Impact of COVID-19 pandemic on cardiology fellows academic training: beyond the clinical impact.

OBJETIVO: Determinar la percepción de los médicos internos residentes (MIR) de cardiología de España sobre el efecto de la pandemia por COVID-19 en su formación y la adaptación realizada por sus servicios. MÉTODOS: Estudio de corte transversal a través de una plataforma de encuesta digital con el objetivo de conocer la opinión individual de los MIR de cardiología sobre la influencia de la pandemia en su formación. Se realiza un análisis estadístico para determinar los factores que influyeron en la percepción de la formación afectada. RESULTADOS: Participó un total de 180 MIR de las 17 comunidades autónomas (CA). Los MIR de tercer año fueron los más afectados, junto con los que rotaban en imagen cardíaca. Los residentes de las CA con una prevalencia >5 casos/1,000 habitantes fueron los que mayor probabilidad tuvieron de ser desplazados de sus servicios. CONCLUSIONES: Según la opinión de los participantes, el efecto de la pandemia por COVID-19 en su formación fue más negativa en los residentes de tercer año y los que rotaban en imagen cardíaca. OBJECTIVE: The objectives were to analyze the perception of the Cardiology Fellows in Training (FIT) of Spain about the impact of the COVID-19 pandemic on their academic training and to know the adaptative changes performed by their department. METHODS: A cross-sectional study performed through a digital survey platform for Cardiology FIT. Chi2 analysis and logistic regression were performed to determine the factors that influenced on the perception of an affected training. RESULTS: A total of 180 FIT from the 17 regions of Spain participated. Third year FIT and those rotating in cardiac imaging were the most affected with statistically significant difference. The residents of the regions with a prevalence of >5 cases/1,000 inhabitants were the most likely to be displaced from their departments. CONCLUSIONS: According to the opinion of the participants, the impact of the COVID-19 pandemic on their academic training was more negative in third year FITs and those rotating in cardiac imaging.

NBS Impact Evaluation with GREENPASS Methodology Shown by the Case Study ‘Fischbeker Höfe’ in Hamburg/Germany

The implementation of nature-based solutions (NBS) in urban regeneration aims to improve citizens’ health and well-being. Therefore, tools need to be applied to identify the most suitable and efficient location and type of NBS. Within the CLEVER-cities H2020 project, the Greenpass method has been chosen to evaluate different design solutions regarding thermal comfort and physiological equivalent temperature (PET), energy, water and air fluxes. The Greenpass system comprises of standardized tools, reports and a unique set of Key Performance Score (KPS) and Key Performance Indicators (KPI). This paper deals with the impact assessment of NBS by the use of the innovative Greenpass system for the CLEVER-cities project ‘Fischbeker Höfe’ in Hamburg, Germany to ensure human health and well-being improvements for the citizens. To that end and considering the climate change context, thermal comfort is a KPI with high relevance in terms of the NBS co-benefits. Based on the PET within a project area Greenpass calculates the Thermal Comfort Score (TCS). The share of the different PET classes within the project area is multiplied with a weighting factor and summarized to the TCS. The results of the climate resilience analysis of the urban development area ‘Fischbeker Höfe’ in Hamburg are presented and discussed in comparison to a conventional architecture that disregards NBS, showing improvement with regards to four out of five KPS. Based on the evaluation results, advice is given to the co-creative design team on how to further improve the design towards climate resilience. The Greenpass system has proven to be a powerful and tailored tool to support climate resilient urban design and architecture. It provides a standardized and comprehensible but still scientific basis for decisions in a highly efficient and understandable way.

Influence of Confinement Due to COVID-19 on Physical Activity and Mediterranean Diet Adherence and Its Relationship with Self-Esteem in Pre-Adolescent Students.

Regular physical activity and good adherence to the Mediterranean diet are important for improving physical and mental health. Confinement due to the COVID-19 pandemic has led to a lack of exercise and poor nutrition. Preadolescent mental health, specifically regarding self-esteem, may have been affected. This is particularly relevant between the ages of 10 and 14. The influence of total confinement due to COVID-19 on physical activity and Mediterranean diet adherence, and its relationship with self-esteem was studied in third-year primary school students and first-year secondary school students in the provinces of Granada and Malaga, Spain. Validated questionnaires were administered to evaluate physical activity (PAQ-C), Mediterranean diet adherence (KIDMED) and self-esteem (Rosenberg Scale). In the same way, the FAS III test was used to evaluate socioeconomic status and an ad-hoc questionnaire was developed to collect sociodemographic data and evaluate screen time. Data were analyzed using IBM SPSS 25.0 statistical software. During the period of total confinement, statistically significant differences were found between examined variables, according to sex, school year, school type, socioeconomic status and whether or not the participant had contracted COVID-19. These data were compared with those collected during a previous time period. Those with a low socioeconomic status and girls were most affected.