ABSTRACT
The research analyzes the impacts of tourism in the Villa de Zaachila, Oaxaca, considering community perceptions and their relationship with sustainable development in the context of COVID-19. A five-point Likert-type scale was used, over a threeyear period, considering time variables (before, during, and after) related to the pandemic and its link with social, economic, and environmental issues. Representative local stakeholders in the tourism sector were interviewed using qualitative convenience sampling. Community tourism operators' perception of tourism activity was erroneous, as they considered it irrelevant. However, they were indirectly dependent on the consumption of goods and services by visitors from outside the community. Changes and adaptations were made at the community level that made it possible to cope with the pandemic and identify the importance of tourists to the community's economy and development. The authors conclude that perceptions play a significant role in the analysis of reality and in the success of any community tourism project to achieve development objectives. © 2022 Interciencia Association. All rights reserved.
ABSTRACT
INTRODUCTION: The objective of these study is to know the characteristics of COVID-19 in patients with uveitis associated with Systemic Autoimmune Disease (SAD) through telematic survey. MATERIAL AND METHODS: Internal Medicine Society and Group of Systemic Autoimmune disease conducted a telematic survey of patients with SAD to learn about the characteristics of COVID-19 in this population. RESULTS: A total of 2,789 patients answered the survey, of which 28 had a diagnosis of uveitis associated with SAE. The majority (82%) were female and caucasian (82%), with a mean age of 48 years. The most frequent SAEs were Behçet's disease followed by sarcoidosis and systemic lupus erythematosus. 46% of the patients were receiving corticosteroid treatment at a mean prednisone dose of 11 mg/day. Regarding infection, 14 (50%) patients reported symptoms compatible with SARS-CoV-2 infection. RT-PCR was performed on the nasopharyngeal smear in two patients and in one of them (4%) it was positive. CONCLUSIONS: Both asymptomatic and symptomatic COVID-19 patients with ASD-associated UNI had received similar immunosuppressive treatment.
Subject(s)
Autoimmune Diseases/complications , COVID-19/complications , Uveitis/etiology , Adult , Aged , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Self ReportABSTRACT
INTRODUCTION: The objetive of these study is to know the characteristics of COVID-19 in patients with uveitis associated with Systemic Autoimmune Disease (SAD) through telematic survey. MATERIAL AND METHODS: Internal Medicine Society and Group of Systemic Autoimmune disease conducted a telematic survey of patients with SAD to learn about the characteristics of COVID-19 in this population. RESULTS: A total of 2,789 patients answered the survey, of which 28 had a diagnosis of uveitis associated with SAE. The majority (82%) were female and caucasian (82%), with a mean age of 48 years. The most frequent SAEs were Behçet's disease followed by sarcoidosis and systemic lupus erythematosus. 46% of the patients were receiving corticosteroid treatment at a mean prednisone dose of 11 mg/day. Regarding infection, 14 (50%) patients reported symptoms compatible with SARS-CoV-2 infection. RT-PCR was performed on the nasopharyngeal smear in two patients and in one of them (4%) it was positive. CONCLUSIONS: Both asymptomatic and symptomatic COVID-19 patients with ASD-associated UNI had received similar immunosuppressive treatment.
ABSTRACT
BACKGROUND: The COVID-19 pandemic developed rapidly, on 27 May there were 78,023 positive cases and 8597 deaths in Mexico, many of the seriously ill patients have been attended in secondary health care facilities. In this study, we developed a comprehensive management strategy for the critically ill patient with COVID-19 specific for second-level hospitals. COVID-19 patients present a systemic inflammatory response, mainly at the pulmonary level, thus reducing tissue perfusion. Therefore, the main objective of managing the seriously ill patient COVID-19 was to guarantee adequate tissue perfusion and maintain hemodynamic stability to avoid complications in organs and systems such as cardiac arrhythmias or QT segment prolongation, which are presented as a side effect of some of the treatments for COVID-19, as well as an adequate hydroelectrolytic and hemodynamic balance to minimize the risk of incidence of kidney injury. CLINICAL CASES: This paper report the case of three patients care at the intensive care unit of General Hospital Enrique Cabrera of Mexico City. CONCLUSIONS: This study presents strategies for the treatment of these patients only with non-invasive monitoring and offers measures of mechanical ventilation without alveolar recruitment. © 2020 Comunicaciones Cientificas Mexicanas S.A. de C.V.. All rights reserved.