ABSTRACT
Introduction: During the COVID-19 pandemic, the mental health of students was affected due to social isolation and the repercussions of this context. In this sense, it becomes important to analyze and reflect on the current situation of academic engagement, a determining factor of their academic performance. Objective: Analyze the academic engagement of Peruvian Nursing students upon their return to face-to-face classes. Methods: The approach was quantitative, a non-experimental design, and the type, descriptive, and transectional. The academic engagement of 200 students in the Nursing career was evaluated through the application of the UWES-S Scale, an instrument with adequate levels of validity based on the content and reliability. Results: It was found that the academic engagement of 57 % of the students was high, 34.5 % was moderate and 8.5 % was low. Likewise, the dimensions that had a better assessment were dedication and absorption, which were located at the high level, while the vigor dimension had a lower assessment, since the moderate level predominated. On the other hand, it was determined that the academic engagement of the students was significantly associated with some sociodemographic variables such as gender and age group to which they belonged (p<0.05). Conclusion: The students of the Nursing career were characterized by presenting high levels of academic engagement upon return to faceto-face classes, for which universities must encourage the promotion of cognitive, affective, and attitudinal dimensions of students to strengthen said commitment. © 2023 Academia Nacional de Medicina. All rights reserved.
ABSTRACT
Background: There are not specific information about otucomes of COVID-19 infection in patients with breast cancer. We aimed to describe the outcomes in this population in our national cohort of patients with cancer and infection for COVID-19. Methods: ACHOCC-19B registry is a multicenter observational study composed of a cross-sectional and a prospective cohort component. Eligibility criteria were the diagnosis of breast cancer and COVID-19 infection confirmed with RT-PCR. Follow-up of 30 days was completed. Clinical data were extracted of the multicentric register of cancer and covid-19 in Colombia (ACHOCC-19), collected from Apr 1 until Oct 31, 2020. The primary outcome was 30-day mortality from all causes and secondary outcome was asymptomatic disease. Associations between demographic or clinical characteristics and outcomes were measured with odds ratios (ORs) with 95% CIs using multivariable logistic regression. Results: 132 patients were included(18,5% of global ACHOCC-19 cohort). 18,2% died and 25,8% was asymptomatic. In relation to the patients who died vs did not died, 68 vs 66% were > 50 years, 20 vs 10,2% with obesity, 32 vs 51,4% without comorbidities: 24 vs 12% with Diabetes, 56 vs 29% arterial Hypertension, 17,75 vs 3.88% ECOG >2, 50 vs 12,5% progressive cancer, 20 vs 5,6% bacterial coinfection, 65 vs 25,2% received antibiotic and 68 vs 19% steroids for Covid-19 infection. 11.3% had severe infection and received ventilatory support and 66% died. About the asymptomatic patients 74% were > 50 years, 2,9% had obesity, 56% without comorbidities, 56% with ECOG 0 and 17,6% had metastatic disease. In the logistic regression analysis, age > 50 years (OR 2,7 95% 0,54-13,81), >2 comorbidities (OR 3,48 95% 0,26-45,71), progressive disease (OR 3,52 95% 0,47-26,57), steroids (OR 6,62 95% 1,5-26,6) and antibiotic treatment for Covid19 (OR 6,88 95% 1,60-29,76) behaved as a risk factors for mortality, but only steroids and antibiotic was statistically significant. Conclusions: In our study, breast cancer patients have high mortality by Covid-19 infection. Age, comorbidities, ECOG >2, progressive disease, and use of antibiotic and steroids are factors for worse prognosis. Legal entity responsible for the study: The authors. Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.
ABSTRACT
This research presents a statistics analysis of the morbidity and mortality of occupational risks as a result of companies and workers affiliated to the General System of Occupational Risks in Colombia during the 2019 and 2020 period, also framed in the events generated due to the pandemic caused by the COVID-19 disease. For this purpose, a quantitative study with descriptive scope was carried out, based on statistical data from the Federation of Colombian Insurers - FASECOLDA, obtained from the different Occupational Risks Administrators. According to the above, a decrease in the number of companies affiliated to the General System of Occupational Risks was observed in November 2019, where a total of 882.283 affiliated companies were registered, while for this same month in 2020, only 826.950 were evidenced. In the same way, this brought with it a decrease in the number of affiliated workers, from 11.032.433 to 10.408.531 workers in the same period, representing a decrease of 6%. On the other hand, it was established that qualified as work-related illnesses increased exponentially from 8.202 illnesses in the year 2019 to a total of 49.788 in 2020, where the most representative increase was evidenced in the Health and Social Services Sector, which increased from 481 cases per year to 34.750, a value corresponding to 70% of the total diseases classified as work-related in 2020. In second place, the Real Estate Sector stands out, which presented an increase from 979 to 5.288 diseases, followed by the Transport, Storage and Communications sector with an increase from 381 to 1.489 cases. Regarding qualified as work related accidents in 2019 and 2020, a decrease of 172.139 cases was established, representing a variation of 28% less. In the same way, the mortality generated by work accidents ranged from 488 to 375, consolidating a 23% of decrease in deaths compared to the previous year, a situation that differs from deaths caused by occupational diseases, which increased from 4 to 76 cases. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.
ABSTRACT
Introduction: Health personnel involved in dental care are at high risk of contagion from constant ex-posure to aerosols during emergency care. It is neces-sary to increase its protection measures during the SARS-CoV-2 pandemic. Objective: Describe the experience of dentists, assistants and patients regarding the use of a barrier device to contain aerosols in dental emergency care. Materials and methods: A descriptive cross-sectional study with 21 adult patients attended by dental emergencies in a private institution during June in the city of Bogotá. The 21 patients, five treating dentists and five dental assistants filled out a structured question-naire about the experience with the device, the bio-safety measures implemented and the perception of safety regarding the possible contagion of the virus. Results: The mean age of the patients was 41 years (SD ± 14). The duration of the procedures was 45 mi-nutes (SD ± 12) on average. There were no adverse events during the procedures with the use of the devi-ce. 95% of patients felt safer during care with the use of the barrier device. Conclusions: Despite the limited sample, the high perception of safety regarding the use of the device in dental emergency care reported here suggests that they may complement the biosecurity measures and personal protective equipment established by health authorities during the pandemic. © 2022, Universidad de Antioquia. All rights reserved.