[Suturing basic procedural skills training for medical students during COVID-19 pandemic]. / Entrenamiento procedimental básico (EPROBA) en suturas para estudiantes de medicina durante pandemia por SARS-CoV-2 (COVID-19).

BACKGROUND: The adoption of sanitary measures due to the SARS-CoV-2 pandemic hampered teaching and learning methods in medicine. AIM: To communicate the results of a wound suture training workshop, based on the Basic Procedural Skills Training methodology and adapted to the pandemic context. MATERIAL AND METHODS: One hundred fourteen students were randomized in small groups due to sanitary measures and trained with a modification of the Basic Procedural Skills Training methodology. An informed consent was obtained from every student. The suturing skills were evaluated before and after the intervention with "The Objective Structured Assessment Of Technical Skills" (OSATS) instrument. The perception of the workshop and the implementation of the COVID-19 prevention measures were also evaluated. RESULTS: The students showed a statistically significant improvement after the intervention. In the OSATS verification list, the average score increased from 4.5 to 8.6 (p < 0.01). In the OSATS global scale, the average score increased from 13.0 to 25.3 (p < 0.01). The perception of the workshop and the prevention measures were well evaluated. CONCLUSIONS: Despite all the limitations of the pandemic context, we achieved a significant improvement after the intervention and a very good perception by the students.

Clinical Management for Hospitalization of Patients with COVID-19 and Resolution Capacity Functionality in I-4 Facilities - Contumaza-Cajamarca Health Network, 2021

With the arrival of the COVID-19 pandemic, health systems were forced to adapt their intra- and extra-hospital processes through mechanisms of articulation, integration, and coordination between the organic units of public and private institutions, configuring a single national health system. In this sense, the objective of this study was to determine whether there is a relationship between clinical management for the hospitalization of patients with COVID-19 and resolution capacity functionality in a Health Network. A hypothetical deductive method was used with a descriptive-correlational analysis with a cross-sectional design. The sample consisted of 150 health care workers (100%). The selection was conducted in 3 level I-4 facilities of the Contumaza-Cajamarca Health Network, Peru, 2021. The dependent variable was resolution capacity functionality, and the independent variable was clinical management for the hospitalization of patients with COVID-19. The results suggest an average level both in clinical management and in resolution capacity functionality and the transport dimension in 45.3%, extending a significant relationship (p < 0.05) with Rho = 0.755 and Rho = 0.251, respectively.

Covid-19 vaccination adherence and correlated factors in patients with substance use disorders : Francesco Mondera

Background Analyzing trends and patterns of vaccination during COVID-19 pandemic is important to understand how current policies are working. Evidence regarding the general population is already available, but hard-to-reach populations as migrants or minorities, but also people suffering from a Substance Use Disorder (SUD), have not been fully explored. To understand the extent of vaccine adherence and evaluate associated factors in this population subgroup, we conducted a cross-sectional study in collaboration with Villa Marini Foundation, national agency of the Italian Red Cross for pathological addictions. Methods We developed a questionnaire regarding COVID-19 vaccination, adherence to prevention measures, concerns about COVID-19 and questions relating to drug use that we administered to each participant. Only people aged over 18 with a diagnosis of SUD were included in the study. A multivariable logistic regression model was built to identify the predictors associated with anti-SARS-CoV-2 vaccination, estimating adjusted odds ratios (aOR) and 95% confidence intervals (CIs). Results We recruited 200 participants between December 2021 and January 2022. Most respondents were male (84.5%), Italian (72%), aged 44 years on average. A total of 40 patients (20%) reported they haven't received any dose of COVID-19 vaccine;the most common motivations were lack of trust in the vaccine and fear of side effects. At multivariable analysis, the use of heroin appears to be negatively associated with vaccination acceptance (aOR=0.31 CI 95%: 0.11-0.81) as well as not being Italian (aOR=0.27 CI 95%: 0.12-0.63). Conclusions The vaccination rate in our sample was consistent with the one of the general Italian population in the same period, whereas the reasons behind the lower adherence to vaccination in the heroin group need to be further investigated. It’s also important to reduce possible bureaucratic obstacles that could explain the lower number of vaccinated foreign citizens. Key messages • People with Substance Use Disorder are a fragile and often overlooked population that needs to be considered during Public Health intervention and vaccination campaigns. • The access to vaccination for foreigners should be made more simple and easier to increase accessibility and participation.

‘MIÚDOS CO(N)VIDA’: DEVELOPING RESEARCH WITH CHILDREN IN TIMES OF PANDEMIC COVID-19

The Covid-19 pandemic is a powerful example of how our rights and, in particular, children’s rights are reconfigured. In order to ensure that, in a pandemic context, children’s voices were not kept invisible, we developed some research strategies, which assumed an innovative character, given the contingencies resulting from the lockdown situation. This text aimed to reflect on the ethical and methodological challenges in research with children, taking into account the pandemic and confinement, rethinking strategies and the process of building knowledge with them and about their lives. © 2022, Centro de Estudos Educacao e Sociedade - CEDES. All rights reserved.

Motivation and Job Performance at the Regional Health Management of La Libertad During COVID-19

The impact of the COVID-19 pandemic directly affected labor dynamics, especially the motivation of health personnel. In this context, the objective of this study was to determine the behavior of the relationship between motivation and job performance of the staff of the Regional Health Management - La Libertad during COVID-19. We use the descriptive correlational analysis with a quantitative method and cross-sectional design in the methodology. For this study, a sample of 106 workers (100%) was identified in which two types of survey instruments were used. The first is for job motivation, and the second is for job performance and its dimensions, such as cognitive, affective, and psychomotor skills. The Spearman correlation coefficient was used to determine the relationship between job motivation versus job performance and its dimensions. The results affirm a significant relationship (p < 0.05) between the motivation and performance variables with their dimensions. Furthermore, it was found that there is a moderate positive correlation with Rho = 0.633. Most of the workers (Nº = 52, 49.1%) during the COVID-19 pandemic presented a low-level behavior in motivation and the psychomotor capability of the job performance of the Regional Health Management - La Libertad. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Quality and User Satisfaction of the Telemedicine Service in Cardiology During COVID-19

The objective of this study was to determine the relationship between the quality of telemedicine service in cardiology and user satisfaction during COVID-19 at the Victor Lazarte Echegaray Hospital - Trujillo, Peru, in 2021. The research methodology used is the hypothetical method deductive with a non-experimental quantitative approach and descriptive correlational analysis with cross-sectional design. For this study, a total of n = 96 patients (100%) were surveyed and received care in the telemedicine services in cardiology. Two types of survey instruments were used, the first SERVQHOS is to evaluate the quality of the telemedicine service, and the Second SERVQUAL is for user satisfaction and its dimensions such as reliability, responsiveness, security, empathy, and tangibility. We used the Spearman correlation coefficient to determine the association between telemedicine service quality versus user satisfaction and its dimensions. The results show a significant relationship of p < 0.05 between the two variables and a moderate positive correlation of Rho = 0.525. In addition, most of the patients surveyed (41.7%) during the COVID-19 pandemic indicated that the telemedicine service is regular and safety is acceptable. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Job Motivation and Mental Health Status of Care Person at the District Hospital La Esperanza During COVID-19

The objective of this study was to determine the relationship between job motivation and the mental health status of care personal of the District Hospital of Jerusalén - La Esperanza during COVID-19. The methodology used was descriptive correlational analysis with a hypothetical deductive method with a non-experimental quantitative approach and cross-sectional design. A total of 154 health care workers participated. Two types of surveys were considered;the first was for job motivation (JM) and the second for general mental health (PHQ-9) and its dimensions such as General Anxiety Disorder (GAD-7), Insomnia Severity (ISI), and Impact of Events Reviewed (IES-R). The Spearman correlation coefficient was used to determine the association between the two variables and their dimensions. In the results, we observed that most of the workers (56.5%) reflect a medium job motivation and a Mild level of depression (Rho = 0.872, p < 0.000). In addition, we observed that 41.6% of the workers reflect a medium job motivation and a mild general anxiety disorder (Rho = 0557, p < 0.000). © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Public health priority setting: A case for priority to the worse off in well-being during the COVID-19 pandemic

In Norway, priority for health interventions is assigned on the basis of three official criteria: health benefit, resources, and severity. Responses to the COVID-19 pandemic have mainly happened through intersectoral public health efforts such as lockdowns, quarantines, information campaigns, social distancing and, more recently, vaccine distribution. The aim of this article is to evaluate potential priority setting criteria for public health interventions. We argue in favour of the following three criteria for public health priority setting: benefit, resources and improving the well-being of the worse off. We argue that benefits and priority to the worse off may reasonably be understood in terms of individual well-being, rather than only health, for public health priority setting. We argue that lessons from the COVID-19 pandemic support our conclusions.