Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia emerged in Wuhan, China in December 2019. Unfortunately, there is a lack of evidence about the optimal management of novel coronavirus disease 2019 (COVID-19), and even less is available in patients on maintenance hemodialysis therapy than in the general population. In this retrospective, observational, single-center study, we analyzed the clinical course and outcomes of all maintenance hemodialysis patients hospitalized with COVID-19 from March 12th to April 10th, 2020 as confirmed by real-time polymerase chain reaction. Baseline features, clinical course, laboratory data, and different therapies were compared between survivors and nonsurvivors to identify risk factors associated with mortality. Among the 36 patients, 11 (30.5%) died, and 7 were able to be discharged within the observation period. Clinical and radiological evolution during the first week of admission were predictive of mortality. Among the 36 patients, 18 had worsening of their clinical status, as defined by severe hypoxia with oxygen therapy requirements greater than 4 L/min and radiological worsening. Significantly, 11 of those 18 patients (61.1%) died. None of the classical cardiovascular risk factors in the general population were associated with higher mortality. Compared to survivors, nonsurvivors had significantly longer dialysis vintage, increased lactate dehydrogenase (490 U/l ± 120 U/l vs. 281 U/l ± 151 U/l, P [ 0.008) and C-reactive protein levels (18.3 mg/dl ± 13.7 mg/dl vs. 8.1 mg/dl ± 8.1 mg/dl, P [ 0.021), and a lower lymphocyte count (0.38 310 3 /ml ± 0.14 310 3 /ml vs. 0.76 310 3 /ml ± 0.48 310 3 /ml, P [ 0.04) 1 week after clinical onset. Thus, the mortality among hospitalized hemodialysis patients diagnosed with COVID-19 is high. Certain laboratory tests can be used to predict a worsening clinical course.
The biosorption of Co(II) on three fungal biomasses: Paecilomyces sp., Penicillium sp., and Aspergillus niger, was studied in this work. The fungal biomass of Paecilomyces sp. showed the best results, since it removes 93% at 24 h of incubation, while the biomasses of Penicillium sp. and Aspergillus niger are less efficient, since they remove the metal 77.5% and 70%, respectively, in the same time of incubation, with an optimum pH of removal for the three analyzed biomasses of 5.0 ± 0.2 at 28°C. Regarding the temperature of incubation, the most efficient biomass was that of Paecilomyces sp., since it removes 100%, at 50°C, while the biomasses of Penicillium sp. and Aspergillus niger remove 97.1% and 94.1%, at the same temperature, in 24 hours of incubation. On the contrary, if the concentration of the metal is increased, the removal capacity for the three analyzed biomasses decreases; if the concentration of the bioadsorbent is increased, the removal of the metal also increases. It was observed that, after 4 and 7 days of incubation, 100%, 100%, and 96.4% of Co(II) present in naturally contaminated water were removed, respectively.
Este artículo presenta un estudio cualitativo sobre prácticas formativas de tutores de prácticas profesionales en siete carreras de pedagogía de una universidad chilena privada perteneciente al Consejo de Rectores (CRUCH). Se analizan inductivamente las representaciones de tutores y practicantes, respecto al rol de los primeros y las estrategias pedagógicas que implementan, considerando aproximaciones teóricas desde los enfoques directivo y constructivista. Los datos -provenientes de entrevistas tras la observación de un video de su tutoría-evidencian en el rol un tránsito hacia el acompañamiento pedagógico, a diferencia del rol burocrático presente en la literatura. También se develan dificultades para tematizar las estrategias, así como coexistencia y valoración de estrategias directivas y constructivistas. En el discurso de los tutores prevalecen estrategias constructivistas, aunque el reporte de prácticas y sugerencias muestra predominio de estrategias directivas. Las estrategias más valoradas por los tutores son las preguntas, mientras los practicantes demandan incrementar la directividad.Palabras claves: Formación de docentes; tutoría; personal académico docente; práctica pedagógica; método de enseñanza.
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