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Outcomes of kidney transplantation (KT) after controlled circulatory death (cDCD) with highly expanded criteria donors (ECD) and recipients have not been thoroughly evaluated. We analyzed in a multicenter cohort of 1161 consecutive KT, granular baseline donor and recipient factors predicting transplant outcomes, selected by bootstrapping and Cox proportional hazards, and were validated in a contemporaneous European KT cohort (n = 1585). 74.3% were DBD and 25.7% cDCD-KT. ECD-KT showed the poorest graft survival rates, irrespective of cDCD or DBD (log-rank < 0.001). Besides standard ECD classification, dialysis vintage, older age, and previous cardiovascular recipient events together with low class-II-HLA match, long cold ischemia time and combining a diabetic donor with a cDCD predicted graft loss (C-Index 0.715, 95% CI 0.675-0.755). External validation showed good prediction accuracy (C-Index 0.697, 95%CI 0.643-0.741). Recipient older age, male gender, dialysis vintage, previous cardiovascular events, and receiving a cDCD independently predicted patient death. Benefit/risk assessment of undergoing KT was compared with concurrent waitlisted candidates, and despite the fact that undergoing KT outperformed remaining waitlisted, remarkably high mortality rates were predicted if KT was undertaken under the worst risk-prediction model. Strategies to increase the donor pool, including cDCD transplants with highly expanded donor and recipient candidates, should be performed with caution.

Resumen:En este artículo analizamos las condiciones para la perseverancia y el éxito educativo en la educación secundaria profesional (formación profesional básica y ciclos formativos de grado medio) desde la perspectiva de los centros educativos. Para ello hemos llevado a cabo el estudio de caso de dos centros educativos de Baleares, en base a un proceso de investigación cualitativa dando la voz al alumnado y al profesorado implicado.Los resultados muestran un elevado grado de consenso entre alumnado y profesorado en cuanto a que los elementos clave en la prevención del abandono en la educación secundaria profesional son: proximidad y disponibilidad del profesorado, confianza en el potencial del alumnado, exigencia y evaluación del alumnado, vinculación con el mundo laboral y dinámica activa de las clases. También coinciden en apuntar como aspectos organizativos facilitadores de los mismos: un número reducido de profesorado en cada grupo, un número reducido de alumnos y alumnas en clase y una buena coordinación del profesorado.Abstract:This article looks at the conditions underlying determination and educational success in vocational secondary education (basic vocational training and intermediate vocational training) from the perspective of education centres. To achieve this, we undertook a case study at two education centres in the Balearic Islands, based on a qualitative research process and providing the students and teachers involved with a voice of their own.The results show a high level of consensus among students and teachers regarding the key educational practices to prevent students from dropping out of vocational secondary education: proximity and availability of the teaching staff, confidence in the potential of the students, the demand and the evaluation of the students, the link with the world of work and proactive teaching in the classroom. They also agree on the main elements that enable these practices to prevent drop-outs: a small number of teachers in each group, a small number of students per class and good coordination among teaching staff.

Resumen:El trabajo que presentamos es un estudio cualitativo de carácter biográfico sobre la experiencia escolar y su repercusión en la vida actual de jóvenes ex alumnos de la escuela pública. El trabajo tienen dos finalidades: a) conocer las repercusiones de la escuela en la construcción de la identidad del alumnado y b) incorporar las voces de antiguos alumnos a la reflexión sobre el presente y con la mirada puesta sobre el futuro y los retos que se presentan. El estudio se enmarca en el movimiento conocido como la voz del alumnado, que considera al alumnado un experto valioso para la mejora de la escuela. Para ello se han recogido, a través de la entrevista en profundidad, las interpretaciones de doce alumnos entre 17 y 34 años escolarizados entre los cursos académicos 1992-1993 y 2006-2007. Las conclusiones revelan información sobre aquello que es más importante aprender en la escuela, sobre las condiciones que lo favorecen y sobre las estrategias docentes que lo potencian. Las voces recogidas de los alumnos muestran visiones ricas sobre los aprendizajes realizados y la pervivencia de la experiencia escolar pasados los años cuando establecen una relación directa entre su identidad y su experiencia escolar. En este sentido, son un indicador para evaluar a largo plazo las finalidades educativas y las prácticas escolares.Abstract:The work we are submitting is a qualitative biographical study of the school experience and its repercussions on the current lives of young people who are ex-students of state schools. The work has two aims: a) to get to know about the repercussions of school on building the student’s identity and b) to include ex-students voicing reflections on the present and looking to the future and the challenges presented. The research was framed within the movement known as the Student Voice which considers the student to be a valuable expert for improving schools. Therefore, using in-depth interviews, the interpretations of twelve students between 17 and 34 years old, who left school in the 1992-1993 and 2006-2007 academic years were collected. The conclusions reveal information about what it is most important to learn at school, the conditions that encourage this and the teaching strategies that boost it. The student voice collected demonstrated rich views on what was learned and the persistence of their school experience over the years where they established a direct relationship between their identity and their school experience. Therefore, they are an indicator for long term assessment of the purposes of education and school practices.

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