ABSTRACT
Due to COVID-19, the shift to telecommuting became a widely used work set-up to maintain economic balance. This work set up is associated with risks to employees' wellness. As prevention to the risks, employees must be provided with ways to understand the telecommuting attributes. In relation, this study targets in understanding the links between the socio-economic demographic status, work engagement, and food intake of the education sector's tele-employees. The 110 samples are gathered from the Senior High school Department using convenience sampling, an online survey, and the mixed method. ANOVA and multi-linear regression are used as statistical treatments. The study found that the older generation with higher Income is more likely linked with higher work engagement. The younger generation, low-income earners, and males are inclined more toward unhealthy foods as compared to their counterparts. Low-income earners perceived that their work engagement falls under the category that energy to work is at a bare minimum level. The participants' education attainment revealed significance with energy-giving or carbohydrate-source foods. The qualitative data highlighted job position was perceived with a link to food intake and work engagement. Unhealthy food consumption is perceived with a beneficial association with work engagement, although it is suggested for further investigation. With these findings, the education sector's stakeholders, nutrition, mental health professionals, and future researchers would mainly benefit from this study for intervention generation. © 2023 ACM.
ABSTRACT
Developmental language disorder is a diagnostic challenge in early stages of development, so its adequate approach and intervention improves the prognosis of this group of patients who are often diagnosed late, especially recently in the context of the COVID-19 pandemic. This article seeks to provide tools that promote understanding its importance, as well as allowing parents to be given strategies that promote language and communication skills in the early stages of their children's development.
ABSTRACT
Background: Acute respiratory distress syndrome (ARDS) is characterized by hypoxemia and non-hydrostatic pulmonary edema. While ARDS is associated with a high mortality rate, its conjunction with cardiogenic shock (CS) can lead to devastating outcomes. ARDS is managed via lung protective ventilation with low tidal volumes and positive end expiratory pressures. Prone positioning has emerged as a supplementary strategy with beneficial effects on gas exchange, respiratory mechanics, and hemodynamics. Our case underlines the feasibility of intra-aortic balloon pump counterpulsation (IABP) with concurrent prone positioning in a patient with ARDS and CS. Case: 71-year-old male with history of coronary artery disease, hypertension, hyperlipidemia, and chronic kidney disease, presented to the emergency department with new onset chest pain. EKG showed ST-segment elevations in leads V1-V2 consistent with acute anterior wall myocardial infarction. Patient underwent percutaneous coronary intervention to the left anterior descending artery.Due to worsening hemodynamics and CS, it was decided to place a left axillary IABP. Hospital course was further complicated by acute pulmonary edema and ARDS requiring emergent intubation and mechanical ventilation. Patient was also started on renal replacement therapy given progression of renal failure. Decision-making: Given the onset of ARDS, the patient was placed in prone position for 12-16 hours/day for 5 days. There was no special technique required during proning, other than additional staff to ensure IABP stability. Gradual improvement in hemodynamics was attained, including an increase in cardiac index from 2.1 to 3.4, and a decrease in pulmonary vascular congestion. Conclusion: With the emergence of COVID-19 pandemic, the incidence of ARDS has increased significantly, with simultaneous occurrence of CS in some of these patients. Prone positioning has become one of the main therapeutic modalities in the management of ARDS. Our case highlights the feasibility of axillary IABP while implementing prone positioning in patients with concomitant ARDS and CS.
ABSTRACT
Introduction: Accreditation at the University of Medical Sciences of Havana began in 2002. Since then, a total of 41 external assessment processes have been carried out in 25 master's programs. Objective: To describe quality management for master's programs at the University of Medical Sciences of Havana. Methods: A cross-sectional and descriptive research was carried out in the first quarter of 2021, for which qualitative-quantitative methods and procedures were used. Results: Of the authorized programs, seven lost their accreditation status for different reasons. Eighteen, of which ten were of excellence, six were certified and two were qualified, had a category higher than the authorized one. Four were conceived to carry out remote external assessment processes in 2021, while another thirteen were expected to do so in 2022. The current situation of the COVID-19 pandemic led to the master's programs taking on various modalities to give continuity to their execution, upon considering the orientations from the National Accreditation Board. The documents reviewed highlighted the implementation of the Applied Research Project. Conclusions: Quality management for master's programs advances over the years. Those creditable have a higher accreditation category, with a predominance of the excellence category. The external assessment processes are projected for 2021and 2022, while an Applied Research Project is being executed and consolidates the actions of this strategy. © 2021, Editorial Ciencias Medicas. All rights reserved.
ABSTRACT
Background : Patients affected by COVID-19 are at risk of various venous and arterial thrombotic events, as well as embolic risks, the risk can vary from 17% to 78% according to the different published series. therefore, thromboprophylaxis must be imperative. Aims : To assess the use of rivaroxaban as thromboprophylaxis in recovered COVID-19 patients who are at thrombotic risk Methods : Descriptive and analytical study in patients who presented pneumonia due to COVID-19 in April and May 2020, who received LMWH during their hospital stay and at discharge with rivaroxaban 10 mg/day for 2 months. D-dimer was measured at the beginning of the study and 1 month after discharge. Thrombotic or hemorrhagic episodes are controlled after 1 and 2 months of treatment (June -July 2020). Results : 50 patients, women 40% and men 60%, with a median age of 42.9 years. 64% had mild pneumonia and 36% had severe pneumonia, mean initial D-dimer 556.5 ng/ml, 56% had D-dimer ≥ 500 ng/ ml at the time of hospital admission. Baseline D-dimer values were significantly higher in severe pneumonia. In the follow-up at one and two months, we found that D-dimer values were significantly higher among patients with severe pneumonia and also, in this group of patients, the percentage of patients with D-dimer levels ≥ 500 ng/mL in the first month of follow-up, was significantly higher in the group of patients who were hospitalized for severe pneumonia. During the first month of follow-up, there was a thrombotic event and a hemorrhagic event in the group of patients with severe pneumonia;By the second month of follow-up, there was a hemorrhagic event in the group with mild pneumonia, but this difference in frequencies was not statistically significant. TABLE 1 Variables stratified by type of pneumonia Conclusions : The incidence of thrombotic and hemorrhagic events was low, so the thromboprophylaxis scheme used in patients with recovered pneumonia due to COVID-19 is recommended. Rivaroxaban is safe to use like thromboprophylaxis.