Método Geempa mediado por las tic: una herramienta para los docentes en el desarrollo de las competencias lectoras de los niños de preescolar, en tiempos de Covid 19

The general purpose of this research is to generate changes in the methodology of teachers for the development of reading skills among Preschool children, at the Armando Estrada Flórez Departmental Educational Institution based on the Geempa method mediated by ICT, in times of Covid 19. The design and methodological definition was guided by qualitative research, with a sample of 6 participating teachers, framed in the socio-critical epistemological paradigm, under a research-action methodology, using the documentary review as instruments for collecting information, semi-structured interview, group discussion, training workshops and the focus group. The data obtained allowed the exploration and knowledge of conceptions or criteria in which the practice of teachers on the use of strategies for the development of reading competences, as well as the absence in planning and / or practice, of the use of resources has been sustained. or technological tools for this purpose, so that facing and assuming these realities leads us to propose, from a shared reflection, the collective development of new pedagogical strategies allowing innovation and reflection of the pedagogical work from the implementation of the Geempa Method using technologies of information and communication, for the development of reading competence.El propósito general de esta investigación es generar cambios en la metodología de los profesores para el desarrollo de las competencias lectoras entre los niños de Preescolar, en la Institución Educativa Departamental Armando Estrada Flórez a partir del método Geempa mediado por las TIC, en tiempos de Covid 19. El diseño y definición metodológico estuvo orientado por la investigación cualitativa, con una muestra de 6 docentes participantes, enmarcada en el paradigma epistemológico sociocrítico, bajo una metodología investigaciónacción, utilizando como instrumentos para la recolección de la información la revisión documental, entrevista semiestructurada, grupo de discusión, talleres de formación y el grupo focal. Los datos arrojados permitieron explorar y conocer concepciones o criterios en los que se ha sostenido la práctica de las docentes sobre el uso de estrategias para el desarrollo de las competencias lectoras, así como la ausencia en la planeación y/o práctica, del uso de recursos o herramientas tecnológicas para tal fin, de manera que afrontar y asumir estas realidades nos lleva a plantear desde una reflexión compartida, el desarrollo colectivo de nuevas estrategias pedagógicas permitiendo la innovación y reflexión del quehacer pedagógico a partir de la implementación del Método Geempa utilizando tecnologías de la información y comunicación para el desarrollo de la competencia lectora

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research

Erratum to: Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition) (Autophagy, 12, 1, 1-222, 10.1080/15548627.2015.1100356

non present