ABSTRACT
The objective of this research work is to determine the level of satisfaction with the non-classroom teaching service of health science students in Lima during the COVID-19 pandemic. Therefore, an observational and descriptive type of research was used, since the variables were not manipulated and the purpose was to describe the study variable. The population consisted of all students of health careers enrolled in universities in Lima during the year 2020. Obtaining a sample of 385 participants according to the inclusion and exclusion criteria, it was found that most participants expressed a high level of satisfaction with 53.8%, followed by intermediate satisfaction with 38.4% and only 7.8% had a low satisfaction, concluding that the level of satisfaction of the non-classroom teaching service was mostly high in health sciences students in Lima during the COVID-19 Pandemic.
ABSTRACT
Introduction: Sars-cov2 infection is commonly associated with acute kidney injury (AKI) which may be observed in up to 40% of cases. Pathogenesis of AKI during COVID-19 is yet not perfectly understood. Many risk factors have been proposed associated with AKI occurrence during COVID-19 infection. To date there is still limited data of AKI progression and long-term outcomes among these patients. We aim to describe risk factors for development of AKI and the progression of their renal function up to six months after hospital discharge. Methodology: This is a retrospective observational study in a tertiary car nephrology department in Barcelona, Spain. We evaluated data from 71 hospitalized patients with AKI occurrence during COVID-19 infection between 1st of March and 30th May 2020. Analysis of baseline characteristic, need of renal replacement therapy (RRT) and inflammatory parameters has been performed. Result(s): Of 71 patients (74,6% males;median age 71,9+/-11,15 years), 43 (60,6%) needed admission in the intensive care unit (ICU) for hemodynamic/respiratory support and 34 (47,9%) died during hospitalization. 13 (18,3%) needed RRT. 3 (23%) patients requiring RRT died during COVID-19 infection and 9 (69,2%) partially recovered renal function. Baseline serum creatinine of patients without RRT need during follow-up was 0,90+/-0,16 mg/dl with a peak serum creatinine 2,8+/-1,5 mg/dl. Patients that needed RRT support had a baseline serum creatinine 0,98+/-0,87 mg/dl and a peak serum creatinine of 4,34+/-3,35 mg/dl. Creatinine at discharge was of 1,5+/-0,59 mg/dl in the group of patients needing RRT and 1,2+/-0,52 mg/dl. At six months follow-up no significant differences were found in creatinine levels from discharge (p=0,65). Very poor correlation was observed between inflammatory parameters and serum creatinine peak levels (Dimer D levels and Serum creatinine peak R2=0,034;C reactive protein and creatinine peak levels R2=0,15 and Interleukin 6 and creatinine peak levels R2=0,042). Conclusion(s): COVID-19 infection is associated with AKI with and increased risk of chronic kidney disease after infection is resolved. No differences between renal function at discharge and at 6 months of follow-up was observed. No correlation between the studied inflammatory parameters and the worsening of renal function was observed.
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In this evidence-based practice paper, the recently established CIRE educational model was incorporated, and modified, to establish an alternative pedagogical framework for a virtual, fast-paced summer engineering course in a private university in Texas. Transitioning to fully online courses in the wake of COVID-19 required a rapid modification of traditional pedagogical methods to overcome challenges such as the lack of academic resources and established campus practices, while simultaneously ensuring the academic and social development of students. In this regard, a pedagogical framework known as the CIRE model - which is the acronym for Communication, Initiation, Reduction, and Extension - was recently designed and implemented in a Rigid Body Dynamics Fall semester course, which generated favorable results. In this study, the CIRE model was adopted for a virtual Statics-Strength of Materials summer [six-week] course to test its effectiveness in a slightly different timeframe. However, the Initiation and Extension components of the model were modified to adapt to the fast-paced structure and allow the students to enhance their academic preparation despite the virtual setting. As such, rather than initiating homework sets during the lecture, as established in the CIRE model, step-by-step examples were instead performed during lecture sessions to strengthen the intuitive nature of solving homework problems. Similarly, the last component of the model was tailored for exams during the fast-paced summer course rather than for every assignment as stated originally. A survey was conducted with a cohort of twenty-four students to gauge responses and understand their perspectives regarding the pedagogical framework adopted. Results indicate that the implementation of the CIRE model, with its two modified components, allowed engineering students to have a holistic understanding of the course material despite the fast-paced timeframe. Students were able to successfully complete assignments individually and correlate theoretical aspects with engineering applications. © American Society for Engineering Education, 2022.
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Results from internal assessments show that passing rates in introductory courses as well as retention rates of first-year students in the College of Engineering and Computer Science at The University of Texas Rio Grande Valley, a predominantly Hispanic Serving Institution (HSI), significantly dropped with the advent of COVID-19. Such results and trends provide an overall perspective on the academic preparation of incoming students. There is a high concern that the necessary skill set (e.g., adaptability, persistence, and performance) of the new cohort, who are primarily underrepresented Hispanics from underserved and challenged communities from the Rio Grande Valley, is not optimal for the rigor of engineering education. To this end, an onboarding bootcamp for incoming and transfer students was created to bridge the transition from secondary education to higher education by priming students to overcome academic deficiencies, develop a critical skills portfolio, learn problem-solving techniques, build a sustainable community of mentoring support with faculty and students, and provide a template to sustain academic and professional success during their undergraduate education. This research-to-practice paper presents the bootcamps' design process steps: curricular analysis, identification of areas of opportunities, skills inventory, and blueprinting process, as well as its initial implementation in the mechanical engineering program. In this regard, the bootcamp was organized over a week span with hands-on engineering activities, faculty and student talks, and engineering lab tours;and was based on a design thinking approach. Daily activities were structured based on challenge-based instruction, innovation, design, and mentoring, and focused primarily on promoting critical thinking, being assertive in the face of adversity, making informed decisions, and prioritizing tasks. Results indicate that the bootcamp increased student confidence and established a valuable network system amongst other findings. Future work will focus on expanding the bootcamp to include students from other engineering and computer science departments and to offer the template to institutions with similar academic challenges. © American Society for Engineering Education, 2022
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The present study seeks to determine the characteristics of the information about COVID-19 obtained through social networks in health sciences students in Lima. A sample of 384 health sciences students using social networks during the pandemic stage was taken and the survey technique was used to obtain relevant information. The results reveal that the most used social network for searching, and consulting information related to the pandemic were WhatsApp and Facebook. The presence fakenews about COVID-19 was observed 4 out of 5 times and more than half were about medicines for the treatment of the disease. Among the most important sources of information was the COVID Situational Room of the Peruvian government. Publications in research journals were found to be the main source of scientific information. It was perceived that the Peruvian Ministry of Health was the institution with the greatest presence in social networks and that the Peruvian Government and other public agencies were the main sources for sharing information on COVID-19 in social networks.
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Background: Literature evaluating the effect of SARS-CoV-2 infection in exposed newborns during pregnancy is still scarce. Although a 3% rate of perinatal transmission has been described, there is not enough evidence of viral transmission in biological samples through microbiological techniques. Our aim is to describe perinatal transmission in newborns exposed to SARS-CoV-2 during pregnancy and their follow up. Methods: The study period is from March 15 to November 30, 2020. Exposed newborns of SARS-CoV-2 infected mothers (with microbiologically confirmed COVID-19 disease during pregnancy or delivery) were included at 13 hospitals in Spain. Demographic, clinical and microbiological data were collected. Biological samples including nasopharyngeal swab, blood, urine, and meconium from newborns and blood, placenta, and breast milk from mothers were collected for reverse transcription polymerase chain reaction (RT-PCR) analysis. Results: 282 exposed to SARS-CoV-2 neonates were recruited;130 cases during the first wave (March 15-July 31) and 152 during the second one (August 1- November 30). The prematurity birth-rate was 20% and 13% respectively. Overall, eleven newborns were positive for RT-PCR in nasopharyngeal swab, eight of them during the first 24-48 hours after birth. Three of them presented viral load in urine sample and another three in meconium sample. Only one RT-PCR was positive in maternal blood samples (1/115) and placenta (1/81). All newborns blood samples collected at delivery were negative for RT-PCR (0/70). There was no viral load either in breast milk samples (0/79). Placental immuno-histochemistry performed for SARS-CoV-2 showed no virus (0/16). Two newborn death were described none of them related to SARS-CoV-2. Those newborns exposed to SARS-CoV-2 were asymptomatic and with normal weight and psychomotor development at 6-months follow-up. Conclusion: Intrauterine SARS-CoV-2 transmission seems unlikely, describing a 3.9% rate of neonatal infection after delivery. A high rate of prematurity is described, mostly during the first wave. SARS-CoV-2 can be detected by RT-PCR in urine and meconium of neonates with positive nasopharyngeal RT-PCR, whereas it has not been detected in any newborn blood. The detection in maternal blood and placenta was anecdotal and it was not detected in breast milk samples. Except for the complications derived from prematurity, exposed newborns evolution was satisfactory.
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Background: SARS-CoV2 infection severity during pregnancy and posible consequences for exposed newborns information is still unknown. The objective of this study is to analyse clinical and epidemiological characteristics of a SARS-CoV2 infected women during pregnancy and their newborns cohort. Methods: Multicentric observational study from the Spanish GENEO-COVID cohort (participating in RECLIP). Infected pregnant women and their newborns born from 15 March to 31 July with a 15 days follow up were included. Data regarding epidemiological, clinical, virological and immunological characteristics of the patients was collected. Results: Globally, 105 pregnant women with a median age of 34 (IQR: 29-37) years old and 107 newborns were included in the study. Median gestational age at diagnosis was 36.9 (IQR-33.4-39.2) weeks, and 6.7% os women were diagnosed in the second trimester. More than 34% of the women presented at least one comorbidity and almost 65% of women had COVID19 symptoms and 43% of them were treated for the infection. Overall, 30.8% had COVID-19 pneumonia and 4.8% were admitted to the intensive care unit (ICU) needing invasive mechanical ventilation. The rate of positive RT-PCR at delivery was 61.9%. There was a 36.2% rate of caesarean sections, associated with pneumonia during pregnancy OR:4.2 (95% CI 1.5,12.0) and lower gestational age at delivery OR:0.7 (95% CI: 0.6,0.9). Regarding newborns, 46.7% were male, 66.4% breastfed, with median Apgar 1' of 9 and Apgar 5' of 10. Almost 6% were small for gestational age and 16.8% needed admission to the neonatal ICU. Oxygen was needed by 12.1% and surfactant by 5.6% newborns. Prematurity rate was 20.6%, associated with pneumonia during gestation OR:7.0 (95% CI: 2.3,22.8) and with a positive RT-PCR at delivery OR:6.5 (95% CI: 1.8,31.8). No associations were found with age, comorbidities or blood group. No vertical transmission was reported but one newborn was horizontally infected. Two newborns died, one due to prematurity causes and another of unexpected sudden death during early skin-to-skin contact after delivery. Conclusion: Even there is no vertical transmission reported in this cohort, we found a case of horizontal transmission. SARS-CoV2 infection could produce COVID19 pneumonia during pregnancy, that increases caesarean sections and prematurity rates worsening exposed newborns prognosis. (Figure Presented).