A la natación debemos prestarle más atención

El presente documento, recoge una propuesta para contribuir al fortalecimiento de los procesos cognitivos de atención de los niños del Colegio Colombo Hebreo de la sección pre escolar; a través de la misma, se pretende motivar y dar argumentos críticos a los padres y docentes de otras áreas para brindar un mayor reconocimiento al espacio de la clase de natación y su importancia durante el desarrollo del niño (habilidades y destrezas) no solo en el plano corporal, sino en su desarrollo integral y el de todas sus dimensiones como ser humano, teniendo en cuenta la relación directa que existe entre el desarrollo motor y el cognitivo; a su vez busca incentivar a los estudiantes, padres y docentes en general a identificar aspectos en la mejora de la conducta , atención y memoria, que se verán reflejados en su vida diaria. Se pretende dinamizar y formalizar el espacio, donde se promuevan procesos cognitivos de enseñanza-aprendizaje y también actitudes y aptitudes por parte de la comunidad del CCH, que favorezcan la percepción del deporte y se puedan ir apropiando de un espacio que a través de la lúdica y del deporte aporten en la construcción de personitas más sanas. A partir de un ejercicio de observación, registro y análisis de algunos datos, se desarrollan una serie de talleres que soportaran la frase: La lúdica y la natación no es solo diversión; estos talleres serán divididos en tres (3) fases Nadando me voy acercando, En la piscina me empapo de información y finalizando con Todos los patos al agua; cada una de estas con elementos que aportan sensibilización, participación a través de diferentes actividades grupales, que permitirán el reconocimiento de este deporte

Matriz cuantitativa de selección de tecnología Trenchless para procesos de construcción de alcantarillado en Colombia

Saneamiento de comunidadesEste trabajo presenta el diseño de una matriz cualitativa que permita seleccionar la tecnología trenchless más indicada para proyectos específicos de construcción de alcantarillado.INTRODUCCIÓN 1 GENERALIDADES DEL TRABAJO DE GRADO 2 MARCOS DE REFERENCIA 3 METODOLOGÍA 4 TECNOLOGÍAS TRENCHLESS DE CONSTRUCCIÓN DE ALCANTARILLADO 21 5 VARIABLES DE SELECCIÓN DE LA MATRIZ 6 PROGRAMACION DE MATRIZ 7 PROCESO DE SELECCIÓN DE TECNOLOGÍA 8 CASO DE ESTUDIO 9 CONCLUSIONES 10 RECOMENDACIONES BIBLIOGRAFÍA ANEXOSEspecializaciónEspecialista en Recursos Hídrico

Prácticas evaluativas en educación asistida dentro de la estrategia Aprende En Casa, EAC: tensiones y experiencias para el cambio

El presente trabajo investigativo, contiene reflexiones que son producto de una extensa revisión bibliográfica y de la recolección de información con instrumentos que permiten combinar cuantitativa y cualitativa nuestros análisis. Ello, permite comprender, de mejor manera, las prácticas de los docentes y sus percepciones frente a tres temas o ejes centrales en la escuela del confinamiento y la pandemia: a) las prácticas evaluativas, b) la educación asistida por ordenadores o educación remota y c) la propuesta Aprende en Casa; desde este punto de vista, identificamos las tensiones que generaron para el cambio en la escuela de la presencialidad, en un escenario de improvisaciones, errores, aprendizajes sobre la marcha y niveles de compromisos dispares entre los actores de la comunidad educativa pero, sobre todo, buena voluntad. Estos ejes permiten aportar elementos desde la reflexión crítica para contribuir a la discusión que es necesario dar desde la escuela y sus diferentes actores para afrontar crisis como la generada por la pandemia y proyectar acciones de mejora en la nueva escuela que se avizora en la post-pandemia.The present work contains reflections that are the product of an extensive bibliographic review and the collection of information with instruments that allow us to combine quantitative and qualitative our analyzes. This makes it possible to better understand the practices of teachers and their perceptions regarding three central themes or central axes in the school of confinement and the pandemic: a) evaluative practices, b) computer-assisted education or remote education and c) the Learn at Home proposal; From this point of view, we identify the tensions that these generated for change, in the school of face-to-face in a scenario of improvisations, mistakes, on-the-go learning and disparate levels of commitment among the actors of the educational community but, above all , goodwil

Resignificando la educación: 12 reflexiones pedagógicas sobre la escuela

208 páginasEste libro reúne 12 artículos de maestros y maestras de la ciudad que reflexionan sobre el rol de la Escuela en la actualidad. Sin duda, la pandemia es un hecho que atraviesa varias de estas páginas, pues esta coyuntura ha hecho que estudiantes, docentes y familias resignifiquen su papel en la educación. Pero este libro no se agota allí, en tanto aparecen iniciativas como las redes de maestros y maestras en torno a la paz, la interculturalidad, así como nuevas miradas sobre la inclusión educativa y la evaluación que aportan al diálogo pedagógico. De esta manera, el Instituto para la Investigación Educativa y el Desarrollo Pedagógico (IDEP) busca que docentes y directivos de las instituciones educativas aporten a la transformación educativa desde sus saberes y experiencias.I. La Escuela en Casa. Página 17: Transitando por la Escuela: realidades y posibilidades. Página 29: Relación Familia- Escuela, Educación Asistida y Ambientes de Aprendizaje en Casa. Página 43: Percepciones de familias sobre su participación en la Escuela. Articulando voces de madres, padres y acudientes de estudiantes en Jardín y Transición. II. Nuevas miradas de la evaluación Página 71: Del pensamiento a la acción: la evaluación en el preescolar. Página 87: La evaluación durante el confinamiento educativo: evidencias investigativas de una crisis en sus prácticas y usos. III. Redes de paz, reconciliación y ciudadanía. Página 103: La Red Elegguá: Abriendo caminos para la tolerancia y la interculturalidad. Página 113: Pedagogías colectivas para la Paz- Tejido de esperanzas de maestras y maestros de la Red Chisua. IV. Inclusión educativa. Página 131: Experiencias de apropiación: Narrativas de maestras desde la inclusión. Página 149: El rol del docente de apoyo frente al reto de una educación inclusiva de calidad para la atención a la población estudiantil con discapacidad. Página 161: La oferta bilingüe-bicultural a nivel distrital, una apuesta en la educación de la persona sorda. V. Estudiantes y maestros en cambio. Página 177: El maestro investigador en el aula y su caracterización pedagógica. Página 195: Los Procesos de Lectura y Escritura Creativa en niños, niñas y adolescentes. Análisis de una experiencia

Early mobilisation in critically ill COVID-19 patients: a subanalysis of the ESICM-initiated UNITE-COVID observational study

Background Early mobilisation (EM) is an intervention that may improve the outcome of critically ill patients. There is limited data on EM in COVID-19 patients and its use during the first pandemic wave. Methods This is a pre-planned subanalysis of the ESICM UNITE-COVID, an international multicenter observational study involving critically ill COVID-19 patients in the ICU between February 15th and May 15th, 2020. We analysed variables associated with the initiation of EM (within 72 h of ICU admission) and explored the impact of EM on mortality, ICU and hospital length of stay, as well as discharge location. Statistical analyses were done using (generalised) linear mixed-effect models and ANOVAs. Results Mobilisation data from 4190 patients from 280 ICUs in 45 countries were analysed. 1114 (26.6%) of these patients received mobilisation within 72 h after ICU admission; 3076 (73.4%) did not. In our analysis of factors associated with EM, mechanical ventilation at admission (OR 0.29; 95% CI 0.25, 0.35; p = 0.001), higher age (OR 0.99; 95% CI 0.98, 1.00; p ≤ 0.001), pre-existing asthma (OR 0.84; 95% CI 0.73, 0.98; p = 0.028), and pre-existing kidney disease (OR 0.84; 95% CI 0.71, 0.99; p = 0.036) were negatively associated with the initiation of EM. EM was associated with a higher chance of being discharged home (OR 1.31; 95% CI 1.08, 1.58; p = 0.007) but was not associated with length of stay in ICU (adj. difference 0.91 days; 95% CI − 0.47, 1.37, p = 0.34) and hospital (adj. difference 1.4 days; 95% CI − 0.62, 2.35, p = 0.24) or mortality (OR 0.88; 95% CI 0.7, 1.09, p = 0.24) when adjusted for covariates. Conclusions Our findings demonstrate that a quarter of COVID-19 patients received EM. There was no association found between EM in COVID-19 patients' ICU and hospital length of stay or mortality. However, EM in COVID-19 patients was associated with increased odds of being discharged home rather than to a care facility. Trial registration ClinicalTrials.gov: NCT04836065 (retrospectively registered April 8th 2021)

Espirales de reflexividad crítica y propositiva para escribir la educación media de Bogotá

399 p. Libro digita

Co-infection and ICU-acquired infection in COIVD-19 ICU patients: a secondary analysis of the UNITE-COVID data set

Background: The COVID-19 pandemic presented major challenges for critical care facilities worldwide. Infections which develop alongside or subsequent to viral pneumonitis are a challenge under sporadic and pandemic conditions; however, data have suggested that patterns of these differ between COVID-19 and other viral pneumonitides. This secondary analysis aimed to explore patterns of co-infection and intensive care unit-acquired infections (ICU-AI) and the relationship to use of corticosteroids in a large, international cohort of critically ill COVID-19 patients.Methods: This is a multicenter, international, observational study, including adult patients with PCR-confirmed COVID-19 diagnosis admitted to ICUs at the peak of wave one of COVID-19 (February 15th to May 15th, 2020). Data collected included investigator-assessed co-infection at ICU admission, infection acquired in ICU, infection with multi-drug resistant organisms (MDRO) and antibiotic use. Frequencies were compared by Pearson's Chi-squared and continuous variables by Mann-Whitney U test. Propensity score matching for variables associated with ICU-acquired infection was undertaken using R library MatchIT using the "full" matching method.Results: Data were available from 4994 patients. Bacterial co-infection at admission was detected in 716 patients (14%), whilst 85% of patients received antibiotics at that stage. ICU-AI developed in 2715 (54%). The most common ICU-AI was bacterial pneumonia (44% of infections), whilst 9% of patients developed fungal pneumonia; 25% of infections involved MDRO. Patients developing infections in ICU had greater antimicrobial exposure than those without such infections. Incident density (ICU-AI per 1000 ICU days) was in considerable excess of reports from pre-pandemic surveillance. Corticosteroid use was heterogenous between ICUs. In univariate analysis, 58% of patients receiving corticosteroids and 43% of those not receiving steroids developed ICU-AI. Adjusting for potential confounders in the propensity-matched cohort, 71% of patients receiving corticosteroids developed ICU-AI vs 52% of those not receiving corticosteroids. Duration of corticosteroid therapy was also associated with development of ICU-AI and infection with an MDRO.Conclusions: In patients with severe COVID-19 in the first wave, co-infection at admission to ICU was relatively rare but antibiotic use was in substantial excess to that indication. ICU-AI were common and were significantly associated with use of corticosteroids

Clinical and organizational factors associated with mortality during the peak of first COVID-19 wave : the global UNITE-COVID study

Purpose To accommodate the unprecedented number of critically ill patients with pneumonia caused by coronavirus disease 2019 (COVID-19) expansion of the capacity of intensive care unit (ICU) to clinical areas not previously used for critical care was necessary. We describe the global burden of COVID-19 admissions and the clinical and organizational characteristics associated with outcomes in critically ill COVID-19 patients. Methods Multicenter, international, point prevalence study, including adult patients with SARS-CoV-2 infection confirmed by polymerase chain reaction (PCR) and a diagnosis of COVID-19 admitted to ICU between February 15th and May 15th, 2020. Results 4994 patients from 280 ICUs in 46 countries were included. Included ICUs increased their total capacity from 4931 to 7630 beds, deploying personnel from other areas. Overall, 1986 (39.8%) patients were admitted to surge capacity beds. Invasive ventilation at admission was present in 2325 (46.5%) patients and was required during ICU stay in 85.8% of patients. 60-day mortality was 33.9% (IQR across units: 20%-50%) and ICU mortality 32.7%. Older age, invasive mechanical ventilation, and acute kidney injury (AKI) were associated with increased mortality. These associations were also confirmed specifically in mechanically ventilated patients. Admission to surge capacity beds was not associated with mortality, even after controlling for other factors. Conclusions ICUs responded to the increase in COVID-19 patients by increasing bed availability and staff, admitting up to 40% of patients in surge capacity beds. Although mortality in this population was high, admission to a surge capacity bed was not associated with increased mortality. Older age, invasive mechanical ventilation, and AKI were identified as the strongest predictors of mortality

International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module

We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study using the Centers for Disease Control and Prevention's (CDC) U.S. National Healthcare Safety Network (NHSN) definitions for device-associated health care–associated infection (DA-HAI), we collected prospective data from 605,310 patients hospitalized in the INICC's ICUs for an aggregate of 3,338,396 days. Although device utilization in the INICC's ICUs was similar to that reported from ICUs in the U.S. in the CDC's NHSN, rates of device-associated nosocomial infection were higher in the ICUs of the INICC hospitals: the pooled rate of central line–associated bloodstream infection in the INICC's ICUs, 4.9 per 1,000 central line days, is nearly 5-fold higher than the 0.9 per 1,000 central line days reported from comparable U.S. ICUs. The overall rate of ventilator-associated pneumonia was also higher (16.8 vs 1.1 per 1,000 ventilator days) as was the rate of catheter-associated urinary tract infection (5.5 vs 1.3 per 1,000 catheter days). Frequencies of resistance of Pseudomonas isolates to amikacin (42.8% vs 10%) and imipenem (42.4% vs 26.1%) and Klebsiella pneumoniae isolates to ceftazidime (71.2% vs 28.8%) and imipenem (19.6% vs 12.8%) were also higher in the INICC's ICUs compared with the ICUs of the CDC's NHSN