Systematization of the Research and Analysis Process of Administration and Management of a Dance, Human Movement and Health Project: Lines of Work in Health and Primary Prevention of Danza Universitaria

Introduction: In the context of a professional dance company, the pandemic has generated changes in the existing work dynamics in its professional and managerial areas. Purpose: to show the organization and management actions taken by a professional dance company, aiming to position its work at the service of society through Lines of work in health and primary prevention of Danza Universitaria, a project that arises in response to the COVID-19 pandemic. Methodology: systematization of exploratory experience whose reported findings are the result of data collection and organization process between the months of August 2020 to October 2021. Results: detailed and precise information was obtained on each aspect related to the organization and project management. Systematization: the dance company, its human resources, visions and dance practices are contextualized and analyzed, positioning dance as a movement skill for integral health and encompassing the role of the dance professional to lead to the administrative and management processes of the company. Conclusions: the dimensions of the project as an integrated system in the community are clarified and its response capacity to the needs of the environment as well as the contribution of dance and movement for integral health is made visible. Recommendations: to value this project as a unique space that has served as an object of study and part of an academic experience that contributes to the development and management of the arts, human movement, education, and health. © 2023 The authors.

[Impact of COVID-19 on a rare disease (uveal melanoma) in a national reference unit of intraocular tumors in Spain]. / Impacto del COVID-19 en una enfermedad rara (melanoma uveal) en una unidad de referencia nacional de tumores intraoculares en España.

Objective: To analyze the impact of the COVID-19 pandemic on the diagnosis and management of uveal melanoma (a tumor included in the Orphanet catalog of rare diseases) in a Spanish national reference unit for intraocular tumors during the first year of the pandemic. Material and methods: An observational retrospective study of patients with uveal melanoma in the National Reference Unit for Adult Intraocular Tumors of the Hospital Clínico Universitario de Valladolid (Spain) was performed, analyzing the pre- and post-COVID-19 periods: from March 15, 2019 to March 15, 2020 and from March 16, 2020 to March 16, 2021. Demographic data, diagnostic delay, tumor size, extraocular extension, treatment and evolution were collected. A multivariable logistic regression model was used to identify factors that were associated with the variable: enucleation. Results: Eighty-two patients with uveal melanoma were included, of which 42(51.21%) belonged to the pre-COVID-19 period and 40(40.78%) to the post-COVID-19 period. An increase in tumor size at diagnosis and in the number of enucleations was observed during the post-COVID-19 period (p < 0.05). Multivariable logistic regression demonstrated that both medium-large tumor size and patients diagnosed in the post-COVID-19 period were independently related to an increased risk of enucleation (OR 250, 95%CI, 27.69-2256.37; p < 0.01 and OR 10; 95% CI,1.10-90.25; p = 0.04, respectively). Conclusions: The increase in tumor size observed in uveal melanomas diagnosed during the first year of the COVID-19 pandemic may have favored the increase in the number of enucleations performed during that period.

Impact of COVID-19 on a rare disease (uveal melanoma) in a national reference unit of intraocular tumors in Spain.

OBJECTIVE: To analyse the impact of the COVID-19 pandemic on the diagnosis and management of uveal melanoma (a tumour included in the Orphanet catalogue of rare diseases) in a Spanish national reference unit for intraocular tumours during the first year of the pandemic. METHOD: An observational retrospective study of patients with uveal melanoma in the National Reference Unit for Adult Intraocular Tumors of the Hospital Clínico Universitario de Valladolid (Spain) was performed, analysing the pre- and post-COVID-19 periods: from March 15, 2019 to March 15, 2020 and from March 16, 2020 to March 16, 2021. Demographic data, diagnostic delay, tumour size, extraocular extension, treatment and evolution were collected. A multivariable logistic regression model was used to identify factors that were associated with the variable: enucleation. RESULTS: Eighty-two patients with uveal melanoma were included, of which 42 (51.21%) belonged to the pre-COVID-19 period and 40(40.78%) to the post-COVID-19 period. An increase in tumour size at diagnosis and in the number of enucleations was observed during the post-COVID-19 period (p < 0.05). Multivariable logistic regression demonstrated that both medium-large tumour size and patients diagnosed in the post-COVID-19 period were independently related to an increased risk of enucleation (OR 250, 95%CI, 27.69-2256.37; p < 0.01 and OR 10; 95%CI, 1.10-90.25; p = 0.04, respectively). CONCLUSIONS: The increase in tumour size observed in uveal melanomas diagnosed during the first year of the COVID-19 pandemic may have favored the increase in the number of enucleations performed during that period.

Architecture Proposal under a Virtual Reality Ecosystem to Support the Teaching of Basic Mathematics in Elementary Education

One of the big problems facing Latin America in education is undoubtedly the educational backwardness that is present and worsens over time, México is no stranger to this problem, in recent years and especially in times of pandemic COVID-19 brought important educational challenges that aggravated the problems. To this is added the difficulty faced by students in learning mathematics, due to the teaching methods used that do not motivate or arouse the interest of students. The objective of this research is to design digital environments focused on virtual reality as a support in the learning of basic mathematics for elementary school students. It is proposed to build a software architecture based on an ecosystem for virtual reality applications, the proposed ecosystem is composed of providers and consumers of educational content (children), elementary school teachers who will generate and design basic mathematics activities and elementary school students will consume the applications through the activities within different virtual environments and with different interaction dynamics making use of virtual reality viewers. It is expected that the architecture can establish the basis for the design and production of Virtual Reality applications that allow the conformation of learning communities in mathematics through the virtual reality learning ecosystem. © 2022 Copyright for this paper by its authors. Use permitted under Creative Commons License Attribution 4.0 International (CC BY 4.0).

Cell phone use and relationship with eating behavior during the Covid-19 pandemic

During the Covid-19 pandemic, the use of cell phones increased due to the confinement that implied more time at home and carrying out virtual activities, this modified some behaviors, among which eating behavior stands out. The objective of this study was to analyze the relationship between cell phone use patterns and their use during eating episodes. An online survey created on the Google forms platform was sent via email, which was based on the Mobile Phone Problematic Use Scale (MPPUS) and was answered anonymously. Regarding the use of cell phones during meals, 33.1 per cent of the total participants presented this behavior always or almost always and 30.7 per cent sometimes. Problematic cell phone use was higher in the group that was in confinement (5.6 vs 1.8 per cent), being more pronounced in women (p = 0.011). In the group of occasional cell phone users, 2.2 por ciento used it during meals and in the group with problematic use, 80.8 per cent (p < 0.000). People from 29 to 59 years old were the ones who most reported using it at all times of food (65.1 per cent) followed by young people (34.9 per cent). © 2023, Universidad Autonoma del Estado de Mexico. All rights reserved.

Differential Study of the Role of Family in Distance Education in the COVID-19 Lockdown

This paper presents a differential study on the way education was delivered within families during the COVID-19 lockdown (spring 2020) in the Valencian Community (Spain). Composite indicators based on responses to a survey for families were used to describe their difficulties (identified as “gaps”) in home-schooling. We also considered traditional indicators of family socioeconomic and cultural level. Taking into account the characteristics of the distributions, we analyzed the results using nonparametric tests (chi-square, Mann-Whitney U and Kruskal-Wallis H). Our findings advocate more work to further identify and define valid composite indicators to describe the contexts in which families operate as an educational setting, in order to use them as covariate variables for family socioeconomic and cultural level in research on factors associated with performance. © 2022, Revista Electronica de Investigacion Educativa.All Rights Reserved.

Five-Year Follow-Up of a Phase 1 Trial of Donor-Derived Modified Immune Cell Infusion in Kidney Transplantation

Background: The administration of modified immune cells (MIC) prior to kidney transplantation led to specific immunosuppression against the allogeneic donor and a significant increase in regulatory B lymphocytes (Breg) (Morath et al., J Clin Invest 2020). We now wanted to investigate how this approach affects the clinical course of treated patients. Method(s): Clinical results of ten patients from a phase I clinical trial who had received MIC infusions before kidney transplantation were compared to results of 15 matched standard-risk recipients. Follow-up was until year five after surgery. Result(s): The 10 MIC patients had an excellent clinical course with stable kidney graft function and showed no donor-specific human leukocyte antigen antibodies (DSA) or acute rejections during follow-up. In contrast, 1 of 15 controls died and 5 of 15 controls developed DSA (log rank P = 0.046) (Figure 1 A, B). While the number of patients with a non-opportunistic infection did not differ significantly between groups (P = 0.36), opportunistic infections were reported more frequently in controls (log rank P = 0.033) (Figure 1 C). Compared to controls, MIC patients were found to have a trend towards a higher COVID-19 anti-S1 IgG index after vaccination with a median of 53 vs. 2 (P = 0.16). Importantly, the four MIC patients who had received the highest MIC cell dose 7 days before surgery and were on low immunosuppression during follow-up, continued to show absent anti-donor T lymphocyte reactivity in vitro and high CD19+CD24hiCD38hi transitional Breg as well as CD19+CD24hiCD27+ memory Breg. Conclusion(s): MIC infusions together with reduced conventional immunosuppression were associated with lower de novo DSA development and lower rates of opportunistic infections. In the future, MIC infusions could contribute to graft protection while reducing the side effects of immunosuppressive therapy. (Figure Presented).

Recommendations for the use of oxygen and its basic and advanced supply devices: Rationality and safety in times of SARS-CoV-2 pandemic in Colombia

In the midst the COVID-19 pandemic, and given the imminence of oxygen shortages in Colombia, the Knowledge Management and Transfer Network, made up of 19 scientific societies, health institutions, and universities, generates an update to the document led by the Colombian Association of Critical Medicine and includes new evidence-informed guidelines for the rational management of oxygen therapy, as well as basic and advanced devices for oxygen therapy. The recommendations refer to five topics: goal-oriented rational use of oxygen, standardization of follow-up and dose adjustment, effective use of oxygen therapy devices, rational use of invasive mechanical ventilation, and rational use of extracorporeal oxygenation membrane therapy. When exercising their judgment, it is expected that professionals and care teams will take into account these guidelines to make rational and safe use of oxygen therapy and its basic and advanced devices, together with the individual needs and preferences of the people who are under their care. © 2021 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo

Patient and Provider Perspectives on Telehealth Clinic Visits Precipitated by the Covid-19 Viral Pandemic

Purpose: The transplant community had to adjust to a new way of practicing medicine during the COVID-19 viral pandemic. Our transplant center quickly adapted to virtual clinic visits to maintain the safety of our immunosuppressed patients. The purpose of this study was to examine how patients and providers regarded this new method of delivering healthcare. Method(s): Patients with a telehealth transplant clinic visit between March 2020 and April 2021 were recruited to participate in a telephone survey, which consisted of 19 statements rating their experience on a 5-point Likert Scale. Two additional questions allowed participants to offer suggestions for improvement. Demographic information was also collected. Multi-specialty healthcare providers and support staff in the transplant division who had conducted telehealth visits were contacted via email to participate in an electronic survey, consisting of 25 statements that asked providers to assess their telehealth experience on a 5-point Likert Scale. They were also able to provide additional comments regarding their experience. Result(s): Results are summarized in Table 1. The majority of patients and providers had an electronic device that allowed access to video telehealth visits and felt that the telehealth platform was easy to navigate. Statistical significance was found between not pursuing higher education and not having a video visit-capable device (p=0.035). Retired or disabled patients were more likely to find that setting up an account and navigating the video platform was difficult (p=0.022). Both patients and providers agreed that when they experienced connectivity issues with the video platform, it was easy to convert to a telephone call. Both groups reported having ample time during their telehealth visit and felt that all questions and concerns were adequately addressed. More patients than providers preferred the telehealth visit to an in-person clinic visit, as they mentioned the convenience of the telehealth visit when a lengthy commute was involved. Conclusion(s): The viral pandemic required both patients and providers to adapt to telehealth visits. Social determinants of health should be taken into consideration to provide sufficient care, as certain populations may require extra assistance to utilize this platform effectively. Overall, most providers and patients agreed that adequate care can be provided via telehealth, supporting the continued use of this platform in the future.

Autopsy experiences of deceased by COVID-19

Introduction: A case of a patient who died from COVID-19 is presented, which the authors consider to be the prototype of most of those who died from this condition, which was performed at autopsy. Objective: Disseminate the experiences in the study of the autopsy of this type of patients and contribute to its application in clinical and scientific practice. Clinical case: A 78-year-old male patient is presented, with arterial hypertension, diabetes mellitus and obesity, who began with cough, fever, runny nose, who was admitted with a diagnosis of COVID-19, progressed to severity and died 10 days later. of his admittance. The fundamental elements of the clinical history, the diagnoses of causes of death pre-mortem and post-mortem are presented. Autopsy diagnoses and quality assessment results of clinical cause of death diagnoses are specified. Conclusions: The experiences of the study of this autopsy as a prototype, reaffirm the damage caused by SARS-CoV-2 and contribute to the knowledge of this field. © 2022, Editorial Ciencias Medicas. All rights reserved.

Sintomatología depresiva y satisfacción laboral en medico sfamiliares durante la pandemia de covid-19

Objective: to identify depressive symptomatology and job satisfaction in family physicians at the Family Medicine Unit No. 49 in Celaya, Guanajuato, Mexico.Methods: cross-sectional analytical study conducted from December 2020 to February 2021, 51 family physicians participated, the Beck-ii inventory was used to measure depression and the general scale of Warr, Cook and Wall to determine job satisfaction. Results: the age of the participants was 38.5 } 5.9 years, with a predominance of 54.9% women. Minimal depression was identified in 92.2% of participants and mild depression in 7.8%;in relation to job satisfaction, intrinsic factors were presented in a range of 27 to 47 points and extrinsic factors in a range of 34 to 54 points;depression and job satisfaction had a correlation of r=-0.40, p<0.01, indicating that as physicians experienced more job satisfaction they presented relatively less depression;there were no statistically significant differences with respect to gender and age group with depression and job satisfaction. Conclusions: no moderate or severe depressive symptomatology was reported, participants showed high job satisfaction. Age and gender did not correlate with the two variables of interest during one of the most important peaks of the covid-19 pandemic in Mexico.

ELECTIVE JJ STENT REMOVAL (EJJR) IN KIDNEY TRANSPLANTATION: IS ROUTINE ULTRASOUND (US) USEFUL?

BACKGROUND AND AIMS: Transplantation (KTx) is considered the best renal replacement therapy nephrologists can offer and improving its outcomes remains a primary challenge in our field. KTx ureteral JJ stenting has been used to prevent urological complications, but there is no consensus about its elective removal timing and literature regarding routine US imaging after EJJR to detect complications is lacking. Our aim was to define the incidence of urological complications diagnosed by routine US after EJJR in KTx, determine US utility and best time interval to perform it. METHOD: We retrospectively analyzed all routine KTx US performed in our Unit from 2016 until 2020 by an experienced interventional nephrologist. US post EJJR findings were compared with previous patient US. KTx characteristics, treatment and outcomes were recorded. RESULTS: • 345 KTx were done in the study period, 62.9% of receptors were male, 81.7% had a first KTx and 91.5% of organs were from a deceased donor. No routine US post EJJR was done in 20.9% due to the COVID pandemic. • Mean timing to elective JJ stent removal was 36.4 ± 25 days (SD). • Mean time from EJJR to US was 16.3 ± 28.8 days (SD). • Urinary tract (UT) ectasia (19.7%) and grade I UT dilatation (3.6%) were not considered pathological. • 47.3% (129) had a complication detected: 88.4% (114) had a collection, 8.5% (11) had UTD: 5.4% grade II and 3.1% grade III. 3% had other complications. • Table1 summarizes the outcomes of complications detected • Cumulative frequency analysis of complications post EJJR showed the highest diagnostic yield was around day 10 post removal (Figure 1). CONCLUSION: Routine US after EJJR allowed a timely diagnosis and early treatment of urological complications, a key factor for successful transplantation. KTx US is a cost-effective and reproducible test that provides crucial information to guide clinical decisions, being most efficient when performed 10 days post elective removal. Interventional nephrologists could do this examination promptly. (Table Presented).

Autopsy and medical death certificates in deaths related to COVID-19

Introduction: The COVID-19 pandemic has been the largest in the current century and the reason for numerous scientific works. In Cuba, the Temporary Group of Pathological Anatomy has been established to study the autopsies of those who died from COVID-19 (more than 400). The medical death certificates, documents of inestimable value, in Cuba are repaired according to the results of the autopsies, to raise their quality. Objectives: To evaluate the results of autopsies with COVID-19 diagnoses, compared to medical death certificates. Methods: The diagnoses of causes of death of 65 autopsies of the year 2020 were evaluated with their medical death certificates. The diagnoses were processed in the Automated System for the Registration and Control of Pathology. Direct causes of death, basic causes of death, intermediate causes of death, and contributing causes of death were analyzed. The total agreement of both diagnoses was defined, partial agreement, diagnostic mismatch or discrepancy, and insufficient data. Results: Diagnostic discrepancies of basic and direct cause of death are 46.2 % and 60.0 % of all cases and 19.4 % and 64.5 % when COVID-19 was basic cause of death. The high figures for diagnostic discrepancies correspond to those reported in previous studies, both in clinical diagnoses and in medical death certificates. Conclusions: There are high numbers of diagnostic discrepancies compared with the results of autopsies with COVID-19 diagnoses, compared to medical death certificates. © 2021, Editorial Ciencias Medicas. All rights reserved.

TELEWORKING A NEW REALITY IN THE SPANISH PUBLIC ADMINISTRATION. DEVELOPMENT OF A MUNICIPAL PROJECT OFFICE IN DISTANCE MODE

The health crisis caused by COVID-19 has forced Public Administrations to take a giant step in electronic administration and teleworking. This step, which would have taken years to be implemented due to the rigid structures of the Spanish Administration, had to be implemented in two weeks with a new working system. Having overcome the provisional situation, it is necessary to carry out an implementation of e-administration and teleworking thoughtfully and not unexpectedly. The Project Management Offices have a scarce implantation in the public administrations in Spain. This paper analyses the different types of methodologies for the development and implementation of a PMO in a Spanish City Council, for its technical unit of projects, in order to improve the quality of the projects and the results of the public service provided for the development of municipal works. The result of the analysis will be used for the design of a municipal PMO model focused on the quality of the projects, the quality of the public service, and on the fact that, in the PMO of the future, as long as it is not an activity in which presence is essential, the work will be virtual. © 2021 by the authors

Clinical Performance of The call Score for the Prediction of Admission to ICU and Death in Hospitalized Patients with Covid-19 Pneumonia in a Reference Hospital in Peru

Objective: Determine the CALL SCORE's diagnostic accuracy for the prediction of ICU admission and death in patients hospitalized for COVID-19 pneumonia in a reference hospital in Peru. Methods: We performed an analytical cross-sectional observational study. We included patients with COVID-19 pneumonia treated at the "Dos de Mayo" National Hospital. Patients over 18 years old with a diagnosis confirmed by rapid or molecular testing were included. Those with an incomplete, illegible, or missing medical history and/or bacterial or fungal pneumonia were excluded. Data were extracted from medical records. The primary outcomes were mortality and admission to the ICU. The Call Score was calculated for each patient (4 to 13 points) and classified into three risk groups. Summary measures were presented for qualitative and quantitative variables. The area under the model curve and the operational characteristics (sensitivity, specificity) were calculated for the best cut-off point. Results: The Call Score reported an area under the curve of 0.59 (IC95%: 0.3 to 0.07), p = 0.43 for predicting death. However, for a cut-off point of 5.5, a sensitivity of 87% and a specificity of 65% were obtained. The area under the curve for ICU admission was 0.67 (95%CI: 0.3 to 0.07), p = 0.43;the 5.5 cut-off point showed a sensitivity of 82% and a specificity of 51%. Conclusions: The Call Score shows a low performance for predicting mortality and admission to the ICU in Peruvian patients.