Implementation of hydroponic crops as a pedagogical strategy for the promotion of research

En el presente proyecto se desarrollaron actividades pedagógicas para el fortalecimiento de los procesos educativos en la población estudiantil de la institución: Centro de Educación Básica San Valentín, en el departamento del Magdalena, a través de implementación de cultivos hidropónicos, como estrategias pedagógicas que desarrollan habilidades investigativas en infantes y jóvenes de la institución. Se trabajó bajo la metodología cualitativa con modelo de investigación acción participativa. La población estuvo conformada por estudiantes de esa institución. Se recogió la información por medio de las técnicas como relatorías individuales, institucionales, diario de campo, encuestas y observación directa. Se identificaron los contenidos curriculares del área de Biología para aplicar en los cultivos como un recurso generador de aprendizaje, con base en los cuales se realizó la planeación para las clases y el trabajo en los cultivos.In the present project, pedagogical activities were developed for the strengthening of educational processes in the student population of the San Valentín Basic Education Center, in the department of Magdalena, through the implementation of hydroponic crops as pedagogical strategies that develop investigative skills in infants and young people of the institution. We worked under the qualitative methodology with participatory action research model. The population was conformed by students of the San Valentín Basic Education Center, in Magdalena. The information was collected by means of techniques such as individual and institutional rapporteurships, field journals, surveys and direct observation. The curricular contents of the Biology area to be applied in the crops were identified as a learning instrument, based on which the planning for the classes and the work in the crops was carried out

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)