The philosophy of the human person curriculum in the Philippines: Basis for COVID-19 Model of Curriculum Revision

Identifying gaps and overlaps in the Introduction of Philosophy of the Human Person (IPHP) curriculum in the Philippines is a great concern that makes it relevant. This ascertains its scopes based on sufficiency in terms of themes, goals, and aims;principles and criteria used for content selection;and proposing a COVID-19 Model for future revision. Using content analysis, it utilized pre-determined codes on the themes, goals, and aims of social studies;and the principles and criteria for content selection. Four clusters of themes were sufficiently integrated with the IPHP curriculum in a spiral progression;three other clusters showed gaps with no integration. The 10 social studies goals were sufficiently integrated that remains consistent in a semester with a decrease in distribution due to is spiraling complexities of contents. Six aims were sufficiently integrated with no existing gap with a negligible overlap in personal development. The principles of the curriculum were sufficiently used as well. As the semester progresses, the utilization of these principles decreases toward the second quarter, which needs attention for a future revision, using a COVID-19 Model. These results have a practical impact on curriculum makers to see the nitty-gritty in crafting or revising a curriculum to ensure the balance of content integration, realignment of concepts and skills, and continuity. These results also promote social impact in understanding our humanity as juxtaposed in the IPHP taught in the senior high school curriculum in the Philippines.

Relación clínica entre la artritis reactiva y la infección por SARS-CoV-2: una revisión exploratoria

Resumen Introducción: La artritis reactiva (ReA) es una monoartritis u oligoartritis que compromete principalmente las extremidades, y se puede relacionar con infecciones bacterianas o virales. En la actualidad, la covid-19 se ha relacionado con el desarrollo de artropatías debido a su componente inflamatorio. Objetivos: Llevar a cabo una revisión exploratoria de la literatura que describa las características clínicas de la ReA en pacientes sobrevivientes a la infección por SARS-CoV-2. Materiales y métodos: Revisión sistemática exploratoria basada en las guías para comunicar revisiones sistemáticas adaptadas para las revisiones exploratorias Prisma-P y pasos propuestos Arksey y ajustados por Levan. Se incluyeron estudios de tipo experimental y observacional publicados en PubMed y Scopus, en inglés y español, que respondieran las preguntas de investigación planteadas. Resultados: Se incluyeron 25 documentos que describen las principales manifestaciones clínicas de la ReA en 27 pacientes con antecedente de infección por SARS-Cov-2. El tiempo desde el inicio de los síntomas o diagnóstico microbiológico de la covid-19 hasta el desarrollo de manifestaciones articulares o extraarticulares compatibles con ReA osciló entre 7 y 120 días. Las manifestaciones articulares clínicas descritas fueron las artralgias y el edema de predominio en articulaciones de las rodillas, tobillos, codos, interfalángicas, metatarsofalángica y metacarpofalángica. Conclusiones: Las artralgias en las extremidades son el principal síntoma de la ReA en pacientes con antecedente de covid-19. Sus síntomas se pueden presentar en un periodo de días a semanas, desde el inicio de los síntomas clínicos o el diagnóstico microbiológico de la infección por SARS-CoV-2. Introduction: Reactive arthritis (ReA) is a monoarthritis or oligoarthritis that mainly affects the extremities, it can be related to bacterial or viral infections. Currently, COVID-19 has been linked to the development of arthropathies due to its inflammatory component. Objectives: A scoping review of the literature that describes the clinical characteristics of ReA in survivors of SARS-CoV-2 infection. Materials and methods: A systematic review based on the guidelines for reporting systematic reviews adapted for Prisma-P exploratory reviews and steps proposed by Arksey and adjusted by Levan. Experimental and observational studies published in PubMed and Scopus, English and Spanish, which answered the research questions posed, were included. Results: 25 documents were included describing the main clinical manifestations of ReA in 27 patients with a history of SARS-Cov-2 infection. The time from the onset of symptoms or microbiological diagnosis of COVID-19 to the development of articular and/or extra-articular manifestations compatible with ReA ranged from 7 days to 120 days. The clinical joint manifestations described were arthralgia and oedema, predominantly in knee, ankle, elbow, interphalangeal, metatarsophalangeal, and metacarpophalangeal joints. Conclusions: Arthralgias in the extremities are the main symptom of ReA in patients with a history of COVID-19, whose symptoms can present in a period of days to weeks from the onset of clinical symptoms or microbiological diagnosis of SARS-CoV-2 infection.

Evidencia sobre estrategias de prevención y rehabilitación del síndrome post-UCI en adultos: una revisión de revisiones sistemáticas

Resumen Introducción El síndrome post-UCI (PICS, por sus siglas en inglés) es un síndrome que cada vez más cobra importancia debido al creciente número de pacientes sobrevivientes a la enfermedad crítica, fenómeno que se ha visto acentuado especialmente luego de la pandemia del COVID-19. El enfoque de la práctica médica que atiende a estos pacientes debe estar orientado en las mejores intervenciones disponibles para prevenir y rehabilitar las secuelas del PICS. Objetivo Sintetizar la evidencia sobre la eficacia y la efectividad de las estrategias para la prevención y rehabilitación del PICS en pacientes adultos. Métodos Revisión de revisiones sistemáticas (CRD42022321610). Se buscaron en PubMed, Scopus, Ovid (Cochrane) y LILACS las revisiones sistemáticas que evaluaran cualquier intervención para prevenir o rehabilitar el PICS y su efecto en algunas de las esferas del PICS (es decir, desenlaces mentales, cognitivos o físicos). Resultados Se incluyeron 20 estudios, 10 catalogados como de baja y muy baja calidad metodológica, por lo que no se incluyeron en la síntesis de resultados. Las terapias a nivel de las esferas mental y cognitiva parecen tener un efecto benéfico, pero con evidencia limitada. Las intervenciones analizadas en la esfera física son muy heterogéneas y tienen resultados contradictorios, igualmente con calidad de evidencia muy limitada. Conclusiones Teniendo en cuenta las revisiones sistemáticas incluidas en este trabajo, esta investigación permite concluir que hay información de baja calidad y contradictoria sobre la eficacia de las intervenciones para la prevención o rehabilitación del PICS. La práctica futura debe centrarse en desarrollar estudios de alta calidad. Introduction Post-ICU syndrome (PICS) is a syndrome that is becoming increasingly important due to the growing number of patients surviving critical illness, a phenomenon that has been accentuated especially after the COVID-19 pandemic. The focus of the medical practice that cares for these patients should be oriented toward the best available interventions to prevent and rehabilitate the sequelae of PICS. Objective To synthesize the evidence on the efficacy and effectiveness of strategies for preventing and rehabilitating PICS in adult patients. Methods Umbrella review (CRD42022321610). PubMed, Scopus, Ovid (Cochrane), and LILACS were searched for systematic reviews evaluating any intervention to prevent or rehabilitate PICS and its effect on any of the PICS domain(s) (i.e., mental, cognitive, or physical outcomes). Results 20 studies were included, and 10were classified as of low or very-low methodological quality, so they were not included in the summary of results. Therapies at the mental and cognitive levels seem to have a beneficial effect but with limited evidence. The interventions analyzed in the physical sphere are very heterogeneous and have contradictory results, with little quality of evidence. Conclusions Considering the systematic reviews included in this work, this research allows us to conclude that there is low-quality and contradictory information on the efficacy of interventions for the prevention or rehabilitation of PICS. Future practice should focus on developing high- quality studies.

Acceptance of Social Media for Study Purposes—A Longitudinal Case Study

Background: Social media is a ubiquitous phenomenon that serves as a tool for communication, collaboration, and creativity. In the long term, it has an indispensable place in the field of education. The research paper discusses the use of certain social networking sites where learning management systems are extensively and consistently used in the teaching and learning process at universities. The rapid transition to online platforms had a tremendous impact on the educational process, exposing and promoting the effectiveness of heutagogy. The circumstances made it necessary to emphasize the value of self-directed learning and the capacity to identify educational requirements and strategies for reaching study objectives. This kind of research corresponds to the increased need to develop desired self-study skills in students. Objectives: The goal of the paper is to demonstrate how undergraduate students perceive the trends in acceptance and the degree of appropriateness of social media for academic purposes. Methods: Research on social media use in education was inspired by a review of the literature. The purpose of the questionnaire is to track awareness, use, general satisfaction, communication, testing, and revision. The set of social media examined in the survey (years 2021 and 2022) was modified to reflect the social media landscape at the time. This study compares the findings of four different studies. The outcomes are displayed in graphs. Results: Two areas are analyzed: social media as a means of communication in the process of education and social media as a tool enabling students' revision and testing of study materials. The first two studies, which were conducted in 2014 and 2019, are based on the same set of examined social media and fit the comparison, enabling to define the trend in students' perceived satisfaction with social media for study purposes. The third and fourth studies discussed in this paper were run during the winter semesters of 2021 and 2022. Conclusions: The most significant differences between 2021 and 2022 can be seen in Instagram, Twitch, and other platforms, where a substantial drop in satisfaction in the communication field can be seen. The biggest difference in revision and testing is found in Facebook, Twitch, and Teams, which are abandoning online teaching and learning after the COVID-19 event. Social media use for studying has significantly decreased, with noteworthy decreases in Wiki, Facebook, and video calls.

Nowcasting Japan's GDP.

This paper backtests a nowcast of Japan's real GDP growth. It has three contributions: (i) use of genuine real-time data, (ii) implementation of a new method for the revision analysis that relates the revision of the nowcast to not only new observations but also data revisions, and (iii) a benchmarking of the nowcast to a market consensus forecast at monthly forecasting horizons. Our nowcast's forecast accuracy is comparable to that of the consensus at most, but not all, monthly horizons. Our revision analysis of the March 2011 earthquake finds the nowcast reacting to a steep post-quake decline in car production. In contrast, the consensus hardly budged, most likely because the decline was correctly viewed as temporary. The onset of COVID-19 triggers the consensus to take a precipitous descent. The nowcast, despite timely red flags from "soft" (i.e., survey-based) indicators, does not respond immediately in full, because it took a month or more for "hard" (i.e., non-survey-based) indicators to register sharply reduced economic activities.

Corticosteroids and Outcomes in Solid Organ Transplant Recipients Infected With Severe Acute Respiratory Syndrome Coronavirus 2.

Objective: To examine outcomes in organ transplant and nontransplant patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during the initial 22 months of the pandemic. Patients and Methods: We used Optum electronic health records to compare outcomes between an adult transplant group and a propensity-matched nontransplant group that tested positive for SARS-CoV-2 from February 1, 2020, to December 15, 2021. Baseline characteristics, hospitalization, intensive care unit admission, mechanical ventilation, renal replacement therapy, inpatient, and 90-day mortality were compared between the transplant and nontransplant groups and among specific transplant recipients. Cox proportional analysis was used to examine hospitalization and mortality by organ transplant, medical therapy, sex, and the period of the pandemic. Results: We identified 876,959 patients with SARS-CoV-2 infection, of whom 3548 were organ transplant recipients. The transplant recipients had a higher risk of hospitalization (30.6% vs 25%, respectively; P<.001), greater use of mechanical ventilation (7.8% vs 5.6%, respectively; P<.001), and increased inpatient mortality (6.7% vs 4.7%, respectively; P<.001) compared with the nontransplant patients. The initiation of mechanical ventilation was significantly more frequent in the transplant group. After adjustment for baseline characteristics and comorbidities, the transplant group had a higher risk of hospitalization (odds ratio, 1.38; 95% confidence interval, 1.19-1.59), without a difference in mortality. In the transplant group, lung transplant recipients had the highest inpatient mortality (11.6%). Conclusion: Among patients with SARS-CoV-2 infection, the transplant recipients were at a higher risk of hospitalization and inpatient mortality; however, mortality was mainly driven by advanced age and comorbidities rather than by transplant status or immunosuppressive medications. Lung transplant recipients had the greatest inpatient and 90-day mortality.

Adapting an In-Home Randomized Intervention Trial Protocol for COVID-19 Precautions.

BACKGROUND: The COVID-19 pandemic has significantly impacted the status of clinical trials in the United States, requiring researchers to reconsider their approach to research studies. In light of this, we discuss the changes we made to the protocol of the Home Air Filtration for Traffic-Related Air Pollution (HAFTRAP) study, a randomized crossover trial of air filtration in homes next to a major highway. The senior authors designed the trial prior to the pandemic and included in-person data collection in participants' homes. Because of the pandemic, we delayed the start of our trial in order to revise our study protocol to ensure the health and well-being of participants and staff during home visits. To our knowledge, there have been few reports of attempts to continue in-home research during the pandemic. METHODS: When pandemic-related protective measures were imposed in March 2020, we were close to launching our trial. Instead, we postponed recruitment, set a new goal of starting in September 2020, and spent the summer of 2020 revising our protocol by developing increased safety precautions. We reviewed alternative approaches to installing portable air filtration units in study participants' homes, in order to reduce or eliminate entry into homes. We also developed a COVID-19 safety plan that covered precautionary measures taken to protect both field team staff and study participants. RESULTS: Our primary approach was to minimize contact with participants when collecting the following measures in their homes: (1) placing portable air filtration units; (2) conducting indoor air quality monitoring; (3) obtaining blood samples and blood pressure measurements; and (4) administering screening, consent, and follow-up questionnaires that coincided with collection of biological measures. Adapting our public health trial resulted in delays, but also helped ensure ethical and safe research practices. Perceived risk of COVID-19 infection appeared to have been the primary factor for an individual in deciding whether or not to participate in our trial, particularly at the beginning of the pandemic, when less was known about COVID-19. CONCLUSIONS: We needed to be flexible, creative, and calm when collaborating with community members, the IRB, and the universities, while repeatedly adjusting to changing guidelines as we determined what worked and what did not for in-home data collection. We learned that high-quality air monitoring data could be collected with minimal in-person contact and without compromising the integrity of the trial. Furthermore, we were able to collect blood pressure and phlebotomy data with minimal risk to the participant.

Mecanismos fiscales en el marco de la COVID-19: una mirada a las desigualdades económicas en América Latina

El objetivo del presente artículo fue identificar las políticas fiscales implementadas en América Latina, sus efectos y el enfoque en la visualización de las desigualdades económicas en el marco de la pandemia originada por la COVID-19. Para tal propósito, la metodología desarrollada consistió en la revisión de literatura de los años 2020 y 2021 en las bases de datos especializadas Scopus y Redalyc en investigación y estadísticas temáticas;para ello, se tomaron como muestra los países con mayores resultados en cuanto a investigaciones realizadas: Argentina, Brasil, Chile, Colombia, Ecuador, México y Perú. Los resultados indicaron que, aunque las estructuras tributarias en estos países son similares, el mayor recaudo, en años recientes, estuvo en Brasil y México;en cuanto a las medidas tomadas en política fiscal y monetaria, la mayor cantidad fueron implementadas por Brasil y Colombia;en lo referente al gasto social como porcentaje del producto interno bruto (PIB), la región estuvo por debajo del promedio en comparación con países de diferentes niveles de ingreso, a excepción de Brasil y Argentina, que contaban con el 31,8 % y 30 %, respectivamente. Cabe destacar, como conclusión, la problemática en la estructura fiscal que quedó en evidencia con la pandemia en los países en vías de desarrollo y la neutralidad de los mecanismos fiscales al no provocar efectos positivos frente a las desigualdades económicas.Alternate : This article consists of identifying the fiscal policies implemented in Latin America, their effects and the focus on the visualization of economic inequalities in the context of the pandemic caused by COVID-19. The methodology developed is the literature review of the years 2020 and 2021, in specialized research and thematic statistics databases Scopus and Redalyc. The countries with the highest results in terms of research carried out were taken as a sample: Argentina, Brazil, Chile, Colombia, Ecuador, Mexico and Peru. The results indicate that although the tax structures in these countries are similar, the highest collection in recent years is in Brazil and Mexico, in terms of the measures taken in fiscal and monetary policy, the largest amount were taken by Brazil and Colombia, in spending as a percentage of GDP, the region is below average compared to countries with different income levels except Brazil and Argentina with 31,8 % and 30 % respectively. The conclusions highlight the problems in the tax structure that became evident with the pandemic in developing countries and the neutrality of the tax mechanisms as they do not have positive effects on economic inequalities.

The importance of innovation in reshoring processes: a literature review

Some global phenomena such as globalization, the US-China trade war and Covid-19, have led companies around the world to consider reshoring strategies - backshoring and/or nearshoring - with the purpose of configuring more efficient supply chains and less susceptible to these events that generate disruptions in the world economy. Based on the foregoing, research has been developed in order to determine the factors that motivate companies to make reshoring decisions, finding the innovation factor as reiterative in many of these research works, in fact, it has been found that It is a factor that influences other factors. In this sense, this article aims to recognize the importance of innovation in companies' reshoring processes, through a narrative literature review where some background on location decisions is explored, the main relocation trends are described, and the importance of innovation within these relocation processes is established based on the work of different theoretical references. Among the main results of this review, it was found that i) innovation in transportation systems led many companies to have broader geographic scales to locate their operation and configure global supply chains;ii) access to innovation is a factor that is usually taken into account for the creation of reshoring government policies;iii) Innovation is a factor with a degree of transversality, since it affects other variables that are taken into account for reshoring. (English) [ FROM AUTHOR]

The street-level bureaucracy research agenda in the pandemic context: an integrative review

The implementation of public policies in crisis situations is a scarce field of study, especially at the street level, in which there is interaction between the State and the citizen. The pandemic as a crisis affected the autonomy of frontline professionals and shaped their behavior, especially influenced by organizational and relational factors. This way, the study explores the research agenda in the context of the pandemic, available in the Web of Science database, seeking to understand its influence on street-level implementation of public policies, using the integrative review method for this purpose. Additionally, an attempt was made to understand how the use of software contributes to data analysis, pointing out its advantages and limitations. For this, VOSviewer 1.6.17 was used. The main results revealed that crisis contexts such as the pandemic profoundly influence the implementation of public policies at the street level with negative impacts on user service. The research focus defined has limitations due to the lack of advances in the number of data analyzed, but contributes to a better understanding of the influences of crises for implementation of public policies at the street level. Investigations on the emotional consequences to the front line and the approach to action during the crisis by professionals who deal daily with emergency situations such as firefighters and professionals of mobile vehicles of the medical emergency network are indicated.

Psychological factors of university students and quality of life: A systematic review pre-pandemic / Factores psicológicos de los estudiantes universitarios y calidad de vida: Una revisión sistemática prepandemia

Resumen El presente trabajo es una revisión sistemática documental para el desarrollo de un marco de referencia sobre los factores psicológicos de estudiantes universitarios en relación con la calidad de vida prepandemia. Se utilizó un método cualitativo descriptivo a través de una revisión sistemática documental a partir de la metodología PRISMA (Khan et al., 2003; Moher et al., 2009). Como fuente de información, se utilizaron trabajos publicados en las bases de datos RedALyC, Scopus, Elsevier, EBSCO, Springer Link, Medline y Psychology and Behavioral Sciences Collection durante el período 2015 al 2020. Para el análisis descriptivo, se seleccionaron 29 documentos que cumplían con los criterios de selección en el marco del proceso de búsqueda, identificación, selección, elección e interpretación. Los resultados muestran la prevalencia de estudios de tipo cuantitativo, así como el interés vigente por el momento del ciclo vital adolescencia-juventud en uno de sus contextos de desarrollo: la universidad, y los factores psicológicos sumados a los aspectos contextuales emergentes como la ansiedad, la ideación suicida y la depresión. Asimismo, se evidencia el efecto de estos aspectos en la percepción de la calidad de vida y del bienestar psicológico y emerge el concepto de estilos de vida como variable que actúa como producto y condición en el desarrollo de los estudiantes en esta etapa del ciclo vital. Finalmente, se evidencian categorías como la inteligencia emocional, la resiliencia y el afrontamiento, que se constituyen en insumos para formular propuestas que permitan favorecer el desarrollo de adolescentes-jóvenes en el contexto universitario.

Abstract This work presents a systematic documentary review for the development of a frame of reference on the psychological factors of university students in relation to the pre-pandemic quality of life. Psychological factors are understood as psychological well-being and present the development of individual capabilities and human growth from self-acceptance, autonomy, positive relationships, life purpose and personal growth, which reflect attitudes and values of people, which are directly related to their quality of life. Likewise, it is evident in the literature that the stage of university life is framed by biopsychosocial changes that establish it as a period of attention for mature development and is considered as a transition for the later stages of the human life cycle. In this sense, from an ecological theory perspective, the environment in which people relate has a direct influence on their formative development (Bronfenbrenner, 1987), since the levels of environment in which they are immersed determine positive or negative behavior, affecting their social and cultural conditions (Shelton, 2019). Therefore, changes in behavior are associated with some risk factors that can affect the health and quality of life of university students. The methodological approach used is focused on a descriptive qualitative study, through a systematic documentary review by the PRISMA methodology (Khan et al., 2003 y Moher et al., 2009) with the main characteristics, trends and particularities existing in the literature on psychological factors in young university students. For the systematic review of this work, we chose to use the five stages called: Search, Identification, Screening, Eligibility, and Interpretation. The Search procedure was initiated from the categories of psychological factors related to the quality of life in university students and from the search equations. As a source of information, papers published in the databases of RedALyC, Scopus, Elsevier, EBSCO, Springer Link, Medline and Psychology and Behavioral Sciences Collection during the period between January 2015 and first half of the year 2020 were used. For the Identification stage, inclusion and exclusion criteria were elaborated considering articles published in scientific journals of psychology and health in the period covered. In the Screening stage, they found a total of 41 950 papers in 82 journals registered in the databases. The following were eliminated: 28 125 papers outside the selection period, 1 457 duplicate studies, and 11 733 articles from other disciplines. Therefore, in the Eligibility stage, 635 papers were selected for the reading of the title and summary; of these, 263 documents were chosen for the reading of the complete texts and, a total of 29 papers were left in the last stage of Interpretation for the study and analysis of the results. The results show the prevalence of quantitative studies, as well as the current interest for the moment of the life cycle of adolescence-youth in one of its developmental contexts: the university; and the psychological factors added to the contextual aspects involved in the emergence and approach of problems such as anxiety, suicidal ideation and depression. Likewise, the effect of these aspects on the perception of quality of life and psychological well-being is evident. Similarly, the concept of lifestyles emerges as a variable that acts as a product and condition in the development of students at this stage of the life cycle. Finally, categories such as emotional intelligence, resilience, and coping are shown to be inputs to formulate proposals that can favor the development of adolescents and young people. In conclusion, it is necessary to carry out more studies on psychological factors and the problems associated with them, as a reflection of the quality of life from the perspective of promoting the health of university students.

Repercusiones de la pandemia de COVID-19 para las personas con autismo y sus familias: revisión de alcance

Objetivo: mapear la evidencia científica disponible sobre las repercusiones de la pandemia de COVID-19 para las personas con Trastorno del Espectro Autista y sus familiares. Método: revisión de alcance realizada en las siguientes bases de datos: MEDLINE, CINAHL, SciELO, SCOPUS, EMBASE, Wiley Online Library, en agosto/septiembre de 2021. El protocolo de esta revisión fue registrado en Open Science Framework bajo DOI 10.17605/OSF.IO/JYTVD. Los datos fueron analizados y sintetizados en forma narrativa. Resultados: 46 publicaciones identificadas indican que el período de pandemia trajo numerosas repercusiones para la población con autismo y sus familiares al experimentar serias dificultades en los cambios o irregularidades en las rutinas programadas;acceso limitado a educación, terapias y apoyo social. Conclusión: la evidencia sugiere que la pandemia de COVID-19 agudizó las desigualdades que ya experimentaban las personas con autismo y sus familias, tuvo consecuencias negativas en los aspectos emocionales, psicológicos, comportamentales y sociales, que afectaron la calidad de vida y salud mental de esta población. Es fundamental que se realicen estudios futuros sobre personas con autismo y sus familias durante períodos de crisis de salud pública para planificar intervenciones psiquiátricas, psicosociales y educativas.

No time to waste; the impact of the COVID-19 pandemic on hip, knee, and shoulder arthroplasty surgeries in the Netherlands and Denmark.

AIMS: This study aimed to investigate the estimated change in primary and revision arthroplasty rate in the Netherlands and Denmark for hips, knees, and shoulders during the COVID-19 pandemic in 2020 (COVID-period). Additional points of focus included the comparison of patient characteristics and hospital type (2019 vs COVID-period), and the estimated loss of quality-adjusted life years (QALYs) and impact on waiting lists. METHODS: All hip, knee, and shoulder arthroplasties (2014 to 2020) from the Dutch Arthroplasty Register, and hip and knee arthroplasties from the Danish Hip and Knee Arthroplasty Registries, were included. The expected number of arthroplasties per month in 2020 was estimated using Poisson regression, taking into account changes in age and sex distribution of the general Dutch/Danish population over time, calculating observed/expected (O/E) ratios. Country-specific proportions of patient characteristics and hospital type were calculated per indication category (osteoarthritis/other elective/acute). Waiting list outcomes including QALYs were estimated by modelling virtual waiting lists including 0%, 5% and 10% extra capacity. RESULTS: During COVID-period, fewer arthroplasties were performed than expected (Netherlands: 20%; Denmark: 5%), with the lowest O/E in April. In the Netherlands, more acute indications were prioritized, resulting in more American Society of Anesthesiologists grade III to IV patients receiving surgery. In both countries, no other patient prioritization was present. Relatively more arthroplasties were performed in private hospitals. There were no clinically relevant differences in revision arthroplasties between pre-COVID and COVID-period. Estimated total health loss depending on extra capacity ranged from: 19,800 to 29,400 QALYs (Netherlands): 1,700 to 2,400 QALYs (Denmark). With no extra capacity it will take > 30 years to deplete the waiting lists. CONCLUSION: The COVID-19 pandemic had an enormous negative effect on arthroplasty rates, but more in the Netherlands than Denmark. In the Netherlands, hip and shoulder patients with acute indications were prioritized. Private hospitals filled in part of the capacity gap. QALY loss due to postponed arthroplasty surgeries is considerable.Cite this article: Bone Jt Open 2022;3(12):977-990.

Getting the measure of remote e-working: a revision and further validation of the E-work life scale

Purpose>This paper aimed to revise and further validate the published e-work life (EWL) scale. The EWL scale was originally developed to assess theoretically relevant aspects of the remote e-working experience related to four main areas: organisational trust, flexibility, work–life interference and productivity.Design/methodology/approach>A number of changes were implemented to the scale (i.e. including new items, rewording of existing items) following a recent qualitative study conducted by the authors. The two studies outlined in this paper, conducted within discrete remote e-working populations, resulted in a validated and adjusted 20-item version of the scale.Findings>Study 1 performs confirmatory factor analysis (CFA) on data from a sample of 399 remote e-workers (57.9% female) in UK to check the factor structure of the revised version of the EWL scale and the reliability of the posited dimensions. Results provided support for a 20-item scale, replicating the factorial structure of the original version. Study 2 tests and confirms the factorial structure of the final 20-item EWL scale in an independent sample of 366 remote e-workers (48.6% female) in UK. Study 2 provides further evidence of EWL scale's reliability and validity, with the four factors of the scale being significantly correlated with positive mental health, detachment from work and technostress.Originality/value>The EWL scale is a very timely and important tool which provides an overall framework of the key areas that are affecting remote e-workers' life;whose greater understanding may better prepare organisations to adapt work arrangements and introduce support policies and guidance.

Delay of total joint replacement is associated with a higher 90-day revision rate and increased postoperative complications.

PURPOSE: Delay of elective surgeries, such as total joint replacement (TJR), is a common procedure in the current pandemic. In trauma surgery, postponement is associated with increased complication rates. This study aimed to evaluate the impact of postponement on surgical revision rates and postoperative complications after elective TJR. METHODS: In a retrospective analysis of 10,140 consecutive patients undergoing primary total hip replacement (THR) or total knee replacement (TKR) between 2011 and 2020, the effect of surgical delay on 90-day surgical revision rate, as well as internal and surgical complication rates, was investigated in a university high-volume arthroplasty center using the institute's joint registry and data of the hospital administration. Moreover, multivariate logistic regression models were used to adjust for confounding variables. RESULTS: Two thousand four hundred and eighty TJRs patients were identified with a mean delay of 13.5 ± 29.6 days. Postponed TJR revealed a higher 90-day revision rate (7.1-4.5%, p < 0.001), surgical complications (3.2-1.9%, p < 0.001), internal complications (1.8-1.2% p < 0.041) and transfusion rate (2.6-1.8%, p < 0.023) than on-time TJR. Logistic regression analysis confirmed delay of TJRs as independent risk factor for 90-day revision rate [OR 1.42; 95% CI (1.18-1.72); p < 0.001] and surgical complication rates [OR 1.51; 95% CI (1.14-2.00); p = 0.04]. CONCLUSION: Alike trauma surgery, delay in elective primary TJR correlates with higher revision and complication rates. Therefore, scheduling should be performed under consideration of the current COVID-19 pandemic. LEVEL OF EVIDENCE: Level III-retrospective cohort study.

Involvement of the digestive system in covid-19. A review. / Afectación del aparato digestivo en la covid-19. Una revisión sobre el tema.

The SARS-CoV-2 pandemic is leading to high mortality and a global health crisis. The primary involvement is respiratory; however, the virus can also affect other organs, such as the gastrointestinal tract and liver. The most common symptoms are anorexia and diarrhea. In about half of the cases, viral RNA could be detected in the stool, which is another line of transmission and diagnosis. covid19 has a worse prognosis in patients with comorbidities, although there is not enough evidence in case of previous digestive diseases. Digestive endoscopies may give rise to aerosols, which make them techniques with a high risk of infection. Experts and scientific organizations worldwide have developed guidelines for preventive measures. The available evidence on gastrointestinal and hepatic involvement, the impact on patients with previous digestive diseases and operating guidelines for Endoscopy Units during the pandemic are reviewed.

Can revision of RYGB to sleeve gastrectomy be a solution to inadequate weight loss treatment?

We aimed to discuss the weight loss success of the revision of RYGB to sleeve gastrectomy (SG). Between January 2019 and June 2020, four patients' files were analyzed retrospectively. Post-RYGB mean minimal BMI was 27.4 ± 9.47 kg/m², before SG the mean BMI was 43.41 ± 4.16 kg/m2. Post-operative gastric fistula developed in two patients. The mean follow-up time after revision surgery was 17.25 ± 6.89 months, mean excess weight loss (EWL) was 74.77 ± 8.94%, and mean BMI was 32.65 ± 2.9 kg/m2. Despite high rate of major complications, revision of RYGB to SG is successful in weight loss and resolving certain complications of RYGB.

Nuestro objetivo era discutir el éxito en la pérdida de peso de la revisión de BGYR a gastrectomía en manga (SG). Entre enero de 2019 y junio de 2020, se analizaron retrospectivamente los archivos de cuatro pacientes. El IMC mínimo medio post BGYR fue 27.4 ± 9.47 kg/m², antes de SG el IMC medio fue 43.41 ± 4.16 kg/m2. En dos pacientes se desarrolló una fístula gástrica posoperatoria. El tiempo medio de seguimiento después de la cirugía de revisión fue de 17.25 ± 6.89 meses, la pérdida media de exceso de peso (PEP) fue de 74.77 ± 8.94% y el IMC medio fue de 32.65 ± 2.9 kg/m2. A pesar de la alta tasa de complicaciones mayores, la revisión de BGYR a SG tiene éxito en la pérdida de peso y la resolución de ciertas complicaciones de BGYR.

Supporting Postsecondary Educators to Develop Assessments for Student Learning Based on Backward Design

Assessment of student learning is crucial to capture accurately student understanding of core concepts and competencies as well as to provide relevant feedback for informing teaching and learning. Yet, many instructors in two-year and four-year undergraduate institutions rarely have pedagogical training to design fair instruction and assessments. This qualitative study describes changes occurring in the perspectives and practices of two postsecondary educators teaching introductory biology courses after participating in a one-day workshop on assessments and applying their new knowledge during course implementations. The assessment workshop emphasized the use of “backward design” for course planning and alignment. Learnings particularly focused on using Bloom’s taxonomy and best practices in assessment design. Data from educators’ interviews and samples of their course documents revealed encouraging findings. Even after a short intervention, the educators took initiatives to align course objectives, learning activities, and assessments. And notwithstanding the challenges arising from the COVID-19 pandemic, they also made some changes in formulating and communicating objectives with students, introduced relevant learning activities, and revised assessment questions to reflect best practices. The article discusses these findings and offers the next steps for research on supporting educators to design fair assessments and courses for undergraduate instruction.

No exponential rise in revision knee replacement surgery over the past 15 years: an analysis from the National Joint Registry.

OBJECTIVE: To investigate trends in the incidence rate and the main indication for revision knee replacement (rKR) over the past 15 years in the UK. METHOD: Repeated national cross-sectional study from 2006 to 2020 using data from the National Joint Registry (NJR). Crude incidence rates were calculated using population statistics from the Office for National Statistics. RESULTS: Annual total counts of rKR increased from 2,743 procedures in 2006 to 6,819 procedures in 2019 (149% increase). The incidence rate of rKR increased from 6.3 per 100,000 adults in 2006 (95% CI 6.1 to 6.5) to 14 per 100,000 adults in 2019 (95% CI 14 to 14) (122% increase). Annual increases in the incidence rate of rKR became smaller over the study period. There was a 43.6% reduction in total rKR procedures in 2020 (during the Covid-19 pandemic) compared to 2019. Aseptic loosening was the most frequent indication for rKR overall (20.7% procedures). rKR for aseptic loosening peaked in 2012 and subsequently decreased. rKR for infection increased incrementally over the study period to become the most frequent indication in 2019 (2.7 per 100,000 adults [95% CI 2.6 to 2.9]). Infection accounted for 17.1% first linked rKR, 36.5% second linked rKR and 49.4% third or more linked rKR from 2014 to 2019. CONCLUSIONS: Recent trends suggest slowing of the rate of increase in the incidence of rKR. Infection is now the most common indication for rKR, following recent decreases in rKR for aseptic loosening. Infection was prevalent in re-revision KR procedures.

4E cognition for post-pandemic math learning: A systematic review / La cognición 4E para el aprendizaje matemático en pospandemia: una revisión sistemática / 4E cognição para aprendizagem de matemática pós-pandemia: uma revisão sistemática

Resumen (analítico) Este estudio tiene como objetivo describir la adaptación de las ideas de la cognición 4E en el estudio del aprendizaje de las matemáticas en la investigación contemporánea, de manera que pueda proporcionar estrategias para cualificar los procesos pedagógicos y didácticos en las aulas en tiempos de pospandemia. Se realizó la búsqueda de artículos a texto completo en las bases de datos Science Direct y Ebsco Academic Search Ultimate, de los últimos cuatro años. Se seleccionaron 56 artículos, que se analizaron mediante análisis de conglomerados, nubes de palabras y mapas jerárquicos en Nvivo 11. Se obtuvieron cuatro núcleos temáticos (andamiaje, trayectoria socio-cultural, numerosidad y adquisición de conceptos básicos en matemáticas y exploración de nichos matemáticos) que permiten avanzar en la implementación de mejoras en la enseñanza y el aprendizaje en pospandemia.

Abstract (analytical) This study aims to describe the adaptation of the ideas of 4E cognition in research on Mathematics learning in contemporary research. These ideas can provide strategies to improve pedagogical and didactic processes in classrooms during the post-pandemic period. Fulltext articles published in the last 4 years were searched for in the Science Direct and Ebsco Academic Search Ultimate databases. A total of 56 articles were selected and were analyzed through the generation of cluster analysis, word clouds and hierarchical maps in the NVivo 11 software. Four thematic cores were identified (scaffolding; sociocultural trajectory; numeracy and acquisition of basic concepts in mathematics; and exploration of mathematical niches) that contribute to improvements in teaching and learning in the post-pandemic period.

Resumo (analítico) Este estudo tem como objetivo descrever a adaptação das ideias da cognição 4E no estudo da aprendizagem da Matemática na pesquisa contemporânea, de modo que possa fornecer estratégias para qualificar processos pedagógicos e didáticos em sala de aula em tempos pós-pandêmicos. Artigos de texto completo foram pesquisados nas bases de dados Science Direct e Ebsco Academic Search Ultimate nos últimos 4 anos. Foram selecionados 56 artigos, os quais foram analisados por meio de análise de cluster, nuvem de palavras e mapas hierárquicos no Nvivo 11. Foram obtidos quatro núcleos temáticos (andaimes, trajetória sociocultural, multiplicidade e aquisição de conceitos básicos em matemática e exploração de nichos matemáticos) que permitem avançar na implementação de melhorias no ensino e aprendizagem no pós-pandemia.