Propuesta de indicadores tecnológicos de usos de recursos en plataformas virtuales de Licenciatura en Administración de Empresas Modalidad virtual

El incremento del número de productos multimedia e hipermedia y de plataformas disponibles en el mercado dirigidos a favorecer el desarrollo de procesos de enseñanza y aprendizaje ha sido muy significativo en los últimos años. Probablemente ello se debe, en parte, a las nuevas exigencias que plantea la sociedad del conocimiento y de la información. El número de personas que demandan carreras virtualizadas en situación de aprendizaje autónomo y a distancia, es cada vez más alto, y también lo es la cantidad de instituciones educativas que preparan a los alumnos para usar las TIC. Esto último se debe tanto a la necesidad de saber usarlas en los procesos mismos de enseñanza y aprendizaje, como a la de utilizarlas más allá de los límites propios de la educación formal. El uso de los recursos disponibles en los entornos educativos que forman las aulas virtuales, puede ser medido por los indicadores de la interactividad: docente- alumno-contenidos de aprendizaje y más concretamente, por la optimización en el uso de los elementos educativos que se desarrollan para sostener, orientar y guiar la actividad constructiva del alumno. En este informe se proponen indicadores tecnológicos para verificar el uso de recursos de las aulas virtuales, y para el desarrollo de los contenidos, actividades e interactividad entre el docente y alumno en relación al proceso de construcción personal de cada uno de ellos, y a las necesidades educativas que cada uno manifiesta en el proceso de apropiación de los contenidos. Las aulas virtuales forman parte de las diferentes formas, tipos y grados en que dichas necesidades se manifiesta primero en el momento de la preparación de la actividad o tarea de enseñanza y aprendizaje propiamente dicha; durante el desarrollo de la misma; y después, acompañando al alumno en el proceso de apropiación y uso posterior de los nuevos conocimientos, e incrementando la funcionalidad del aprendizaje.Universidad Tecnológica de El Salvado

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Down syndrome as risk factor for respiratory syncytial virus hospitalization : A prospective multicenter epidemiological study

Respiratory syncytial virus (RSV) infection in childhood, particularly in premature infants, is associated with significant morbidity and mortality. To compare the hospitalization rates due to RSV infection and severity of disease between infants with and without Down syndrome (DS) born at term and without other associated risk factors for severe RSV infection. In a prospective multicentre epidemiological study, 93 infants were included in the DS cohort and 68 matched by sex and data of birth (±1 week) and were followed up to 1 year of age and during a complete RSV season. The hospitalization rate for all acute respiratory infection was significantly higher in the DS cohort than in the non-DS cohort (44.1% vs 7.7%, P<.0001). Hospitalizations due to RSV were significantly more frequent in the DH cohort than in the non-DS cohort (9.7% vs 1.5%, P=.03). RSV prophylaxis was recorded in 33 (35.5%) infants with DS. The rate of hospitalization according to presence or absence of RSV immunoprophylaxis was 3.0% vs 15%, respectively. Infants with DS showed a higher rate of hospitalization due to acute lower respiratory tract infection and RSV infection compared to non-DS infants. Including DS infants in recommendations for immunoprophylaxis of RSV disease should be considered

IV Congreso internacional 2019: memorias II

La Red de Dirección Estratégica en la Educación Superior (RED-DEES) celebró hace poco tiempo su 10mo Aniversario de constitución. Por ello, con mucho orgullo este libro permite crear un puente en el tiempo y la emoción para Ias 54 Instituciones de Educación Superior que hoy tienen el honor de ser parte de sus miembros. Hace unos 10 años pocos podrían soñar con que la Red hubiera recorrido el camino que nos ha traído hasta aquí; era una idea inicial, tan solo una semilla, que abriría las puertas a un futuro prometedor; se convirtió en un camino hacia la ilusión, ya que en los primeros años nos movíamos entre el deseo y la incertidumbre. Hoy no dejamos de reconocer que fue una decisión riesgosa, pero estábamos dispuestos a asumirla con muchos esfuerzos entre todos. (Apartes del texto)Contiene: 1. La Planificación Estratégica en la Educación Superior: Monitoreo y Seguimiento a la planificación operativa: Herramienta de apoyo para la toma de decisiones / Isaías Hernández Sánchez, María Catalina Tapia López -- La Planificación y su vinculación con los modelos para la calidad, caso UNAH / Javier Alexis Martínez Moncada -- Resultados de un trabajo planificado en la facultad de medicina de la UNNE- Argentina / Erika Sánchez, Silvia García, Patricia Demuth -- Rediseño estratégico y prospectivo de la arquitectura organizacional: experiencia en la Universidad de Managua. Nicaragua / Fernando Valle Meza, Mario Valle Dávila, Dora María Meza Cornavaca -- Factores que favorecen y dificultan la aplicación de la dirección estratégica en la educación superior / Jorge Juan Domínguez Menéndez -- La evaluación de la práctica de la planificación estratégica en instituciones de educación superior de Cuba. Metodología aplicada y principales resultados / José Luis Almuiñas Rivero, Judith Galarza López -- Modelo para el control de la estrategia institucional en la Universidad de Cienfuegos / Katia Rivero Alonso, Judith Galarza López -- Reconstrucción de la senda que se recorrió en los procesos de planificación y evaluación institucional de comunitaria intercultural / Adrián Puerta Ch., Julia Arguello M. -- 2. Evaluación Institucional y gestión de la calidad en las IES: Hacia la instauración de una cultura de mejora continua: Modelo de evaluación del desempeño en la UNAN -Managua / Isaías Hernández Sánchez, Saira del Rosario Figueroa Aguirre -- Estrategias para mejorar la gestión del proceso de autoevaluación institucional con fines de acreditación en la Universidad San Gregorio de Portoviejo / Ximena Guillén Vivas, José Luis Almuiñas Rivero, Judith Galarza López -- Visita de condiciones iniciales para la acreditación institucional en tiempos de pandemia y sus impactos. Relato de una experiencia. Fundación Universitaria Los Libertadores - Colombia / Patricia Martínez Barrios, Orlando Salinas Gómez, Luz Mercedes Flechas Mendoza -- 3. La formación profesional y la calidad de los procesos universitarios: La formación profesional y la calidad de los procesos universitarios / Observal - Honduras, Celeo Emilio Arias -- Describir la satisfacción estudiantil delos egresados del instituto tecnológico superior de tela, ubicado en la ciudad de tela, Atlantida, Honduras / Gustavo Adolfo Rodríguez, Espinoza Carlos Agurcia, Jairo Núñez -- La cadena valor percibido, satisfacción y lealtad para los egresados de la universidad / Katty Johanna Loor Avila, José Antonio Pedraza Rodríguez, Leonor Pérez Naranjo -- El avance del seguimiento a graduados en la universidad nacional de ingeniería / Melvis Daviel Martínez Cano -- Programa de seguimiento de egresados: estudio preliminar de tres servicios universitarios / Rodrigo Horjales -- La formación de valores éticos en los estudiantes de la carrera de derecho con un enfoque RSU: propuesta de una estrategia / Roger Martínez Isaac, Odette Martínez Pérez, Noemí Delgado Álvarez -- El seguimiento de graduados; oferta y demanda de profesionales veterinarios en el Uruguay / José Passarini, Paola Cabral, Brasiliano Rodríguez, Claudia Borlido -- 4. Vinculación con medio y responsabilidad social universitaria: Responsabilidad social y aprendizaje: ideas preliminares / Odette Martínez Pérez, Roxana Chiquito Chillán, Víctor Gómez Rodríguez -- Transversalización de los Objetivos de Desarrollo Sostenible en la Planeación Institucional de la UNAN-León / Marcos Vinicio Sandino Montes -- La Universidad de Pinar del Río del conocimiento y la innovación en función del desarrollo local sostenible / Maricela González Pérez, Carlos Cesar Torres Paez, Saray Nuñez González -- Educación superior socialmente responsable: propuesta de una metodología para su evaluación e implementación en la educación superior ecuatoriana / Odette Martínez Pérez, Luis Alberto Alzate Peralta, Rudy García Cobas -- 5. La Gestión de la Internacionalización de la educación superior: La gestión del proceso de internacionalización: experiencias en la movilidad académica, la formación doctoral del docente / Bernal Álava AF, Borroto Leal OE, Campozano Pluas, Vanessa Daniela -- La gestión de la internacionalización desde la perspectiva de la formación tecnológica: la experiencia del Instituto Superior Tecnológico Bolivariano de Tecnología ITB / Luis Alberto Alzate Peralta, Odette Martínez Pérez Elena Tolozano Benites -- 6.Las TIC y las Redes Sociales en la formación de los estudiantes / Las Redes sociales como gestoras de conocimiento formal en los participantes / Esteban de Jesús Gutiérrez Ortiz, Andrés Ernesto Manrique de la Cruz, Sheyla Monsait Valero Estrada, Carlos Jesús Rodríguez Saucedo -- Las NTIC como plataformas de nuevas habilidades digitales y cocreadoras de ecosistemas virtuales educomunicativos / Martín Hernández Oseguera, Oscar Ricardo Castillo BribiescaFundación Universitaria Los Libertadore

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)

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