ABSTRACT
Introduction and objective Digital evolution represents an opportunity for ophthalmology to adapt to new care models. This study aimed to find out how the pandemic has modified the clinical practice and training activities of the ophthalmologist specialised in ocular surface, as well as to analyse emerging trends and needs. Materials and methods This study was carried out through an online survey. A committee of 3 specialists developed a questionnaire of 25 questions structured in: 1) Participant profile;2) Impact of the pandemic on patient management and professional activities;3) Trends and needs. Results 68 clinical ophthalmologists participated. There was a high degree of agreement (90%) that the pandemic has delayed ophthalmological follow-up visits and diagnosis. The participants agreed that the frequency of patients with dry eye disease (75%), stye/chalazion (62%) and blepharitis (60%) has increased. According to 28%, remote monitoring of pathologies such as dry eye, glaucoma, diabetes, conjunctivitis, hyposphagmas, styes, etc., will be common, especially in the young population. This will be especially relevant in chronic or mild pathologies of the ocular surface, and in the follow-up of patients after cataract and diabetic retinopathy interventions. Conclusions During the pandemic, an increase in the incidence of certain ocular surface diseases has been perceived. The telematic follow-up of chronic or mild pathologies of the ocular surface entails the need to provide specific training for both the patient and the healthcare professional, in addition to screening and referral protocols that would optimise the flow of care.
ABSTRACT
Background and objective: Digital evolution represents an opportunity for ophthalmology to adapt to new care models. This study aimed to find out how the pandemic has modified the clinical practice and training activities of the ophthalmologist specialized in ocular surface, as well as to analyze emerging trends and needs. Materials and methods: This study was carried out through an online survey. A committee of 3 specialists developed a questionnaire of 25 questions structured in: 1) Participant profile; 2) Impact of the pandemic on patient management and professional activities; 3) Trends and needs. Results: Sixty-eight clinical ophthalmologists participated. There was a high degree of agreement (90%) that the pandemic has delayed ophthalmological follow-up visits and diagnosis. The participants agreed that the frequency of patients with dry eye disease (75%), stye/chalazion (62%) and blepharitis (60%) has increased. According to 28%, remote monitoring of pathologies such as dry eye, glaucoma, diabetes, conjunctivitis, hyposphagmas, styes, etc., will be common, especially in the young population. This will be especially relevant in chronic or mild pathologies of the ocular surface, and in the follow-up of patients after cataract and diabetic retinopathy interventions. Conclusions: During the pandemic, an increase in the incidence of certain ocular surface diseases has been perceived. The telematic follow-up of chronic or mild pathologies of the ocular surface entails the need to provide specific training for both the patient and the healthcare professional, in addition to screening and referral protocols that would optimize the flow of care.
ABSTRACT
INTRODUCTION AND OBJECTIVE: Digital evolution represents an opportunity for ophthalmology to adapt to new care models. This study aimed to find out how the pandemic has modified the clinical practice and training activities of the ophthalmologist specialised in ocular surface, as well as to analyse emerging trends and needs. MATERIALS AND METHODS: This study was carried out through an online survey. A committee of 3 specialists developed a questionnaire of 25 questions structured in: 1) Participant profile; 2) Impact of the pandemic on patient management and professional activities; 3) Trends and needs. RESULTS: 68 clinical ophthalmologists participated. There was a high degree of agreement (90%) that the pandemic has delayed ophthalmological follow-up visits and diagnosis. The participants agreed that the frequency of patients with dry eye disease (75%), stye/chalazion (62%) and blepharitis (60%) has increased. According to 28%, remote monitoring of pathologies such as dry eye, glaucoma, diabetes, conjunctivitis, hyposphagmas, styes, etc., will be common, especially in the young population. This will be especially relevant in chronic or mild pathologies of the ocular surface, and in the follow-up of patients after cataract and diabetic retinopathy interventions. CONCLUSIONS: During the pandemic, an increase in the incidence of certain ocular surface diseases has been perceived. The telematic follow-up of chronic or mild pathologies of the ocular surface entails the need to provide specific training for both the patient and the healthcare professional, in addition to screening and referral protocols that would optimise the flow of care.
Subject(s)
Blepharitis , COVID-19 , Diabetic Retinopathy , Glaucoma , Ophthalmology , Humans , Ophthalmology/methods , Glaucoma/diagnosisABSTRACT
The objective of the research was to design a logistics management model for the competitiveness of an SME in the balanced food industry to the year2021. The methodology used has a mixed, applied and prospective approach. Validated instruments were applied according to experts, identifying nine root causes demonstrating inadequate logistical management and low competitiveness. A logistics management model was developed by means of eight strategies to improve the processes: supply, storage, inventory and distribution. Diagrams were restructured increasing 6% the total activitiesand 16% the automated activitiesby means of information technologies, annual savings of S/16 920 have been estimated in salaries and 80% in merchandise acquisition costs, likewise, the numberof operatorswasreduced by 50% anda recovery of 5% of merchandise is achieved. Implementation costs were estimated at S/61 103 and finally;the environmental impact was determined using the 3 R's, being a precedent for companiesin the same industry that want to increase their competitiveness. © 2022 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.
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This study aims to provide an understanding of how certain factors lead to the formation of clusters of areas of COVID-19 dispersion to guide policy decisions and government actions. It utilized an ecological study design that analyzes data at the population or group level. The units of observation are the barangays in Cebu City. These barangays are the nodes in the network and the edge considered is the presence of areas of convergence. In order to identify the nodes for this study, data mining was done to get the number of reported COVID-19 cases in Cebu City from the Cebu City Health Office as of May23, 2020. Only thirty-nine (39) barangays with COVID-19 cases were included in the study. Results revealed that although public and private transportation is controlled during the implementation of Enhanced Community Quarantine, it is assumed that the spread started prior to the implementation of strict prohibitions which led to the rise of cases later on. Even at the time of the strict community quarantine restrictions, economic activities related to basic necessities were still allowed. For instance, public markets were open with prohibitions related to schedules only. This implies that people are still mobile at certain times despite the presence of restrictions. People still converge in areas where economic activities are present.
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PURPOSE: The SARS-CoV-2 virus, which causes COVID-19 disease, is transmitted by aerosols or by contact with infected surfaces. The route of entry to the body is through the nasal, oral or conjunctival mucosa. Health workers must use effective protection measures against the entry of the virus into mucous membranes, both physical and antiseptic filters. There is an antiseptic used in Ophthalmology that we believe could have virucidal action against the SARS-CoV-2 virus, formulated based on 0.01% hypochlorous acid. METHODS: An exhaustive search has been carried out in the databases of Pubmed and Web of Science to identify relevant articles on the virucidal activity of hypochlorous acid in different concentrations until October 4, 2020. RESULTS: There is evidence of the virucidal efficacy of 0.01% hypochlorous acid against SARS-CoV-2. According to the different scientific publications reviewed, hypochlorous acid has virucidal efficacy against different viruses, among them, SARS-CoV-2. CONCLUSIONS: The 0.01% hypochlorous acid could act as an effective antiseptic against SARS-CoV-2, exerting a barrier on the mucosa to prevent COVID-19 infection. It can be used on the eyes, nose and mouth. We consider it necessary to assess its use in the protocol for patient health care in ophthalmology consultations, as well as to recommend its use to the general population to reduce viral load and/or prevent transmission of infection. Additional in vivo studies would be required to confirm its antiseptic action.
Subject(s)
Anti-Infective Agents, Local , COVID-19 , Humans , Hypochlorous Acid , SARS-CoV-2ABSTRACT
The objective of the research was to design the digital marketing processes in the Management of the Surveillance, Prevention and Control Plan of covid-19 for the Positioning of an Mype Company of the Beauty Sector in the year 2020. The type of research is applied, using the techniques of documentary review, interview and survey validated by expert judgment. Questionnaire was applied to 30 people (convenience sampling). Subsequently, the design of the digital marketing processes for the positioning of Muzamía Styles & Spa was carried out, which consists of three phases: 1st Phase - Income or input, which begins with the internal, external analysis and competitive profile of the salon;2nd Phase - Adequacy, the corresponding strategies are generated for analysis;3rd Phase - Decision, the most attractive strategies are selected for the positioning of the company. Finally, the economic evaluation of the design of the Digital Marketing processes for the company Muzamía Styles & Spa was carried out, obtaining as a result an NPV of S/49709, IRR of 81% and B/C of S/1.47 index. © 2021 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.
ABSTRACT
The objective of the research was to design the digital marketing processes in the Management of the Surveillance, Prevention and Control Plan of covid-19 for the Positioning of an Mype Company of the Beauty Sector in the year 2020. The type of research is applied, using the techniques of documentary review, interview and survey validated by expert judgment. Questionnaire was applied to 30 people (convenience sampling). Subsequently, the design of the digital marketing processes for the positioning of Muzamía Styles & Spa was carried out, which consists of three phases: 1st Phase - Income or input, which begins with the internal, external analysis and competitive profile of the salon;2nd Phase - Adequacy, the corresponding strategies are generated for analysis;3rd Phase - Decision, the most attractive strategies are selected for the positioning of the company. Finally, the economic evaluation of the design of the Digital Marketing processes for the company Muzamía Styles & Spa was carried out, obtaining as a result an NPV of S/49709, IRR of 81% and B/C of S/1.47 index. © 2021 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.
ABSTRACT
PURPOSE: The SARS-CoV-2 virus, which causes COVID-19 disease, is transmitted by aerosols or by contact with infected surfaces. The route of entry to the body is through the nasal, oral or conjunctival mucosa. Health workers must use effective protection measures against the entry of the virus into mucous membranes, both physical and antiseptic filters. There is an antiseptic used in Ophthalmology that we believe could have virucidal action against the SARS-CoV-2 virus, formulated based on 0.01% hypochlorous acid. METHODS: An exhaustive search has been carried out in the databases of Pubmed and Web of Science to identify relevant articles on the virucidal activity of hypochlorous acid in different concentrations until October 4, 2020. RESULTS: There is evidence of the virucidal efficacy of 0.01% hypochlorous acid against SARS-CoV-2. According to the different scientific publications reviewed, hypochlorous acid has virucidal efficacy against different viruses, among them, SARS-CoV-2. CONCLUSIONS: The 0.01% hypochlorous acid could act as an effective antiseptic against SARS-CoV-2, exerting a barrier on the mucosa to prevent COVID-19 infection. It can be used on the eyes, nose and mouth. We consider it necessary to assess its use in the protocol for patient health care in ophthalmology consultations, as well as to recommend its use to the general population to reduce viral load and / or prevent transmission of infection. Additional in vivo studies would be required to confirm its antiseptic action.
ABSTRACT
Objective: To describe treatment of Stroke (either hemorrhagic or ischemic) and its quality metrics before and during the pandemic of COVID 19. Background: During the COVID pandemic the Mexican health systems suffered major changes. Many hospitals dedicated their entire services to treatment of COVID-19 and its complications. That made referral institutions such as ours the only centers available to treat patients with acute stroke. Design/Methods: Using the data from the Registry of Stroke Care Quality (RESQ) for the National Institute of Neurology and Neurosurgery "Manuel Velasco Suárez", we describe the frequency of Acute Stroke and the quality of stroke care, from January 1st 2019 until February 28th 2020 and compared it with data from March 1st 2020 until June 30th 2020 (the beginning of the COVID 19 pandemic in Mexico). Results: From January 1st until the 30th June 2020, 202 patients with the diagnosis of stroke were admitted to our institution. Length of stay was different (14 vs 8.5 days). The type of stroke was also different, before the pandemic 35% were ischemic, 14.2% were intracerebral hemorrhage, 48.2% were subarachnoid hemorrhage. During the pandemic the proportion of Ischemic stroke (46.3%) and intracerebral hemorrhages (18.3%) were higher. More patients underwent advanced carotid imaging. (25% vs 41.5%). More patients received thrombolytic therapy (16.7% vs 28.9%) and door-to-needle time was reduced from 70. vs 41. minutes. Time from onset of symptoms increased from 644 to 839 minutes. Conclusions: The COVID 19 pandemic brought changes in the presentation an in the way we treat stroke in our center. These changes range from the difficulty for the patients to arrive to our hospital from other centers to a improvement of time to treatment. Both an increase in the number of patients due to the collapse of the local health system and the preservation of the quality of stroke care was observed.
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Faced with the prospect of a collapsed health system due to the COVID-19 pandemic, the professionals involved in the Neonatal Screening Programme (NSP) of Catalonia had to adapt to this situation in a flexible, forceful and efficient manner. The most important goals were to prevent the risk of infection in the professionals, in families and their newborns, as well as to ensure the same effectiveness for the early detection of the diseases included in our programme. To this end, the laboratory was reorganised by dividing the staff into groups and the spaces were redistributed. It was also necessary to modify several protocols and circuits, especially for the management of early discharges from maternity centres, and for the collection of the necessary second samples (from newborns with inconclusive results or for low quality samples). In general, a 36% reduction in the time of arrival of these second samples at the laboratory was achieved with respect to the previous circuit. In the specific case of cystic fibrosis detection, the implementation of a new strategy meant a 100% reduction in the request for second samples and a 70% reduction in the age of diagnosis of the newborn. After evaluating these changes, it can be concluded that in the face of the pandemic, the NSP of Catalonia showed determined leadership, aligning all its professionals, ensuring the continuity of the activity in the programme and generating new opportunities. The new processes and circuits implemented have been definitively consolidated, improving the efficiency of the programme.y
ABSTRACT
Faced with the prospect of a collapsed health system due to the COVID-19 pandemic, the professionals involved in the Neonatal Screening Programme (NSP) of Catalonia had to adapt to this situation in a flexible, forceful and efficient manner. The most important goals were to prevent the risk of infection in the professionals, in families and their newborns, as well as to ensure the same effectiveness for the early detection of the diseases included in our programme. To this end, the laboratory was reorganised by dividing the staff into groups and the spaces were redistributed. It was also necessary to modify several protocols and circuits, especially for the management of early discharges from maternity centres, and for the collection of the necessary second samples (from newborns with inconclusive results or for low quality samples). In general, a 36% reduction in the time of arrival of these second samples at the laboratory was achieved with respect to the previous circuit. In the specific case of cystic fibrosis detection, the implementation of a new strategy meant a 100% reduction in the request for second samples and a 70% reduction in the age of diagnosis of the newborn. After evaluating these changes, it can be concluded that in the face of the pandemic, the NSP of Catalonia showed determined leadership, aligning all its professionals, ensuring the continuity of the activity in the programme and generating new opportunities. The new processes and circuits implemented have been definitively consolidated, improving the efficiency of the programme.
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This study aims to discover the sociocultural factors affecting the disease dispersion pattern of the COVID-19 in the Philippines. This is an ecological study where the unit of observation is the cases of COVID-19 in the country. The cases compared was defined in various ways to create an explanation of the dispersion pattern of COVID-19 in the country. Data was taken from the official reports of the Philippine Department of Health as of March 13, 2020, on the 52 confirmed cases of COVID-19 in the country. Data gathered from the reports were age, sex, existing diseases, acquisition (local or international), proximity to carrier and health status. Results revealed that older male Filipinos are at higher risk of acquiring COVID-19 with prognosis defined by certain culturally-related diseases. The dispersion of the disease in the country is further compounded by the sociocultural context the Filipinos are in. © 2020 Australasian College of Health Service Management. All rights reserved.