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Introduction: pneumonia is a respiratory pathology mainly of infectious origin and represents the seventh leading cause of death in Colombia, with a high incidence of morbidity and mortality in children under five years of age. In view of the closing of the PDSP 2011-2022, the context of the covid-19 pandemic and the creation of the new development plan and PDSP, it is necessary to characterize pneumonia mortality and design a model to predict mortality behavior to guide public health efforts. Methodology: an analytical ecological analysis was designed with time series analysis using the methodology of Bello l & Martinez and Box-Jenkins. Results: it was identified that there is a higher proportion of mortality in adults over 65 years of age;as for sex, no differences were identified in the proportions;as for the insurance regime, statistical differences were identified, as well as a statistical association between the variables of insurance regime and sex (p<0.001). On the other hand, a SARIMA (0,1,2)x(1,1,1,1)12 model was designed with an AIC=1252.81, an RMSE=96 and a mape=22.0%. Conclusions: a possible upward trend was identified from 2014 to 2018, and a decreasing trend after 2018. Pneumonia mortality in Colombia was mainly represented by the age group 65 years and older with 73.6% (n=42,070), likewise, it is relevant to mention that there were no differences in the distribution by sex. A strong difference between insurance regimes was identified. A SARIMA(0,1,2) x(1,1,1,1)12 model was defined with a RSME of 96 and a MAPE of 22.0%.
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Introduction The mental health impact of the COVID-19 pandemic is well documented. Portugal entered the emergency state on 19th march due to rising numbers of infected patients. The emergency state introduced regulatory measures that restricted people’s movements, applied a curfew, and closed most non-essential spaces and activities, such as shops and religious celebrations. Objectives To evaluate the rates of suicides during the emergency state in Portugal. Methods We obtained the number of probable suicides during 19th march and 2nd may 2020, 2019 and 2018 from SICO/eVM (Real Time Mortality Electronic Surveillance). This system is used for health planning in Portugal and provides provisory data which is updated every 10 minutes. ExcelÒ was used for the statistical analysis. Results During the Emergency State in Portugal there were 57 probable suicides. Comparing to the same period in 2018 and 2019, there were 62 and 70 probable suicides, respectively. Social isolation, anxiety, fear of contagion, chronic stress, and economic difficulties may lead to the development or exacerbation of depressive, anxiety, substance use, and other psychiatric disorders. Literature on suicides due to COVID-19 mention not only fear of infection, but also social isolation and distancing and economic recession as causes for suicide attempts and completions. Conclusions During the emergency state there was not an increase of probable suicides, compared to previous years. The greater vigilance of people’s movements may have deterred many attempts. However, policymakers and health care providers must be alert as the current psychosocial predispose to an increase in suicide rates. Disclosure No significant relationships.
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Various immunopathological events characterize the SARS-CoV-2 infection. Nevertheless, it has been reported that T cell response against SARS-CoV-2 is predominated by CD4+ T cells, which could be related to the compromised long-lasting protection. Furthermore, different vaccines have been developed to prevent coronavirus disease 2019 (COVID-19). Therefore, this research aimed to analyze and compare Fourier transform infrared (FTIR) spectra of vaccinated people with a positive (V-COVID-19 group) or negative (V-Healthy group) qPCR test, evaluating the long-lasting immune and T-cell responses through FTIR spectroscopy. Most individuals that integrated the V-Healthy group (88.1%) were asymptomatic; contrary, only 28% of the V-COVID-19 were asymptomatic. Likewise, 68% of the V-COVID-19 group had at least one coexisting illness. About the immunological and T-cell responses analyzed through FTIR spectroscopy, the V-COVID-19 group showed a greater content of IgG and IgA as well as the analyzed cytokines (IFN-γ, TNF-α, IL-1 β, IL-6, and IL-10). Therefore, it was possible to evaluate in saliva the long-lasting immune and T-cell responses through FTIR spectroscopy, showing a statistical significance between the groups. Moreover, we corroborated that the protective role of vaccination is not only by antibodies; the vaccine-induced T cells might contribute to vaccine efficacy against viral variants.
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COVID-19ABSTRACT
The COVID-19 pandemic has driven educational institutions worldwide to shift their mode of delivery online where internet connectivity plays a crucial role in the continuity of learning and sustainability of the student outcomes. With the Philippines having one of the slowest internet speeds in the world, it is not unusual for students and teachers to encounter problems concerning connectivity. The aim of this study is to produce a mobile application that would monitor internet connectivity and consumption. The target respondents of this study are students from different universities in the National Capital Region. Explanatory Case Study Design is used to determine how and why internet connectivity is slow, while Exploratory Case Study Design is used to answer who and what aspects and factors affect the internet connectivity. Input-Process-Output (IPO) Model is used to determine the questions to be asked to the respondents, on how the data would be analyzed, and the probable solution that would be proposed to answer the main problem of the study. The proponents had identified the different user requirements by incorporating Quality Function Deployment (QFD) in order to generate specific features that must be included on the mobile application to satisfy the user’s needs and expectations. © IEOM Society International.
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IntroductionIn early 2020, governments started to implement different forms of public health measures, from physical distancing recommendations, to stay-at-home orders, to limit the propagation of COVID-19. Here we report the case of a 41-year-old woman, with a diagnosis of panic disorder. During the end of the lockdown, the patient presented psychopathological worsening, from her fear of Covid-19 infection, stemming from a heart failure disease and concerns regarding the hygiene and safety measures of those around her.ObjectivesPresentation of a clinical vignette.MethodsSelection and analisis of clinical case and review of the literature using PubMed database.ResultsThe COVID-19 pandemic and the measures adopted to prevent the spread of the disease had a huge impact on a personal, social, and economic level for the world population. The rise of fear and anxiety among people due to uncertainty about the disease are coupled with essential yet disruptive measures such as lockdowns and quarantines. The chronically ill population are especially vulnerable during such circumstances and require addressing their physical health and any psychological difficulties they might experience, being at higher risk of suffering physically from the pandemic’s disease as well as psychologically from the implemented countermeasures.ConclusionsThis vignette provides a case where a person’s psychiatric conditions are worsened due to the end of a pandemic lockdown, rather than the lockdown itself. Additional work should aim at comparing the experiences of the different countries affected by the pandemic in order to understand the size of the psychological impact, the potential risk and protective factors.DisclosureNo significant relationships.
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IntroductionCoronavirus disease 2019 (COVID-19) pandemic has had a negative impact for mental health. ULS-Guarda in cooperation with Portugal National Health Service, provided the population of the district of Guarda with a mental health helpline (MHHL).ObjectivesProvide a descriptive data analysis of the MHHL calls received between April 1st and September 20th of 2020.MethodsThe data was obtained through the filling out of questionnaires. It included fields for gender, age, the type of service provided, relation to COVID-19, symptoms displayed and the number calls made per patient. For the statistical analysis, Microsoft Excel TM was utilized.ResultsMHHL received 191 calls. The largest volume was received during April, which saw 116 instances of patients seeking the MHHL. The number of calls then tapered progressively throughout the following months. The services provided were split between psychiatric assistance, psychologic assistance, and the renovation of medical prescriptions, in 44%, 31% and 19% of the cases, respectively. The 101 patients who resorted to the MHHL were unevenly distributed in gender, being 74 female and 27 male individuals. Their ages were mostly between 50 and 69 years old. The most common symptoms were anxiety, depressed humor and insomnia, in 35%, 16% and 11% of the cases, respectively.ConclusionsThe largest influx of calls coincides with the home confinement period, and decreased alongside the relaxation of the confinement measures held. The MHHL had enough adherence to warrant consideration of it being an alternative means of healthcare access, especially in situations where physical access to healthcare is restricted.
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IntroductionThe mental health impact of the COVID-19 pandemic is well documented. Portugal entered the emergency state on 19th march due to rising numbers of infected patients. The emergency state introduced regulatory measures that restricted people’s movements, applied a curfew, and closed most non-essential spaces and activities, such as shops and religious celebrations.ObjectivesTo evaluate the rates of suicides during the emergency state in Portugal.MethodsWe obtained the number of probable suicides during 19th march and 2nd may 2020, 2019 and 2018 from SICO/eVM (Real Time Mortality Electronic Surveillance). This system is used for health planning in Portugal and provides provisory data which is updated every 10 minutes. ExcelÒ was used for the statistical analysis.ResultsDuring the Emergency State in Portugal there were 57 probable suicides. Comparing to the same period in 2018 and 2019, there were 62 and 70 probable suicides, respectively. Social isolation, anxiety, fear of contagion, chronic stress, and economic difficulties may lead to the development or exacerbation of depressive, anxiety, substance use, and other psychiatric disorders. Literature on suicides due to COVID-19 mention not only fear of infection, but also social isolation and distancing and economic recession as causes for suicide attempts and completions.ConclusionsDuring the emergency state there was not an increase of probable suicides, compared to previous years. The greater vigilance of people’s movements may have deterred many attempts. However, policymakers and health care providers must be alert as the current psychosocial predispose to an increase in suicide rates.DisclosureNo significant relationships.