ABSTRACT
This study evaluated the presence of oral lesions in patients with COVID-19 hospitalized in an intensive care unit (ICU). Data included demographic, clinical, and laboratory information. Clinical assessment of the oral cavity was performed on the 2 nd and 5 th days of orotracheal intubation. Thirty-eight patients were evaluated and 16 (42.1%) presented oral lesions during their ICU stay. The median age and length of stay were 75 years and 15 days, respectively. Among the patients with oral lesions, ulcerative oral lesions were reported in 14 (87.5%) patients, of which 11 (78.6%) were found on the lips. This study highlights the importance of oral examination for patients admitted to the ICU with COVID-19.
Subject(s)
COVID-19 , Hospitalization , Humans , Intensive Care Units , Intubation, Intratracheal , Retrospective Studies , SARS-CoV-2ABSTRACT
Purpose>The aim of this study was to find out the factors that influenced customers' continuance usage intention of food delivery apps (FDAs) during COVID-19 quarantine.Design/methodology/approach>The information was obtained by applying an online survey to a sample of 295 residents in Tijuana, Mexico, who were repeat customers of the FDAs during COVID-19 quarantine. Exploratory factor analysis (EFA), the average variance explained (AVE) and composite reliability (CR) were conducted to ensure the validity of each construct. Multiple regression analysis was done to identify predictors of customers' continuance usage intention.Findings>Based on the Unified Theory of Acceptance and Use of Technology 2 (UTAUT-2), four constructs were included: effort expectancy, performance expectancy, food and beverage quality and price saving orientation. Multiple linear regressions were carried out to assess the relationship between the four dimensions and customers' continuance usage intention of FDAs. The results obtained show that effort expectancy, performance expectancy and price saving orientation influenced the customers' continuous usage behavior.Originality/value>This study contributes to the body of knowledge on consumer behavior on the continuance usage intention of FDAs during the COVID-19 pandemic, which has been scarcely studied. Also, the food and beverage quality construct was proposed, and the price value construct from the UTAUT-2 theory was adapted to price saving orientation.
ABSTRACT
Adolescents living with HIV (ALWH) have lower rates of virologic suppression and higher rates of immunologic decline compared to their older counterparts, potentially placing them at high-risk for developing severe SARS-CoV-2 disease. ALWH who are transitioning to adult care face additional challenges to remaining in care and adhering to treatment. In this special section we report the experiences of ALWH in the process of transitioning to adult HIV services during the COVID-19 pandemic. In first place, the government-mandated stay-at-home order has substantially limited access to full HIV care by restricting public transportation, HIV medication stock-outs, and the suspension of routine medical and laboratory appointments. In addition, financial hardship, uncertainty about their future plans, emotional stressors, lifestyle disruptions, and concerns of involuntary disclosure have further challenged continuity in care for this adolescent population.
Los adolescentes que viven con el VIH (AVVIH) tienen tasas más bajas de supresión virológica y tasas más altas de deterioro inmunológico en comparación con sus contrapartes mayores, colocándolos potencialmente en alto riesgo de enfermedad severa por SARS-CoV-2. Los AVVIH que están transicionando hacia el cuidado de adultos enfrentan dificultades adicionales para permanecer en el cuidado y adherirse al tratamiento antirretroviral. En esta sección especial reportamos el impacto observado en AVVIH transicionando al servicio de VIH para adultos durante la pandemia por SARS-CoV-2. En primer lugar, el acceso a la atención del VIH se ha visto perjudicado por la restricción del transporte público, la falta de antirretrovirales, y la suspensión de citas médicas y laboratoriales. Adicionalmente, dificultades financieras, incertidumbre sobre el futuro, estresores emocionales, alteración del estilo de vida y el temor de divulgar el diagnóstico involuntariamente han desafiado aún más la continuidad en la atención de esta población adolescente.