Evaluación de la Virtualización del Aprendizaje y los Desafíos en la Educación Superior en el Instituto Superior Tecnológico Juan Bautista Aguirre

La presente investigación analiza la evaluación temprana sobre el nivel de aceptación por la virtualización de la enseñanza, realizada en un instituto de educación superior del cantón Daule en la provincia del Guayas (Ecuador), la cual fue implementada para precautelar la salud de la comunidad educativa por la pandemia del Covid-19. Se realizó una encuesta a 98 docentes y 562 estudiantes, con un nivel de aceptación del 60,8 % y 42,9 % respectivamente. Entre los principales desafíos que presenta la educación virtual en las instituciones educativas son (de manera general): dotar de los recursos tecnológicos y de conectividad a los estudiantes que lo ameriten, diseñar políticas públicas para el desarrollo de la “economía del conocimiento”, realizar nuevas propuestas educativas virtuales y establecer procesos que permitan el desarrollo de la calidad con este tipo de metodologías. This research analyzes the early evaluation on the level of acceptance by the virtualization of teaching, carried out in a higher education institute of the Daule canton in the province of Guayas (Ecuador), which was implemented to protect the health of the educational community for the Covid19 pandemic. A survey was conducted with 98 teachers and 562 students, with an acceptance level of 60,8 % and 42,9 % respectively. Among the main challenges that virtual education presents in educational institutions are (in general): providing technological and connectivity resources to students who deserve it, designing public policies for the development of the “knowledge economy”, carrying out new virtual educational proposals and establishing processes that allow the development of quality with this type of methodologies

Contemporary use of cefazolin for MSSA infective endocarditis: analysis of a national prospective cohort

Objectives: This study aimed to assess the real use of cefazolin for methicillin-susceptible Staphylococcus aureus (MSSA) infective endocarditis (IE) in the Spanish National Endocarditis Database (GAMES) and to compare it with antistaphylococcal penicillin (ASP). Methods: Prospective cohort study with retrospective analysis of a cohort of MSSA IE treated with cloxacillin and/or cefazolin. Outcomes assessed were relapse; intra-hospital, overall, and endocarditis-related mortality; and adverse events. Risk of renal toxicity with each treatment was evaluated separately. Results: We included 631 IE episodes caused by MSSA treated with cloxacillin and/or cefazolin. Antibiotic treatment was cloxacillin, cefazolin, or both in 537 (85%), 57 (9%), and 37 (6%) episodes, respectively. Patients treated with cefazolin had significantly higher rates of comorbidities (median Charlson Index 7, P <0.01) and previous renal failure (57.9%, P <0.01). Patients treated with cloxacillin presented higher rates of septic shock (25%, P = 0.033) and new-onset or worsening renal failure (47.3%, P = 0.024) with significantly higher rates of in-hospital mortality (38.5%, P = 0.017). One-year IE-related mortality and rate of relapses were similar between treatment groups. None of the treatments were identified as risk or protective factors. Conclusion: Our results suggest that cefazolin is a valuable option for the treatment of MSSA IE, without differences in 1-year mortality or relapses compared with cloxacillin, and might be considered equally effective