory fit. The proposed instrument contributes to studies related to the evaluation of the literate socio-familial environment.   El presente trabajo tiene por objetivo dar a conocer el diseño y validación del Cuestionario Socio- Familiar de los Dominios de Alfabetización Emergente (CSDAE), que evalúa el contexto socio-familiar alfabetizador de niños/as chilenos/as en edades tempranas. El estudio contó con una muestra de 213 familias de los niveles socio-económicos bajo, bajo-medio y medio. Los resultados muestran una fiabilidad según alfa de Cronbach de ,90 y un coeficiente de omega ,94. La primera versión del cuestionario agrupó los ítems en cinco factores que explicaron un ajuste satisfactorio. El instrumento es un aporte para la investigación relacionada con la evaluación del ambiente socio-familiar alfabetizador

The Southern Photometric Local Universe Survey (S-PLUS): improved SEDs, morphologies, and redshifts with 12 optical filters

International audienceThe Southern Photometric Local Universe Survey (S-PLUS) is imaging ∼9300 deg2 of the celestial sphere in 12 optical bands using a dedicated 0.8 m robotic telescope, the T80-South, at the Cerro Tololo Inter-american Observatory, Chile. The telescope is equipped with a 9.2k × 9.2k e2v detector with 10 {μ m} pixels, resulting in a field of view of 2 deg2 with a plate scale of 0.55 arcsec pixel-1. The survey consists of four main subfields, which include two non-contiguous fields at high Galactic latitudes (|b| > 30°, 8000 deg2) and two areas of the Galactic Disc and Bulge (for an additional 1300 deg2). S-PLUS uses the Javalambre 12-band magnitude system, which includes the 5 ugriz broad-band filters and 7 narrow-band filters centred on prominent stellar spectral features: the Balmer jump/[OII], Ca H + K, H δ, G band, Mg b triplet, H α, and the Ca triplet. S-PLUS delivers accurate photometric redshifts (δz/(1 + z) = 0.02 or better) for galaxies with r 2 of the Stripe 82 area, in 12 bands, to a limiting magnitude of r = 21, available at datalab.noao.edu/splus