Modelos epistémicos de la lectura en estudiantes universitarios mexicanos

Este estudio explora el empleo de tres modelos epistémicos de lectura (transaccional, transmisión, translación (Schraw y Bruning, 1996; Peredo Merlo, 2003) y su relación con la asiduidad lectora de 15 estudiantes universitarios mexicanos. Se categorizó a los sujetos con base en la información proporcionada mediante entrevistas semiestructuradas y reportes verbales. Los resultados sitúan a la mayoría de los informantes en el modelo transaccional, el cual favorece la comprensión del texto. El surgimiento de esquemas mixtos indica la emergencia de etapas de transición entre los modelos. Un análisis posterior reveló que otras características de acercamiento al texto como frecuencia de lectura, variación en estrategias, personalización y crítica del texto compartidos por los sujetos, se relacionan con los modelos y confirmarían la existencia de las epistemologías. Finalmente, se analizan las implicaciones didácticas

IDENTIFICACIÓN DE PROBLEMAS QUE EXISTEN AL CALCULAR LAS MEDIDAS DE COMPLEJIDAD LÉXICA EN EL IDIOMA ESPAÑOL

English is one of the most widely spoken languages in the world and there are some linguists who have developed measures to discover how difficult a text is according to its content for example Type-token Ratio, Lexical Variation and Lexical Density. These measures have been used only in English and they are helpful in English teaching to assess students and as a tool to produce materials to improve reading comprehension and teach English in general. Even though there is a way to determine the complexity of a text in English, lack of studies in Spanish has not given the possibility to measure in this language. As a consequence measures like Type-token Ratio, Lexical Variation and Lexical Density do not have a specific range to indicate the level of complexity in Spanish. As it was mentioned before these measures are used only in English so it was essential to use these measures in two texts in English and its translations in Spanish. The purpose was to compare the texts in English and Spanish because the content is similar in both languages and the results of the measures in English could be adapted in Spanish

Investigación Educativa en las Ciencias Sociales

El libro se organiza en cinco grandes secciones, cada una con diferentes capítulos: La primera de ellas, rescata dos temas vinculados con aspectos teórico metodológicos de la Investigación Educativa; La segunda sección recoge algunos planteamientos del nivel básico; en tanto que la tercera, concentra dos capítulos de investigación en el nivel superior; la cuarta parte recupera y muestra dos aportes de nivel posgrado y, finalmente, se cierra con una quinta sección donde se concentran, distintos capítulos, de tópicos diversos

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men