ABSTRACT
Introduction: The inclusion of non-invasive ventilatory support systems in the management of ARDS in adults during the current pandemic, has been a lifeline given the lack of resources in the current international health situation. Systems such as the high flow nasal cannula have proven not to be just a temporary ventilatory system while awaiting invasive mechanical ventilation, on the contrary it has been shown that the high flow nasal cannula is an effective therapy tool in ARDS. Objective: To provide an easy guideline for the management of high-flow cannulas in hospitalized patients with severe pneumonia due to ATS criteria secondary to SARS COV2-COVID 19. Materials and methods: This is a prospective, single-centre observational study, including 59 patients, all with a diagnosis of SARS-CoV-2-related pneumonia between January and April 2021. The patients were initially managed in an intermediate care unit with high nasal cannula flow (HFNC). Results: We were able to show that there is a statistically significant correlation between age > 65 years and respiratory rate ≥28 and mortality;likewise, between age > 50 years, NEWS > 6 and again a respiratory rate ≥28 with treatment failure. Conclusions: HFNC in respiratory failure related to coronavirus disease 2019 should become a viable management alternative, particularly in settings with limited access to intensive care unit resources, taking the indications into account and recognizing that a high percentage of patients who receive it can be successfully weaned without the need for invasive mechanical ventilation. © 2022 Asociación Colombiana de Medicina Crítica y Cuidado lntensivo
ABSTRACT
Background and Purpose: Urban agriculture (UA) has become an even more attractive option for food security and safety brought by the spread of COVID-19 which causes global health crisis. However, studies examining the perceived values, challenges, and needs towards urban agriculture are very limited and this does not exempt even the context of Cebu City in the Philippines. In this regard, this study aimed to assess the problems and prospects concerning urban agriculture in the aforementioned City. The purposes are to propose action plans and offer insights in designing and implementing food and agricultural programs and policies in the planned participatory action research (PAR) for sustainable urban agriculture. Methodology: This study used Kemmis and McTaggart's (1988) Model of Action Research. The use of this research method is an essential approach towards constructing sustainable developments of urban agricultural systems. However, only the planning stage was accomplished in this phase of action research of which it employed sequential explanatory research design. There were 509 household representatives in this stage of the study who participated in an online survey, 217 and 292 were from the north district and south district, respectively. Subsequently, each district had five representatives who were subjected to interviews to explain the quantitative results. Findings: Results indicate that Cebuanos positively perceives the social, economic, health, environmental, and aesthetic values of urban agriculture. However, the presence of urban agriculture in the metropolitan is only from moderate to nonexistent due to lack of space or designated area. In addition, the participants disclosed a lack of training and capital or funding, thus further disengaging them from adopting urban agriculture. Nonetheless, the majority (n=463) expressed willingness to be trained in urban agriculture if given the opportunity. Contributions: This study provides key points as to how urban agriculture can be promoted. These include designating some portions of public and privately unused lands as "urban agriculture areas". In addition, financing institutions may also allocate small subsidies for marginally low-income families as their starting capital for urban agriculture activities. Finally, universities, non-government, and government agencies in the agriculture sector may train Cebuanos in backyard and rooftop gardening being the widely accepted urban agriculture form.