RELACIÓN ENTRE EL RENDIMIENTO ACADÉMICO DE LOS INGRESANTES Y EL ABANDONO DE LOS ESTUDIOS UNIVERSITARIOS: COMPARACIÓN ENTRE CARRERAS DE INGENIERÍA Y ECONOMICAS

La preocupación por orientar adecuadamente los recursos que se afectan a los programas de apoyo a los estudiantes de primer año de las carreras, nos llevó a trabajar intentando generar un modelo que sea capaz de determinar, anticipadamente, que estudiantes se encontrarían en situación de abandonar sus estudios. En una primera aplicación del modelo, se analizó la correlación entre el rendimiento académico y el abandono para diez cohortes de ingresantes, de las dos carreras de Ingeniería que ofrece la Universidad Nacional de Luján, observándose una significativa correlación entre el rendimiento académico del estudiante en el primer cuatrimestre y el abandono de los estudios durante el segundo, tercero y cuarto cuatrimestre. En este trabajo, presentamos los resultados que se alcanzaron al aplicar el mismo modelo a las diez cohortes, equivalentes, de estudiantes de las dos carreras del campo de las Ciencias Económicas que se ofrecen en la misma Institución: Licenciatura en Administración y Licenciatura en Comercio Internacional. Las principales conclusiones a las que arribamos es que el modelo se valida positivamente al cambiar el origen disciplinar de las carreras en las que se aplica. Por otra parte, existe mayor correlación entre el rendimiento académico en el primer cuatrimestre y el momento en que se abandonan los estudios para los estudiantes de carreras de Ciencias Económicas que la observada en los de Ingeniería. Se repite el fenómeno observado para las carreras de Ingeniería, de disminuir la correlación entre el rendimiento académico y el abandono para la cohorte 2002. También se detecta una diferencia significativa respecto de la moda para la cantidad de asignaturas aprobadas durante el primer cuatrimestre para las cuatro carreras

Palaeoenvironmental and sea level changes during the Holocene in Eastern Saudi Arabia and their implications for neolithic populations

This paper presents the key findings of a multidisciplinary study investigating the nature and timing of coastal landscape evolution in eastern Saudi Arabia during the Holocene. To date, most sea level reconstructions for the Arabo-Persian Gulf are based on uncalibrated 14C ages without correction for marine reservoir effects, or lack precision with regard to the effects of neotectonic changes, indicators of sea level used, errors in elevation of sedimentary units used, and the relationship with actual tides. As a consequence, the nature and timing of relative sea level (RSL) changes during the Late Pleistocene and Holocene remain poorly understood. To help address this, we use sea level index points (SLIPs) based on calibrated 14C ages to present a RSL curve for the central-southern Gulf of Saudi Arabia from coastal sabkha deposits near the archaeological site of Dosariyah. The sediments record rapid transgression during the early Holocene with a midHolocene high-stand immediately prior to 6880–6560 cal. BP when the upper limit for the palaeo Mean Highest High tide water (MHHW) was 2.8–3.10 m above present day mean sea level. Transgression continued until shortly after 5575–5310 cal. BP with an upper limit to the palaeo-MHHW of 3.75 m above present sea levels. Thereafter a fall in RSL was recorded, with the regression leading to the progradation of the coastal system and the development of coastal sabkhas. Nonetheless later transgressions are recorded in the region between 4848–4536 and 4335–3949 cal BP. Radiometric dating results from archaeological excavations at Dosariyah, one of the most important Neolithic coastal sites in the Gulf, suggest that occupation of the site during the Neolithic coincides with the mid-Holocene marine transgression (ca. 7200 – 6500 cal. BP). Whilst the close proximity of the site to the sea may have facilitated maritime exchange activities, occupation of the site was short-lived and the phase of abandonment occurred during a period of rapid RSL rise, which would have transformed the area around Dosariyah into an island or certainly cut it off tidally from the mainland

Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

Background: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. Methods: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. Findings: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96–1·28). Interpretation: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. Funding: National Institute for Health Research Health Services and Delivery Research Programme

Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial

BACKGROUND: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. METHODS: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. FINDINGS: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96-1·28). INTERPRETATION: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. FUNDING: National Institute for Health Research Health Services and Delivery Research Programme