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Background: Caregiver stress is a common problem observed in nursing homes. Aim: To determine the association between the level of resilience and stress, anxiety and depression in formal caregivers of older people institutionalized in long-stay establishments during the COVID-19 pandemic. Material and Methods: One hundred ninety eight formal caregivers working at 11 long term residences for older people in southern Chile were invited to answer the SV-RES resilience and the DASS-21 anxiety and depression scales and 102 agreed to participate. Results: We observed a significant association between the resilience scale score and variables such as weekly working hours (p < 0.01), current hours of sleep (p < 0.01), self-perception of sleep (p < 0.01), anxiety level (p < 0.01) and stress level (p < 0.01). Conclusions: A higher score on the Resilience Scale was associated with the absence of anxiety and stress, working between 22 and 43 hours per week, sleeping between 7 and 8 hours of sleep and a satisfactory self-perception of sleep. Studying the factors associated with resilience in formal caregivers of the elderly allows healthcare personnel to focus preventive actions, intervening promptly in risk areas associated with the work context, and strengthening the personal resources of caregivers.
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Teaching cybersecurity to children is not a trivial task due to the complexity of explaining online-threat-related topics such as sexting or cyberbullying. Moreover, most of the courses designed to raise awareness in these controversial subjects has been mainly produced in English. However, during the Covid-19 pandemic, getting access to Spanish-based training for protecting children online became a priority for parents in countries such as Ecuador, which was not prepared to have children studying at home whilst being exposed to such threats. In this paper, we show that it is feasible to design a virtual course (MOOC) to teach cybersecurity to Spanish-speaking children with acceptable usability levels and minor usability issues. Our proposed methodology combines ADDIE, DPIPE and UDL for developing the course, and uses both SUS and Nielsen as methods to assess the MOOC from an usability point of view. For enhancing user engagement, our course uses novel 3D anthropomorphic characters and storyboards to aid the learning process. Regarding usability results, our proposed MOOC has very high and acceptable scores, with around 86/100 using the SUS scale, and less than 3 in the Nielsen score. © 2022 IEEE.
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This study seeks to explore whether enhancing the digital channel in fine dining restaurants turns out to be a development strategy under covid-19. Latin America's 50 Best Restaurants for the period 2020 and 2021 is selected as a case, because: (1) there are 50 restaurants belonging to the fine dining category and therefore possible to compare each other, (2) being an annual ranking, it is possible analyze the variation in their operations, after two years under covid-19, (3) all of them have an official website. The methodology consists of reviewing each of the 50 restaurants (both website and Instagram social network) for the period 2020 and 2021, based on predefined aspects. It is concluded that promoting the digital channel in fine dining restaurants turns out to be a development strategy under covid-19, as observed in restaurants in the 50 best rest ranking in 2020, which shows an increase in digitalization to satisfy a digital segment that previously was not being fully served. © 2022 IEEE.
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This study seeks to analyze DIGITAL MARKETING & MARKETING DECISIONS AFTER TWO YEARS OF COVID-19. Latin America's 50 Best Restaurants for the period 2020 and 2021 is selected as a case, because: (1) it is an international ranking that unifies and selects the best restaurants in a specific geographical sector, (2) each of the restaurants on the list have a tradition of providing a service that is consumed or experienced locally as it allows them to control all aspects of the gastronomic experience, (3) before the Covid-19 pandemic, given the differentiated product offerings by each restaurant, the restaurants did not work with food delivery applications (4) before the Covid-19 pandemic, their menus were printed on paper and not in digital format through the use of mobile technology, (5) the preparations and presentations they offered before of the Covid-19 pandemic were intended for consumption at the point of sale service and not for delivery. To carry out the study, an analysis was carried out comparing various variables that later allowed us to evaluate whether archive technologies were opportunities for the enterprises of our sample. We found that the offer of this type of restaurant had to adapt to the new scenario, going from seeing mobile technology as a simple marketing tool to a new commercial ally, adapting to the needs of each of these technologies and therefore adapting their respective product mix. and packaging. The methodology consists of reviewing the list of the 50 best restaurants in Latin America in 2021 and making a comparison with the 2020 list based on predefined parameters, based on the study through their websites and social networks. © 2022 IEEE.
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Purpose/Objectives: It is well established that breast milk provides newborns with nutritional support, improved immunological defense, and better neurodevelopmental outcome. The American Academy of Pediatrics (AAP) recommends breastfeeding for 6 months and it is imperative that we as neonatal providers, promote and help sustain mother's breast milk supply so that upon discharge, these mothers may achieve this goal. Premature or Very Low Birth Weight (VLBW) infants tend to be sicker and unable to feed immediately. These challenges, paired with their critical illness in the Neonatal Intensive Care Unit (NICU), along with maternal stress and separation from the infant, makes meeting the AAP recommendation a challenge. On review of our data (demographics: 62% African American, 27% Hispanics, 8% Caucasians), we found that only 55% of babies discharged from the NICU at University of Illinois Hospital (UIH) received any breast milk at the time of discharge, while only 31% of VLBW infants received any breast milk at discharge. This identified an opportunity for improvement for our NICU in September 2019. Design/Methods: Our quality improvement (QI) initiative aimed to improve the rate of maternal breast milk administration at discharge by 8% by August 2022 for newborns born <34 weeks or <1500 grams admitted to the UIH NICU from birth. Our multidisciplinary team included physicians, nurses, and dietician. We used the Institute of Healthcare Improvement Model for. Change and Process maps and Key Driver Diagrams to develop and identify interventions. Tests of change were conducted using plan-do-study-act (PDSA) cycles targeting interventions such as increased maternal support by providing an early recognition reward trinket for breast milk, improving EMR handoff, and providing a lactation bundle. Process measures (documentation, checklist), balance measures (time to first feed, length of central line, length of stay), and our overall outcome measure (improving breast milk administration at discharge) were identified and data was collected and presented as control charts with statistical analysis. Results: Although we have yet to see a statistically significant shift, we have achieved ∼30% of our targeted aim and see a trend towards desired outcome, Figure 1. The project has gained momentum from all key stakeholders and frontline staff, leading to ownership and pride in the project. Conclusion/Discussion: Although the COVID-19 pandemic caused the initiative to slow down, the continual conversation surrounding the project, played a large component in changing the culture around breast milk and has potentially impacted outcomes, Figure 1. On feedback from the medical team, the morale and quality of conversations with bedside RN regarding mother's milk supply had increased. We have made steps in the right direction, but there is still much work to accomplish. Moving forward, this initiative will work towards achieving our aim, a sustainability phase, and expand to other departments.
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This study seeks to explore whether E-Business, E-Commerce can facilitate the digital consumption of art. Gallery Weekend Santiago and Mexico are selected as a case study, since (1) it is an event present in the two Latin American countries with the possibility of trading works of art with NFT, (2) it is the first event of art galleries adapted 100% to e-payment and virtual currency (3) both were developed in the context of the covid-19 pandemic, so they have important online strategies to bring the event to the public (4) The sale of art with ethereum cryptocurrencies it is outsourced to the MarketPlace (OpenSea) (5) both countries are in various stages of development and implementation of technological initiatives in the field of e-business and art galleries. The methodology developed is based on reviewing in detail the construction and logic of each official website of gallery weekend santiago and mexico, along with analyzing the composition of the websites and work system of each of the art galleries, attached to the event, based on predefined parameters. It ends with an analysis of OpenSea regarding the upload of works to review how they are displayed on said sales platform, both for Mexico and for Chile. It is concluded that the development of E-Business and E-Commerce can facilitate the digital consumption of art, as has happened in the case of Galerry weekend stgo © 2022 ACM.
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The purpose of this research was to compare the perception that teachers of the Autonomous University of Chihuahua of Mexico have on the use of information and communication technologies (ICT) during two periods in 2020. Analytical - synthetic and theoretical – deductive methods were used and was carried out from a case study. The techniques applied to select participants was probability sampling and to gather field information, surveys were conducted. The measuring instrument was validated with a Cronbach's Alpha greater than 0.8. It was concluded that the university teachers perceived that they increased their skills in general, and it was also observed that the use of the institutional platform significantly increased its use. The university must continue implementing strategies that allow professors to continue evolving during the COVID-19 pandemic in order to continue developing more user-friendly and intuitive learning environments for students, environment that will remain even after this crisis. © 2021,Formacion Universitaria. All Rights Reserved.
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The world economy reflects the primary principle of transparency and social control in public procurement, in order to generate employment, strengthening equality and the equitable distribution of wealth, but the reality has been reflected in the mirror of corruption as a front medium in which it is directly linked to the State and its contracting parties. The global pandemic derived from Covid-9 forced the economy to look for sustainable alternatives but the reality was formed in overvalued contracts at their real prices, a situation that left the entire Ecuadorian territory in economic instability around the health emergency, without compliance individual and general that require all types of public contracts, have left the violation and direct affectation of the principle of transparency and social control. The State reformed and formulated different design structures to prevent the spread of the virus, but the excessive use of contracts has increasingly bled the financial system that supported Ecuador. The objective of this article is to carry out a legal analysis with reference to public procurement in Ecuador regarding the health emergency.
ABSTRACT
This research aims to carry out a sociological study on the causes of acts of corruption in public procurement around the health emergency imposed by COVID 19 in Ecuador regarding the role of the state in its prevention and the need for legal reform. For this purpose, we propose using Neutrosophic Sociology or Neutrosociology, to use an indeterminate membership function that allows modeling the unawareness, doubts, and contradictions that may exist in the answers of any human being. The results obtained showed that the city of Guayaquil identifies as the main cause of acts of corruption in public procurement during the COVID 19 health emergency in the country: the interference of public servants as partners in different companies supply medical supplies. However, it does not recognize as a possible cause the existence of legal gaps in the public procurement norm. © 2021. Neutrosophic Sets and Systems. All Rights Reserved.
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Background: We have developed a semiautomated infrastructure to identify remnant clinical fluid samples to support specimen collection for UCLA Institute of Precision Health from patients who have opted in through the UCLA institutional Universal Consent. This system has allowed us to collect unique remnant fluid biosamples for subsequent DNA extraction and genotyping on over 30,000 patients to date. Here we describe the modification of this system to efficiently capture specimens from patients with SARS-CoV-2 causing coronavirus disease (COVID-19). Methods: We utilized a COVID-19 patient registry to identify potential sources of remnant biospecimens. This dynamically linked registry to UCLA Healthcare's electronic health record system includes all patients who have had at least one resulted COVID-19 PCR or Antibody IgG test. A COVID-19 remnant specimen report is generated three times each week by cross-referencing the COVID-19 patient registry to a listing of all clinical biospecimens scheduled for disposal for the next three days. This report is refined by selecting patients who have had a positive PCR or IgG test result and compared to our current inventory to identify specimens from previously unsampled patients. Additional filtering is performed to track the interval between positive test date and sample collection date, allowing for the collection of longitudinal plasma/serum samples. Through our Biomaterial Tracking and Management System (BTM, Daedalus Software Inc.), reports are generated daily to detect sample collection from onsite and offsite labs, to pull and courier samples to our repository. Whole blood samples are retrieved for DNA, serum, plasma and PBMC isolation. We also initiated the generation of an automated, weekly report from the EHR that alerts us to any autopsies from COVID-19 positive patients for potential remnant tissue samples. Results: From March to November, over 11,700 biospecimens have been collected from 1,300 unique patients, consisting of whole blood, DNA, PaxGene, PBMC, plasma, serum, and various tissue samples. Over 2,370 biospecimens have been released to approved study teams. Conclusions: We have successfully established a semiautomated infrastructure and workflow to capture annotated specimens from patients infected with SARS-CoV-2 that significantly reduces the chance that specimens may be missed. This allows for the efficient generation of a large number of specimens that researchers can rapidly obtain for study.
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This research has addressed the issue of the right to education from the COVID 19 pandemic, since on March 17, 2020, through Presidential Decree No. 1017 was declared a State of Emergency issued by the Constitutional President of the Republic of Ecuador and therefore it was necessary to suspend on-site classes in order to continue with classes virtually or remotely. 1017 declared the State of Emergency issued by the Constitutional President of the Republic of Ecuador and therefore the need to suspend the face-to-face classes in order to continue with classes virtually or remotely to protect the health of humanity, through the ministerial agreement No. MINEDUC-2020-00020-A, decreed by the Minister of Education, in such virtue teachers and students had to adapt to this new mode of virtual learning.
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The hot chili pepper industry represents one of the most important staple foods in Mexico and many Asian countries. Nowadays, large amounts of waste materials are produced from the pepper supply chain that could be used as a source to obtain nutraceuticals. Among the most common and important bioactive compounds contained in pepper residues are the capsaicinoids, which are the responsible of the pungency of the pepper. Capsaicinoids, mainly capsaicin, may ameliorate obesity, gastric disorder, diabetes, cardiovascular diseases, cancer, rhinitis, asthma, immune system diseases, and important viral diseases as the recent COVID-19. The aim of this review is to review the industrial process for the extraction of capsaicinoids ingredients from pepper residues and to examine the relation of the capsaicin and other chili pepper phytochemicals to prevent and treat chronic diseases explained through the key role of the TRPV1 receptor. The extraction and incorporation of these compounds into nutraceutical formulations depend mainly on the development of new methods to improve not only the yield of a particular compound but the validation of the bioactivity and phytochemical characterization. © Copyright © 2021 Cortés-Ferré, Guajardo-Flores, Romero-De La Vega and Gutierrez-Uribe.