A Prospective Cohort of SARS-CoV-2-Infected Health Care Workers: Clinical Characteristics, Outcomes, and Follow-up Strategy

Background. During the coronavirus disease 2019 (COVID-19) outbreaks, health care workers (HCWs) are at a high risk of infection. Strategies to reduce in-hospital transmission between HCWs and to safely manage infected HCWs are lacking. Our aim was to describe an active strategy for the management of COVID-19 in severe acute respiratory syndrome coronavirus 2 (SARSCoV-2)-infected HCWs and investigate its outcomes. Methods. A prospective cohort study of SARS-CoV-2-infected health care workers in a tertiary teaching hospital in Barcelona, Spain, was performed. An active strategy of weekly polymerase chain reaction screening of HCWs for SARS-CoV-2 was established by the Occupational Health department. Every positive HCW was admitted to the Hospital at Home Unit with daily assessment online and in-person discretionary visits. Clinical and epidemiological data were recorded. Results. Of the 590 HCWs included in the cohort, 134 (22%) were asymptomatic at diagnosis, and 15% (89 patients) remained asymptomatic during follow-up. A third of positive cases were detected during routine screening. The most frequent symptoms were cough (68%), hyposmia/anosmia (49%), and fever (41%). Ten percent of the patients required specific treatment at home, while only 4% of the patients developed pneumonia. Seventeen patients required a visit to the outpatient clinic for further evaluation, and 6 of these (1%) required hospital admission. None of the HCWs included in this cohort required intensive care unit admission or died. Conclusions. Active screening for SARS-CoV-2 among HCWs for early diagnosis and stopping in-hospital transmission chains proved efficacious in our institution, particularly due to the high percentage of asymptomatic HCWs. Follow-up of HCWs in Hospital at Home units is safe and effective, with low rates of severe infection and readmission. Keywords. coronavirus; COVID-19; health care workers; Hospital at Home; SARS-CoV-2

Elaboración de instrumentos y estrategias para la evaluación de contenidos actitudinales en las etapas de la Educación Primaria y Secundaria

Elaborar un instrumento de evaluación conductual en el que se plasmen los contenidos actitudinales relacionados con el ámbito de los valores para facilitar la tarea del docente e intervenir en los aspectos en los que se detecte un nivel inferior.. Se construye un trabajo de investigación basado en: la definición del objetivo y el objeto, selección de fuentes de información, revisión teórica, analisis de diferentes cuestionarios que existen en el mercado y las reuniones con un grupo de profesionales que ejercen la docencia en contextos socioculturales muy diferentes. Parte de una serie de items sobre las conductas directamente observables que son indicadores de exito o de fracaso y se recogen atendiendo a su validez en función de las opiniones de los docentes. Las respuestas a estos items estan categorizadas en una escala Likert.. Se presenta un documento que consta de cinco cuestionarios, uno para cada ciclo de la escolaridad obligatoria, en los que se evaluan las conductas consideradas como indicadores críticos de cada una de las dimensiones que conforman la personalidad moral. El instrumento presenta dos modalidades de formato, una en soporte papel y otra en soporte informático..Ministerio Educación CIDEBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín, 5 - 3 Planta; 28014 Madrid; Tel. +34917748000; Fax +34917748026; [email protected]