ABSTRACT
Objective: To evaluate the outpatient activities of high obstetric risk during the COVID-19 pandemic. Methods: Retrospective, descriptive review of epidemiological, clinical/paraclinical factors and treatment of 102 medical records from the High Obstetric Risk clinic of the Jesus Maria Casal Ramos Araure/Acarigua University Hospital from March 11, 2020 to March 11, 2021. Results: In the year, 346 controls were carried out, 244 successive controls, 23% adolescents, 19% elderly and 58% of reproductive age;77% with some degree of formal education;57% of the municipality of Araure, the most common reason for referral in 25% want not to reproduce and 23% in previous cesarean sections;high blood pressure was the most frequent family and personal history and comorbidity;64% had a lower average gain of 6 Kgs;52% of patients were anemic on their exams, requiring iron supplements or transfusions;betamethasone was the most widely used inducer of lung maturation and amoxicillin/clavulanic antibiotic. 2 patients positive for human immunodeficiency virus, 1 primary syphilis and 2 COVID-19 were monitored and treated on an outpatient basis: 1 mild in the 1st trimester and 1 moderate in the 3rd trimester. There were no maternal deaths in the sample. Conclusion: The high obstetric risk consultation is the most effective form of articulation between the surrogate, the health services and the community that guarantees a healthy pregnancy, the place to give birth, as well as a dignified and respected treatment throughout the process. © 2022 Sociedad de Obstetricia y Ginecologia de Venezuela. All rights reserved.
ABSTRACT
In mature tourist destinations for several years the need has been raised to reconvert the tourism. The current crisis caused by Covid-19 has further highlighted this need, which must be oriented towards innovation, sustainability and accessibility both in destination as the tourist products. In this sense, the objective of this work is to propose an urban geotourism itinerary with a geographical theme through Santiago del Teide, in Canary, Spain linked to volcanoes. This type of products are relatively new and touristically exploit the relief present as in cities as natural outcrops and in cultural heritage. For the proposed itinerary, twelve places were selected that host the relationship between society and the volcano through their natural and cultural heritage. This urban geotourism proposal can contribute to diversify the municipal tourist offer, polarized in the tourism of sun and beaches on the coast and on the route of the almond trees in the midlands.