3 research outputs found
La fraseologÃa metafórica en la didáctica de segundas lenguas (emparentadas o no con la L1)
Se propone un posible modo de organización de algunas locuciones de la lengua española, relacionadas con partes del cuerpo humano, para que la presentación de las mismas en la docencia sea más coherente. El sentido puede concebirse como un proceso metafórico, que se explicará en el aula de una manera simple, para facilitar el aprendizaje. The present work proposes a semantic classification of certain Spanish idioms related to parts of the human body, in order to facilitate their presentation in the classroom. The meanings of all these idioms can be understood in terms of easily explainable metaphors related to the parts of the body in question and, as a result, are more readily learned
La fraseologÃa metafórica en la didáctica de segundas lenguas (emparentadas o no con la L1)
Se propone un posible modo de organización de algunas locuciones de la lengua española, relacionadas con partes del cuerpo humano, para que la presentación de las mismas en la docencia sea más coherente. El sentido puede concebirse como un proceso metafórico, que se explicará en el aula de una manera simple, para facilitar el aprendizaje. The present work proposes a semantic classification of certain Spanish idioms related to parts of the human body, in order to facilitate their presentation in the classroom. The meanings of all these idioms can be understood in terms of easily explainable metaphors related to the parts of the body in question and, as a result, are more readily learned
Limitation of life support techniques at admission to the intensive care unit: a multicenter prospective cohort study
Purpose: To determine the frequency of limitations on life support techniques (LLSTs) on admission to intensive
care units (ICU), factors associated, and 30-day survival in patients with LLST on ICU admission.
Methods: This prospective observational study included all patients admitted to 39 ICUs in a 45-day period in 2011.
We recorded hospitals’ characteristics (availability of intermediate care units, usual availability of ICU beds, and financial
model) and patients’ characteristics (demographics, reason for admission, functional status, risk of death, and LLST on
ICU admission (withholding/withdrawing; specific techniques affected)). The primary outcome was 30-day survival for
patients with LLST on ICU admission. Statistical analysis included multilevel logistic regression models.
Results: We recruited 3042 patients (age 62.5 ± 16.1 years). Most ICUs (94.8%) admitted patients with LLST, but only
238 (7.8% [95% CI 7.0–8.8]) patients had LLST on ICU admission; this group had higher ICU mortality (44.5 vs. 9.4% in
patients without LLST; p < 0.001). Multilevel logistic regression showed a contextual effect of the hospital in LLST on ICU
admission (median OR = 2.30 [95% CI 1.59–2.96]) and identified the following patient-related variables as independent
factors associated with LLST on ICU admission: age, reason for admission, risk of death, and functional status. In patients
with LLST on ICU admission, 30-day survival was 38% (95% CI 31.7–44.5). Factors associated with survival were age, reason
for admission, risk of death, and number of reasons for LLST on ICU admission.
Conclusions: The frequency of ICU admission with LLST is low but probably increasing; nearly one third of these patients
survive for ≥ 30 days