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In this paper we analyze any kind of relationship between the firm's size and the organizational resilience. First, we present two existing frameworks of organizational resilience that propose a set of resilience indicators. Then we discuss on data published by the Spanish Institute for the Statistics if the firm's size has been a relevant factor for organizational survival during the last two world economic crisis: 2008 financial crisis and the recent COVID 19 pandemic. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
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The data exploration metrics through scientific mapping aim to find out the level of interest in social networks and politics 2.0 within the scientific community worldwide;the development of literary production in times of pandemic to which research is limited;the creation of both research and review articles sectioned by countries, authors, and keywords within the search carried out in the Scopus database. In the first instance, an analysis of the scientific literature is carried out in the primary citation index that is used worldwide to measure high-impact scientific production, such as Scopus;a total of 139,710 jobs were obtained, which were filtered only in the years of the COVID-19 pandemic, resulting in several jobs of 17,049. The results that could be analyzed through scientific mapping showed that scientific production increased in the keyword social networks (online) with several authors who mostly belong to developed and English-speaking countries;Mexico is the only country in Latin America within the results obtained through the maps. Finally, the analysis of the clusters relates keywords such as social networks, machine learning, and big data;within the systematic review, there are still no studies related to politics 2.0;therefore, it is concluded that the political keyword 2.0 still has no connection in terms of high-impact scientific production. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Introduction: Glomerular diseases in children generally present as a variety of findings that include hematuria, proteinuria, edema, and hypertension. Glomerular diseases can be isolated to the kidney or present as a component of a systemic disorder. Emerging reports show that SARS-CoV-2 infection precedes the appearance of various autoimmune diseases. Case Description: Twelve-year-old Hispanic female with history of migraines, obesity, hypercholesterolemia, and NAFLD, who presented with anasarca, fever, and fatigue. On exam, she had hypertension (138/89 mmHg) and anasarca with ascites. Labwork was remarkable for K+ 5.6 mmol/L, Cr 1.07 mg/dL, albumin 2.1 gm/dL, AST 48 IU/L, cholesterol 265 mg/dL, triglycerides 178 mg/dL, CRP 2.6 mg/dL and ESR 80 mm/hr. UA with >500 proteinuria, moderate blood, 100 RBCs, 49 WBCs, and negative leukocyte esterase and nitrites. A rapid strep test and Hepatitis Panel were negative. ANA <1:10, C3 complement level low at 36 mg/dL, C4 normal. Abdominal US showed hepatomegaly, echogenic bilateral kidneys, and a small pleural effusion. SARS-CoV2 antigen test was positive. She was managed with antihypertensives, albumin infusions, and furosemide. She was readmitted 2 weeks later from the Nephrology clinic since her creatinine was 1.5 mg/dL and she persisted with generalized edema. Repeat SARS-CoV2 PCR was negative. At this time, she presented ANA titer in >=1:1280, strongly positive SSA, SSB, and SM antibodies, low C3 (43.0 mg/dL) and low C4 (7.4 mg/dL). Renal biopsy specimens showed more than 50 percent of glomeruli affected with mesangial and extracapillary hypercellularity, segmental cellular crescents, interstitial fibrosis, and marked deposition of immunoglobulins and complement, consistent with lupus nephritis Grade IV. Discussion(s): Systemic Lupus Erythematosus (SLE) is an autoimmune condition that has been described in correlation with SARS-CoV-2 infection in adult patients. Our patient fulfills SLICC criteria for SLE and a temporal relationship exists between SARS-CoV-2 infection and the development of SLE antibodies. SARS-CoV2 has also been reported to directly cause nephritis, although with more tubular than glomerular involvement. A renal biopsy is required for accurate diagnosis.
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Nursing professionals constitute the most important workforce in the health system as care managers, since the beginning of the COVID-19 pandemic they have worked in the first line of care demonstrating quality of care, vocation, commitment and courage to exercise their profession despite the risks, discrimination, deterioration of their physical, mental and emotional health to which they have been exposed. Objective(s): to identify the working conditions of professional nurses, their influence on the quality of care in times of COVID-19. Methodology Type of study: descriptive, correlational-transversal;population 40 nursing professionals and 40 patients from Hospital Leon Becerra Camacho, II level of care with referral for COVID-19 patients;Two instruments were applied: Survey "Nursing professional working conditions" with a reliability of Cronbach's Alpha 0.878;the survey "Quality of care" with a reliability of 0.867. Result(s): 82.5% of nursing professionals have regular working conditions, 17.5% have good working conditions;in quality of care 85% of patients receive very good quality of care, 15% good quality of care;For the correlation of the variables, the Chi Square test was used, obtaining a p-value = 0.677, which indicates that the working conditions of nursing professionals are independent of the quality of care. Conclusion(s): There is no relationship between the working conditions nursing professional and the quality of care in times of COVID-19. Copyright © 2022, Anka Publishers. All rights reserved.
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[...]it is essential to take into account the knowledge provided by past epidemics caused by other similar coronaviruses, which at the time generated the Severe Acute Respiratory Syndrome (SARS) of 2003 and the Middle East Respiratory Syndrome (MERS) of the 2012. [...]in this bibliographic review, the medium and long-term consequences that other coronaviruses have generated and that could generate the one that has been called severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) will be exposed. Syndrome, covid-19, persistent covid, post-acute, chronic, long-distance carriers, long distance covid, and Boolean operators and and or. [...]including all the documents that will deal with post-acute and chronic covid-19 disease, the data found were between 35-45 records, thus using 40 articles for the realization of this document. According to two published articles, the first by the Department of Biology and Biomedical Sciences at Aga Khan University in Pakistan and the second published in the journal Jama Network, there is no clear consensus on the definition of the medium and long-term effects generated by COVID-19. According to the clinical characteristics of the affected patients It is important to emphasize that those patients who suffer from both post-acute-chronic COVID-19 are very heterogeneous in their vast majority.
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The COVID-19 pandemic has produced enormous changes in the activities of daily life of people. Physical activity levels have decreased, time in front of the computer has increased, producing physical inactivity and a sedentary lifestyle in schoolchildren. The objective was to determine the direct association between physical activity. time in front of the computer and hours of sleep with the body mass index in adolescents between 12 and 17 years of age in the Puno region Peru. The approach used is quantitative, the type of research that was assumed is non-experimental with a cross-sectional design. An intentional non-probabilistic sample of 465 adolescents (241 women and 224 men) with a mean age of (14.14 +/- 1.34) was applied. The instruments used were the physical activity questionnaire, time in front of the computer with a reliability analysis of Cronbach's Alpha of 0.918 and 0.862, self-reported measurements of body weight and standing height. Results 20.65% of women have a low level of physical activity, 9.87% of men predominate in high physical activity. 14.19% of women spend more time in front of the computer during the week from 6 to 7 hours a day, unlike 12.26% of men. 23.66% of women are overweight and 5.81% obese, compared to 20% and 3.23% of men. There is an inversely proportional Spearman's Rho correlation of -0.167 and p<0.01. Concluding that with less physical activity, the body mass index increases.
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Introduction: The COVID-19 pandemic has modified the daily activities of people worldwide and the time of schoolchildren in front of a screen has increased, producing physical inactivity and sedentary lifestyle. Objective: To determine the relationship of time in front of the screen (television, computer, cell phone, tablets) with physical activity, hours of sleep and eating habits in schoolchildren aged 6 to 12 years in Juliaca during the pandemic. Materials and Methods: A descriptive cross-sectional multiple correlational study was carried out, which included 305 schoolchildren (164 women and 141 men) with a mean age of 9.09 +/- 1.99. The information was collected through online questionnaires: time in front of the screen, physical activity, hours of sleep and eating habits. Results: Men spend more hours in front of a screen during the week (20.7%) from 6-7 hours a day, (11.5%) from 8-9, (3.0%) > 10 hours, in contrast with women (13.4%), (5.6%) and (1.0%). Women show low levels of physical activity (26.2%) compared to men (6.2%). In the hours of sleep, women prevail (41.3%) sleep 8-9 hours a day, unlike men (31.5%). In eating habits, inadequate nutrition prevailed in schoolchildren. Conclusions: it was determined that schoolchildren spend more time in front of a screen from 4 to 9 hours during the week and from 1 to 5 hours on the weekend, the level of physical activity decreased substantially, the hours of sleep were modified and the habits Food supplies are inadequate as a result of the pandemic.
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Background: COVID-19 predominantly affects the respiratory system. However, persistent extrapulmonary (musculoskeletal and cardiovascular) conditions have been reported. Objective: To determine the most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID 19 in a rehabilitation center. Material and methods: An observational, cross-sectional, descriptive and analytical study of post-acute COVID-19 patients was carried out. Clinical-demographic data, cardiorespiratory and neuromusculoskeletal symptoms were collected upon admission to the cardiopulmonary rehabilitation program. Descriptive statistics and association tests were used through the Chi squared test, taking p < 0.05 as significant. Results: 262 files were collected. The age was 49.9 +/- 11.5 years. There was a predominance of males (69.8%). The most prevalent symptoms, in the different degrees of severity (mild, moderate, severe and critical, respectively) were MRC 3 dyspnea (30.4%, 56.8%, 43.1% and 42.9%), weakness (60.9%, 59.5%, 56.9 % and 87.8%), and paresthesias (65.2%, 56.8%, 49.7% and 75.5%). SARS-CoV-2 critical infection was associated with a higher presentation of weakness (p < 0.01), paresthesias (p = 0.01), and dependency in activities of daily living (p < 0.01). Conclusions: The most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID were dyspnea and paresthesias. Critical infection by SARS-CoV-2 was associated with a greater presentation of weakness, paresthesias and dependence on activities of daily living.
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Coronavirus disease 2019 is an infectious disease that was first identified in the city ofWuhan in China.To date, obesity and protein-energy malnutrition maintain a close association with the appearance of severe forms of COVID-19, so this review focuses on the importance of adequate nutrition and physical exercise to reduce the severity of COVID-19 infections and how they come together to complement medical treatments. An excess of body fat and the appearance of malnutrition, keep us more vulnerable to contracting the coronavirus disease;a pandemic of great magnitude that, for different international health organizations, is linked to two central topics: nutrition and physical exercise.The development and application of new nutritional and exercise interventions is urgently required with the aim of not only reducing obesity, malnutrition and sarcopenia acquired during the coronavirus disease pandemic but also for viral outbreaks that may possibly occur in the future. © Federación Española de Asociaciones de Docentes de Educación Física (FEADEF).
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The differential diagnosis of respiratory diseases is usually a challenge for medical specialists in the first line of care, increased under the current COVID-19 pandemic. A Clinical Decision Support System -CDSS- is being developed using Bayesian Networks - BNs - to help physicians diagnose respiratory diseases, including those related to COVID-19. Network structure has been elicited from expert physicians, and network parameters (diseases prevalence, symptoms, findings, and lab results conditional probabilities) were extracted from relevant bibliography or currently standard global information sources. The CDSS is being tested using case studies taken from real situations, provided and validated by physicians. The resulting system demonstrates the suitability and flexibility of BNs for diagnosis support and healthcare training.
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Currently, because of the global health emergency, various difficulties have arisen in education. Specifically, in the field of Innovation and Entrepreneurship, the virtualization of training and networking programs, considered as the basis of any Entrepreneurship, has been evidenced as the main problem. This article explains a virtualization proposal through the use of digital tools such as social networks, videoconferences, and virtual rooms (Habbo), achieving a great reception by students of the various professional careers of the University. Likewise, it is explained how the interaction, synergy, and development of soft skills, aroused among the participants of the different specialties, allowed outstanding achievements at the national level. © 2021 Latin American and Caribbean Consortium of Engineering Institutions. All rights reserved.
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UNIANDES extension in Quevedo, through the department of outreach with the community, in the Systems career, incorporates its eighth semester students, to provide computer solutions in times of pandemic, in the Quevedo Municipal Educational Unit, when building mobile applications, in order to improve teaching processes between teachers and students in virtual mode. The applications were used and the results were satisfactory, with constant feedback and formative evaluations as a priority, in different subjects. In the construction of them, the teacher contributes with his didactic experience, the contents and evaluations. Of the five students of UNIANDES, they build a mobile application for five subjects, with all the suggestions of each teacher, the same ones that were used by 150 students, who in 90% of the proposed educational objectives were met. It is intended that for subsequent projects, academic units of the curriculum will be increased by subjects, if possible, for the six part-time periods of the school year.
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Objectives. To measure protocol adherence and antigen-based detection tests (AgDT) negative predictive value after 3 months of massive use as a diagnostic tool for COVID-19 in Guatemala. Methods. The study period included nasopharyngeal swabs taken between March 12 and August 31, 2020, which results were entered in the national COVID-19 information system. Proportional increase in testing between one month before and one month after the introduction of AgDT (May 9–June 8 vs. June 9–July 8) was measured. Results. After AgDT introduction, there was a 139% increase in SARS-CoV-2 testing. Between June 9 and August 31, 7.8% of 110 657 AgDT-negative patients had follow-up RT-PCR testing. Of them, 30% were RT-PCR positive. Conclusions. While introducing AgDT improved access to diagnostics, ensuring the availability of timely RT-PCR capacities to confirm diagnosis is also key. © 2020 Pan American Health Organization. All rights reserved.
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The emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has posed great challenges for both public health and medical clinical practice since the first cases reported in Wuhan, China. Coronavirus disease (CoVID-19) is a zoonotic disease caused by an RNA virus. SARS-CoV-2 is transmitted through respiratory droplets and fomites, and it has a lethality estimated at 4%. In the pediatric population it mainly produces mild cases, but it also can cause severe cases with hypoxemia, respiratory distress, and multiple organ failure. Children have been recognized as an important disease vector than can spread disease to higher risk groups. It is fundamental to rearrange emergency department functioning, in order to achieve an adequate patient flow that reduces the risk of disease transmission. In the following, we lay out the recommendations for patient care in the emergency room. La emergencia mundial del virus SARS-CoV-2 (CoV2) ha producido grandes desafíos para la salud pública y para la atención clínica, desde la aparición de los primeros casos en Wuhan, China. La enfermedad, CoVID-19, es una infección zoonótica producida por un virus RNA (1). Se transmite a través de gotitas y fómites con una letalidad estimada en 4%. En pediatría, provoca cuadros respiratorios en su mayoría leves, pero también cuadros severos con hipoxemia y distrés respiratorio (2). Se ha reconocido al niño como un vector importante que aumenta los contagios en personas que tendrán probablemente cuadros de gravedad. La organización adecuada de los servicios de urgencias es fundamental para lograr un flujo y áreas especiales para los pacientes sospechosos de CoVID-19 y así evitar nuevos contagios. A continuación, se detallan las principales recomendaciones para la atención de estos pacientes en un servicio de urgencias.