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In recent years the literature on mobility of care has rapidly expanded, and the concept offers a powerful lens to highlight how everyday mobilities are organised, undertaken, and experienced in gendered ways. The concept can nonetheless benefit from further theoretical development. In this paper we enrich the mobility of care concept by drawing on influential conceptualisations of care from feminist theory and analysis of data collected during the COVID-19 lockdown among a group of 40 low-income women living in peri-urban areas of Itagüí, a municipality in the south of the Medellín metropolitan area, Colombia. Through this approach we first argue that relying on a taxonomy of trip purposes limits the understanding of the role of care in urban mobilities and risks underestimating the prevalence of mobility of care. Second, we suggest that activities of self-care also generate mobility of care and that their consideration allows practices and experiences of receiving care to be considered. Finally, we show how care activities are part of, and generate, intertwined mobilities and immobilities, and argue that rendering visible the full extent of mobilities of care demands that careful consideration be given to immobilities as well. [ABSTRACT FROM AUTHOR]

The objective of this article is to define the necessary elements that must be considered to guarantee the right to adequate food in confinement contexts and that can be adopted by municipal and district governments through their development plans. For this paper, a qualitative research with a documentarytype hermeneutic approach was carried out. It included the search of specialized literature in academic and scientific databases, the systematization of information in bibliographic records and the analysis of this information in discussion sessions with all the work team. The obligatory isolation as a measure to prevent the spread and contagion of COVID-19 has produced economic impacts that expose a food crisis in the city of Medellin, its attention has been made from exceptional, conjunctural and welfare measures. This has revealed the absence of an accessibility strategy and availability of adequate food, at the juncture, in the short, medium and long terms, configuring a structural violation of the right to adequate food. Based on a review of the declared exception regime, the analysis of the project of the development plan for Medellin and the guidelines provided by international organizations, a set of elements that should be considered in the design of an adequate food accessibility and availability strategy are proposed in emergency situations that require mandatory preventive isolation. [ABSTRACT FROM AUTHOR]

Research literature on the role of mathematics teachers during the COVID-19 crisis shows that teacher preparation for emergency situations is required. In reporting on this exploratory study, we present and analyse lesson plans created by seven future teachers for mathematics classes during the pandemic. Data were collected between April and October 2021 from 16 four-hour class sessions in a Mathematics Degree Program at a public university in Medellín, Colombia. The notion of Humans-with-Media and the Learning by Expanding theory were used as frameworks to understand what roles prospective mathematics teacher (PMTs) assign to technologies for teaching in pandemic conditions. The PMTs' uses of technology for teaching mathematics during a pandemic were categorized. The results show that technology was used to reorganize and reproduce mathematics teaching practices. This report addresses the impact of technology on the activity system, and we conclude with a discussion of opportunities and limitations of students' conceptions about teaching and technology during a pandemic. [ABSTRACT FROM AUTHOR]

Background: There is no effective therapy for the severe acute respiratory syndrome by coronavirus 2 (SARS-CoV2) responsible for the Coronavirus disease 2019 (Covid-19). To date, dexamethasone has shown a decrease in mortality in patients who require oxygen, especially those with invasive mechanical ventilation. However, it is unknown if another corticosteroid can be used, the optimal dose and its duration, to achieve a better clinical outcome. The objective of the study was to compare the differences in clinical outcome and laboratory results in hospitalized patients with severe SARS-CoV2 Pneumonia treated with dexamethasone at 6 mg doses versus patients treated with high-dose methylprednisolone. Materials and methods: Ambispective cohort study with survival analysis of 216 patients diagnosed with severe Covid-19 pneumonia confirmed by polymerase chain reaction for SARS-CoV2 by Berlin protocol, who were hospitalized in a high-complexity clinic in Medellín, Colombia. The patients should also have supplementary oxygen and radiological confirmation of Pneumonia by chest tomography. Sample size was not calculated since the total population that met the inclusion criteria was evaluated. 111 patients were treated with the institutional protocol with intravenous dexamethasone 6 mg QD for seven to 10 days if they required oxygen. Since September 15, 2020, the hospitalization protocol of the clinic was modified by the Infectious Diseases and Pulmonology service, recommending a high dose of methylprednisolone of 250 to 500 mg every day for three days with a subsequent change to oral prednisone 50 mg every day for 14 days. The protocol was not applied in the intensive care unit, where dexamethasone continued to be administered. The clinical outcome and differences in laboratory results of the patients who received dexamethasone vs. the prospective cohort that received methylprednisolone from September 15 to October 31, 2020, were evaluated. Follow-up was carried out by outpatient consultation one month after discharge or by telephone, inquiring about readmission or living-dead status. Results: 216 patients had Covid-19 pneumonia documented by ground-glass imaging and alveolar pressure / inspired oxygen fraction (PaFi) less than 300. 111 patients received dexamethasone (DXM) and 105 received methylprednisolone (MTP). Patients in the DXM group evolved to severe ARDS in a higher proportion (26.1% vs 17.1% than the MTP group). Upon completion 4 days of treatment with parenteral corticosteroid, laboratory markers of severity decreased significantly in the group that received MTP, CRP 2.85 (2.3–3.8) vs 7.2 (5.4–9.8), (p-value < 0.0001), D-dimer 691 (612–847) vs 1083 (740–1565) (p-value = 0.04) and DHL 273 (244–289) vs 355 (270.6–422) (p-value = 0.01). After starting the corticosteroid, transfer to the intensive care unit (4.8% vs. 14.4%) and mortality (9,5% vs. 17.1%) was lower in the group that received MTP. Recovery time was shorter in patients treated with MTP, three days (3–4) vs. DXM 6 days (5–8) (p-value < 0.0001). At 30-day follow-up, 88 (92.6%) were alive in MTP vs 58 (63.1%) of those who received dexamethasone. Conclusions: In this study, the treatment of severe Covid-19 Pneumonia with high-dose methylprednisolone for three days followed by oral prednisone for 14 days, compared with 6 mg dexamethasone for 7 to 10 days, statistically significantly decreased the recovery time, the need for transfer to intensive care and the severity markers C-reactive protein (CRP), D-dimer and LDH. Randomized controlled studies with methylprednisolone are required to corroborate its effect, and studies in a population hospitalized in intensive care wards. [ABSTRACT FROM AUTHOR]

Governments' responses to the COVID-19 pandemic provide a unique opportunity to study the effects of restricted socioeconomic activity on air quality. Here, we study the changes in air pollution levels during the lockdown in Medellín and its metropolitan area, Colombia, for periods with and without enhanced regional fire activity, considering the effects of meteorology using random forest and multiple linear regression methods. The lockdown measures, which reduced mean traffic volume by 70% compared to 2016–2019, resulted in reductions for PM2.5 (50–63%), PM10 (59–64%), NO (75–76%), NO2 (43–47%), and CO (40–47%), while O3 concentration increased by 19–22%. In contrast, when fire activity was high, the effects of the lockdown on air quality were shadowed by the long-range transport of biomass burning emissions, increasing fine particulate matter and ozone. This study shows that healthier levels are achievable through significant efforts from decision-makers and society. The results highlight the need to develop integral measures that do not only consider reductions in the local emissions from transportation and industry, but also the role of fire activity in the region, as well as the difficulties of achieving reductions in ozone from measures that are effective at reducing primary pollutants. [ABSTRACT FROM AUTHOR]