Narrativas transmídia

Este artigo tem por objetivo apresentar e discutir o conceito de narrativa transmídia e investigar, entre multiletramentos e letramentos transmídia, que enfoque se mostra mais adequado à produção de narrativas transmídia. Iniciamos pela discussão da noção de narrativa transmídia, ilustrando-a e a situando na cultura de convergência. Em seguida, abordamos a questão dos letramentos e da transmídia para uma cultura de participação. Dando continuidade à argumentação, ressaltamos a pedagogia do pluralismo, destacando a perspectiva dos multiletramentos e, particularmente, as noções de design e agência. Finalizamos o artigo nos posicionando frente à dualidade que, então, se revela: escolher uma das visões de letramento ou, embasadas na perspectiva do pluralismo, optar pelas duas abordagens, percebendo-as como extensão, para responder ao questionamento motivador do presente artigo

Tren de palabras - La escritura de Fernando del Paso

Tren de palabras. La escritura de Fernando del Paso recoge seis ensayos y una entrevista a cargo de cuatro estudiosos de la obra delpasiana; el sello es alumbrar nuevas perspectivas, encarar las omisiones y acrecentar el diálogo, bien argumentado, que abone a una comprensión mejor de esta abrumadora y desbordante literatura, ínsula en sí misma.Universidad Autónoma del Estado de México, UAEM

Conversações entre futuros professores de FLE: proposta de desenho para a prática on-line da interação oral na formação docente

Resumo Neste artigo apresentamos uma proposta de desenho de curso em ambientes on-line para o aperfeiçoamento da competência de interação oral na formação inicial de professores de línguas estrangeiras. O acompanhamento de estudantes no período de Estágio Supervisionado do Curso Letras - Francês da UnB permitiu-nos identificar lacunas nessa competência, a partir das quais pensamos numa alternativa curricular capaz de ampliar os espaços e tempos de prática da língua alvo em contexto real. Adotamos a metodologia de Pesquisa Baseada no Desenho pelas respostas que ela traz ao nosso objetivo de conceber um curso envolvendo tecnologia digital, interação oral e mediação humana, além do vínculo essencial que ela propõe entre desenho, pesquisa e prática. De acordo com a metodologia retida, apresentamos neste texto as etapas de análise, desenho, desenvolvimento e implementação do curso de extensão universitária Conversações entre futuros professores de FLE, oferecido desde 2013 em parceria com a Université de Poitiers (França). Palavras-chave: Interação oral. Tecnologias digitais. Pesquisa baseada em desenho.   Conversations between future French teachers: a proposal of design for on-line oral interaction practice in initial training Abstract In this paper, we present the proposal for the design of an online course that aims at improving oral interaction skills in the context of pre-service foreign languages teacher training . The support given to students during the French Language Degree Supervised Internship at UnB enabled us to identify shortcomings of this skill. As a result, we considered a curricular alternative to allow more space and time for the target language practice in real context settings. We adopted the Design-Based Research methodology, because of the answers that it brings to our aim of designing a course involving digital technology, oral interaction and mediation, as well as the essential link promoted between design, research and practice. According to this approach, we hereby present the analysis, design, development and implementation stages of the extension course “Conversations between pre-service French teachers”, offered since 2013 in partnership with the University of Poitiers, France. Keywords: Oral interaction. Digital technologies. Design-Based Research

“Education Network” a new way to teach Chemistry

The complexity of chemistry has implications for the teaching of chemistry. That chemistry is a very complex subject. The majority of the students at University think that chemistry is a difficult discipline and they have difficulty in understanding the concepts. Moreover, students' interest in chemistry decreases the first year at university. The reason for this decrease might be that the contents of chemistry laboratory classes are boring, out of date and lacking of dynamism that students experience through visual media tools. For these reasons, new programs and methodologies should be developed. Those are based on making chemistry relevant through problem solving and collaborative learning hold promise for reforming chemistry education. It is about an education according to circumstances, which is adapted to context and virtual behaviour of people. It's time to CRUSH boredom by transforming your classroom into an Escape Room adventure. School-based escape games are a great teaching tool. The students while playing, learn. The most important point is that they won’t realize they’re doing both at the same time. In this work, an educational gamification experience based on the escape room concept was developed. The first (Do It Yourself) DIY Escape Room was built the year before at Mechanical Engineer Degree started, that took more than three weeks of work. It was presented to other professors to the same subject at different degrees. That DIY Escape Room was modified and adapted to each group. Each professor changed the clues, problems and so on in order to orientate the topic as much as possible to their students.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Effects of intubation timing in patients with COVID-19 throughout the four waves of the pandemic: a matched analysis

Background: The primary aim of our study was to investigate the association between intubation timing and hospital mortality in critically ill patients with coronavirus disease 2019 (COVID-19)-associated respiratory failure. We also analysed both the impact of such timing throughout the first four pandemic waves and the influence of prior noninvasive respiratory support on outcomes. Methods: This is a secondary analysis of a multicentre, observational and prospective cohort study that included all consecutive patients undergoing invasive mechanical ventilation due to COVID-19 from across 58 Spanish intensive care units (ICUs) participating in the CIBERESUCICOVID project. The study period was between 29 February 2020 and 31 August 2021. Early intubation was defined as that occurring within the first 24 h of ICU admission. Propensity score matching was used to achieve a balance across baseline variables between the early intubation cohort and those patients who were intubated after the first 24 h of ICU admission. Differences in outcomes between early and delayed intubation were also assessed. We performed sensitivity analyses to consider a different time-point (48 h from ICU admission) for early and delayed intubation. Results: Of the 2725 patients who received invasive mechanical ventilation, a total of 614 matched patients were included in the analysis (307 for each group). In the unmatched population, there were no differences in mortality between the early and delayed groups. After propensity score matching, patients with delayed intubation presented higher hospital mortality (27.3% versus 37.1%; p=0.01), ICU mortality (25.7% versus 36.1%; p=0.007) and 90-day mortality (30.9% versus 40.2%; p=0.02) compared with the early intubation group. Very similar findings were observed when we used a 48-h time-point for early or delayed intubation. The use of early intubation decreased after the first wave of the pandemic (72%, 49%, 46% and 45% in the first, second, third and fourth waves, respectively; first versus second, third and fourth waves p<0.001). In both the main and sensitivity analyses, hospital mortality was lower in patients receiving high-flow nasal cannula (HFNC) (n=294) who were intubated earlier. The subgroup of patients undergoing noninvasive ventilation (n=214) before intubation showed higher mortality when delayed intubation was set as that occurring after 48 h from ICU admission, but not when after 24 h. Conclusions: In patients with COVID-19 requiring invasive mechanical ventilation, delayed intubation was associated with a higher risk of hospital mortality. The use of early intubation significantly decreased throughout the course of the pandemic. Benefits of such an approach occurred more notably in patients who had received HFNC

Effects of intubation timing in patients with COVID-19 throughout the four waves of the pandemic : a matched analysis

The primary aim of our study was to investigate the association between intubation timing and hospital mortality in critically ill patients with COVID-19-associated respiratory failure. We also analysed both the impact of such timing throughout the first four pandemic waves and the influence of prior non-invasive respiratory support on outcomes. This is a secondary analysis of a multicentre, observational and prospective cohort study that included all consecutive patients undergoing invasive mechanical ventilation due to COVID-19 from across 58 Spanish intensive care units (ICU) participating in the CIBERESUCICOVID project. The study period was between 29 February 2020 and 31 August 2021. Early intubation was defined as that occurring within the first 24 h of intensive care unit (ICU) admission. Propensity score (PS) matching was used to achieve balance across baseline variables between the early intubation cohort and those patients who were intubated after the first 24 h of ICU admission. Differences in outcomes between early and delayed intubation were also assessed. We performed sensitivity analyses to consider a different timepoint (48 h from ICU admission) for early and delayed intubation. Of the 2725 patients who received invasive mechanical ventilation, a total of 614 matched patients were included in the analysis (307 for each group). In the unmatched population, there were no differences in mortality between the early and delayed groups. After PS matching, patients with delayed intubation presented higher hospital mortality (27.3% versus 37.1%, p =0.01), ICU mortality (25.7% versus 36.1%, p=0.007) and 90-day mortality (30.9% versus 40.2%, p=0.02) when compared to the early intubation group. Very similar findings were observed when we used a 48-hour timepoint for early or delayed intubation. The use of early intubation decreased after the first wave of the pandemic (72%, 49%, 46% and 45% in the first, second, third and fourth wave, respectively; first versus second, third and fourth waves p<0.001). In both the main and sensitivity analyses, hospital mortality was lower in patients receiving high-flow nasal cannula (n=294) who were intubated earlier. The subgroup of patients undergoing NIV (n=214) before intubation showed higher mortality when delayed intubation was set as that occurring after 48 h from ICU admission, but not when after 24 h. In patients with COVID-19 requiring invasive mechanical ventilation, delayed intubation was associated with a higher risk of hospital mortality. The use of early intubation significantly decreased throughout the course of the pandemic. Benefits of such an approach occurred more notably in patients who had received high-flow nasal cannul

Prognostic implications of comorbidity patterns in critically ill COVID-19 patients: A multicenter, observational study

Background The clinical heterogeneity of COVID-19 suggests the existence of different phenotypes with prognostic implications. We aimed to analyze comorbidity patterns in critically ill COVID-19 patients and assess their impact on in-hospital outcomes, response to treatment and sequelae. Methods Multicenter prospective/retrospective observational study in intensive care units of 55 Spanish hospitals. 5866 PCR-confirmed COVID-19 patients had comorbidities recorded at hospital admission; clinical and biological parameters, in-hospital procedures and complications throughout the stay; and, clinical complications, persistent symptoms and sequelae at 3 and 6 months. Findings Latent class analysis identified 3 phenotypes using training and test subcohorts: low-morbidity (n=3385; 58%), younger and with few comorbidities; high-morbidity (n=2074; 35%), with high comorbid burden; and renal-morbidity (n=407; 7%), with chronic kidney disease (CKD), high comorbidity burden and the worst oxygenation profile. Renal-morbidity and high-morbidity had more in-hospital complications and higher mortality risk than low-morbidity (adjusted HR (95% CI): 1.57 (1.34-1.84) and 1.16 (1.05-1.28), respectively). Corticosteroids, but not tocilizumab, were associated with lower mortality risk (HR (95% CI) 0.76 (0.63-0.93)), especially in renal-morbidity and high-morbidity. Renal-morbidity and high-morbidity showed the worst lung function throughout the follow-up, with renal-morbidity having the highest risk of infectious complications (6%), emergency visits (29%) or hospital readmissions (14%) at 6 months (p<0.01). Interpretation Comorbidity-based phenotypes were identified and associated with different expression of in-hospital complications, mortality, treatment response, and sequelae, with CKD playing a major role. This could help clinicians in day-to-day decision making including the management of post-discharge COVID-19 sequelae. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd

Population-based multicase-control study in common tumors in Spain (MCC-Spain): rationale and study design

Introduction: We present the protocol of a large population-based case-control study of 5 common tumors in Spain (MCC-Spain) that evaluates environmental exposures and genetic factors. Methods: Between 2008-2013, 10,183 persons aged 20-85 years were enrolled in 23 hospitals and primary care centres in 12 Spanish provinces including 1,115 cases of a new diagnosis of prostate cancer, 1,750 of breast cancer, 2,171 of colorectal cancer, 492 of gastro-oesophageal cancer, 554 cases of chronic lymphocytic leukaemia (CLL) and 4,101 population-based controls matched by frequency to cases by age, sex and region of residence. Participation rates ranged from 57% (stomach cancer) to 87% (CLL cases) and from 30% to 77% in controls. Participants completed a face-to-face computerized interview on sociodemographic factors, environmental exposures, occupation, medication, lifestyle, and personal and family medical history. In addition, participants completed a self-administered food-frequency questionnaire and telephone interviews. Blood samples were collected from 76% of participants while saliva samples were collected in CLL cases and participants refusing blood extractions. Clinical information was recorded for cases and paraffin blocks and/or fresh tumor samples are available in most collaborating hospitals. Genotyping was done through an exome array enriched with genetic markers in specific pathways. Multiple analyses are planned to assess the association of environmental, personal and genetic risk factors for each tumor and to identify pleiotropic effects. Discussion: This study, conducted within the Spanish Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), is a unique initiative to evaluate etiological factors for common cancers and will promote cancer research and prevention in Spain.The study was partially funded by the “Accion Transversal del Cancer”, approved on the Spanish Ministry Council on the 11th October 2007, by the Instituto de Salud Carlos III-FEDER (PI08/1770, PI08/0533, PI08/1359, PS09/00773, PS09/01286, PS09/01903, PS09/02078, PS09/01662, PI11/01403, PI11/01889, PI11/00226, PI11/01810, PI11/02213, PI12/00488, PI12/00265, PI12/01270, PI12/00715, PI12/00150), by the Fundación Marqués de Valdecilla (API 10/09), by the ICGC International Cancer Genome Consortium CLL, by the Junta de Castilla y León (LE22A10-2), by the Consejería de Salud of the Junta de Andalucía (PI-0571), by the Conselleria de Sanitat of the Generalitat Valenciana (AP 061/10), by the Recercaixa (2010ACUP 00310), by the Regional Government of the Basque Country by European Commission grants FOOD-CT- 2006-036224-HIWATE, by the Spanish Association Against Cancer (AECC) Scientific Foundation, by the The Catalan Government DURSI grant 2009SGR1489