Los vínculos virtuales en contextos de pandemia. Las tramas emocionales en experiencias de educación primaria

Este artículo se encuadra en el proyecto de investigación Los conocimientos, competencias y actitudesque demanda al docente el ejercicio profesional en la dimensión comunitaria de la institución educativa(Carena, 2019/2022. Centro de Investigación de la Facultad de Educación, Universidad Católica deCórdoba, Argentina). Nuestros objetivos se focalizaron, por un lado, en identificar las modalidades delos vínculos virtuales y el estilo de convivencia en la comunidad educativa y, por otro, en indagar losprocesos y experiencias de aprendizaje-enseñanza entre docentes y estudiantes de nivel primario. Lametodología se encuadra en una investigación de corte mixto para recuperar datos cuantitativos(encuesta) y relatos docentes (entrevistas) de nivel primario. En nuestro enfoque, la mirada compleja,ética y psicoeducativa nos permite evidenciar las tensiones que se focalizan en seis dimensiones:socioculturales; comunitarias; lazos sociales; problemáticas del cuidado; malestar institucional y losprocesos de aprender a aprender. Como conclusiones, observamos que, desde una función docenteque facilita/habilita el encuentro virtual y el trabajo colectivo desde la ética del cuidado de las tramasemocionales, se expanden y enriquecen procesos simbólico-creativos en nuevas experiencias deaprendizaje-enseñanza para sostener la continuidad pedagógica y fortalecer las relaciones con lacomunidad educativa en un nuevo formato de educación escolar virtual

Effects of pre‐operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05-1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4-7 days or >= 8 days of 1.25 (1.04-1.48), p = 0.015 and 1.31 (1.11-1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care