[Castellon Field Hospital: comprehensive analysis of its use during the SARS-CoV-2 pandemic.]

OBJECTIVE: Field hospitals, also known as alternative care sites, have been an important healthcare reinforcement during the SARS-CoV-2 pandemic worldwide. In the Valencian Community, three of these hospitals were opened, one for each province. Our study aimed to make a comprehensive analysis of this resource in Castellon. METHODS: A retrospective observational study was carried out with an analytical and statistical component of 3 aspects: infrastructure, satisfaction and clinical data from COVID-positive hospitalized patients. The sources of information were primary, institutional for the infrastructure and personal for the satisfaction surveys and clinical data. RESULTS: A set of 6x3 metres polyvalent tents was chosen, which joined formed a single-floor area of about 3.500 m2. Although hospital opened for approximately a year and a half with multiple uses, most in relation to the COVID pandemic (vaccination center, emergency room observation, hospital assistance, warehouse...), reception of positive patients for the virus began during the third wave of the pandemic, remaining active for eleven days. A total of thirty-one patients with a mean age of 56 years were admitted. 41.9% did not have any comorbidity and 54.8% needed treatment with oxygen therapy. Furthermore, the length of stay was three days, finding a significant relationship between this one, the oxygen flow required during admission and the age. Satisfaction was measured by a survey of seventeen questions where an average satisfaction of 8.33/10. CONCLUSIONS: This is one of the few studies in the literature in which a field hospital is analyzed from such different points of view. After this analysis, it is concluded that it is an extraordinary and temporary resource whose use is useful without reflecting an increase of morbidity/mortality among our patients and with a very favorable subjective assessment.

[Castellón Field Hospital: comprehensive analysis of its use during the SARS-CoV-2 pandemic.]

OBJECTIVE: Field hospitals, also known as alternative care sites, have been an important healthcare reinforcement during the SARS-CoV-2 pandemic worldwide. In the Valencian Community, three of these hospitals were opened, one for each province. Our study aimed to make a comprehensive analysis of this resource in Castellon. METHODS: A retrospective observational study was carried out with an analytical and statistical component of 3 aspects: infrastructure, satisfaction and clinical data from COVID-positive hospitalized patients. The sources of information were primary, institutional for the infrastructure and personal for the satisfaction surveys and clinical data. RESULTS: A set of 6x3 metres polyvalent tents was chosen, which joined formed a single-floor area of about 3.500 m(2). Although hospital opened for approximately a year and a half with multiple uses, most in relation to the COVID pandemic (vaccination center, emergency room observation, hospital assistance, warehouse...), reception of positive patients for the virus began during the third wave of the pandemic, remaining active for eleven days. A total of thirty-one patients with a mean age of 56 years were admitted. 41.9% did not have any comorbidity and 54.8% needed treatment with oxygen therapy. Furthermore, the length of stay was three days, finding a significant relationship between this one, the oxygen flow required during admission and the age. Satisfaction was measured by a survey of seventeen questions where an average satisfaction of 8.33/10. CONCLUSIONS: This is one of the few studies in the literature in which a field hospital is analyzed from such different points of view. After this analysis, it is concluded that it is an extraordinary and temporary resource whose use is useful without reflecting an increase of morbidity/mortality among our patients and with a very favorable subjective assessment.

Early COVID-19 re-infection

Although an immune response has been demonstrated in patients who have had Covid19, re-infec-tions are being reported with increasing frequency. To avoid confusion with cases of persistent infec-tion, the criteria for the diagnosis of reinfection require a minimum time interval between episodes and the performance of complementary tests that are not accessible to most clinicians. Two cases of reinfection in pediatric patients, attended in primary care and with a short time interval between the first episode and the reinfection are presented. © 2021, Spanish Association of Primary Care Pediatrics. All rights reserved.

Tools linked to informal learning: opportunities to strengthen personal learning environments of university students during the times of pandemic

Informal learning is gaining relevance for the acquisition of professionally valuable skills. In this sense, ICT in general, and the construction of a personal learning environment (PLE) in particular, become allies to this end. Moreover, they have been key during the times of pandemic when formal education institutions all over the planet have been forced to close. The present study has the objective of describing the tools used by students for the purpose of searching for information, creating content, and sharing and interacting in informal environments. The methodology follows a quantitative approach under a non-experimental and transactional design. A questionnaire is applied to a probabilistic stratified sample (n=1187) comprising university students from different programs at the Universidad Nacional (Costa Rica). The main findings suggest that the search and management of information, in addition to the tools used for sharing and interacting, are the components related to a higher number of digital resources, while being less used in activities related to content creation. Between groups, differences regarding the usage of tools have been detected according to the variables of sex, age and field of study. It is recommended that universities introduce new methodologies, and promote more efficient strategies that enable raising awareness about the relevance of learning with technology, as well as to recognize the contributions of complementary informal learning to formal education. The combination of both aspects will facilitate continuous and permanent learning for the acquisition of professional skills, especially within the framework of the limitations and demands derived by the global pandemic situation caused by the COVID-19.