ABSTRACT
The objective of the research work was to expose how the legal research process after the covid-19 pandemic has impacted on the solution of social problems and to determine a mechanism for the satisfaction of the actors of the legal research process at the Universidad de los Andes. Therefore, it is proposed to characterize the impact through a bibliographic search in databases of interest and subsequently determine the level of satisfaction of students, professors and certified researchers within the university with the existing legal research system through the application of the IADOV technique. A higher overall satisfaction index was obtained in the sampled analysis groups. It was observed that the group of professors obtained a higher overall satisfaction index than the rest of the two groups. The most important elements for each of the groups were es-tablished, as well as those that enhance and limit the research system. It is recommended to review and analyze the limiting elements detected in order to include them in a continuous improvement plan. © 2022, University of Cienfuegos, Carlos Rafael Rodriguez. All rights reserved.
ABSTRACT
Introduction: COVID-19 related restrictions necessitated a rapid transition to telemedicine (TM) ambulatory services for pediatric heart failure (HF) and heart transplant (HT) patients. The impact on patient related outcomes remains unknown. We report the feasibility of incorporating TM in routine ambulatory care delivery to pediatric HF and HT patients at a large academic center during the COVID era (04/2020-04/2021). Methods and Results: A total of 650 HF patients, median age 10 (0-25) years and 200 HT recipients, median age 10 (0-22) years were followed at our center during the COVID era. A centerspecific, risk stratified model based on patient characteristics (Table 1) and local COVID restrictions were used to determine patient eligibility for TM only, TM + in-person (IP) or IP care only. There were 2 unexpected deaths in the HT and 0 deaths in the HF patients during the COVID era compared to 1 death in HT and 0 deaths in HF patients in the pre-COVID era (01/2019-12/2019). Both deaths in the COVID era were due to non-cardiac causes and neither patient utilized the TM platform for care. There was a significant decrease in emergency room use and unplanned hospital admissions during the COVID-19 era compared to pre-COVID era (Table 2, Fig 1). Conclusions: TM can safely be incorporated in routine ambulatory care delivery for appropriately selected pediatric patients with HF and HT.