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Int J Infect Dis ; 112: 124-129, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1415456

ABSTRACT

OBJECTIVES: The aim of this study was to evaluate the impact on 30-day mortality of early use of corticosteroids in COVID-19 patients with supplementary oxygen requirements and without invasive mechanical ventilation at the initiation of therapy. METHODS: All patients hospitalized with COVID-19 between April 15 and July 15, 2020, and requiring supplementary oxygen, were prospectively included in a database. Patients who died or required intubation within the first 48 hours were excluded. Patients who received corticosteroids within the first 5 days of hospitalization and at least 24 hours prior to intubation were allocated to the 'early corticosteroids' group. To compare both populations and adjust for non-random treatment assignment bias, a weight-adjusted propensity score model was used. RESULTS: In total, 571 patients met the inclusion criteria, 520 had sufficient information for the analysis. Of these, 233 received early corticosteroids and 287 did not. Analysis showed a reduction of 8.5% (p = 0.038) in 30-day mortality in the early corticosteroid group. The reduction in mortality was not significant when patients with corticosteroid initiation between day 5 and day 8 of hospitalization were included. CONCLUSION: Early corticosteroid use reduced mortality in patients with pneumonia due to COVID-19, who required supplementary oxygen but not initial invasive mechanical ventilation.

2.
2021 Ieee World Conference on Engineering Education ; 2021.
Article in English | Web of Science | ID: covidwho-1364954

ABSTRACT

In times of the COVID-19 global pandemic, modern digital tools have served to improve the virtual teaching-learning process at Peruvian universities.The objective of the article is to analyze the impact of the use of digital tools in the teaching-learning process. A survey carried out at the beginning of April 2020 among 51 students and 19 teachers from the computer science program at the University of Science and Humanities (Lima) have revealed that some of them did not have the enough skills to use these tools. Thus, before starting the virtual courses of the first semester of 2020 they were trained in the use of the platforms such as Zoom, Google Meets and Moodle. After this training students and teacher showed a much better disposition towards the use of digital tools, which could be observe during the sessions of their courses. The evaluation of these new methodologies and additional feedback by part of the students and teachers will serve to improve further the virtual teaching-learning process, which due to the ongoing pandemic is nowadays a crucial component in higher education.it was obtained as a result that teachers have improved in the use and mastery of digital tools

3.
Journal of the American Geriatrics Society ; 69(SUPPL 1):S112, 2021.
Article in English | EMBASE | ID: covidwho-1214851

ABSTRACT

Home visits are an important and positive part of geriatric education for medical students (MS), but the main lessons learned by MS are not known. As part of the new Aging/End of Life Care curricular theme at Harvard Medical School, first year medical and dental students participate in older adult home visits with geriatrics faculty to learn about the geriatric assessment. Our mixed methods analysis explores students' main lessons learned. We collected anonymous evaluation forms from 310 students following a one-time geriatric home visit over a 3 year period. Using a 5-point Likert scale, MS rated their comfort with various aspects of geriatric assessment and rated whether their interest in geriatrics increased after the home visit. MS described two lessons learned. Two coders analyzed 604 lessons learned and identified major themes which were then organized into the Geriatric 5Ms Framework (Multicomplexity, Mobility, Mind, Matters Most, Medications). Qualitative and quantitative data were analyzed using Excel, Dedoose and JMP statistical software. A majority of MS (72%) reported their interest in geriatrics somewhat or greatly increased after the home visit. Of the 604 lessons learned that were coded, 51% related to mobility. 56% of responses related to multicomplexity, of which the most common was understanding different living facilities (43%). After a geriatric home visit, MS interest in geriatrics increases as they learn about applying the Geriatric 5Ms Framework. The most common lessons learned related to mobility and multicomplexity, essential areas of focus in a geriatrics curriculum. Though more difficult to arrange in the COVID-19 era, educational home visits are an important opportunity to increase MS interest in geriatrics and build their skills to improve the care of older adults.

4.
ICAI Workshops, ICAIW 2020 - 1st International Workshop on Applied Artificial Intelligence, WAAI 2020|2nd International Workshop on Applied Informatics for Economics, Society and Development, AIESD 2020|3rd International Workshop on Data Engineering and Analytics, WDEA 2020|3rd International Workshop on Smart and Sustainable Cities, WSSC 2020 ; 2714:42-52, 2020.
Article in English | Scopus | ID: covidwho-923188

ABSTRACT

Leadership is an essential soft skill in any professional today. However, its development can be a significant challenge in traditional classes focused on disciplinary competencies. In this sense, the use of an immersive 3D virtual environment can be an advantage for leadership development, since it can facilitate communication and interaction between the participants;thanks to overcoming fear associated with face-to-face interaction. In this regard, this work exposes a leadership activity developed in Vir- BELA, explaining their designing, developing, and evaluating processes. The results obtained show that this activity under the participants' perception was facilitating the interaction of the participants among themselves and with the professor and improve the learning process in different ways. This process was carried out during quarantine due to Covid19. © 2020 Copyright for this paper by its authors.

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