Web application: efficient immunization by vaccination for children and adults

The investigation analysed the correct use of the vaccination scheme in order to achieve efficient immunization for children and adults in the midst of the pandemic;through the use of a web application that will greatly facilitate people in their immunization, since the web application will allow them to create alerts to have reminders at times personalized by the user. Also, the web application will provide a schedule complete personalized immunization according to the personal information of the registered user, on the other hand they will also be able to view the information of the different vaccination centers to achieve a correct immunization. The methodology was Scrum, allows prepared for change and to be able to adapt, as well as allowing proper planning for efficient work. The result obtained from the investigation can be seen in the sur-vey carried out on parents;where satisfactory percentages were obtained since 98% of respondents indicated that the use of a web application for the correct immunization of people is of the utmost importance, in addition to the survey they were shown the prototype of the application and indicated that its use was efficient, educational and easy to use for everyone. © 2023, Institute of Advanced Engineering and Science. All rights reserved.

HIP FRACTURES DURING THE COVID-19 PANDEMIC: CARACTERISTICS, MANAGEMENT AND OUTCOMES

Introduction: the pandemic caused by the SARS-Cov-2 coronavirus has generated unprecedented pressure on healthcare systems. Higher mortality rates have been reported in elderly patients. Those with a hip fracture are especially vulnerable. Material and Methods: retrospective study in which we analysed the management and associated perioperative complications rate in patients aged over 65 years who attended a tertiary hospital in Spain with hip fracture during the COVID-19 first alarm status decree. We compared the results with a cohort of similar patients treated during the same period in 2019. Results: A total of 102 hip fractures were recorded in 2019, with a mean age of 85 years. 87.5% were treated surgically in our hospital, with mean waiting time of 4.6 days and mean stay of 11.3 days. In 2020, 107 hip fractures were recorded, with a mean age of 86 years. A total of 74.6% underwent surgery in our centre, with a mean waiting time of 2.8 days and a mean hospital stay of 10.9 days. The rate of major complications and exitus was 8.9% and 6.7% respectively in 2019, and 9.4% and 7.8% in 2020. Conclusions: the number of hip fractures increased despite the declaration of the state of alarm in comparison with the decrease in the rest of the trauma emergencies. During this period the mean waiting time for surgery was longer. There was no relevant variation in the demographic characteristics of the patients, nor in the rate of complications and reported exitus.

Design of a Mobile Application to Changethe Child Vaccination Establishmentunder the COVID-19 Pandemic

The research analyzed the desertion of child vaccination in Peru, because parents could not immunize their children and that they changed their place of residence, taking refuge in the countryside for fear of contagion of COVID-19;and the shortage of work as a result of the measures taken by the state in the face of significant increases in COVID-19 infections, brought serious consequences in the decrease in the percentages of vaccinated children with a decrease to 61.1% of childhood immunization, as a result of the long and difficult processes to be able to immunize a minor in a vaccination establishment different from the one that attended for immunization;the objective being to increase the percentage of immunized children, through the use of a mobile application, where the parent will have the option of viewing the list of nearby vaccination facilities where they wish to immunize their child, as well as being able to make changes to the establishment of vaccination, avoiding the long and difficult process that currently has to be carried out in order to make a change in the vaccination establishment. The methodology used is Scrum;thanks to this methodology, the work was carried out efficiently and satisfactorily. The result of the research was satisfactory, and this can be said thanks to the results of the survey carried out with parents, where the majority indicated they agree on how important and efficient the web application is;thanks to the fact that it facilitates the change of health facility for many parents who had to change residence and take refuge in the countryside due to lack of work and fear of contagion of COVID-19. © 2022 University of Las Palmas de Gran Canaria, Faculty of Geography and History. All Rights Reserved.

Marketing Information Systems in the Management of COVID-19

During the health contingency, marketing information systems constitute one of the main areas of control in public institutions, because the environment where they carry out their activities becomes increasingly complex. The speed with which data is generated, communication and the increase in uncertainty in the environment, generate that information becomes a key element for the management of COVID-19, therefore the importance of having a system that generates reliable, timely and effective information that supports making more accurate decisions based on the objectives to be achieved. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Mechanical ventilator as a shared resource for the COVID-19 pandemic

COVID-19, the causative agent of which is a new type of coronavirus called SARS-CoV-2, has caused the most severe pandemic in the last 100 years. The condition is mainly respiratory, and up to 5% of patients develop critical illness, a situation that has put enormous pressure on the health systems of affected countries. A high demand for care has mainly been observed in intensive care units and critical care resources, which is why the need to redistribute resources in critical medicine emerged, with an emphasis on distributive justice, which establishes the provision of care to the largest number of people and saving the largest number of lives. One principle lies in allocating resources to patients with higher life expectancy. Mechanical ventilator has been assumed to be an indivisible asset;however, simultaneous mechanical ventilation to more than one patient with COVID-19 is technically possible. Ventilator sharing is not without risks, but the principles of beneficence, non-maleficence and justice prevail. According to distributive justice, being a divisible resource, mechanical ventilator can be shared;however, we should ask ourselves if this action is ethically correct.