ABSTRACT
Introduction: To our knowledge, there are no published studies on the implementation and results of Pulmonary telerehabilitation (PTR) in Argentina. Our objective was to describe PTR strategies used during the COVID-19 pandemic, the results of the different PTR modalities and the patient satisfaction. Method(s): A prospective study was carried out between April and August 2020. Patients who switched to different PTR modalities participated: synchronous (SPTR) or asynchronous (APTR). The level of satisfaction, quality of life with the St. George's Respiratory Questionnaire (SGRQ) and anxiety and depression with the Hospital Anxiety and Depression Scale (HADS) at baseline, 6 and 12 weeks were evaluated. Result(s): 20 centers participated. 299 patients were included (55.9% female), with a median (P25-75) age of 68 (62- 72) years, 184/249 (73.9%) diagnosed with COPD, 37 (14.9%) interstitial lung diseases, 12 (4.8%) asthma and 16 (6.4%) other CRD. 110 (36.8%) patients underwent SPTR and 189 (63.2%) with APTR. No differences were observed in the SGRQ and HADS except in the activities subscale of the SGRQ that increased significantly (p<0.05) in both groups, the impact subscale and the total that increased significantly in the SPTR group at 12 weeks (p<0.01). Both groups reported being satisfied with the PTR, 5.9 (5.4-6.3) in SPTR and 5 (4.6-5.4) in APTR, being significantly higher in SPTR (p=0.004) Conclusion(s): We observed significant satisfaction with PRT during the pandemic. No improvements were seen in quality of life, anxiety, or depression.
ABSTRACT
Analysing fiscal policy from the perspective of feminist economics means examining gender equality policies, both in terms of tax revenue and other sources of fund (indebtedness), as well as redistribution and public spending. Finding out the number of resources assigned to these policies, their macroeconomic impact, and their temporality (longevity) is extremely essential. In this paper, we will analyse public expenditure in the budgets of Latin American countries during the COVID-19 pandemic. The budget proposals tabled for the region focus on employment generation through the creation of care centres, with policies that focus on both redistribution of income and redistribution of care work. © 2022 Oxfam KEDV.
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Background: COVID-19 is the disease that affects the entire world and is a health emergency. Knowing the clinical and epidemiological characteristics of the patients is important to fight it. Objective: to describe the epidemiological profile of COVID-19 in Cumanayagua. Methods: a descriptive, retrospective, cross-sectional study was carried out that included the 14 positive cases diagnosed in 2020. With the data collected, a database was created, which was processed using the statistical package SPSS-PC version 25.0. The cases were collected according to epidemiological classification, age, sex, presence or absence of symptoms, comorbidity, source of infection, symptoms and places of residence from where the patients came. Results: the months of November and December were the ones with the highest reported cases, the native and imported cases behaved in the same way, those over 15 years of age predominated and there were no differences according to sex. Asymptomatic cases predominated. High blood pressure, diabetes mellitus, and obesity were the most frequent comorbidities. The symptoms that presented were fever and headache in greater numbers. The largest number of cases came from the places of residence, Vila and Las Brisas. Conclusions: Although in the year analyzed there were not many patients, it is important that the population fulfill with health and social distancing measures to avoid contagion.
ABSTRACT
Background: continuity and contextual specificity of overcoming become essential after COVID-19 appearance. Updating knowledge and developing skills is the fundamental premise to encourage dedication and responsibility towards the patient in the nursing professional. Objective: to describe the development of intensive care nurses professional improvement to face COVID-19. Methods: descriptive study carried out at the Cienfuegos Medical Sciences University between March-May 2020, with 238 nursing graduates (intensive care graduates). Variables analyzed: characterization of the nurses, link with the graduation of the Intensive Care Diploma, description of the current diploma, students assessment on satisfaction with this improvement modality, as well as contribution to the excellent performance of the professionals. Results: The 78.1% of the trainees are between 41-60 years of age, the 87% with more than 16 years of experience. The diploma course lasted five school weeks, using alternatives such as the use of simulators for the exercise of practical activities. At the end, the 95% served in hospitals of suspected COVID-19 patients and isolation centers in the province and the 53% are on an internationalist mission in the Henry Reeve Team. Conclusions: the overcoming carried out allowed to improve skills, using simulators as a means of teaching so that the trainees could apply specific biosafety actions and care in comprehensive care for the patient with SARS/CoV 2 subjected to artificial mechanical ventilation.
ABSTRACT
Last December, SARS-CoV-2 emerged in Wuhan, China, like a new coronavirus, producing the coronavirus disease (COVID-19), that as of April 15, 2020, it has infected more than 2,000,000 people worldwide and caused 128,833 deaths. Due to the way SARS-CoV-2 is transmitted, endoscopy rooms and endoscopic procedures are an easy source of dissemination, as they fulfill the different characteristics of a contaminated environment for patients and healthcare personnel involved in endoscopic procedures. It is of great importance to establish measures within endoscopy units to prevent and reduce the risk of spreading this infection, creating a safe environment that protects patients and health personnel. A Pubmed search was performed with the following terms: (“COVID-19” OR “coronavirus” OR “SARS-Cov-2”) and (“gastrointestinal” OR “transmission” OR “intestinal” OR “digestive” OR “endoscopy “OR” esophagogastroduodenoscopy “OR” colonoscopy “). The gastroenterology team of our institution, considers that all patients brought to endoscopic procedures should be classified as high risk and presents the recommendations that all healthcare staff in endoscopy units, should take into account to reduce the risk of infection. © 2020 Asociaciones Colombianas de Gastroenterología, Endoscopia digestiva,.