Fortalecimiento de la comprensión de lectura literal e inferencial en inglés a través del uso de las tic en los estudiantes de grado 8° de la institución educativa providencia (córdoba)

Este estudio tuvo como objetivo fortalecer los niveles de lectura literal e inferencial en inglés en los estudiantes del grado 8° de la Institución Educativa Providencia a través del uso de las Tic, para ello se formuló la pregunta de investigación, ¿de qué manera el uso de las Tic fortalecía la comprensión lectora en inglés en los mencionados estudiantes? Esta investigación tuvo un enfoque cualitativo descriptivo en el que se hizo el seguimiento del proceso de implementación de una unidad didáctica enfocada en talleres y cuestionarios basados en actividades de comprensión lectora en inglés en los niveles literal e inferencial utilizando diferentes herramientas tecnológicas y aplicaciones informáticas tales como Canva, mimind, anchor, whatsapp, facebook y Jamboard. Los resultados de este estudio evidenciaron progresos en diferentes aspectos relacionados con las competencias propias de ambos niveles de lectura principalmente lo que daba cuenta de extraer información explícita, identificar la idea principal, personajes, hechos, sitios o lugares dados en un texto, e igualmente en el nivel inferencial en lo que se refiere a la intencionalidad de autor y significado de palabras.The objective of this study was to reinforce the levels of literal and inferential reading in English in the 8th grade students of the Providencia Educational Institution through the use of ICTs, for which the research question was formulated, in what way the use of ICTs reinforce reading comprehension in English in the aforementioned students?.This research had a descriptive qualitative approach in which the implementation process of a didactic unit focused on workshops and questionnaires based on reading comprehension activities in English at the literal and inferential levels was followed up using different technological tools and computer applications such as Canva, mimind, anchor, whatsapp, facebook and Jamboard. The results of this study showed progress in different aspects related to the skills of both reading levels, mainly and which accounted for extracting explicit information, identifying the main idea, characters, events, sites or places given in a text, and also at the inferential level in regard to the author's intention and meaning of words

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Diez líneas verdes

Se desarrolla un proyecto de innovación educativa que pretende fomentar el respeto y cuidado medioambiental, creando y desarrollando la conciencia y sensibilidad. Se desarrolla a lo largo del curso 2006-2007 para todos los ciclos de Educación Infantil y Educación Primaria, se integra en el currículo y se trabaja por ciclos y asambleas las actividades del seminario. La metodología empleada en la práctica del proyecto se basa en la observación, experimentación y expresión de lo vivido en un clima de sensibilización hacia el medio ambiente. Se realizan talleres escolares, salidas a la naturaleza, fabricación de instrumentos con materiales de desecho, disfraces y plantación de plantas en un huerto entre otras actividades. Se realiza una evaluación continua de las actividades llevadas a acabo y al final se pasa una encuesta a los padres, profesorado y alumnado para realizar un sondeo de las opiniones de las tareas realizadas en el proyecto de innovación educativa. La mayoría del alumnado ha mejorado sus hábitos tanto dentro como fuera del colegio, ha aprendido a reciclar y han transmitido a sus familias estas nuevas conductas aprendidas. El profesorado y los padres opinan que el proyecto es muy útil y positivo para el alumnado. Se ha conseguido implicar a la comunidad educativa, haciendo efectiva su participación en la Red de Centros Comprometidos con el Medio Ambiente. En general el proyecto de innovación educativa es de fácil aplicación en el aula, genera hábitos y cambios de conducta medioambiental y por ello es conveniente darle continuidad en el centro para afianzar los hábitos creados.Castilla y LeónConsejería de Educación. Dirección General de Universidades e Investigación; Monasterio de Nuestra Señora de Prado, Autovía Puente Colgante s. n.; 47071 Valladolid; +34983411881; +34983411939ES

Implementación de la tutoría entre compañeros en el primer curso de los grados en la facultad de Educación, facultad de Filología y facultad de Ciencias Químicas.

Memoria ID11-207. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2011-2012

Implementación de la tutoría entre compañeros en la Facultad de Educación, Facultad de Filología y Facultad de Ciencias Químicas

Memoria ID12-0292. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2012-2013

Mineral metabolism disorders, vertebral fractures and aortic calcifications in stable kidney transplant recipients: The role of gender (EMITRAL study).

BACKGROUND AND OBJECTIVES: The relationship between mineral metabolism disorders, bone fractures and vascular calcifications in kidney transplant recipients has not been established. METHOD: We performed a cross-sectional study in 727 stable recipients from 28 Spanish transplant clinics. Mineral metabolism parameters, the semi-quantification of vertebral fractures and abdominal aortic calcifications were determined centrally. RESULTS: Vitamin D deficiency (25OHD3<15ng/ml) was more common in female recipients at CKD-T stages I-III (29.6% vs 44.4%; p=0.003). The inverse and significant correlation between 25OHD3 and PTH was gender-specific and women exhibited a steeper slope than men (p=0.01). Vertebral fractures (VFx) with deformity grade ≥2 were observed in 15% of recipients. Factors related to VFx differed by gender; in males, age (OR 1.04; 95% CI 1.01-1.06) and CsA treatment (OR: 3.2; 95% CI: 1.6-6.3); in females, age (OR 1.07; 95% CI: 1.03-1.12) and PTH levels (OR per 100pg/ml increase: 1.27; 95% CI: 1.043-1.542). Abdominal aortic calcifications were common (67.2%) and related to classical risk factors but not to mineral metabolism parameters. CONCLUSIONS: Vitamin D deficiency is more common among female kidney transplant recipients at earlier CKD-T stages, and it contributes to secondary hyperparathyroidism. Prevalent vertebral fractures are only related to high serum PTH levels in female recipients

. 27 (1992) octubre-marzo. Historias. Revista de la Dirección de Estudios Históricos

- Salvador Novo y la expropiación petrolera por Salvador Novo. – La ciudad de México bajo el lente de un fotógrafo aficionado por Francisco G. Hermosillo. - Las representaciones de la ciudad por Carlos Aguirre. - La traza: origen mítico de nuestra ciudad por Marcela Dávalos. - Concordia de la fábrica de puros y cigarros de México por María Amparo Ros. - El resguardo de la ciudad de México en el siglo XVIII por Guadalupe de la Torre. - La sociedad de la representación (La ciudad de México en la segunda mitad del siglo XVIII) por Eloísa Uribe. - Usos librescos por José Abel Ramos Soriano. - Cambios en las prácticas funerarias. Los lugares de sepultura en la ciudad de México. 1784-1857 por Ma. Dolores Morales. - 1833: Los días aciagos por Concepción Lugo Olín y Ruth Solís Vicarte. - La Asamblea Municipal de la ciudad de México durante la ocupación norteamericana por Esteban Sánchez de Tagle. - Calendarios por Isabel Quiñónez. - Los jardines en México y la idea de ciudad decimonónica por Ma. Estela Eguiarte Sakar. - El tranvía en época de cambio por Mario Camarena. - 1914: el desastre que no llegó por Salvador Rueda Smithers. - El modernismo y los espacios interiores por Antonio Saborit. - Diversiones públicas en la ciudad de México, 1920-1940 por Eduardo Flores Clair. - Los cuarenta: seductora ciudad por Emma Yanes. - Urbanización y política. Los henriquistas en la ciudad de México por Elisa Servín. - La ciudad actriz: la imagen urbana en el cine mexicano (1940-1955) por Julia Tuñón. - La ciudad de México colonial en revistas hasta 1970 por Carlos Aguirre, Dolores Morales, María Amparo Ros y Esteban Sánchez de Tagle. – Crestomanía por José Mariano Leyva